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FullGlass BSN, MSN, NP

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

FullGlass's Latest Activity

  1. FullGlass

    Nurses and Bullying: 4 Things You Can Do

    Thank you for a thoughtful article. Bullying is all too common, and occurs in many different professions. Like the example in the article, I switched became an RN then NP in mid-life, after being a business executive. Looking back on my career, standing up to bullies in the right way generally worked for me. There were times that I did not, due to fear, and in retrospect, wished I had stood up for myself. In my experience, people in the helping professions, or people who are great for advocating for other people, often have trouble standing up for themselves. There have been some excellent suggestions given. I'll add a couple more thoughts: - try to find an ally and/or coach. An experienced RN that you trust and can provide some insight and guidance. - it's important to have "f*ck you" money. A minimum 3 month emergency fund, ideally 6 months, so you can quit a job that is making your life miserable. Bullies sense weakness and fear. When you know inside yourself that you can walk away from the job, it will subconsciously give you a more confident air that can deter bullies. - read up on developing assertiveness. There are many books and videos out there. There are also books and videos for learning to deal with workplace bullies. Best wishes.
  2. FullGlass

    5 8s, no thanks!

    When I was looking for my first NP job, I had to turn down a couple of very nice jobs for someone who did not want to work long hours. The first was to be NP at a community college. During the Spring and Fall semesters, it was 7 to 4 M-Th and 8 to Noon on Fri. During the Summer, it was only 4 days a week. The school shut down for 3 weeks over the Christmas break. And on top of that, 6 weeks vacation to start, plus the CALPERS retirement plan (awesome). Given the actual hours worked, it paid well. Second was at a sleep clinic. Very straight forward, and the MD wanted part time 2 to 4 days per week. He paid well for that, too. He thought I would get bored, and he was right - very nice man.
  3. FullGlass

    5 8s, no thanks!

    In the corporate world, I was typically working 10 to 11 hours per day, and usually a few hours on the weekend. I also had to travel a lot on top of that, flying all over the country (time which was not compensated and I was expected to work a full day on top of that). I was also always "on" literally 24/7 I had to be ready to take phone calls and messages INDEFINITELY. As an NP, I work 9 to 10 hours per day, seldom on weekends. I don't worry about being on call or having to check messages. And the only traveling is occasionally driving to another clinic to cover if a provider is out.
  4. FullGlass

    $200,000 salary as a RN, it's true

    You can easily rent a house in Sacramento if you are willing to pay $2000 a month or more. I just rented a house for $1450 on the border of Elk Grove, fully furnished, for a 7 month lease, 3 BR 2 BA through a listing agency for traveling nurses.
  5. FullGlass

    5 8s, no thanks!

    One of the doctors in the clinic was very efficient and he was literally out the door at 5 pm and he also took a 1 hour lunch. He charted as he went. His chart notes were good, too. So it can be done, but that will take experience and practice. But as a new grad NP, you are going to have a steep learning curve, so it will likely take you time to become efficient. As others have said, Urgent Care seems to be a better fit with your desired lifestyle, but Urgent Cares generally do not hire new grads - most require 1-2 years of experience. However, there are exceptions. The truth is, that as a new grad you aren't in a position to be real picky. The exception to this would be if you are in an area with a shortage of NPs. Then you would have a lot of negotiating power. You might want to start putting out feelers and doing research on the NP job market in your desired area. NPs are professionals, and in California, where I am, they are very well paid. Professionals do not generally work only 8 hours a day. I used to be a business executive and I worked far more hours than I do now as an NP. You will need to devote some personal time to staying abreast of new developments and research. Personally, there were some patients that had very complex conditions that I took an interest in, so I would do research on my own time to improve my care and treatment of them. A new grad should expect to be doing a fair amount of that. For example, one of my patients was a paraplegic, something I didn't have a lot of knowledge about, so I did "homework" Part of it was also that he was young, had been through a horrible time, and I developed a personal interest in helping him and his family. The providers in my clinic would also occasionally visit patients that had to be admitted to the hospital. It wasn't expected, but we did it because we came to care for them. One of the doctors made house calls on a few elderly patients just because he is a nice guy and he knew it was really hard for them to get to the clinic. For me, I had about 5-6 patients that I put extra effort into.
  6. FullGlass

    5 8s, no thanks!

