Now I get why experience means everything yet nothing - page 8

Now I finally get why nursing experience can prove invaluable in NP school, yet actually means nothing. It appears that nursing experience gives a valuable base from which to relate but does absolutely nothing for helping one... Read More

  1. 0
    Quote from bsnanat2
    mindlor,
    While I appreciate your enthusiasm for your viewpoint, I would highly recommend cooling your jets a little. No institution of higher learning is capable of preparing anyone for everything and there certainly are many-a-fool walking around with some serious sheepskins hanging on the wall. Be careful not to put too much weight on the formal education as lots of this stuff is still intuition, "critical thinking" and just plain old "I've seen this before." Thank your professors but bow to your elders.
    Just my two cents.

    First I am a soon to be new RN at 48 years old. So I think age has little to do with this equation. And yes I get passionate about this topic, expecially when folks who obviously have done no research on their own start popping off......

    Anyway, you have summed it up nicely. Thank you.

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  2. 3
    NP, according to the American College of Nurse Practioners, Pearson report. 27 states allow totally independent practice.

    I know that there are PA owned practices. I have a good friend that has one in Montana. But the fact remains, you still MUST have a collaborative physician and their involvement varies according to state law.
    I support PA independent practice. I also support their name change. I think it is just the physicians wanting control and money from the PAs. This is the same reason they fight tooth and nail against NP/CRNAs.
    But the fact remains that NPs are making great strides every year. This past year have 3 more states become independent. With the current climate in health care, more will follow.
    I thin NPs and PAs should band together to fight for legislative changes.

    The 2012 Pearson Report: A National Overview of Nurse
    Practitioner Legislation and Health Care Issues
    By
    Linda Pearson DNSc MSN APRN,BC FAANP

    For the past 24 years I have annually written a Report summarizing national nurse practitioner (NP) legislation - a Report that has wide dissemination, discussion, and utilization promoting NP legislation. Readers appreciate the concise information format including the state-by-state review of pertinent legislation, rules and regulations that impact NPs, and the government, policy and reimbursement information. For the cost of four to five gourmet coffees, anyone on the web can access the complete summary status of NP legislation, available at http://www.webnponline.com .

    HIGHLIGHTS OF '2012 PEARSON REPORT' COMPILED DATA
    Within the following “bulleted highlights” are some interesting compilations from the 2012 Pearson Report:


    • The number of NPs within our nation is now more than 180,000 (see 2012 Summary Table). This number of NPs is incredibly good news for the citizens of our country since nurse practitioners are powerfully important health care providers who are helping our nation to improve healthcare outcomes and lower healthcare costs.
    • There is NO requirement for any physician involvement in NP Diagnosing and Treating in TWENTY SEVEN STATES (See MAP – DX/TX – an “Overview of Diagnosing and Treating Aspects of Nurse Practitioner Practice”). This number has INCREASED by three states from last year’s Report!!!!!!



    Quote from Guttercat

    "Many states?"
    How many exactly? Correct me if I'm wrong but the last account I read put it at less than ten states, as "independent pratice" and "scope of practice" have very different implications.

    Btw, PA's can and do, own their own practices under the "supervision" (cough cough), of an MD...fuzzy lines drawn in the ever- shifting sands of legal interpretation.

    And I agree, one is not "better" than the other.
    Link: http://www.pearsonreport.com/
    Last edit by NRSKarenRN on Mar 18, '12 : Reason: Added link
    Guttercat, coast2coast, and mindlor like this.
  3. 1
    Thank you nomad. It warms my heart when I see people doing their own research and thinking for themselves.

    Excellent, informative post.
    Guttercat likes this.
  4. 5
    I don't think anyone is saying that RN experience doesn't count or isn't useful, just that people from other backgrounds have a lot to offer as well.
  5. 0
    Quote from nomadcrna
    NP, according to the American College of Nurse Practioners, Pearson report. 27 states allow totally independent practice.

    I know that there are PA owned practices. I have a good friend that has one in Montana. But the fact remains, you still MUST have a collaborative physician and their involvement varies according to state law.
    I support PA independent practice. I also support their name change. I think it is just the physicians wanting control and money from the PAs. This is the same reason they fight tooth and nail against NP/CRNAs.
    But the fact remains that NPs are making great strides every year. This past year have 3 more states become independent. With the current climate in health care, more will follow.
    I thin NPs and PAs should band together to fight for legislative changes.

