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Oversupply of Nurse Practitioners

NP   (29,796 Views 184 Comments)
by FNP2B1 FNP2B1 (Member)

FNP2B1 works as a Family Nurse Practitioner/Dermatology.

3 Likes; 9,987 Visitors; 118 Posts

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djmatte has 7 years experience as a ADN, MSN, RN, NP and works as a Family Nurse Practitioner.

69 Likes; 2 Followers; 6,437 Visitors; 662 Posts

The only studies I need to see are the classifieds on Indeed for NPs. That combined with what my seasoned, more than 5 years experience as a NP colleagues tell me in regards to pay.

Here is a job I was just sent. It keeps getting worse

$25 to $45 an hour in Pacific Palisades California. Probably one of the most expensive place to live in So Cal.

Nurse Practitioner / Infusion Therapy job - Palisades Integrative Wellness Center - Pacific Palisades, CA | Indeed.com

For the record though, that job is an RN position (even though they note they'll accept a nurse practitioner). Truth is though in that job you aren't acting as a NP. You're only doing infusions. Albeit for that area even as an RN the pay is too low. I'm betting they're only anticipating applicants expecting to use it to supplement their income vs someone expecting to live off that job.

I don't trust jobs posted on indeed. It's been my experience that it's a cesspool of head hunters, travel assignments, and people just looking to fill bodies in slots. Which may accurately gauge where this profession is heading. There are few if any career oriented options.

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Saflanut has 2 years experience and works as a FNP.

1 Like; 3,118 Visitors; 66 Posts

I want to feel optimistic about future of our profession. I think problems start at the beginning. Education of NPs is (Both MSN and DNP) lagging way behind PA schools. I still don't understand the fact that how can some schools including really reputable ones requiring NP students to arrange for their clinical placements after charging them thousands of dollars in tuition. NP schools are not as selective as PA schools, a lot of them don't require GRE or any other examination. RN experience at some cases reduced or not even required. Online programs are not helping either. It should be more standardized approach to NP education. Unfortunately, it became a financially lucrative option for colleges and universities. in the meantime new grads are stuck with student loans and low paying new grad positions.

Quality of the NP programs vary, yes but I think clinical hours should be be increased.Pediatrics, gerontology, women's health rotations should be more robust and supported by the NP programs should not fall on student's shoulders. I think that would increase our negotiation power.

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40 Likes; 2,271 Visitors; 302 Posts

I think this depends on the program. Some programs make sure you are ready while others seem to just be diploma mills. I know what school you attend can matter as a new grad when it comes to applying for jobs.

In regards to this, what are reputable schools? Most of them appear to be online now, even B&M. I'm debating FNP vs PMHNP. I see new urgent care centers being built on every corner. They're outpacing fast food places! However, there's a severe MD shortage and NP shortage in my state.

But back to the original question, I don't pay for-profit schools any mind so no point in addressing those. But as for the others, how do you know they're reputable? Being accredited doesn't seem to be a deciding factor nowadays as seems like most are accredited.

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1 Like; 6,030 Visitors; 303 Posts

In regards to this, what are reputable schools? Most of them appear to be online now, even B&M. I'm debating FNP vs PMHNP. I see new urgent care centers being built on every corner. They're outpacing fast food places! However, there's a severe MD shortage and NP shortage in my state.

But back to the original question, I don't pay for-profit schools any mind so no point in addressing those. But as for the others, how do you know they're reputable? Being accredited doesn't seem to be a deciding factor nowadays as seems like most are accredited.

What state are you in? You can pick either and get a good job. Just may have to move out to the boondocks.

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854 Visitors; 36 Posts

Which track would be best for someone who wants to work as a NP in the hospital to round for doctors/work in clinics/ etc? AGACNP or FNP?

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BostonFNP works as a Primary Care NP.

19 Likes; 1 Follower; 3 Articles; 54,191 Visitors; 5,223 Posts

Which track would be best for someone who wants to work as a NP in the hospital to round for doctors/work in clinics/ etc? AGACNP or FNP?

hospital is acute care, if you want to do acute care then take the acute care path. if you plan to work in outpatient clinic, take the primary path or potentially acute path for specialty practice.

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40 Likes; 2,271 Visitors; 302 Posts

What state are you in? You can pick either and get a good job. Just may have to move out to the boondocks.

Alabama. I live in a dire need area according to the map.

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FullGlass has 1 years experience as a BSN, MSN and works as a Adult and Geriatric Primary Care NP.

150 Likes; 5 Followers; 6,085 Visitors; 569 Posts

There appears to be a misconception that areas with a shortage of primary care providers are all in the middle of nowhere. Not true.

1. Many inner cities need providers desperately.

2. Many small to medium size cities and towns desperately need providers. For example, of the 9 job offers I received, 7 were in or very close to cities ranging from 100,000 to 1 million population. That is hardly the middle of nowhere. Here in California, everyone seems to want to live in San Francisco/Silicon Valley, Los Angeles, or San Diego. Well, California is a very big and populous state. The rest of the state really needs providers, has a reasonable cost of living, and will pay quite well. We have a lot of cities with 50,000 people and up that are quite nice.

3. It is hard work to find a job in any profession and one must develop good job search skills, which includes the ability to research, network, interview, and market oneself online and with a good resume and cover letter.

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wyosamRN has 6 years experience and works as a RN, CEN.

4,241 Visitors; 107 Posts

That is an RN job. it is a PT infusion therapy gig at a med-spa. They do list RN or NP, but if you want to do RN level work as an NP, it would be expected that you will receive RN level pay.

The only studies I need to see are the classifieds on Indeed for NPs. That combined with what my seasoned, more than 5 years experience as a NP colleagues tell me in regards to pay.

Here is a job I was just sent. It keeps getting worse

$25 to $45 an hour in Pacific Palisades California. Probably one of the most expensive place to live in So Cal.

Nurse Practitioner / Infusion Therapy job - Palisades Integrative Wellness Center - Pacific Palisades, CA | Indeed.com

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77 Visitors; 13 Posts

I totally agree with you. Part of the problem is the huge availability of online NP programs. Nurses no more have to do GRE, attend classes, practicals , tutorials in order to become an NP. The standard is lowered now. all you need is a BSN, computer and huge loan, then you will be an NP. The role of an NO is totally different to an RN. You can't learn to save a life and perform a focused physical exam on a patient online. I know that here in Florida a lot of physicians are catching on and won't even hire an NP with online degree. Physician Assistants will now be in more demand because there training is going to be more marketable than an NP. The role of an NP is not for everyone-it involves a lot of medical knowledge; expert clinical skills, communication skills and so forth. I feel bad for those RNs who especially are sacrificing time with their children and money for a degree that is not going to benefit them or their families in the long run.

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BostonFNP works as a Primary Care NP.

19 Likes; 1 Follower; 3 Articles; 54,191 Visitors; 5,223 Posts

You can't learn to save a life and perform a focused physical exam on a patient online.

Just to be clear, online NP programs still require clinical hours.

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77 Visitors; 13 Posts

Yes but are the clinicals done in a setting that supports adequate training and supervision of students especially core physical assessment, diagnostic skills. Compare the training of a RN to that of a NP ( online) - RN training is heavily supervised and regulated by their educational institution- online training is not. Compare the clinical training of a medical student / Resident to that of an online NP - there is no comparison and in the end both NP and Medical Student/ Resident get to write prescriptions, see the same number of patients and make same diagnosis- how is that safe ?

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