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Cyndee, MSN, NP

Cyndee, MSN, NP

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Cyndee, MSN, NP's Latest Activity

  1. Cyndee, MSN, NP

    Differences (Educative/Clinical) between NP & PA

    Please tell me where I can find similar postings by NP's. I have yet to see a thread written by a NP entitled, "When I grow up I want to be a PA." Docs are going to continue to prefer NP's because of the lowered risk of liability. The ones who haven't already done it, don't know about it. My boss used to hire PA's, but not since he found out he was 100% liable for everything they did. Actually a lawyer was the one to inform my boss about this issue and he'll never hire another PA for this very reason. The NP associations need to get this news to the physicians ASAP.
  2. Cyndee, MSN, NP

    Differences (Educative/Clinical) between NP & PA

    If you don't think there's a difference between a NP and PA, then you need to get on physicianassistantforum.com and read the thread, "When I grow up I want to be a NP." On that thread, several PA's are lamenting the fact that they don't have the respect that NP's enjoy. One PA in Kentucky is complaining that NP's can write Schedule II meds now, although he can't. He also states that he has gone to several drug programs and has overheard physicians state that they would rather hire a NP over a PA, because of their independence. If a NP can practice independently in a state and is involved in a lawsuit, it's doubtful the physician will be included in that suit. Any time a PA gets sued, the doctor is automatically included. You will see more and more physicians hiring NP's in those states, it's happening right here in Texas. My boss was planning on hiring a PA until he spoke with some of his physician friends and found out he was less likely to be included in a malpractice lawsuit if he employeed NP's. Well, guess what, HE HAS 2 NP'S AND HE'S LOOKING FOR A THIRD!
  3. Cyndee, MSN, NP

    'Unhealthy' nurses...bad examples?

    There are a heck of a lot more people dying from being overweight than underweight.
  4. Cyndee, MSN, NP

    'Unhealthy' nurses...bad examples?

  5. Cyndee, MSN, NP

    'Unhealthy' nurses...bad examples?

    Years ago when I graduated with my BSN, my best friend's husband congratulated me and said, "Now don't go and gain a bunch of weight like the rest of the RN's!" I'm now a nurse practitioner and I can tell you that patients EXPECT US TO SET AN EXAMPLE! There is a NP in town who runs a CHF clinic and she's morbidly obese (I have no idea if she smokes or not). I have had more than a few of her patients comment on the fact that they can't take her seriously when she tells them to lose weight, precisely because she is so overweight! Frankly, I would feel like a hypocrite if I counseled someone on losing weight or quitting smoking when I had the same vice myself! YOU HAVE TO PRACTICE WHAT YOU PREACH!
  6. Cyndee, MSN, NP

    NP w/no desire for RN?

    I also worked psych for years, including travel assignments from New York City to Colorado and everywhere in between. I worked every shift on every unit and by far the easiest job I have ever had was working psych at night. Every single person I have ever worked with during the night shift concurred. In fact, I worked the night shift during graduate school and was able to study or write papers at least 85% of the time while I was at work. The vast majority of the night shift workers were pursuing degrees and they specifically worked psych so they would have all that "down" time to study. Of course, working other shifts was very stressful and there was absolutely no time to study.
  7. Cyndee, MSN, NP

    NP w/no desire for RN?

    Why don't you just start working as a psych nurse while you're going through school? I worked as a psych nurse for years, and the night shift is a piece of cake. That way, you'll be prepared when you graduate. I will say this, psych nursing isn't for everyone. It can be very frustrating and unrewarding, not to mention dangerous. We used to get a lot of RN's from the hospital to fill in when we were understaffed and several of them said they would never work on a psych unit again! Mental health/Psych NP's are in high demand and make the big bucks, but there's a reason why.
  8. Cyndee, MSN, NP

    NP w/no desire for RN?

    The instructor I'm referring to had never actually worked as a R.N. She went through the bridge program for students with degrees in other fields. I suppose it's imperative to have "those" types of NP's on staff, otherwise how would you be able to sell the program to prospective non-RN students? Some of the top NP programs in the nation have the "direct entry" option for non-RN's. I feel like "they" have sold out our profession. I'm more than a little upset that they hold the exact credentials that I hold, yet I actually did it the legitimate way.
  9. Cyndee, MSN, NP

    NP w/no desire for RN?

    I was also a nurse for years before I went through a nurse practitioner program. I was shocked on the first day of grad school when I learned that more than half the people in the program hadn't even taken the NCLEX yet! This had to be explained to me over and over again. I had no idea that these programs actually existed. I live in Texas, but chose to go to a school in Tennessee because I wanted a graduate degree from a top tier university. In every single NP program in Texas, one has to have at least 1 year of experience as a RN (no one actually gets in with 1 years worth of experience though) before applying. The majority of us graduated from that program in August of '05, and then returned for the official graduation in May of '06. Well, almost every single one of the direct entry students (I believe that's what they call them) were working as RN's because they felt they needed the experience! Never mind that they were credentialed as NP's! So, when the rubber hits the road, all that RN experience really is worthwhile! p.s. actually there is something worse than a NP who never worked as a RN...it's a NP INSTRUCTOR who has never worked as a RN. We had a few of those where I went to school. WHAT A JOKE!!!
  10. Cyndee, MSN, NP

