NP w/no desire for RN? - page 7

Well, not so much NO desire...but are there any NP's out there that wanted to become (and had their sights set on being an NP from day 1) an NP with no real 'drive' to be an RN first? My cousin is... Read More

  1. by   zenman
    Quote from DeigoT
    Even with that, some of us felt as though we were not fully prepared for the responsibility we were about to assume.
    I wonder how this impacts those who want to go straight into NP school with no RN experience? Even though RN practice is not the same as NP practice you still have some valuable experience behind you.
  2. by   sandiixx
    Quote from siri
    Hello, Pinoy2.0,

    I think I understand what you are saying. You are interested in becoming an NP, but, do not want to practice as an RN. Well, as you possibly know, you must become RN first. An NP is an RN, practicing in the advanced role.

    Normally, and, I make this suggestion for any RN contemplating the role of NP, you should work as a RN for a while before going to an NP program. You need the experience the RN gathers in order to make yourself a better NP. This experience is invaluable. I had no idea I was going to make an NP when I graduated from my nursing program. I worked for a few years before that realization set in. Then, I did a 4 year preceptorship with an OB-GYN specialist before going to an NP program. The experience I gained as an RN truly set my course for the advanced practice role as NP. Don't sell the role of RN short here. You need that experience in order to go forward.

    Now, I do not advocate that all RNs work for years and years before undertaking NP school. Just get some experience as an RN first. What I did for myself was strictly what I thought was necessary.

    Good luck in whatever you choose.
    WOW How long did it take you to get where you are now?:bowingpur
  3. by   kshoe
    I was an RN for 32 years before I went to NP school and I am now a certified NP. The diagnosis I make along with management and evaluation of patients almost always reflect past experiences as a RN. You must practice as a RN before you can be a competent NP. I wouldn't trade those 32 years for anything, not even becoming a NP years ago. My RN experience truly makes me a more credible NP. Plus the salary isn't that much more than that of a RN. If you practice in a rural area, you have to depend on your past RN experiences in order to practice safe NP care.
  4. by   prairienp
    Quote from divinegracie
    i think a large part of the problem driving these discussions of experience as an rn as a prerequisite for becoming an advanced practice nurse is the way the programs are structured and frustration with lack of supervised clinical experience as an aprn we get after graduation. medical school takes students without clinical experience, gives them 2 years of classroom work, then two years of clinicals, then after graduation they get a year of internship and a 2-to-whatever-year residency to hone clinical skills. no one in their right mind would call a new md graduate a skilled physician. what do we nps get? a two year program (full time) into which is crammed way more than two year's worth of knowledge we need in order to practice, a struggle to retain this vast amount of information (i suppose we're to pick up the balance of knowledge we need after graduation while studying for boards ... ???), some clinical hours, then ... thrown out the door to practice! why isn't there a standardized internship for np graduates of every discipline, like new mds get? is this even being discussed by those who are advocating making a doctorate the entry into practice for nps? at this point, i tend to support this practice doctorate, btw, if it is, say, 3 years instead of 2, because the way knowledge is expanding in health care, there is too much to learn in 2 years to be even a midlevel provider -- i just believe a formal internship after graduation needs to be a part of this discussion. we all need formal mentoring, supervision, and support after graduation like the mds get.
    [font='times new roman']one of the reasons mds have and nps don't have an internship is $$$$. the residency for mds is paid by your tax dollars. nps are not eligible for the same program. all residents, no matter where they graduated from (us or outside us) receive their salaries from the us government via our tax dollars. wouldn't it be great if nps could take a year after graduation to hone their skills and receive a modest salary under the direction of a residency program.
  5. by   Dragonfair
    I may be old fashion,BUT I don't want a green NP taking care of me as a Patient who has not had any experience. I have been a Nurse for 28 years 18 of which I was a LPN,10 as a RN. I have 2 years into a NP program and if I hadn't had my experience I would have a hard time.. Think about it do you just want someone who is book smart
  6. by   Dragonfair
    I may be old fashion,BUT I don't want a green NP taking care of me as a Patient who has not had any experience. I have been a Nurse for 28 years 18 of which I was a LPN,10 as a RN. I have 2 years into a NP program and if I hadn't had my experience I would have a hard time.. Think about it do you just want someone who is book smart
  7. by   prairienp
    Quote from dragonfair
    i may be old fashion,but i don't want a green np taking care of me as a patient who has not had any experience. i have been a nurse for 28 years 18 of which i was a lpn,10 as a rn. i have 2 years into a np program and if i hadn't had my experience i would have a hard time.. think about it do you just want someone who is book smart
    my heart wants to agree with you, but the "research" suggests little to no difference in performance after completion of a np program using years of experience as the independent variable.
  8. by   krisssy
    Quote from divinegracie
    You go, girl! You may find that it's not the relative lack of clinical experience that might stymie you in grad school, but the fact you'll be the "old lady" in the class. But your skills as a successful teacher will probably see you through any potential rough spots in school ... I envy you your teaching experience. That might better prepare you for grad school than med/surg experience. Sending you good luck vibes and lots of support,
    Another older returning student
    Divinegracie, thank you for your encouragement. I am going to grad school online, so age won't be a factor. I don't believe that age is a factor anyway. After reading about all the people in their 50's just starting nursing school, I actually feel a little ahead of the game. For all the posters talking about the necessity of experience, I do agree. I am going to start working as a staff psych nurse at a time that is appropriate for me in my personal life. I just don't think that a year of med surg is necessary. We may all never agree on that one!! I do agree with Divine gracie that NP's need a residency program. I also feel that new RN's need residency programs in their specialties. I see that they are offered in many specialties like ED, CCU, ICU. I would like to see more of these programs offered in other specialties like psych! Anyone know of any? With the nursing shortage, I wish the gov. would start giving money for these programs to nurses, not just doctors. I wonder how bad the shortage will have to be before they realize that some help is needed here. Krisssy RN MA future MS in psych
  9. by   Dragonfair
    Good Luck and God Bless I'm sticking with experience. It has got me through some tough time in codes and life experiences. Just make sure you have good Malpractice insurance.
  10. by   button2cute
    Hello,

