No RN experence NP "non-nurse"

[Malenurse1235954]

So the other day I came across an article explaining a term non-nurse nurse practitioner. This refers to nurse practitioners that didnt stop to be RNs before going to NP school. As an aspiring "non-nurse" nurse practitioner, I found this humorous and comforting. Humerous because I could argure for and against. Comforting because there are enough of us for someone to assign us a nickname.

Are there any other non-nurse nurse practitioners out there? How did you do in school and transitioning to practice? How many clinical hours did you get in school? What do you think of NP residencies/fellowships?

[Malenurse1235954]

So first week of NP school is underway and I can tell you those more experened nurses that have been out of school forever are really struggling to keep up. Whereas the students that just graduated are having no trouble at all. As for the studies I linked they may not be gold standard RCTs but they most certainly have weight. Especially compared to the opinion of either of us. And especially in the absence of anything to the contrary. I am sorry if you can not see that .

[applesxoranges, BSN, RN]

I agree that NP schooling should be heavier on the sciences and clinical hours. That is where my issue is. We are fighting for full autonomy, but at the same time we can become NPs with zero experience with patients, way less than 1000 clinical hours, never having taken a chemistry class, and having a 2.5 GPA leading into NP school. This is complete garbage. Compare this to PAs and MDs. Residents work almost 80 hours a week, have 4 days off every 4 weeks, and do this for 3-7 years depending on their specialty. I would like to see evidence that supports the quality of care of NPs with no working experience. This may be too new for real evidence to be available but I feel we will see the negative effects of the relaxed schooling in the upcoming decade.

A lot of residents are having their hours limited. They still put in a lot of hours but they no longer do 80 hours of work anymore. In fact, the ER residents at the hospitals I work at have managed to fight to no longer have to work weekends (which really upset the physicians, PAs, and NPs.) We still see family/anesthesia residents picking up on the weekends though through the rotations.

[Wuzzie]

So first week of NP school is underway and I can tell you those more experened nurses that have been out of school forever are really struggling to keep up. Whereas the students that just graduated are having no trouble at all. As for the studies I linked they may not be gold standard RCTs but they most certainly have weight. Especially compared to the opinion of either of us. And especially in the absence of anything to the contrary. I am sorry if you can not see that .

Sounds like you're expressing an opinion to me considering it's unlikely there have been any grades handed out yet.

The studies are based on opinions and are not only not gold-standard they are heavily flawed. Why should their opinions carry any more weight than mine?

You aren't really helping support your viewpoint/agenda. Now you really are just sounding like you're justifying your own position. I am sorry you cannot see that.

[FPNP]

Becoming an RN simply gives you permission to enter a hospital and learn how to be a nurse. I precept many new graduates, they are incapable of performing their jobs without a lengthy orientation. Advanced practice nursing is based on the nursing skill set. If you don't have that skill set I fail to see any path for success.

Those "studies" you posted are horrible and are no better than opinion for the reasons I have pointed out earlier. I have known NP's who did not work as RN's that were removed from their positions because they were incapable of performing their jobs based on a lack of healthcare experience, they had to work as a RN before being allowed to work as an NP.

You are absolutely setting yourself up for failure, and arguing with the people who are trying to give you sound advice.

[BostonFNP, APRN]

Becoming an RN simply gives you permission to enter a hospital and learn how to be a nurse. I precept many new graduates, they are incapable of performing their jobs without a lengthy orientation. Advanced practice nursing is based on the nursing skill set. If you don't have that skill set I fail to see any path for success.

Those "studies" you posted are horrible and are no better than opinion for the reasons I have pointed out earlier. I have known NP's who did not work as RN's that were removed from their positions because they were incapable of performing their jobs based on a lack of healthcare experience, they had to work as a RN before being allowed to work as an NP.

You are absolutely setting yourself up for failure, and arguing with the people who are trying to give you sound advice.

How long have you been working as an NP? What setting? How many NP students to do you precept per year? All from the same program?

[FPNP]

I'm talking about new RN's. They are incapable of taking care of a patient and must survive a lengthy orientation to be safe to practice. Advanced nursing is based on the nursing skill set, if one does not have that skill set, success may be extremely difficult.

[BostonFNP, APRN]

I'm talking about new RN's. They are incapable of taking care of a patient and must survive a lengthy orientation to be safe to practice. Advanced nursing is based on the nursing skill set, if one does not have that skill set, success may be extremely difficult.

Are you a practicing NP? Have you made the role transition from RN to NP?

The role of RN and NP (for the vast majority) is drastically different. Likewise, the skill sets of an NP is very different from the skill set of an RN (though they share a common foundation and some general similarities). Both novice RNs and novice NPs directly benefit from structured orientations in their respective roles but I have never seen (or heard) that theer was any direct impact of a prior RN orientation on a new NP role.