Medic --> ADN --> BSN/MSN

Specialties NP

Published

First, thank you for a nice forum to talk about whatever. Much nicer than some of the other forums (I won't mention names).

I'm a 24 y/o guy applying to a hospital-based RN diploma program here in the Pittsburgh area. It is a UPMC hospital, BTW.

I am also employed FT as a paramedic and have been involved in EMS since I was 18. I even teach some medic classes and precept students. I am very good at my job and am proud of it. The job really promotes critical and independent thinking, treatment planning, and so on. We are certainly more than ambulance drivers or stretcher jockeys. We are taught how to recognize many health issues and emergencies. I take my job seriously and am always advancing my knowledge and skills.

I would like to finish my ADN and then go for my BSN/MSN with a FNP concentration. My career goal is to work in an outpatient clinic, urgent care center, or family practice. I am curious how well your average NP program will prepare you for real world medicine, to think critically, order appropriate tests, formulate diagnosis, and understand a high level of pathophysiology? The reason I ask is the debate over NP vs PA. Personally, I know some very good mid-level providers in each field. But I do recognize a significant amount of hard sciences and such in the PA curriculum compared to NP. I also have seen a few threads about the "fluff" of NP programs. Is there a way to avoid this or any specific programs that are less "fluffy" than others? I have no plans on attending a web-based or distance NP program. I like to be in the classroom. Really, I don't want to be sold short on my education. I want a good education for my own edification as well as the well-being of my patients.

Thank you all so much for your time,

DU

Specializes in Emergency, MCCU, Surgical/ENT, Hep Trans.

"forever" Your right, it is ridiculous, that's why I do it! Just to "jab" at them, as they do to me, all the time. It is a sign of mutual respect in my eyes, when two professionals, who work, side-by-side, on a daily basis, can do this in a joking manner and then in a flash, help each other, in the most efficient manner take care of a waiting room full of moms/kids/dads/grandmothers and employees, hearing nothing but accolades about the PA/NP/MD waving as they all leave.

Funny, they don't know the difference between any of us...that was my point. I really have no idea if my freshly washed hand is warmer or not.

Hi Ivan,

I am currently facing the fortune of having to decide between several great nursing programs. One is a 3-year BSN at a "top 10" nursing school. Another route is two year ADN at an excellent CC, then one-year bridge to BSN (the BSN could even be done at the "top 10" if I wanted). As you can imagine, the latter option is about 2.5 times less expensive, and offers one year to work/gain experience if I can secure a job. Ultimately I know my heart is in family practice and community health, probably as a FNP. So, I will continue on with school (albeit slowly) regardless of my decision. Seems like a no-brainer decision, no doubt.

Regardless of where I go to school, I plan on learning as much as I can in every situation, seeking out challenges, networking, and working hard. In addition, as you can see with my options, either way I will have a BSN after 3 years.

I am so tired about the debate over BSN vs. ADN, though. It seems like there are people in both camps. Lately I have been getting feedback that in a rough economic market, the BSN will be a boost, and if it comes from a big school it will matter all the more. I just don't know. Did you ever encounter any barriers in professional development that you could somehow trace back to how you progressed through your education? I am guessing you may say no.

I know there is a lot of discussion on this topic, but I see your path is similar to the one I am hoping to take/probably will take. It is always nice to hear from those who have been there/done that. I am looking forward to the journey.

Thanks in advance for any reply.

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