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FNP whitout RN experience??
I'm sure there are programs that may not need experience. There are graduate entry NP programs out there (I graduated from one) and although it was rigorous (and for good reason), you get to the same end goal. Choose a program wisely and do not choose one that rely too much on RN experience to magically translate to advance practice... They need to train and prepare you to think like a provider, not a nurse. No, you do not need RN experience to be a great provider: There are amazing MDs, DOs, PAs, grad entry NPs who become amazing practitioners in their field and not a lick of RN experience. Some may have a greater edge from some sort of health care experience (EMT, scribe, RN, MA, etc), but everyone graduates and are expected to perform their jobs to the same expectation. I've precepted NP students and PA students and it's all about the individual and how well they program prepared them. Some NP students have had YEARS of experience and struggle translating what they've learned in class/lab to practice.. While some PA students who may have worked as a scribe knows exactly how a provider things and aces the medical management piece (Some of the best students and strongest practitioners). Just find a great program with amazing clinical experience. If not NP, what about PA? Or MD? or DO programs? like all advance practice programs, get ready to work really hard. Good luck!
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Pros and Cons of Direct Entry NP Programs?
I graduated from a grad entry program and I precept NP and PA students. The program is very intensive. Pros: You do finish faster, but don't just "count your hours". It's quality over quantity: Find a good program with great clinical experiences. You go straight into the advanced practice track if that is your ultimate goal. You will also be among other like minded professional students. Cons: Because it's faster, it's very intense. Can be costly financially. You may face some criticism going through this route. You may hear comments like, "People with RN experience are stronger provider" etc. -To this I say: the type of experience may or may not give you an edge during NP school. I worked as a scribe and that helped immensely (I feel more so than RN experience). I've seen PA students who worked as scribes and EMTs perform better than their piers. Certain RN experience does help (like ER experience). However, certain specialties may not be as helpful. It depends on the individual. It depends on the program. Choose wisely and good luck!
- Clinical Experience Thoughts
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CRNA School and Debt Advice
I had a couple friends go through a CRNA school and all students from both programs were told the same thing: If you're going into a CRNA program just for the money, choose something else immediately (like finance or business-very high income generating fields). Love what you do. Fortunately, both my friends love their job and yes, they graduated with a large amount of debt (and still paying it off), but they are still happy with what they do. True, they had to life like a poor college student for a few years after, but after paying it down, they felt they had more breathing room to enjoy life more. But I remember they worked crazy hours after graduation with all their focus and energy on paying off the student loan debt.
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Asthmatic emergency
Any child under respiratory distress absolutely needs to go via 911 to the ER. Basically, unless the mother was strongly refusing any ER transfer, you document AMA and EMS refusal...and then get your advanced airway/CPR ready....
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Forgery,
Not your fault. You do the best you can. This is now a case between son and parents. I hope there is a serious discussion about this from the parents. If I ever pulled this in school, I know my parents wouldn't fault the teacher, nurse, or school at all. All accountability would have fallen on me and me alone...and then serious punishment afterwards.
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Am I the *******?
Gotta keep exploring any potential career paths you have interest in. Clearly, you are very unhappy with your current job. Why do you end up going back to nursing? Why lie about it? Do you dread doing other things more than switching away from this current "hell" of a job: like going back to school, train in another specialty (even if it mean relocating), training in another field all together, starting your own business, etc? What do you have to lose? If you stay the course, you will stay in a very toxic and unhappy situation for the rest of your life. Only you can change your life. If it's the money that's keeping you, these are the golden shackles... Worth it?
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Seeking Advice
Sometimes we have to pick our battles. If you seek legal action, is there anyway they have evidence to counter your argument? If they do not have any evidence, then you have a case. If they can prove their definition of falsification of documents, which lead to the termination, then I'm afraid it'll be a hard case to win... You can always speak with an attorney to see if you have a case. They will not waste time if there is no case and you'll have your answer.
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Not Studying Much for the NCLEX. So Tired of Questions.
Yep, just relax and if you feel ready, that's all that matters. ?
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What did you wish you knew as a new grad NP?
UpToDate is the google/wikipedia of the medical world AND you can trust everything and find almost everything on it. Pricey, but so worth it. I haven't seen a good NP, PA, MD, or DO resident/new grad who didn't use it. Even providers who have worked for years, still refer to this resource. For a quick medication dose look up, I use the free version of epocrates sometime. But a bulk of anything I need to look up comes from UpToDate
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What are the low stress nurse practitioner jobs
Yes it depends on what you mean by low stress... Every position has the good, the bad, the ugly. As long as the good outweigh the bad, it's all good. Even jobs outside of healthcare has good/bad/ugly sides. Research a field you enjoy and try it. If you're not happy, move to/train in another specialty. If you stay stagnant in a position you hate, nothing will change. Do not only look at salary: be careful what you wish for... may not be worth it.
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Nurse Practitioner working without a MA
Wow sounds horrible. Having an MA work with you is such a better way for any company to function/operate. No brainer
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Commute to your job?
I work in urgent care part time right now and commute ranges from 10 minutes to 35 minutes. Although it's 12 hours days (sometimes longer if patient come at the last minute), but it allows me a better work life balance because I work less days yet still have full benefits (just higher premiums as part time for medical/dental/vision). Salary is higher in this field, too. So for now, I'm happy where I am.
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I Don't Know What to DO
That's wonderful! Keep moving forward and don't look back!
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What should I expect as a new NP student
I agree with others in that it depends on the program. I went through my FNP program before I met my husband and had kids. It was advised for us not to work in that particular program and I understood why. IT was INTENSE. In that time, you will be shaped to become a competent healthcare provider. No longer reviewing and executing orders, you will make them and make critical medical decisions upon graduation. Make sure they have good clinical instructors and not a NP mill of a school that just give you online videos to watch and not actually guild and instruct. It won't be an easy walk, but it's not impossible either. Don't need to go full time. If taking one class at a time is enough on your plate, just do one at a time. Not a race and you will eventually get to end goal. Good luck!