chiromed0

If you love chiropractic and financial security is not a driving factor then be the best chiro you can be. If you want to truly be paid as an equal in healthcare then don't waste your years of learned experience in chiropractic. There are some that make a healthy, wealthy living but what they do to make that is questionable. To answer your question it's both, more money and more responsibility. You learn a lot in chiro school, more than you will ever be allowed to use in practice.

Well, I can't speak to your case specifically but my view is if the paycheck clears then I do whatever it takes to clock out at 5:00. If that means doing my job, the physicians job, and the MA then so be it...other days just the patient care. Personally, I don't care...I look at it like they rent my time and credentials for $$$/yr or hr and ego aside, I'm going to do whatever it takes to get the job done and go home. However, your case....office mgr (if they have authority) meeting and get things clarified according to your contract...in writing or it ain't real.

Well, good luck. I'd say study some ortho NP material. Learn from some ortho clinic websites the most common conditions/procedures. That is an excellent opportunity for you so I hope you get it. Interviews usually just cover the big picture stuff anyway--they want to know if you can spot post surgical problems, pain management, and rehab. Usually they will take care of the pre-surgical workup but you need to know what to look for and what they would suggest doing. It is all doable and after you get some time in it, probably common sense. It might help to look at interventional pain management websites to get familiar with some of those procedures (common to ortho too) and the lingo...pulling off the interview is doable. If you have the time this site is very useful: Orthobullets.com

Not always better in the city either. More expense and movement so staffing/budget/overhead decisions made at the drop of a hat. I was hired for one location, they shut it down w/i 5 months and now have been at another for 3 years, however, other locations that were stable have been closed almost immediately after a new physician was recruited and move there! It's a gamble anywhere you go. I'd say ALWAYS have some fresh coals in the fire b/c you have to expect the unexpected...meaning better to keep interviewing while you have a job vs when you need a job. Good luck.

I'm not ACNP but I would think the main barrier is your patient age population restrictions. So if you pick an adult field like Pain management (no kiddos) then I don't see why you would be restricted from this field. It's not exactly a "happy" place but it's stable and more routine.

Don't know if you moved yet but the market is crowded. Yes, lots of jobs listed, some real and some recruiter bait. Many hospital systems. Since you have experience it will make it much easier for you than all the new grads which are killing the market. Lots of schools here. Pay is NOT exceptional even as recently as 2016 I have seen a 10-20% drop in what is offered. You can still get what you want, it will take more effort. The jobs are listed everywhere and if I were coming from out of town I'd say hit up the recruiters first to get shopped around. They don't eat unless you get hired.

Don't sweat it. Seriously. I was in a similar circumstance where my mgr. asked me for constructive feedback since I came from a different hospital chain. I gave some regarding collecting lab samples on the unit, it was a flawed system and prone to error of mislabeling. Well, I got stung and mislabeled a sample from the very problem I pointed out and he was more than happy to write me up instead of fixing the problem. There will ALWAYS be people like that. You are not here (in nursing) to appease the knuckleheads, you are here for your patients. Let them do what they want and you keep doing the right thing. The beaurocratic nonsense will, unfortunately, always be present.

Nope...I get all the values and anything I want to specify. I don't discharge for DXO/DXM use but if the DEA says it's a problem then I let my pt.'s know something as mundane as that IS A PROBLEM if I continually see it. If one wants to "let" a patient become compliant then it's crucial to see values (like THC) are declining. Of course this can be inexact but as long as it's going down to ZERO it does matter. So to answer your question the exact values ARE important but I would rather go more conservative in this climate and "not detected" is fine with me. Honestly, they sign an agreement and if they can't abide by it then more abused drugs like narcotics should not be prescribed.

I don't think you have killed your chances of "ever" being an RN. It is looked at like you taking a family members med...still unaccounted for but not an illicit drug. Could that program pass on you...sure. But, again, ask if you can retake a drug screen-I think they would want to know there is nothing unaccounted for in your system upon admission, maybe they have a probationary term with voluntary regular drug screens, too. I don't know just ask them and don't feel guilty about it. If they don't want you...fine...move on and don't worry. Just be determined to make it and handle your anxiety another way. Medications are not "the" answer, just a short cut to "a" answer. Good luck. And no...I don't think other schools will look into it...why would they? It's not public info...drug screens are private.

Not a CRNA but I work in Interventional PM. I would agree with the others--CRNA's, while very capable, are probably doing some of the pain procedures b/c of a loophole that most state medical boards will constantly be looking to close. That being said it may be a losing battle. On the other hand, if it is just a matter of physician oversight/collaboration then working for a PM group I can see a CRNA that does procedures earning quite a bit more. Locally, I have heard of a PM physician having his NP's (don't know if it was CRNA or not) doing the procedures. I know of some "midlevels" doing procedures like facet blocks, etc. I do the office stuff, blocks, joint injections, TPI, etc., but the more invasive with fluoro/US are strictly physicians.

Well...not knowing that program the answer is maybe. Long term then I would say no...just apply to another program and no issues. If you're clear of the med then offer to re-test at your own expense if they allow it.

Because some days there is nowhere else to turn and nobody else understands except your peers. Some days a helping hand, other days a slap across the forehead. Either way...useful.

Either way, don't worry. The tissue atrophy is unlikely and it is COMMON to mix steroid and anesthetic for trigger point injection. Yes, there is risk of that side effect but I believe it's mostly for subq not IM. Read: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3903862/

Generally speaking...you're freaking out too early. EVERYBODY feels overwhelmed the first year even if they say they don't. Heck, I felt overwhelmed year three! I got anxiety the day before my shifts started. In a way that's good-you don't get complacent but it does age you a little. Nursing is everywhere and pay depends on your level of competence or risk so you have options. Bedside care ain't for everybody but if you are doing a good job then I'd say stick it out for at least that first year, you are already done with half or more, then move on. The job is supposed to be intense-people live or die by what goes on there so it's not for the faint of heart. If you decide to stick it out then know that you will change and adapt if you just let it happen, I experienced it and saw it happen time and time again. It's the nature of the job. Good luck.

For FNP I'd say no. For AGACNP or CRNA then I'd say yes as you will pick up things there that help. Lots of hospitals now are making a rule for AGACNP for inpatient provider and FNP for outpatient. There's lots of examples of cross over but I've noticed it recently on job boards so decide which kind of NP you want to be then make the call. If you want that experience anyway I'd say go for it--it's a little more interesting to be sure. I did some before FNP and I don't see much direct application but it helps to know some of the practices, protocols, and meds used.