What are the BEST and WORST States to practice as an NP? - page 16

I am speaking primarily from two perspectives here: 1. The degree to which NP's are accepted, recognized, and utilized in that area/state. 2. The degree to which state law recognizes NP's, and... Read More

  1. by   yelnikmcwawa
    linearthinker, the az issues you speak of were so misconstrued in the national news, it’s not even funny. come to az and you'll find that there is diversity up the wazoo. caucasians are actually the minority here.

    sb 1070 was stemmed out of the fact that our borders have been getting very violent with drug and human trafficking in the last several years and thousands of people...mostly undocumented immigrants, have been killed. this was arizona's attempt to let the federal government know that we don't have the funds to police the border with the limitations on our laws, so we enacted a state law that would allow us to do what the feds are not helping with. this law was meant to protect people from the increasing violence at the border...hispanics from both our side and mexico's side included!!!!

    but back to the topic...i'm not an np but i do know that az has a pretty liberal np scope of practice. being able to practice independently is a nice bonus and there seems to be a job market for nps here.
  2. by   Southern Magnolia
    AZ resident chiming in . . . I'm in Tucson but I've spent lots of time in Phoenix. "Redneck" is not anywhere near how I would describe Phoenix. You'll find a contingent of old cowboys and the like in Tucson and especially Prescott but I still can't say it's redneck . . . take it from someone that grew up in true redneck country (Arkansas). Phoenix is a massive city with I dare say all colors and religions represented. You'll find people with narrow perspectives anywhere you look.
  3. by   linearthinker
    I have noted my I'll informed impression of AZ. Thanks for the feedback there. It is still not going to make the list for reasons having to do with my spouses potential work, etc. We are looking at new mexico, Washington state and Oregon. First, a trip to the PAC NW next month to get a feel for it. In the meantime, I will check out the city data sites. Thanks!
  4. by   psychonaut
    On a somewhat-related note, I just discovered that the Pearson Report is no longer free. Bummer.
  5. by   zenman
    Well, the one we are making here is free!
  6. by   psychonaut
    Quote from zenman
    Well, the one we are making here is free!
    Your point is well taken. I will add that I am in a state with a so-so scorecard on the Pearson report, but my personal experiences as both an RN and as a student-FNP have demonstrated only cordial, productive physician-NP relationships. So I can see the advantage to a forum like this where we can share personal experiences. Also, as a novice NP, I can guarantee that issues of collaborative agreements vs. "independence" are pretty low on the priority list, compared to things like mentoring, supportive learning environments, etc.
  7. by   AtomicWoman
    Quote from psychonaut
    Your point is well taken. I will add that I am in a state with a so-so scorecard on the Pearson report, but my personal experiences as both an RN and as a student-FNP have demonstrated only cordial, productive physician-NP relationships. So I can see the advantage to a forum like this where we can share personal experiences. Also, as a novice NP, I can guarantee that issues of collaborative agreements vs. "independence" are pretty low on the priority list, compared to things like mentoring, supportive learning environments, etc.
    What state is that?

    And your point about mentoring, etc. being high on the priority list is excellent. My plan is to get my MSN (won't finish until 2013), stay here in the East until I feel comfortable practicing (however long that takes), and then go West/Southwest. Although with this miserable, stinking winter, I am ready to RUN AWAY right now. LOL
  8. by   nomadcrna
    So you automatically believe the distortions in the media?
    I don't know where to start, so I won't.

    Ron

    Quote from linearthinker
    No disrespect to AZ natives. All I know is what I see on the news, with input from one person who lived in Phoenix and found it to be "redneck." (her words). I am certain there are good people in AZ. The fact remains, that governor was duly elected, and that suggests to me that my interest and values are incompatible with the majority. Id be very happy to hear I have a misimpression, b/c real estate is dirt cheap, lol.
  9. by   GM2RN
    Quote from nomadcrna
    So you automatically believe the distortions in the media?
    I don't know where to start, so I won't.

    Ron

    You picked out one part of one sentence, took it out of context, and focused on that.
  10. by   enoRN
    Does it matter if FNP or ANP for these various states?
  11. by   juan de la cruz
    Quote from enoRN
    Does it matter if FNP or ANP for these various states?
    The titles FNP and ANP as you might already know, define the type of training and certification the individual NP possesses. Some have a combination of both, actually. In states where "independent practice" is allowed, it doesn't matter what title the NP carries. It does matter for legal and patient safety reasons that the NP adheres to the limits of their training and certification in clinical practice (i.e., FNP providing primary care to families and individuals across the lifespan and ANP providing primary care to individuals who are young adults all the way to older adults).
  12. by   enoRN
    Thanks juan de la cruzzzzzzzz
  13. by   linearthinker
    Quote from nomadcrna
    So you automatically believe the distortions in the media?
    I don't know where to start, so I won't.

    Ron
    Nomad, my gut response is stemming from the fact that I find the stated values of elected officials in AZ to be completely abhorrent. I assume just by the fact that they were elected, that the voting public supports platforms I would categorize as sanctioning egregious human rights violations. I have already admitted that perhaps this is not a fair way to make assessments of random AZ residents and apologized. Nevertheless, I suspect I would not be comfortable there and in any event my husband does like his prospects at the bar. AZ is not going to make the cut. Right now, Seattle is at the top of the list. However, I have just learned that I am a finalist for this fellowship (I applied when I realized the possibility of getting a NP job in my present area is about nill)

    http://www.coro.org/site/c.geJNIUOzE...ws_Program.htm.

    I am going to put off being a NP for at least a year if I actually get it, and focus on policy issues at the Center for Genetics and Society via the Tides Foundation. I'm very excited!

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