littlepeopleRNICU, BSN, RN 7,801 Views
Joined: Oct 5, '12;
Posts: 477 (40% Liked)
; Likes: 373
7 year(s) of experience
I bought recorded audio from a live review (FHEA) and listened to it a lot. There was a book of practice questions included. I also used another book of practice questions (probably outdated now as it's not been revised). The materials helped me get used to the type of questions that pop up in the boards and I passed on my first attempt with ANCC but this was years ago.
Please reconsider these 100% online for-profit "schools". Do yourself, and the profession, a favor and go to a reputable program.
Update: I got the job!!! [emoji2] Now to take/pass the board exam so I can start working this summer!
The student replies to me "well, how about a real report."
I am almost a year into an online FNP program. It certainly is a lot less rigorous than your program, but honestly I would prefer to be challenged like you describe in your program and actually feel like I'm being taught/learning something. Our 'classes' consist of assigned readings and writing discussion posts and replies to other students. There is absolutely no guidance, no lectures, and no constructive feedback as to whether or not you are truly comprehending the material. It seems that if you touch on the required talking points and follow APA you'll get an A regardless if you actually understand the topic.
If I were you, I would stay in the program and be thankful that they are preparing you properly for graduation and the real world.
I am very sorry you feel like dropping. Again like I said but will reemphasize if they are "working, stress-free, and acing all tests" there really is something VERY VERY wrong. Think about it, student A is given study guide to cover 5 chapters for pharmacology. It condenses 200 pages into 5 pages and they read it over and over then take the test. Of course word association they do well. Many weaker programs are not proctored and they Ace that test. Now take student B and you are required to have read all the pages, engage in reading on your own and told to do practice problems. Of course the student B had to have studied harder, their study guide will be 20 pages long, and they get the anxiety of taking a real test. But please tell me you do not think the two students are equals in knowledge. Just because you graduate does not mean your a safe provider. Anyone can memorize the questions for a certification test. The problem lies is the transformation you are doing, going from task oriented to the provider. Every single page in your textbooks is important. You are it as the provider! Regarding your assessment class, I am assuming they give you a task to do. Such as palpate the liver just hypothetically. So you do not get instruction in today's world they is an infinite amount of knowledge available to self-learn. Watch video, perform, ask partners advice, call over other student, retry another technique. Again graduate level learning everything you described sounds about right at this level.
I'm a little off put by your statement, "I can get into any NP program I want because I'm an honors student." That cockiness is dangerous in a new nurse. A better way to approach that is "I believe my grades are high enough for me to be competitive." But until you know, you don't know. Unless you've actively been accepted, I wouldn't hang your hat on that. I've had many classmates who've had 3.8-4.0s not get in because programs recommend 2+ years of experience plus recommendations. And even if experience isn't required, if someone comes along with comparable grades to you but with experience versus your inexperience-- you can be turned down because they will be the stronger candidate.
Honestly, you do yourself and your future patients disservice by not putting your floor time in. If you wanted the role of a provider without putting in the time as a nurse, PA would've been the better route. The thing that makes CRNPs so special is that they were nurses first. They seen, heard, and felt things. They've experienced it. Obviously there are exceptions to this but you really should work as a nurse first. Nursing isn't just "do what your told", it is a science and an art and you cannot embrace it until you experience it. You should understand this before you go into a position where you are the one writing orders.
Why wouldn't a new grad in any profession want to work in a supportive environment? None of us graduate from school as experts, and it's no shame to admit that. OP, if it's not a good fit, then look elsewhere. But it's also ok to stand up for yourself and tell your nasty co-workers that their behavior is not acceptable. Something tells me they're miserable there and they take it out on the newbie. Or they could just be jerks.
You have no obligation to stay because of the patients. It's not your responsibility to ensure that care is available. That belongs to the higher ups. If they're not committed to running a clinic that is conducive to good practice, that ain't on you.
I'm generally of the mindset to not quit before a year, however, I recently had the experience of "trying to stick it out...wouldn't want to look like a job hopper!" I realized that I became more miserable, my family felt it, and it made me question if I still loved my specialty. The answer is yes, but I'm moving on from my facility. If they cannot be supportive or at least professional, you are actually doing a disservice to your patients by staying and supporting it. This attitude rubs off, believe it or not!
You have no obligation to Medicare enrollees. Tell the PA to eat a ****.
My opinion, in short, is:
1. Know yourself. You will know if you need more experience or not.
2. Don't try and mix it. Your first year as an RN is incredibly important and lays the foundation for your career. The same as true as your first years as an NP in education and practice. It your try to do both at the same time you jeopardize both.
RockMay is a troll on these forums. Just wastes time here picking at the NP profession.
At least NP's have independence (which PA's do not thankfully), and are required to be an actual healthcare professional beforehand, unlike PA's who will admit any blow schmoe with barely any healthcare background and some random degree.
You have made a big investment, don't shortchange it. You first year in practice is very important and shouldn't (IMHO) be mixed with also trying to learn a completely different role.
A cardiac ICU in an academic medical center!
I have my first real NP job interview coming up! (Yay!!!) I'm incredibly intimidated by the itinerary I was sent. It's a 5 hour process! Is that fairly normal for NP interviews? Do you all have any tips for me?
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