All Content by deliverator
- How to educate spouse about what I do as an NP?
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How to educate spouse about what I do as an NP?
Question. Do you have a spouse, not in the medical field, that tells you how you should do your job as a nurse practitioner? My wife tells me I shouldn't be asking my patients if they do illicit drugs, and if they do illicit drugs, I shouldn't be telling them or encouraging them to stop. Not that it matters that I work as a cardiac NP, and that a lot of illicit drugs are cardiotoxic. She has it her mind that I should not be telling patients how to handle their health and that it's only the doctor's place to do that. My wife thinks I'm an *** to my patients just because I act like an *** at home. Every time I try to talk to her rationally about patient care, she thinks that I'm being awful to my patients for giving them health advise and telling them to stop doing drugs. How can I educate my wife about what we do as nurse practitioners without her flipping out?
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Golden West ADN Spring 2021
For those of you that do get into the the GWC nursing program and would like a head start, the nursing theory model that GWC uses for the program is the Roy Adaptation Model. If you can get a book from the outgoing students that would be good as the book new is almost $90. The material is mind numbingly dull but you will be tested on it and required to use it when doing your nursing process records. I graduated from GWC in 2008 and would like to get rid of all my nursing books which are all still very relevant. One of the students in the program was supposed to pick them up from my house but flaked out and never responded back to me. I also have the entire programs syllabus from that time that will give you an idea of what to expect in the program. There's a medical math test a couple times a semester that if you don't pass, you will be dropped from the program. I don't remember how many times you can fail it, but if you suck at math, I suggest you watch some medical math for nursing on Youtube and do practice problems (focus on drip calculations and grains). I had a couple classmates fail out for not passing the medical math test. If you get into the program, and want my books, send me a direct message and I'll pick someone at random to get all my books. Would prefer to get them to someone who would be financially in a situation where the cost of paying for books would be prohibitive. Good luck.
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VA RN NEW GRAD PROGRAM PALO ALTO LIVERMORE MENLO PARK 2020
all nursing positions for the VA are posted on USAJOBS.gov. If you have your BSN, SCI at the Long Beach VA is always looking for nurses. Of course, it's the hardest job in the hospital working in SCI, but you learn a lot and it's the foot in the door.
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New Grad Nurse Finding Acute Care Job Help
Most acute-care hospitals these days are now only hiring BSN RNs. If you need a job now, look into long term care, SNF, Sub-acute, long term acute care. Try the VA and talk to your nurse manager in the unit you used to work in. See if any medical groups are looking to add an RN to their outpatient clinics.
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Azusa Pacifica (APU) ELM Fall 2020
Hi Students, I graduated from APU's online accelerated BSN program back in 2012. I have the books from the program I no longer have any use for. It's too much of a hassle for me to sell them, and the editions are quite dated but still relevant. The only caveat is, I'm too lazy to ship them and you would have to be willing to pick them up in Westminster or Long Beach, CA.
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Golden West ADN Spring 2021
Hi, when I applied on my 4th application, it was automatic entry. At the time, GWC was a lottery based system, no points that I can recall. This was back in January 2007. I had a classmate and we applied at the same time for the Spring 2005 entry, he got in on the first application and I didn't. He graduated 2 years ahead of me. For anyone that gets into the program, I have my nursing books that I want to unload. They are all still relevant as nursing fundamentals hasn't changed. I have all the ATI study guides as well.
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Golden West College Fall 2020
Hi students! I graduated from the GWC Nursing program in December 2008. I have a ton of books from the program that I'd like to unload that are still very relevant. The fundamentals of nursing have not changed. I live in Westminster fairly close to the school, you'd have to pick up the books as there are way too many and too heavy to mail. Let me know if you are interested.
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NP or Perfusionist?
