Latest Comments by Le-Lee_FNP

Le-Lee_FNP 5,401 Views

Joined: Oct 28, '10; Posts: 108 (21% Liked) ; Likes: 56

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    Hello everyone. I am researching post-masters DNP programs and noticed that Frontier offers an option where your place of employment can be counted toward your clinical hours. I am just wondering if all of the DNP programs allow this or is this just an option for certain schools? I would think that if you are already working as an advanced practice nurse that doing additional clinical hours outside of that would be unnecessary. Anyone else currently in a DNP program that allows this?

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    Hello everyone. I am researching post-masters DNP programs and noticed that Frontier offers an option where your place of employment can be counted toward your clinical hours. I am just wondering if all of the DNP programs allow this or is this just an option for certain schools? I would think that if you are already working as an advanced practice nurse that doing additional clinical hours outside of that would be unnecessary. Anyone else currently in a DNP program that allows this?

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    nilee1 and serenitylove14 like this.

    Quote from WRNCEN
    Thank you for the suggestions. I too understood what I signed up for, being the top income provider for my family an online program was the only option for me, fortunately I was able to have a program that is close to my home and not a for profit That would not cost and arm and leg. I am beginning to think that many feel online learning is inadequate, but it's about what the student puts into it, a year under my belt I have learned a lot, but hope that it doesn't discredit my abilities to others in the future. His is why I feel a strong placement is important.
    Well people can feel that online learning is inadequate all day long, but the bottom line is if you pass ANCC or AANP then you are competent as deemed by the National certification Gods. So if people don't like that who cares thats their problem. Your license is the same as theirs and I don't see online learning going anywhere anytimes soon.

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    cherryames1949 likes this.

    I will probably be in a similar situation when i graduate in december. I currently work in ICU and have gotten many unofficial offers from some of the MDs i work with to come join their practices. One is a pulmonologist and one is a Gastroenterologist. I'm not sure that i am that interested in either of these specialties and would prefer primary care initially, but as a new grad i feel like a begger can't be a choser. The competition is stiff where i live and i am going to have to take something if i want to work as a NP, so i will definately see whats out there but if you have a for sure job offer that sounds good and nothing else seems promising i wouldn't hold out if i were you. You can always do primary care later and i doubt that specializing first will hurt your future job prospects. Good luck.

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    Hi Reeya. i don't have advice, i'm sorry but i just wanted to say congrats on your first NP job. I remember you posting a lot while still in school and seeing you make it to the finish line is very inspiring. I will be done this december God willing. Good luck! I'm sure you will do great.

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    I understand your point of view and i also understand that everyone won't be into shakes, my point was that this particular shake is different than your typical meal replacement shake and that you would not be able to get the same nutrient value in any meal that you get from this particular shake. I understand that it isn't for you, but for people who like me have a hard time eating healthy and need a transition this is a very viable option and I am certainly healthier than i have ever been drinking this shake than before i started. it eliminates my cravings, keeps me full, and my digestive system is better than ever. i battle with horrible constpation and IBS which has been completely eliminated since starting the shake. I only provided the links to show you that it is also recommended by physicians which wouldn't be the case if it weren't healthy.

    I think going to the gym is great if you have a personal trainer. I just found that i had no idea what i was doing when i went there and i would always hit a plateau whereas if i do a specific program at home where i am doing different dvds and switching it up i get better results and continued results. Plus its cheaper than hiring a personal traininer and i can easily work it around my schedule instead of having to go to the gym when its open. I will continue to research different diets but i agree with you that focussing on whole foods is the way to go no matter what diet you choose. Again thanks for all your input.

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    Nurse7970 and serenitylove14 like this.

    Quote from studentdrtobe
    Yea, that was the point I was getting at.

    LOL! No. Just because you have an RN background and are an NP student absolutely DOES NOT make you equivalent to a resident or fellow! Extensive bedside experience as a nurse =/= extensive experience formulating differentials and treatment plans nor does it mean a sound theoretical basic science/clinical science foundation. Yikes, that's insulting to all the effort and training med students and residents and fellows go through! Not only that, how many people are entering through direct-entry programs these days? Please don't tell me that a few classes + a couple hundred clinical hours means you're equivalent to a fellow. As med students alone, we get several thousands of hours of clinical training. Even before starting the clinical years (ie. M1 and M2), we get several hundreds of hours of clinical training with our physician preceptors.

    Also, didn't someone link in a prior thread a study that suggested prior nursing experience isn't as useful for NP/DNP training as people have assumed it would be? That also pretty much negates your bolded statement. So, no, you will not be treated, nor should you expect to be treated, as a resident or a fellow when you're an NP student. In the hospital systems where I'm training (and in the systems where I was a med student), our experienced NPs and PAs have the same level of responsibility as our PGY-2s do (our second-year residents). So, if they're held to a resident standard after years of experience practicing as NPs and PAs, why would students be elevated to residents or fellows? I would avoid making such claims on the wards if I were you; the only thing that would accomplish is souring relationships between physicians and nurses, which is really that last thing we want to encourage.