    In primary care, 8 to 5 is the norm. There are clinics that offer 4 10's, but not as many as the typical 5 days a week. My first few months were rough because I was not yet efficient. Once I became more efficient, I was able to complete my charting easily. I started at 8 am and did not usually take a lunch. I was usually out the door by 5:30 pm with my charting all done. I accomplished this about the 6 to 8 months mark. Once in awhile I would be charting until around 6 pm. I also had a laptop so I could go home at 5 pm and complete my charting at home. This was typical of the other providers in the clinic as well.
  7. FullGlass

    Should I accept Johns Hopkins Offer?

    I'm assuming you already have a bachelor's degree in a nonnursing field. Normally for someone like you, the BSN is 2 years if it is not accelerated. Then, you have to do another 2 years at the MSN level to become an NP. That is 4 years, no matter where you go. I don't know why JHUSON moved to only MSN and above. At any rate, the MSN RN is 5 semesters, which might be 2 years, as they usually run a summer program. You have to ask them. Then it is 3 years to get your DNP to become an NP. That is 5 years. So one more year to have a DNP, which is quite reasonable. There is a movement to make the DNP mandatory for NPs. When that will actually happen, who knows. But it probably will happen at some point, so a lot of NPs do get the DNP eventually and that is what I plan to do.
  8. FullGlass

    Should I accept Johns Hopkins Offer?

    I was in one of the last ABSN programs (16 month) then I went into the MSN NP program (2 years), which they no longer have. If you did an ABSN elsewhere, it's going to take 13 mos to 2 years. The Hopkins DNP NP program can be done in 3 years or in 4 years. However, it is really the equivalent of the old MSN + a DNP, so that's not an unreasonable time. You may want to work for awhile as an RN, anyway, after graduating. I wouldn't worry about the cost of the NP studies right now. Hopkins has some very good scholarships. You need to network and talk to your professors, too. For example, when I was in the NP program, it turned out one professor had $25,000 scholarships that Fin Aid didn't know about. You will also have a good chance of winning scholarships like the Nurse Corps scholarship. (Some states have the same, so check with your state). It is full ride, plus a living stiped. I won one for 18 mos of my NP program. Pretty much everyone from Hopkins who applied got one. There are also a lot of loan repayment programs if you work with underserved populations after graduating.
  9. FullGlass

    Can a graduated nurse be a medical assistant ?

    Some clinics require MA certification, but not all do. The last clinic I worked at trained their own MAs and all they required was a high school education.
  10. FullGlass

    Can a graduated nurse be a medical assistant ?

    I'm an NP and have my own MA (primary care clinic). She is great and here is what she does: takes and records vital signs takes brief history to fill me in before I see patient she can draw blood for labs she will perform certain in office tests like the pregnancy test and give me results helps me prepare for procedures like I&D by getting materials together vaccinations and simple injections simple wound dressings, fitting braces call patients and informs them of simple test results, reminders, etc. set up and administer ekg ear lavage administer nebulizer tx administrative duties like helping keep supplies stocked, etc. quite a bit of work on the EMR We have 2 LVNs and they can do simple rx refills, dress more complicated wounds, catheters, answer after hour calls, in addition to the above. My MA is very young and did this right after high school graduation. She took an MA certification course through a CC. A BSN RN new grad would need some training for the duties in that particular practice, but I see no reason that he or she would be unable to perform the MA duties.
  11. FullGlass

    Should I accept Johns Hopkins Offer?

