Questions for Current NPs - page 5

by JesseMJ

12,738 Views | 45 Comments

Hi All, Iím new to the site and have found it quite informative so far. I am applying to several accelerated MSN programs this fall, as well as 2 accelerated BSN programs. I have a strong interest in cardiology as an area of... Read More


  1. 0
    A separate, non-related question, except that NP's may be able to answer:

    It is easy enough to learn about heart murmurs and xrays.

    However, when it comes to learning about eye exams and ear exams, I am most ignorant.

    It seems that when it comes to this kind of learning, I am rather 'slow' if you will.

    Are there any quality videos available on eye and ear exams that could be watched repeatedly, that are also comprehensive???

    thanks, again.
  2. 1
    Quote from TheOldGuy
    Dearest Juan, I am not misinformed. California law prevents hospitals from hiring physicians with only a few exceptions eg non-profit teaching hospitals. Consequently, the majority of hospitals in California do not hire physicians - and they don't have any incentive to. Similarly, hospitals don't have incentives to hire NPs.

    By the way, I don't know what you mean by "wallowing in the fact that I earn more than the bedside RN's".

    Kaiser NPs make more than RNs by CNA contract. Unfortunately, Kaiser hasn't been hiring a lot of NPs - an issue that CNA is attempting to address - and is specifically identified in the new contract. In any case, Kaiser doesn't "bill" Medicare/Medi-Cal due to its HMO structure.

    I am very frustrated with CANP - rather than fighting for at least a defined scope of practice, much less independent practice, they are busy lauding their lobbying efforts at trying to fight non RNs from administering meds in schools....

    Lastly, how in the world can you say you don't miss emptying foleys?? (levity)
    When I said wallowing in the fact...all I meant was that I really try not to concern myself too much about making sure I earn more than non-APN's because I will likely come across some nurse manager with 20+years experience who surely makes more than I do.

    I really am not trying to argue or "fight" as you put it in your post. I am just presenting a different perspective. There are NP's that do make so much less than RN's in California...but then I lived in Michigan and there are NP's in a similar situation there. There is definitely room for change. For us who practice as NP's, we like the role much better and that's what motivates us to be NP's. It's a cliche but its not hypocritical to say we're not doing it for the money.

    Hey, good luck to you my friend. Maybe we'll meet in person one day.
    CCRNDiva likes this.
  3. 2
    Absolutely agree with you Juan - it is not the money that is the motivation. I would hope that would be the case for most docs too. I just think that if I'm doing essentially the same work as a doc I ought to be getting paid essentially the same pay - I get upset about the "85%"!

    I'm sure you've noticed that whenever a couple of docs are talking, money is usually a topic in one way or another - not so much when a couple of NPs are talking...I've noticed a big reluctance to even discuss money. I'd like to make it a more comfortable issue because if we're the only ones not too worried about it then we will get screwed...

    Its interesting to note how CRNAs have been far more "practice protective". While every nursing school under the sun is trying to crank out NPs, CRNA programs have developed a more conservative approach. Higher standards for entry, much more rigorous program, much less fluff, fewer schools, fewer grads, much more money.....

    I sometimes wonder if the perspective about money is a gender issue given the gender differences of CRNAs, NPs and Docs. But that is a whole other discussion....

    Have fun and take care!
    Sunshinepeds and CCRNDiva like this.
  4. 1
    Quote from TheOldGuy
    Absolutely agree with you Juan - it is not the money that is the motivation. I would hope that would be the case for most docs too. I just think that if I'm doing essentially the same work as a doc I ought to be getting paid essentially the same pay - I get upset about the "85%"!

    I'm sure you've noticed that whenever a couple of docs are talking, money is usually a topic in one way or another - not so much when a couple of NPs are talking...I've noticed a big reluctance to even discuss money. I'd like to make it a more comfortable issue because if we're the only ones not too worried about it then we will get screwed...

    Its interesting to note how CRNAs have been far more "practice protective". While every nursing school under the sun is trying to crank out NPs, CRNA programs have developed a more conservative approach. Higher standards for entry, much more rigorous program, much less fluff, fewer schools, fewer grads, much more money.....

    I sometimes wonder if the perspective about money is a gender issue given the gender differences of CRNAs, NPs and Docs. But that is a whole other discussion....

    Have fun and take care!

    You know this issue of cranking out NP's I think is a issue. I question the quality of graduate, particularly when concerning the programs that fast track them thru with out RN experience. Even those with RN experience find it a challenging path. issues with leaving students to find their own clinicals et..... It is very concerning and I think in the long run a negative for our profession.

    A
    CCRNDiva likes this.
  5. 0
    I agree totally. We need to crank up and change the NP education.
    I have said before that it would be a huge benefit the the NP would all have the same base generalist education and then specialize to various specialties afterwards. Especially with the DNP coming, its a perfect time but the ivory tower academics (no offense) would rather teach EBM or research. Its cheaper and easier, makes the schools more money but our profession suffers.
  6. 0
    It is interesting to note the similarities between current NP education and the state of medical education described in the Flexner report.


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