Pediatric NP students

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    Hey guys i am currently in advanced health assessment and even though im in a pediatric np tract the class is geared towards adult H &P's because we have the ANP and FNP students in our class too. So i have a question are ROS done on pediatric patients? I was looking through my notes and it said they typically weren't done on peds patients. I have a simulation coming up in that i independently do a H&P for an episodic visit and it can be anything and any age from 0-21. I just wanted to make sure.
    The whole semester we did H&P for adults which sucks for me because i got use to asking adult type questions and this is my last class before clinical.

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  2. 9 Comments...

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    I recently graduated/passed my boards for pediNP. No job yet so I can't tell you in "real life" if they encourage them or not, but in school we definitely did ROS for pedi patients (and we were separated from FNP students). My pedi H&P book also does ROS. I would clarify with your instructor if you get a chance.
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    Quote from Jennifer0512
    I recently graduated/passed my boards for pediNP. No job yet so I can't tell you in "real life" if they encourage them or not, but in school we definitely did ROS for pedi patients (and we were separated from FNP students). My pedi H&P book also does ROS. I would clarify with your instructor if you get a chance.

    Thanks for your help. My instructor gave me such vague answers. I'll just do ROS and do a little research on peds specific questions for this simulation. When they seperate the tracts next semseter for clinicals im sure ill get more clarifcation. What H&P peds book did u use? We are using Bates which just had one little chapter about peds lol.
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    That's good you're separating next semester--it will definitely make things much clearer! We used Pediatric Physical Examination and Health Assessment by Sawyer.
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    We only used Bates for my assessment class and it was fine. We didn't learn any pedi specific stuff until we got to our clinical courses (aside from the one chapter in Bates), but there really aren't big differences between the format. The questions are obviously different, but the format doesn't change. I have never heard of not having a RoS for peds. An H&P isn't complete without the RoS.
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    Jennifer0512,

    I was just wondering if you've found a job yet. I'm interesting in pursuing a PNP program and I'm worried about the job market. I don't see many jobs advertised. Thanks
  8. 0
    You definitely do a ROS for peds. In addition to the general questions you also tailor it to whatever conditions you know the patient has (or that you suspect he might have). Many times a pt (or parent) will not realize that a certain symptom is important and won't mention it unless you ask about it.

    ETA: I think it's a good thing you're taking general assessment first. that way if you ever decide to go back for another specialty you wont' have to repeat courses. My program was very peds specific and we only did peds patho, peds assessment and peds pharm. If I ever want to get an adult certification I'd need to repeat those classes. We actually were informed by the last semester that the requirements had changed and we needed to take a general patho class in addition to the peds patho. Some of my classmates were NOT happy campers.
    Last edit by JeanettePNP on Jun 27, '13
  9. 1
    Quote from caddywompus
    Jennifer0512,

    I was just wondering if you've found a job yet. I'm interesting in pursuing a PNP program and I'm worried about the job market. I don't see many jobs advertised. Thanks
    .

    I'm not Jennifer so I hope you don't mind me answering. I finished the PNP program in Dec 2012, degree granted in Feb 2013, passed boards in March 2013. I was very worried about getting a job since I had had a very rough time as an RN grad and never did end up working as an RN. But in May 2013 I started my first PNP job and loving it so far. Before that I had a steady stream of interviews for PNP jobs without landing the job, so I guess it just took time to find the right fit. I'd say the market is pretty good, at least at the moment.

    On the other hand the market for psych or FNP sheems to be stronger than PNP, so if ease of finding a job is an important factor you may want to look into those specialties.
    phillycpnp-pc likes this.
  10. 0
    Thanks Jeanette73 for responding. I'm new to AN. I've been reading for a while but just joined. Do you get notifications when someone responds to a post or question? I know I would prefer working with kids. It's good to know there are jobs out there. Congrats on passing!
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    Wow that's crazy they have to repeat that patho class. I would be so ******. Yea my assessment, pharm, and patho were all general aka adult based. I'm half way through my clinical rotations now and things are so much better and more clear because im doing all strictly peds stuff....Cannot wait to be done.

    Quote from Jeanette73
    You definitely do a ROS for peds. In addition to the general questions you also tailor it to whatever conditions you know the patient has (or that you suspect he might have). Many times a pt (or parent) will not realize that a certain symptom is important and won't mention it unless you ask about it.

    ETA: I think it's a good thing you're taking general assessment first. that way if you ever decide to go back for another specialty you wont' have to repeat courses. My program was very peds specific and we only did peds patho, peds assessment and peds pharm. If I ever want to get an adult certification I'd need to repeat those classes. We actually were informed by the last semester that the requirements had changed and we needed to take a general patho class in addition to the peds patho. Some of my classmates were NOT happy campers.


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