southernbeauti7 610 Views
Joined: Jun 20, '06;
Posts: 4 (0% Liked)
Can I just say that if you do not want to be a NP, you have your own choice. Just stay a nurse forever. What's the big deal. What is all the arguing about? If you do not agree with the college preparation for NPs, don't do it.
It is okay if you look young. I am 25 and I look 16 years old. Just be very confident and walk with your head high. When you speak to your patients, be very professional and look them in the eye. I also have it bad because I just graduated from FNP and I have a really hard time with patients when they see me come in the room. I just speak with confidence and greet everyone with a big smile (I've learned that smiling puts all patients at ease).
Are there any Troy University of Montgomery graduates ou there? Do you recommend this school for nursing?
I initially graduated with a women's health np certification. I worked 6 months in a gyn only clinic and then decided to go back and get the fnp(was getting bored). I have worked in occupational health, urgent care clinics and briefly in a high risk OB unit--until the hurricaine blew it away! I am back in occupational health now. We do lots of DOT physicals, wokers comp and minor complaints. We refer all patients with chronic illness. I highly recommend occupational health. Its easy, low stress and usually pays decently. I think the ER is a great place too-though I've never done that. I have friends who work in teaching hospital ER's as NP's and they are awesome in terms of their experience and ability to multi-task. Also ER's pay the best. Locally(south Ms.) around 60 an hour. I've heard that from RN's as well- that they can make more than NP's so why go back to school? Well. Personally, I like a monday thru friday job, I like to see my family daily as opposed to working nights, weekends or travelling. I challege you to find a RN who works 4 10 hours shifts during the week(with wensday off), never works weekends or holidays and can make what even a new graduate NP makes. Oh and lest I forget--is only responsible for one patient at a time, never has to put up with idiot managers who became managers because they couldn't cut it on the floor, never has to put up with hospital administrators who are business people who don't care anything at all about nursing. You know I could just go on and on! Hope this helps you with your decision!!
Again, another uneducated comment regarding PAs. I don't know when and where this dumb idea began, but it is time to put it to an end. Here goes.
Originally, PAs were called Physician Associates. In fact, Duke University still confers their PA degrees with this title, to this day. This name was in use for many years. Some docs got testy with the term "associate", and so, the PA profession offered to change the title (because they didn't really CARE what they were called...) to Physician Assistant. Now, of course, everyone and their brother is called an associate today - sales associate, etc. Because "assistant" is closely associated with "medical assistant", there is some discussion in the PA world today about changing this title back to Physician Associate. Reclaiming their original title or gaining a new one is probably on the horizon over the next 10 years, I believe.
Secondly, NPs are not truly independent, no matter what they claim. Even so, they must be independent NURSES!! Independence = a medical degree. Period. You don't see any NPs running their own medical practice. Women's clinics like Planned Parenthood, sure, but not actual private offices. You won't see a group of NPs joining together to open a pediatric office. It's not legal. There will always be a physician with whom they allign themselves They must have a supervising physician as well - even if the doctor is off-site. NPs still have docs countersign charts. NPs have limits on prescription privileges, just as PAs. Why would NPs WANT to assume independent status with all of the legal headaches it brings....without the corresponding increase in pay? Go to medical school if you want independence. Stop trying to backdoor your way into it. Too many MidLevels think that they are mini-docs. We are not doctors, but we ARE Primary Care Providers. There is a difference!
Advanced nursing is advanced nursing.
PAs, however, practice MEDICINE.
Both professions are supposed to be doing so in conjunction with a physician. A NP will always be a nurse. Don't get offended by this - you chose this profession, and if you feel put-down by being called a nurse, you must not take much pride in your work or your collegues. Accept it and be proud!
Advanced or not, they practice nursing theory and nursing diagnoses. PAs are taught to think and make decisions similar to physicians. That is the comparison in a nutshell. Otherwise, they are pretty much the same and we would be wise to try and get the two professions to work together, instead of tearing them both apart.
Additionally, the dumb myth that NPs like to propegate is that their clinical rotation requirements are less than 1/4 that of PAs is because "they have so much more clinical experience prior to beginning the NP program." Actually, the NP requirement for clinical experience prior to the program is a minimum of 1 year experience, isn't it? The PA requirement is some huge number like 6000 + hours. You do the math. PA students ALWAYS have some kind of professional certification prior to becoming PAs. Some are nurses, resp therapists, dentists, chiropractors, paramedics, foreign medical doctors, physical therapists, imaging techs, etc. Name ONE NP program that requires that its students were "something else" before admission. You can't - because they don't! PA schools have stricter admission and graduation requirements all-around. This myth that NP students had "greater clinical experience, and that's why their clinical rotations are shorter" is a huge LIE propegated to make NPs feel better. It is simply NOT true.
What is the NP clinical rotation requirement across the country? Around here, they need 600 hours of rotations to graduate. And what areas are these rotations in? FP, women's, peds...certainly NOT surgery, ED, neurosurgery, cardiothoracic surgery, dermatology, rheumatology, coroner's office, occupational medicine, etc. as PAs do. The bottom line is that PAs have more admission requirements and more graduation hours, not to mention more classes in how to practice medicine!
Most PA students also have about 6-10 + years of healthcare experience in their former professions prior to even applying to the program. Now you tell me....who has more overall medical experience? A BSN is NOT always required to get into a NP program. Plenty of 2 yr RNs go on to NP school as well. Most PA programs require a BA/BS before admission, and many students already have a masters degree before admission to the PA program.
PA programs require 40 wks of clinicals because they believe that hands-on experience is the best route to competency. You can memorize all the nursing theory that you want, but it's not going to help you perform a subcuticular suture on a kid's face. In fact, there are VERY few NPs who work in ERs at all. Mostly PAs. Even the webpage listed above for ERNPs has NO job openings listed, and only 2 educational programs in the whole country. Wonder why? What does this say about doctors preferences? For treating critical ED patients, PAs are the clear winner because of their experience. For women's care and for family practice and pediatrics, NPs have been the dominant force by tradition. Just things to consider when making your decision.
The physican does not have ownership of the PA - thus, it is Physician Assistant, not Physician's Asst. Would it matter if they were called Clinician Practitioners (a name currently being discussed to replace PA)? Would that make you respect them more? Stop being shallow and assuming that assistant = idiot and that APN = "advanced". How advanced can nursing be? Any more advanced, and you would be practicing medicine, which is exactly what nurses claim to NOT practice - which is why they answer only to their nursing medical boards and not to the physicians state med board. BTW, do any NPs sit on ANY State Medical Board? I would be shocked if this were true. In many states, PAs sit on the state board. In one, a PA is the HEAD of the state medical board, and physicians serve on the board under his direction...Hmmmmm..
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