Sha-Sha RN

Sha-Sha RN

Neuroscience, Cardiac Nursing

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All Content by Sha-Sha RN

  1. Why acute care NP for speciality clinics?

    I agree that this is a question best posed to the employers who are requesting it. My thought about it is maybe there will be some inpatient rotation/hours required with the job and a lot of hospitals are now requiring ACNP cert to work anywhere in t...
  2. How low would you go?

    H to the E to the double hockey stick no! No way I would apply for that. That must be a typo especially given the population and expectations. I would stay working as a bedside RN and wasting for something else to come along or do some per diem work ...
  3. More RN experience = better NP job outlook?

    But someone who is lazy may get hired based on his/her RN experience on paper- you can't see laziness on paper; this usually gets discovered later. When I was searching for my first NP job, I got a lot of interviews based on my RN experience and many...
  4. Documenting insulin pumps

    My hospital still documents on paper and there is a special flowsheet to document the FS, bolus amounts and basal rates for pumps. There is an order in the EHR for the pump settings but monitoring is done on paper. I'm sure that flowsheet will have ...
  5. Where do you get clinical updates?

    As others have said uptodate, epocrates. I also find medscape and physicians reference helpful.
  6. Insulin-Resistance??

    Sounds like insulin resistance without knowing his insulin doses. If he's type 2 then he makes insulin but it's not working with the glucose like it should. If he does snack what is he snacking on and what time of the day. How much sliding scale cove...
  7. Where to shadow / obtain preceptors

    With the new consensus model and the specialization become more specific between acute care NP and family/ adult np specialization based in primary care it will be important to find out will you be hired as a FNP to work in an ER. I know some hospita...
  8. No my change heart about women's health did not set me back at all. My program required us to do at least 40 hrs in women's health during a semester we had to complete a total of 180 adult primary care clinical hours (Gyn only). So I did 50 and moved...
  9. I'm a new AGNP. I graduated last May, but I started at my current and first NP position 5 months ago. I work inpatient at a hospital on the Endocrinology Service. We only see adults for everything metabolic/ gland-related from out of control diabetes...
  10. preceptor woes

    Have you tried your state NP association? They usually have preceptor lists. Can you have MDs precept you? If so do you have any MDs that you know or are friendly with? How much help do your school give you? I know my program was little to no help un...
  11. IV's/Blood draws as FNP

    As a NP I don't do blood draws or IV starts but I know FNPs who worked in the ICU who may have to draw blood sometimes or do arterial sticks if no one can find a vein for blood. I know one of my preceptors did draw blood if his RN was out for the day...
  12. What is your biggest struggle

    I'm not sure the boards are that easy given the multiple number of post on allnurses alone of people fail the exams multiple times. Granted I can't speak to someone's knowledge base, if they are currently a practicing as a RN, just not great test tak...
  13. Don't be afraid to negotiate!

    Some people do it because it has been a struggle to get their foot in the door as a NP somewhere and are willing to go for broke with the first ( and maybe only) offer that comes along. Not the right thing to do but true for many.
  14. Recently failed ANCC n AANP

    The adult- Gero exam is new. The one being retired is the adult np exam ( the one without the Gero).
  15. ANCC vs. AANP Certification?

    Some employers prefer ANCC certification mainly because it's been around longer. You have to find out what job prefers. AANP exam is strictly clinical multiple choice questions. ANCC is a mix between clinical, delegation, research and leadership ques...
  16. What is your biggest struggle

    That's what I'm expecting. I'm here to make myself as well as the profession look great.
  17. What is your biggest struggle

    I have to agree with Jules A on the patient compliance issues. Now as a prescribing provider with my NP job for the last 3 months, I find it difficult that we as providers, Especially NPs put a lot of work and individualized pt care into our plans wi...
  18. Socializing? Very interesting take on a RN participating in rounds. All I can say is good luck in your new role as a AGNP. Now back to the main topic of this post.
  19. I don't think you were not getting supported; I think the question was valid, getting an assessment of your background. I have been an inpatient nurse for 10 years and even when I was caring for my patients, sometimes 5-7 at a time, I would find a sp...
  20. Getting ready to take ANCC

    Did you take a review course? Did you Check out past posts on this forum? There are plenty of posts on this topic. I know for me the Maria Leik book helped along with my Fitzgerald review course. Also there a book by kellerman, a FNP review book 1000...
  21. How did you know NP was for you?

    I know for me I knew wanted to be a NP after working as a RN for a number of years and working along side many types of providers (MDs NPs PAs) and I wanted the ability to do more for my patients. I wanted to be the one part of the team that was maki...
  22. Another "Find Your Own Preceptor" Thread

    Honestly, I don't think a lot of programs are forthcoming on the process of finding preceptors in the materials potential applicants see. As I mentioned in another post I did not find out my program didn't help until my first day of orientation. The...
  23. Take the Offer as a New Grad?

    In NYC RNs in hospital make at least 70k annually without OT.
  24. Another "Find Your Own Preceptor" Thread

    I don't remember seeing that tidbit of info anywhere when I applied. Even now, on the website it has a statement that says they can't guarantee availability of preceptor, but does not say they don't help you secure them. The wording is very misleadin...
  25. Another "Find Your Own Preceptor" Thread

    I went to Stony Brook for the Adult-Gero NP program, but back to your basic question, I have met a lot of NPs who said to me their programs made them find their own preceptors and many were in onsite programs. I know schools like Hunter, NYU, Pace an...