HhnurseNP

Just a question - you stated something earlier about having to go and get the discharge paperwork, etc. I have learned one thing dealing with MAs that have been around longer than me and being a newer provider. If it is their job, you MUST let them do it. They may drag their feet, take too much time, fiddle around and essentially wait on you to do their job. I have found with some people who aren't "go-getters" they will see exactly how much you will do so that they don't have to do it. Boundaries have to be drawn. Know your role, know their role and stick to it. If patients aren't being discharged and you have done your part, let them sit in rooms. If patients need labs, let them sit until they are drawn. This is the only way respect is given, it has to be earned. It cannot be verbally demanded.

If you want to be more autonomous and perform more "skills", try home health. RNs in home health have to develop assessment skills, have to rely on their own ability to perform all labs, IVs, foley, complex wound care all while being creative because you do not have the luxury of a controlled environment. Charting can be intimidating, but much more flexibility.

There are some required in-person classes in Montgomery. Skills check-offs, once a semester meetings are about it. We did have to go and take the HESI in the middle of the last semester too. There is group work in most every class. I think that is standard for an MSN. It is randomly assigned. The in person meetings were very helpful for networking and meeting the people you end up working with on projects and papers for the next few years not to mention working with in the future. The classes are mostly online with powerpoint, recorded lectures, reading assignments, and proctored tests. Papers with each class, and usually at least one project. (After listing all this stuff, I did more than I thought!). You find your own preceptor in your area, must be approved by school - clinical hours must be completed between certain dates and must be approved dates before starting. You must spread out the dates the entire semester and cannot complete in two-three weeks. There will be a professor that visits on site each semester to evaluate you during clinicals. It is scheduled, so you do know when they are coming. Any other questions?

You can do palliative care NP a couple of different ways. FNP, Acute care NP - ultimately depends on where you work, what population of patients you work with. UAB has a specialty certification for palliative care regardless of type of NP (I am pretty sure).

This may not be helpful now, but I just graduated from the FNP program (MSN) at Troy University. I found it to be challenging and I learned a lot! I passed boards without any difficulty. I never had any problem getting in touch with professors online/email/phone and always got the help I needed. The entire program is based out of the Montgomery campus.

No - you can take FNP board certification with the American Academy of Nurse Practitioners before actual graduation. All of our clinical and didactic requirements were completed on 4/30/19 at school. Our graduation ceremony was not until 5/20/19. I took boards 5/14/19. You have to send proof of nursing license in the state you live in and transcripts of classes taken. The certification board requires you to send an additional transcript after graduation with "Degree conferred" from your school before they will release the scores to you or to the state board of nursing. It speeds up things a bit, but I mainly did it just to have it done and out of the way. I don't know that everyone knows this, but it is easy and legal to do.

I find the concept a bit much too - but the business is making tons of money!! I feel bad = I need IV fluids. It is much cheaper than my ER copay ?

Oh - I have took boards before I graduated!! I have my FNP number from the AANP, but in Alabama you can't apply for a state license until you have a collaborating physician, which you have to have the state number for NPI......argh!

https://www.theivloungeatqc.com/?fbclid=IwAR3aJ7xvjnUomE1kQsmymlkdEfATNdPa-EGSU7uC1-JNgZxL2W9e2FejZVU Here in Alabama, we have at least one or two in every big town. They are cash only. They even go and set up at Tennis Tournaments. This business also does the whole facial, botox, eyebrow/eyelash stuff. They have a compounding pharmacy, Urgent Care and Wellness clinic that does hormone replacement and weight loss. They have a few CRNPs, and one doctor supervising.

New FNP graduate - talked to a physician that is really looking to get out of primary care for the most part and do more contract jobs, locum tenems, etc. But - they have never worked with an NP before and know little about credentialing (NPI, Medicare, Medicaid, the works). Has anyone tried to work in this position? I am no expert either in all this insurance stuff. I have been a nurse 24 years and feel pretty comfortable with the clinical side of things. Advice?