    The 2012 Pearson Report: A National Overview of Nurse Practitioner Legislation and Health Care Issues By Linda Pearson DNSc MSN APRN,BC FAANP
    For the past 24 years I have annually written a Report summarizing national nurse practitioner (NP) legislation - a Report that has wide dissemination, discussion, and utilization promoting NP legislation. Readers appreciate the concise information format including the state-by-state review of pertinent legislation, rules and regulations that impact NPs, and the government, policy and reimbursement information. For the cost of four to five gourmet coffees, anyone on the web can access the complete summary status of NP legislation, available at http://www.webnponline.com .
    HIGHLIGHTS OF '2012 PEARSON REPORT' COMPILED DATA
    Within the following “bulleted highlights” are some interesting compilations from the 2012 Pearson Report:

    • The number of NPs within our nation is now more than 180,000 (see 2012 Summary Table). This number of NPs is incredibly good news for the citizens of our country since nurse practitioners are powerfully important health care providers who are helping our nation to improve healthcare outcomes and lower healthcare costs.
    • There is NO requirement for any physician involvement in NP Diagnosing and Treating in TWENTY SEVEN STATES (See MAP – DX/TX – an “Overview of Diagnosing and Treating Aspects of Nurse Practitioner Practice”). This number has INCREASED by three states from last year’s Report!!!!!!
    Thank you. Excellent information!

    Very helpful to me as I muddle along through the learning process.
  6. 4
    Quote from myelin
    I don't think anyone is saying that RN experience doesn't count or isn't useful, just that people from other backgrounds have a lot to offer as well.
    Thank you. I've worked in healthcare (with some time out for various family priorities) for 20 years. I've worked as a Certified Medical Assistant in a clinical capacity, I've taught in medical assisting programs, I've worked in physician practice management, I've done transcription, etc. All of those experiences have been valuable to me in pursing my education and training as a nurse practitioner - and I continue to draw on those experiences daily as a nurse practitioner working in a hospital.

    I never worked a day as an RN. Some will insist that makes my patient care as a NP substandard; I saw all those years helped me become a well-rounded practitioner. Not one patient has ever asked me about nursing experience and, frankly, I don't think they care.
    Gator Girl 2000, myelin, BCgradnurse, and 1 other like this.
  7. 0
    This particular subject never fails to generate passionate replies.

    In the past, every single thread on this subject has been closed due to TOS.......w/o fail.

    Please do not allow this thread to become a statistic, too.

    First and final warning.
  8. 0
    Quote from mindlor
    I very clearly posted the contact information for the school. Feel free to give her a call. She can hold her own, I assure you.....
    Hopefully you don't agree with her! I'm going to start pulling out my checkbook and doing some betting!
  9. 0
    Quote from mindlor
    I very clearly posted the contact information for the school. Feel free to give her a call. She can hold her own, I assure you.....
    Do you have her email? If so please send it to me and I'll contact her. I want email as I want her response written down.
  10. 0
    Quote from coast2coast

    With all due respect, you have no idea what kind of meaning I as a DE-NP derive from "handing out meds at walgreens" without having followed patients as a bedside RN. See my above paragraph ... I believe you when you say that your RN experience helped your NP development - but it's a bit egotistical to think that ONLY that type of experience gives rise to a good NP. We recently took opposite sides in the online education debate - I'll try to let go of my personal bias against online education if you can conceive of a safe NP without bedside RN experience. At the end of the day I think both of our opinions arise out of general ignorance and not malicious intent.

    I would love to see a change in the general attitude surrounding DE-NPs on AN.
    Everyone has to do what they have to do. It doesn't matter to me. Please tell me what "meaning" you have handing out meds and do you think it is not good experience to have had observed patients at the bedside rather than at office visits days or weeks apart. I also don't think that ONLY one type of program gives rise to a good NP. BUT, when you want to argue that prior experience doesn't help, then we can have a good argument...based on my extensive experience. I've never worked with a DE-NP but others have and have plenty of concern with the average DE-NP grad. You certainly can't say my opinion arises out of general ignorance..wait a minute...let me find something...here's a note from an M.D., Ph.D. physician, "On the basis of this close and collaborative work, I can recommend Randy without hesitation. In terms of diagnostic acumen, applied psychopharmacology and interpersonal skills, I rank him among the top ten percent of all mental health clinicians I have known. Likewise, I rank him similarly on his interpersonal skills. He is well liked and respected by a wide variety of patients from different age groups and socioeconomic backgrounds. As well, he is uniformly liked and respected by his team members. Importantly, he has the ability as a clinician to remain uncommonly clear-headed and calm in the midst of acute mental health problems. In the past, besides continuing as a practicing psychiatrist, I have managed a very large medical group (100 physicians). On these bases, I believe I am able to render a reliable opinion concerning Randy's overall clinical performance, which I would rate as excellent to exceptional." Based on my experience I was able to work locums tenons right out of school, a position usually reserved for those with years of experience under their belt. I'm certainly not ignorant!


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