Royal_RN

A prescription drug monitoring program (PDMP) mostly concerns primary care (outpatient) prescriptions. Vasopressors are not typically drugs included in these programs; however, opioids and commonly abused drugs are included. Even though opioids were most likely used during hospitalization, those were one-time or brief duration prescriptions in a controlled setting that are usually not extended once the patient is discharged. Additionally, the 2022 CDC guidelines for opioid prescription exclude inpatient services from their guideline applicability criteria due to the acute nature. PDMP are intended to help minimize risk of overdose and abuse by patients outside of hospitals, who may see numerous primary care providers and are not being monitored as they would in an inpatient setting.

To my knowledge, you will not find a single CRNA program that is mostly online. At most, some programs have the first semester or two with mostly online courses if they are front loaded (carry-over benefit from COVID times). That means maybe 4-9 months can possibly be online out of the newly required minimum 36-month program length. If serious about CRNA aspirations, you will most likely need to consider relocation based on the number of CRNA schools available in your area and on how competitive admissions are to these programs.

This year's thread for all those interested in applying to Villanova's DNP-Nurse Anesthesia program (classes beginning in 2023). Feel free to share information and ask questions.

I just stumbled across this website that offers transparent nursing incomes sorted by state. The data points are submitted by individuals and provide the location, base pay, discipline/specialty, differential pay, and type of differential. https://wholelifenurse.mykajabi.com/income-report-results Look at your state and see where you line up and contribute your info anonymously to further increase nursing negotiating power. ***This is not my website and I do not take credit for it, rather I just wish to share this wonderful resource***

I appreciate your feedback. The reason I posted this was to seek other points of view as well as discuss what seems to be more or less whining (for lack of a better word), rather than valid complaints. To elaborate, many of the "complaint posts" I see are from new grads with headlines "searching for L&D position", "searching for NICU experience", "searching for pediatric oncology position", and so on and so forth. If a new grad complains about not finding a job in the most desired positions in nursing (or any other unit excluding medsurg), then I do not believe his/her complaint to be valid at all. I interpret that as there are jobs that he/she just does not want. Which to me means he/she should not complain, especially in the context of mass unemployment due to COVID. I understand your point that some people have goals in the future that require specific experience, but that does not mean one is entitled to that job and can write off all others. My point of this all is that at the end of the day, someone either wants a nursing job or does not. New grads should be flexible and realistic. If there are open nursing jobs in the area, but someone refuses them for months because it is not in his/her specialty, then that is his/her prerogative. They can hold out for as long as they want until they get their dream job...but don't go posting blanket statements that there are no jobs and spreading discouragement and inviting in a victim-hood mentality. I believe this comes off insensitive and paints this year's graduates in a bad light when there a countless people unemployed right now in fields that actually have little to no job openings. Once again, I appreciate you offering a different point of view to be considered.

Thank you for the feedback and yes...saturated would make much more sense, wouldn't it! I tend to agree that it may be hard to move out of state. I moved out of state as well and my employer offered a delayed relocation stipend. Regardless, my thought regarding that choice is that there are two options: 1. Stay and make no money as a nurse (which may also mean it is expensive to maintain living where you are) or 2. make the initial monetary sacrifice and at least a new grad will have a job/income to work with. My underlying point with this I suppose, is that beggars cannot be choosers...at least at first. I appreciate the feedback.

