BostonFNP

There is no denying that AI is here when it comes to medicine. I have colleagues that use it nearly exclusively. I utilize for some things but still find it too clunky for general use and I don't at all trust it as a decision making tool. I do think it has some strengths in reducing time spent typing and formatting. We have to consent patients if we use AI in any capacity. Having taught NPs for a long time now, it's my opinion that having them use AI for notes is a huge disservice to the student. While AI can be a time saver you need to know how to write good notes without it first.

Have they called yet?

Honestly, I'd alert my malpractice provider just in case. This was an error in judgment that could have significant implications if a disgruntled person wanted to push the issue with the board as silly as it might be.

The solution to a shortage is not to lower the requirements for minimum competency. Nursing programs have these policies for a reason, and they don't take it lightly as it can impact their accreditation.

The board exams are minimum competency exams; they are designed to make sure that a new graduate NP has at least a bare minimum fund of knowledge to safely begin practice in their certification specialty.

This is the part that you need to focus on. You've completed school and clinicals and are about to enter practice and you have been studying and doing review questions for five months. Why are you bumping into questions that are completely foreign to you? Do they have something in common? Are they problems with clinical scenarios, or normal/abnormal values, or definitions of concepts, or something else?

Interesting. Macrobid is a strange call for a male with UTIs especially if associated with kidney stones. Listen to his lungs, see if he has a Velcro sound on inspiration, those sharp powerful crackles are a hallmark of ILD/IPF.

Ahh but that Macrobid induced ILD had clear lungs to auscultation (though clinically you'd expect to hear the dry crackles I'd think). ?

Unusual for wheezing to be a symptom of recurrent UTI? ?

I don't follow your logic on this about somehow the nursing school being at fault for you not learning from making a dangerous mistake on a simple math question, not even a med calc question. In real life this mistake could be fatal. I know back in the day my program had a mad calc test day 1; anything less than 100% was a fail and out of the program. Nursing schools have too much to teach to have to go back and teach basic MDAS.

Did you graduate from a school with a national accreditation?

As described, this is a post-op patient in acute post-operative pain with what sounds like a reasonable and legitimate order for acute pain control from her providers. What does your nursing judgement and common sense tell you is the right thing to do? If either your nursing judgement or your common sense tells you to do anything other than attempt to control the patient’s pain you need to consider your biases.

I'm not sure if you are responding to my post or someone else (helps to use the quote button) but I'll respond: My post wasn't a judgement on you and it was entirely based on what I know of your situation from what you told us. This is direct from the New York BON: You graduated from a program which is not approved by the licensing authority of the state, thus, your only avenue to get licensed in New York is to appeal to the BON that at the time of your graduation in 2016 that the program was in probationary period. Hopefully you can make a strong case there. Good luck.

You have two problems: 1. Getting authorization to test, testing, and passing the NCLEX. I'm not sure you could get authorized at this point. If you are able to get authorized to re-test, how are you planning to pass a test 8 years later that you didn't pass originally? 2. Getting licensed by the state if you pass the exam. I don't think many states are going to license you if you went to a program that had no national accreditations and is not approved in the state the program is in. This is complicated by the fact even if you got a hearing with the BON you'd have to convince them that 8 years later you wouldn't need complete retraining. Get a lawyer and hope maybe you can get some money back but I doubt it. Apply to a program locally with national accreditation and BON approval in your state.

It appears this school was put on probation and then dropped from accreditation from the Florida BON due to abysmal NCLEX pass rates. Like less than 10% for a number of years compared to a national average of >80%.