    I agree with pretty much everything Juan has mentioned so far. I urge you guys to push for a national standardized education. IMHO, the lack of standardization is hurting you guys a lot more than it is helping. There's a reason a lot of physicians these days are preferring PAs to NPs: we know what they're training is like and can reasonably expect PAs graduating from various schools to have similar levels of training. With NPs, it's more of a lottery because of the wide variation in the education they receive. If this is fixed with better standardization, I can only imagine that the job market for NPs would improve.

    I am just wondering if you have a nursing backround at all? This is not You have your opinion and that's fine but when you as a medical student come on a nursing message board and insult nurses by saying things like "there's a reason a lot of physicians these days are preferring PAs to NPs" it does nothing but cause tension. I agree we should stick to the original topic of the OP.

    OP, I will be graduating from a distance program this december. (and for those of you who are wondering I have 5 years of bedside nursing experience in critical care). I have also struggled every semester with finding a preceptor. My school for the most part requires that we find our own, however they have an affiliation agreement with two clinics and one hospital in which students can apply to every semester. It is very competetive to get into those sites and if you aren't accepted you are pretty much on your own. What i did was sent out a mass e-mail at the beginning of each semester to all of my fellow classmates in my non-clinical courses and all of my instructors asking if anyone knew of any sites, NPs, or MDs who would be willing to take a student for the following semester. One semester i lucked out ant one of my instructors volunteered to be my preceptor and i also got numerous leads from other students in my program. I also had to do the online searching, walking into clinics, and looking through the phone book.

    It really is just all about asking as many people as you can and exhausting your resources. Its not ideal but why complain about something that we can't change. We chose to attend distance programs and knew ahead of time that this would be the requirement of us. I could have chosen a different program that was more expensive or prestigious or whatever because i had the grades for it, however i chose the program that was more convenient for my lifestyle of being a working mom, as well as what was the most economical so i have to live with the decision i made. Sure my education and clinical experiences may not be on par with other schools, but its my responsibility to bridge the gap by supplementing my education and getting the most out of the program. It took 40 contacts before i secured my first preceptor. Also see if your school will allow you to use the same site at least twice because most of them will. Be persistent and eventually you will find someone who is willing to precept you. Also don't rule out MDs because many of them enjoy teaching and have NPs that work with them in their practice.

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    herring_RN and Pets to People like this.

    Pets to People. I'm sorry i forgot to answer your question. To maintain my weight loss I am continuing to workout at home and I stay motivated by participating in challenge groups for completing different home workout programs. I completed two rounds of the Insanity workout and I will be starting a new challenge group in a few weeks with members who are doing Turbo Fire. I am continuing to drink my health shake as a meal replacement everyday. For my diet i'm not perfect but i generally try to follow the principles of eating clean such as whole grains, raw fruits and veggies, lean meats, etc. I am considering going vegan but i need to do more research before i decide if that is the way i want to go.

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    Quote from Tweety
    Congratulations! You're looking real good!
    Thank you so much!

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    herring_RN and Pets to People like this.

    Quote from Pets to People
    Congratulations on your weight loss!

    I personally do not believe in using meal replacement shakes, as a person needs to learn to eat better as in eating whole, healthy foods, in order to support a healthy, long-term lifestyle change. So many people gain all their weight back after losing it by supplementing meals with shakes, because in the end they never learn how to eat right, which is why we gain weight in the first place. Basically with meal replacement shakes you are controlling/limiting your calorie intake, which is the key to weight loss, but when you have reached your goal weight, then what do you do?

    Do you continue drinking shakes for life, throwing all that money out the door? Or do you then have to learn what makes a nutritious meal, how many maintanance calories you should be taking in, how much you should be getting in carbs/fats/proteins, how to prepare meals to meet those requirements, what about cheat days and controlling those, deal with some weight gain that may come with adjusting your diet which can then lead to frustration and possibly bailing on your diet and so on. It certainly is possible to do meal replacement shakes to "crash diet" in order to lose weight quickly, the problem is that losing weight that way never seems to work long-term for weight loss maintance. The dieters simply end up on a roller coaster of lose weight, go back to eating unhealthily after failed attempts to adjust their diets for maintanance, back on the shakes and so forth. My own mother lived most of her life on that roller coaster. For me, shakes could never satisfy my hunger for more than an hour, if that.

    What are you currently doing excercise and diet wise to maintain your weight loss?
    Thank you for your reply. Normally I would agree with you regarding the meal replacement shakes, however this particular shake is not the typical shake like a slim fast or atkins. It actually contains all your fruit and vegetable servings that you need for the day along with protein and probiotics and believe it or not it is actually recommended by physicians. I'm sure you know that the american diet today with all of the processed foods and pesticides is typically not enough to provide us with the needed nutrients that our bodies require and from the research I have done most people require supplements. If you would like more information on the health shake that I have been doing you can learn about it here and I would love to hear your feedback on it. I will provide a link to a video as well as the nutritional information.