Am I alone or are there other nurses out there, new and experienced, sick of hearing newly graduated nurses say there are no jobs out there, especially now during COVID? I just saw another post on LinkedIn of a new graduate RN complaining (in disguise of seeking advice) that they are they are still searching for jobs and no employer is getting back to her. For background, I am a newly graduated/licensed nurse this year and I had my job secured months in advance of my Summer start date. However, even with COVID, every major hospital I applied to and even the hospital I worked at during school have been going through massive hiring drives. Was I and everyone else in my orientation cohort somehow an exception? I would like some feedback from new and experienced nurses because perhaps I am missing something. And so this does not become another complaint post about complaining posts, I will offer what advice I do have, for what it is worth, for new graduates or last year nursing students: 1. Widen your scope - accept you may not get your dream job in the L&D unit or NICU, or some other cushy or specialized specialty right out of school. You may have to put in time elsewhere, where the jobs are OPEN. If not, then the fault lies with yourself for limiting your options. Just because you don't see the job you want, does not mean there are no jobs elsewhere. 2. Beef up the resume with anything you can - keep busy and keep learning. Take a job while in school, look for volunteering opportunities, and reach out to groups of interests to participate. 3. Consider moving out of a saturated market (I'm looking at you New Yorkers and Californians). Once again, there are jobs in other major metropolitan areas, but you have to realize cities may be harder to secure jobs in some cases. 4. Connect with your professors during school and after graduating, they are bound to have some connections that may be able to help. This entails maintaining a good standing with them. 5. Apply early. This may be too late for Spring graduates, but any last year nursing students, try applying over a Winter break in your free time or even a month prior to graduation. Do not wait until graduation because then there is naturally more supply and less demand, hence more competition. Hopefully this advice is helpful for some. Also, please offer your feedback, because perhaps I am missing something. It just seems everywhere I look new grads are unjustifiable jobless, which is the complete opposite of what I seen/experienced personally.

I am fresh out of nursing school, but I know I want to further my education at some point in the next few years. As I research NP jobs, duties, responsibilities, and perks, I would like to hear directly from all types of NPs - inpatient especially (that is what I think I am interested in). What other perks besides increased pay do your employers offer? I'm used to hearing about incentives for new graduate RNs (tuition reimbursement, differentials, sign-on bonus, etc.) but didn't know if that carries over once you move up the totem pole so to speak.

I disagree with many of the opinions here. I am a new nurse just starting orientation as well and I would never compromise - if I was hired as an RN, I want to work as an RN...Period. Contrary to what people are saying, many places I applied to are pushing hard to find new nurses. I would not settle. And I would definitely not take a reduced pay and a shortened orientation. As I said I am new, but I worked as a nurse intern on a MS floor for 2 years and have 4 nurses in my immediate family, and I never heard of this scenario occurring. At the end of the day, if you don't mind the proposition, go along with it. It is your choice. However, know that this is not normal and there are plenty of opportunities for a proper nurse residency out there, so do not feel like your scenario is happening everywhere or choices are limited.

I just started orientation recently so I have very limited experience so far but I thought I would share what I have seen up to now. Everything at Duke is state of the art and top of the line in terms of equipment, policies, techniques, etc., which is especially true for their many ICUs. Duke is truly a remarkable hospital. The ratios are pretty strict for ICUs (1:2 or 1:1), there is plenty of help (clinical leads, charge nurses, and colleagues), orientation so far has been very thorough and encompassing, and I definitely feel supported. I will note the negatives which you may or may not be aware of - the most notable drawbacks are low starting pay, horrible parking (far and/or expensive), and rotating shifts to start. However, in my experience so far, the positives definitely outweigh the negatives and Duke has many employee benefits, especially with education reimbursement, that many large hospitals do not come close to beating. Another note - depending on what unit you work on, the average age/experience may be on the lower end (5-10 years). This can be both good and bad but I thought I'd mention it. Overall, I would say go with Duke. Unless you have offers from top academic hospitals that are comparable in size and resources, you cannot go wrong.

Starting pay is around $25.00 per hour for New Graduates.

I interviewed in January and actually received my offer by email from the recruiter by the end of the same day. I did not apply to the CTICU however, so every unit may do things differently. Also, based on what I've seen, people receive offers within a variety of timelines...some right away like me, and others received them after a few weeks. I'd imagine the CTICU is in high demand and there are more applicants to interview and thus the process just requires more time, perhaps leading to a longer wait time.

Feel free to ask. I will try to help as much as I can, but I think we both are technically new here, so I don't know if PM will work.

Very nice. Best of luck! I interviewed/shadowed in January and really enjoyed the whole experience, especially the shadow component. I would think of some questions not only for the interview, but also for the floor nurses. The nurse I shadowed was very open and I wish I prepared a couple more questions for her.

This thread is for all those interested in a new grad nursing job at Duke. Here we can help guide each other through the process and connect with others who have applied or are planning to apply. Has anyone interviewed? What unit are you interested in? What attracted you to Duke?