    I would love to attend a residency program and when I inquire about it...the reactions were negative. A person stated "that is why we do not have one because it brings the uniquness to the nurse practitioner programs. You have been a nurse for a period of time and the clinical time in the nurse practitioner's program is sufficient." Well, I feel that is I would like to explore other area that maybe of interest to me. IE. Cardiothoracic. Grant, an extensive probational period my give you the opportunity to learn. However, I am competing for the best job an/or with other nurse practitioners and physician assistants. I want to be marketable and fully compete for the position. I will be on the next level from being a rn and I would like to be exposed to the speciality as well as additional hours. It will not hinder the nurse practitioner programs at all. If any thing it will be bridge the distant medical professional and patients closer together. So, what I will be making peanuts and the learning exposure will for a yr or two in my speciality will bring a lot more benefits than not attending. I am all about competition, learning and bridging the medical profession/patients closer together. Therefore, residency would be awesome.

    Friends and happy thanksgiving everyone,
    Buttons
  11. by   sirI
    Quote from sandiixx
    WOW How long did it take you to get where you are now?:bowingpur
    Thank you, sandiixx, you are kind.

    I have worked now about 13 years as FNP (before becoming FNP, I worked about 8 years as OB-GYN NP). 5 of these last years were with the federal government working in the rural areas. I am still consulting as a rural health expert and help to set up clinics.

    But, I have worked now the past 8 years in one clinic. I have total autonomy with the physicians here and actually share ER call with them. Took a while to get to this place, but, well worth the time.
  12. by   Simba&NalasMom
    I know a NP who works in NICU, one 24 hour shift a week. She absolutely loves what she does, and I'm sure she's very good at it. She told me that NICU was the only thing she ever wanted to do and if she couldn't do it, she would not be any other kind of nurse. IMHO, nothing wrong with setting that type of goal as long as you have the competence and passion for your job once you get there.
  13. by   macuser555
    Quote from brownrice
    GO FOR IT!! Skip the RN time and don't look back. PA's aren't required to "do time" why should nurse practioners be required to do such? Also, something I've noticed as I investigated your question among nurses with varying degrees of experience:
    The nurses that climbed their way up the hard way always seemed to think many years of experience were needed prior to becoming an NP. It's almost as if they were thinking, "I went through the punishment, and you should too". Luckily, this type of thought is changing, and these nurses who have worked being miserable with their two year degree for 30 years will soon be retiring. I had the unfortunate experience of being under their grumpy preceptorship during most of my BSN clinicals-- YuK! An interesting sidenote to this: most of these nurses were overweight, ate junk food at work all day, compained incessantly yet never did anything about their complaint, and took smoke-breaks whenever they could. This is the antithesis of what NP's stand for: mind/body holistic healthcare. No wonder these nurses never went past two years education.
    Wow, I have noticed the same thing about the older nurses. Many are overweight and eat junk food, smoke, and then complain they feel like crap.
    They see me eating healthy food and say they don't have time to eat healthy. Well, I work full time, go to two college classes, have a husband and a child at home, etc, etc. so I don't know what they are talking about.
    I think they love their unhealthy way of life.

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