Hi, I'm a cardiac NP. I would say, if you wanted more options in your career, become an NP. I work with three interventional cardiologists and a heart failure specialist. Prior to that I did a year of family medicine. Was 11 years as a bedside RN doing tele, emergency, med-surg, and spinal cord injury. Did outpatient cardiology for a year as well becoming proficient with cardiac stress tests. Personally, I'm glad to be out of the hospital setting. I'm strictly outpatient follow up, simple consults, and run the stress lab. M-F, no weekends and holidays. I actually get to spend time with my kids now. I'm learning to read ECHOs, getting better at ECG interpretation, and getting better at medical management of cardiac patients. One of my coworkers is a PA with cardiothoracic surgery and assists in surgery as well as hospital rounding and post op follow up. I think adult acute care NP would probably fit with what you are looking for.
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What is it like in your hospital right now?
The last day in my bedside nursing position was on 2/14/2020 before this whole situation unfolded. I now work in an outpatient clinic as a cardiology provider. The unit I left was a 30 bed spinal cord injury unit. It has since been converted to a med-surg unit in anticipation of the surge. All the SCI patients have been moved to the remaining 2 wards. Census has dropped from the 60s to the 40s. My unit's staff has been split. There are now cases of positive covid-19 among the SCI patients. The hospital is locked down pretty tight, no visitors. My current affiliated hospital has 18 positive cases with 18 suspected awaiting confirmation. Cath lab is only for emergent cases.
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Starting 2020 NO MORE LOCUMS IN CALIFORNIA
So what will happen to me come Jan 1, 2020? I'm not sure if my doctor follows this. Do I have to tell him he has to hire me as a W2 employee? What happens to me if I keep working as 1099?
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Starting 2020 NO MORE LOCUMS IN CALIFORNIA
I'm a 1099 employee that works 2 days a week in a primary care clinic as a Nurse Practitioner. So, starting Jan 1, I can no longer work in my clinic if my doctor doesn't hire me as a W2 employee? This would really suck.
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Where are NPs most/least in demand?
I live in Orange County, CA and my inbox is always filled with positions for FNPs at various clinics in and around the LA and Orange County areas. For a person without a job, these would be great opportunities. I always get requests for locum tenens as well. USAJOBS.GOV has many NP positions all over the country if you are willing to move. They also have civilian positions in the the Armed Forces as well. There is always a need for NPs as an active duty commissioned officer in all the branches of service.
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VA Hospitals
Schedules are done on a biweekly basis, not weekly. You can place your days wherever you want as long you complete the 80 hours in the 2 week period. The manager puts out the final schedule based on your requests. You won't always get the days you want, but you can always switch days with co-workers.
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VA Hospitals
I work at the VA in Long Beach as an RN. 7+ years, currently making over $100k. It depends on your lifestyle and where you choose to live. The pay is pretty good compared to the cost of living. I live in Orange County near the beach, so cost of housing is definitely more than other areas. I don't know if we will be getting a COLA raise this year due to Trump wanting to cut federal pay raises across the board. I am an NP and work in a private family practice clinic part time and make less than what I make as an RN at the VA. Want to get into Aesthetic Medicine as an NP, something the VA doesn't offer.
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VA Proficiency Nurse III Frustration & Appeal
I was talking to my nurse manager to here at the Long Beach VA Hospital about the NPSB. She sits on the NPSB board here and she informed me that they are getting rid of the board starting in August. Meaning that a board will no longer vote on promotions. The direct nurse manager will be the one to promote a nurse to nurse II. Also, for Nurse III promotions, the Chief Nurse Executive will be the one reviewing the proficiencies and candidates for promotion to Nurse III and will be the one doing the promotions. You still have to meet all the practice standards, but it will no longer be a board committee vote.