    Excelsior BSN vs BS Health Science

    It's important that you know that there are only 2 states (that I know of) where you don't have to be nationally certified to be a nurse practitioner. Those states are California and Florida. In order to get certified by the ANCC you MUST have a Master of Science degree to become a NP. I know of someone who went through that Stanford program (your degree won't say "Stanford"...only the lab classes are held there) and then moved to Rhode Island and can NOT work as a Nurse Practitioner. Until you obtain a MSN degree and become nationally certified, you will only be able to practice in 2 states and that is going to change in the near future. Also, I know several older NP's who only have an ADN and went through a NP certification course here in Texas. While they have been "grandfathered in" and can practice in Texas, they can NOT practice in other states simply because they can't meet their educational requirements. Also, NP's from other states who were "grandfathered" in their states will not be able to practice here in TX, because they won't meet our educational standards. If I were you, I would definitely go straight through the MSN program so you can practice in every state.
  11. Cyndee, MSN, NP

    Tips on how NOT to appear like a Drug seeker

    HA HA HA HA! You are describing so many of my pain management patients. I see this crap all the time, they'll even come in with a police report stating someone robbed them and took that meds! I just write them a script for a clonidine taper and tell them this will keep them out of withdrawal until they can get another refill. I just discharged someone today because I suspected she was abusing her meds...turned out I was right on the money...she tested positive for benzo's and oxycodone, but she was only being prescribed methadone. When she told me that she was getting the other meds from another doc, I showed her the contract she signed stating that WE were the only ones allowed to prescribe a controlled substance!!! She has 45 days to find another physician. I LOVE busting the losers!
  12. Cyndee, MSN, NP

    Tips on how NOT to appear like a Drug seeker

    Totally right on! If they aren't willing to get an intervention , even though they claim they're in severe pain, then that's a red flag.
  13. Cyndee, MSN, NP

    Tips on how NOT to appear like a Drug seeker

    I work in pain management and it's pretty easy to figure out who's faking pain and who's diverting their meds. The other day, I had a pt ask me if I could give him 8 Oxycontin 10 mg instead of the 80 mg caps...he said he was allergic to the dye in the 80 mg - I called the pharmacist and the same ingredients were in the 80 mg caps. Another red flag is when the patient starts crying at every single visit or they are wanting to switch meds all the time. It's always a huge red flag when the patient knows how to convert from one opiate to the other, or knows more about the drugs than the practitioner! Also, people who take methadone AND a benzo will get a buzz, although with methadone alone they won't. Hydrocodone and Soma together really gets them off, so I never prescribe the two together. I'm amazed at how many new pts tell me that Lortab and Soma are the only 2 medications that work for their pain! When a breakthrough med (opiate) is given to patients on methadone, they won't get the "high" that they would when taking the breakthrough med alone. Therefore, a lot of people have OD's while they're on methadone, because they keep taking more and more of the opiate trying to achieve that "high."
  14. Cyndee, MSN, NP

    NP w/no desire for RN?

    Don't forget the Adult/Geriatric/Pediatric/etc NP's! We get intensive training in our specialties. Maybe this is why PNP's are now making as much as the pediatricians! I totally agree about all that writing papers and theory BS!
  15. Cyndee, MSN, NP

    Excelsior BSN vs BS Health Science

    you need to go to the physicianassistantforum.com and check out the new thread: when i grow up i want to be a np...here's a little excerpt. oh, and don't forget to look for the post about the np having to cosign for the pa - ha ha ha ha!!!! these are all new posts (within the past 3 weeks). when i grow up i want to be an np i know that we've had this np vs pa discussion, but today . . . i wish i were an np. a year ago i started working on creating an urgent care clinic on our island. i did a lot of footwork putting things together. my bottle neck came when i started to recruit a md to sign on as sp (paid well for chart review etc.). the mds on the island belong to one of two large groups. both, came out opposed to an urgent care clinic . . . seeing it as a competitor. while i was in limbo, looking outside our area for a willing md, the office i was looking at to rent . . . suddenly was leased out to a mysterous renter. after renovation behind closed doors . . . suddenly it opened as "[color=#496690]fidalgo (our island) walk in clinic." it was started by a np. i shared with her if it grew to the point that she need a partner (which, according to my research, i knew that it would) to give me a call. well, she has reached that point and today started looking for a partner . . . but an np only. why . . . nps in the state of washington need no . . . that is no relationship with an md. i know that i may sound dumb, but i didn't know that before today. i went and read all the legislation on the books and learned that in the state of washington, nps have had the freedom to open their own clinics since 1972! this urgent care clinic will be a great business success and it is a little disappointing that i, as a pa, could not realize this dream. makes me wonder again if the aapa took the right path thirty years ago to make sure we stayed dependent. okay, maybe tomorrow i will awaken and be glad i am a pa instead of a np . . . but for tonight . . . mike
  16. Cyndee, MSN, NP

    NP w/no desire for RN?

    OMG! I can't believe a NNP can't even start an IV on a baby!!! OMG!!! Our profession is being trashed by these inexperienced NP's!