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    herring_RN likes this.

    I lost 25 pounds from working out at home and drinking a meal replacement health shake. I have found this to be the best method for me since I saw minimal results at the gym, and I found it more convenient to be able to work out at home anytime versus having to rely on the hours of the gym being open, which is tough for me considering I work 12 hour night shifts. The details of my weight loss plan and transformation can be found here:

    Has anyone else had success working out at home? How do you fit workouts in to your schedule if you work 12 hour shifts or night shifts?

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    Quote from MunoRN
    Watching what you eat will help some, but working nights might be responsible for most of your weight gain. When your daily schedule runs counter to circadian rhythms, you produce much more cortisol than normal, a hormone strongly associated with weight gain, plus your metabolism is stunted, and your melatonin production is lower, both of which also contribute to weight gain. When I first started working nights, I was actually eating much less than normal, yet I still gained weight. I found that minimizing the effects of working nights helped much more than diet.

    MunoRN, I agree wholeheartedly. I can't remember the last time i have gotten over 5 hours of sleep since working nights and i know that is horrible for weight loss. Unfortunately i am stuck working nights until i finish NP school because i can't afford to take the pay cut of going to days, plus I have clinicals during week days

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    Quote from gitanorn
    first of all, let me commend you for striving to better yourself mentally & physically. having said that, i'm a body-builder and it has taken years for me to condition my system not to crave all of those temptations that our patients bring on a daily basis. needless to say, declining politely all of the great cooking that some of the nurses and other staff share with us on any given holiday or special occasion. unquestionably, i'm also tempted in many ways to rail off my path of healthy snacking etc. with that said, i bring my own lunch to work and most of the time i eat in my office, it helps to stay on track. in addition, i'm also a zumba instructor and i teach the zumba classes several times a week. therefore, besides my bodybuilding, zumba, and swimming, when i have an incredible urge to binge on high carbohydrates or sugar, i keep sugarless gum at all times with me it keeps my mouth busy. furthermore, another trick is wherever i go to have a meal, i always first drink a large glass of water then i'm not able to finish everything in my plate wishing you the very best always... aloha~
    gitanorn, thank you so much for your encouraging words. you know, i definately see the benefits of drinking lots of water before you eat and i have attempted to implement this on my off days. but as someone mentioned earlier, it is really tough to drink water while working because there often isn't enough time to pee lol. but i hear ya. i will have to do the best i can.

    luckily i will be a nurse practitioner soon and i plan to get a job that will allow me enough time to at least eat lunch, stay hydrated and pee when i need to. and no more nights either! i can't wait.

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    Quote from ColleenRN2B
    Yup, your title was offensive. As a nurse who is fighting with her own endocrine system (Grave's and quite possibly Cushing's, waiting on official diagnosis), I must step up and say sometimes weight gain is through absolute NO fault of the person doing the gaining.
    I'm fortunate that my gain is minimal compared to some, but not everyone has my "luck"
    Colleen I am very sorry to hear about your endocrine problem and I am very empathetic to those who struggle with weight issues for medical reasons. I was in no way implying that someone in your situation is lazy or doesn't care about their health. I am frustrated with those who simply don't care about being healthy and instead of supporting those who want to make a change, they try to make them feel as they are weird for doing it. I strictly referring to those who chose an unhealthy lifestyle and have no motivation to change even though as nurses we should be setting an example. Don't get me wrong, I know its tough as i have struggled myself in the past. Its just weird to me that the workplace filled with healthcare professionals would be the toughest place to stay healthy due to the stress, constant promotion of unhealthy eating, and lack of motivation from co-workers to make any changes. Again i'm very sorry if I offended you and I sincerely hope things turn around for you healthwise.

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    Quote from Meriwhen
    Also, make it a point to eat lunch (or whatever meal falls on your shift...let's just call it lunch for now). Whether you sneak a sandwich and use your lunch break for a walk, or if you actually use your lunch break for lunch, just be sure to eat.

    If you skip meals, you set yourself up for overeating the rest of the day, either through a larger dinner and/or excessive snacking. The "I didn't have a lunch so I can eat whatever I want at dinner" mentality will actually cause you to take in more calories than if you ate regular meals. Ask me how I know.

    And I also agree with My Fitness Pal. It got 17 lbs off of took a long time but it worked with minimal misery.
    I am horrible at skipping meals on my work days. I work in the ICU and there are times i am so busy that i literally don't have time to pee, let alone eat lunch or snack on something. So i just do the best I can. The of course i am exhausted from working nights and it usually takes me a day or two to recover. So that leaves me a couple days out the week that i can acutally follow the plan of not skipping meals and eating every couple of hours. Congrats on your weight loss. Did you work out also?