    You are very welcome. Also, on the campus, I wanted to add some more info. The main undergrad campus is Homewood and it is pretty and in a good area. However, you will be on the Medical Campus, home of the hospital, nursing school, med school, and school of public health. It is in a crappy area. Mr. Hopkins deliberately put the hospital and med school there because he wanted to help poor people. Hopkins has tried to improve the area, but I would advise caution - don't walk around alone there at night. There are security guards on every corner. The students will walk to the parking garage in a group at night and so forth. I was there for 3.5 years and never had a problem, but I also used common sense and stayed vigilant. Baltimore has pretty good public transport with buses and light rail for local transport. In addition, Hopkins also runs their own free shuttle service all over the city for students and staff. (I think it's free). They normally recommend a car because you may have rotations at other hospitals, but some students didn't have a car and just carpooled or biked and did just fine. Baltimore and Maryland are technically south of the Mason Dixon line, so there is a nice sense of Southern hospitality. People will take their time and actually talk to you. There are also some very eccentric people there. Look up John Waters if you don't know about him - odd film maker. Also, the HBO series The Wire was shot in Baltimore - one of the best TV shows ever made. Let us know what you think after you visit! And Congratulations!!!
  12. FullGlass

    Should I accept Johns Hopkins Offer?

    Hopkins alum here. I would take the JHUSON offer. It is the best school of the 3 you named, plus has the best "brand" and name recognition. Also, you haven't been accepted at the other schools yet. I'm from California, and was leery of Baltimore. However, I personally was pleasantly surprised. Baltimore really grew on me. Like any big city, there are good and bad areas. Initially, I lived in Locust Point, which was expensive, but it was very safe - people are out walking even late at night. There is a fantastic grocery store there, too. I still miss the Thursday special of a huge piece of prime rib (cooked) with sides, for $9.99. After a year, I moved to Roland Park to a nice apartment to save money, also another very nice and safe area. Baltimore is very diverse, with a large population of Nepalese and Nigerians, among many other nationalities. It is majority Black, with a growing Hispanic population. That means lots of awesome food! Compared to other large East Coast cities, Baltimore is quite affordable. Of course, I'm coming from coastal California. The location is awesome - this is a chance for you to explore the East Coast. You can take a very cheap train to Washington DC. You can also easily take the train to Philadelphia and NYC. Baltimore has many beautiful areas like the Inner Harbor. It is a very "green" city with lots of trees and parks. I am very happy with my JHUSON education. It was hard and intense, but a great education. The faculty is very dedicated and the school really wants you to graduate. Your advisors and professors will really help you if you have any issues as long as you communicate with them. The students are generally very nice and supportive of each other. You'll get to do rotations at the Hopkins Hospital, one of the best in the world, as well as other local hospitals. JHUSON is also very responsive to students. If the students make a good suggestion, the school will try to accommodate it. I went straight through to become an NP. I can't tell you how many doors the Hopkins name opened for me when I was looking for a job - many doctors said they wanted to meet me because I went to Hopkins. Hopkins has an international reputation. So if you don't know where you will end up living and working, that's a great asset. Now, if you knew for sure you want to live in Tennessee, for example, the Vanderbilt alumni network might be of more help locally. At any rate, you can't go wrong with Hopkins. I find it odd that you hesitate, given how hard it is to get into JHUSON. Most people would jump at the chance.
  13. FullGlass

    Can a graduated nurse be a medical assistant ?

    You should be able to get a job as an MA. A lot of clinics employ LPNs in this role. Good luck.
  14. FullGlass

    Very happy I became a nurse practitioner

    Congratulations! It's nice to hear from someone who is happy.
  15. Please let us know where you end up
  16. FullGlass

    Two jobs, one has to go

    You are new NP and you have 2 small children. That is very stressful. Just do the 32 hour/week job and then later you can always pick up a side gig or maybe do 40 hours a week at your main job. I don't understand why your husband is pressuring you. How much does he work? Tell him to go get extra work if he wants more money!