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VA Proficiency Nurse III Frustration & Appeal
I understand this frustration about writing my own proficiency for promotion as well. And it's that time of year again that I dread where my manager asks for my proficiency. I finally got my Nurse II after 5 years at the VA. I understand that some nurses stay Nurse I their entire careers at the VA. A coworker I started with (she was a new grad BSN and I had 2 years previous experience in 2011) is now our patient care service chief at a Nurse IV or V. I don't care for getting my Nurse III at this time. I just finished my MSN-FNP program this month and will be applying to primary care as an NP (I want to be a clinician, not a manager). I agree that it's all about who you know and how well you get along with those in the position to advocate for you. Good luck to you all going for your Nurse III.
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new grad relocating to LA county
Hi sbonve1, You can't practice medicine until you match with a residency program. Good luck in matching. By the way, this is a nursing forum. Not many nurses would probably know the answer to this question. I've been reading stories recently about new grad MDs from south pacific and carribean medical schools who have their licenses but are unable to match into a residency program. Some have gone back to school to be RNs.
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New Grad Relocating to SD from East Coast; is it Possible?
if you are a veteran, apply to the VA Hospital in San Diego. They give preference to Veterans over civilian applicants. Also, if you are currently a reservist, think about the Navy Nurse Corp. Also look into the Naval Medical Center as well. I have co workers who are reservists work there during their military time. The VA does pay for military time, and you get paid for your reservist time as well - double dipping.
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Relocating to Southern California
The Long Beach VA is always hiring experienced ICU nurses. See job posting here: https://www.usajobs.gov/GetJob/ViewDetails/457259500/ Start early if you decide to apply to the VA. Federal government HR is notoriously slow in the hiring process. Also check out the greater Los Angeles VA. From expeirence, it's easier getting a job at the VA than it is at Kaiser. there is a VA in San Diego, Lima Linda, Long Beach, and Los Angeles, with multiple CBOCs. So you do have choices in areas to live. And if you want to move to another state again, the VA is the largest hospital system in the United States with hospitals in every major city in the country.
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Long Beach VA Hospital Hiring new grads/old grads/experienced/non experienced
Just apply To the unit of your choice. HowEver, the unit that is always hiring is Spinal Cord Injury. HR hasn't updated. We have a fresh new grad that got hired to our unit, she didn't see the 1 year requirement but got hired and the said the 1 year requirement was No longer necesssary. This was confirmed with management.
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Long Beach VA Hospital Hiring new grads/old grads/experienced/non experienced
I just want to let everyone know that the Long Beach VA Hospital is hiring RNs. Our new nurse executive has dropped the 1 year experience requirement, so the doors are wide open. There is no "new grad" program. Training is on the unit of hire with sessions with the department nurse educator. WWW.USAJOBS.GOV
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Anyone accepted into USC (southern california) FNP program?
Have you looked at Charles Drew's MSN-FNP program? It's accredited and has a really high pass rate on the FNP boards. It's accelerated at 16 months. I'm almost done and it's been a great program. Tuition is high, but probably not as expensive as USC.
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So frustrated I want to cry
Have you tried all the providers in your clinical note entry program (Typhon, e-medley)? I remember I cried my 2nd semester of NP school because I couldn't find a preceptor for primary care adult. 3rd semester I had to find OB/Women's Health and Peds. As a male, finding a women's health preceptorship is hard. I ended up doing it at the women's health clinic in my hospital. However for Peds, I took our Typhon preceptor list and just went down the list of all PNPs and pediatricians in the area. On my first day of office visiting, front desk just asked me for my resumes and never spoke to a doctor. The 2nd day, I had 20 offices lined up for a round trip day of 100 miles of driving. The first stop at a private practice pediatrician, she accepted me on the spot for a next day start. I was floored. I'm still at her office now for my practicum as my adult primary care preceptorship at my hospital is being setup (the VA takes forever). Have you talked to any the of pediatricians at your hospital? Front office staff is so hard to get past and some are just plain mean. If you can't find anything, you need to get your school to help you out.
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VA 72/80 schedule
Has anything come of this at the Las Vegas VA? I work at the Long Beach VA and would like to get this work schedule for myself if it is possible to work out with HR and my manager. The additional 8hr shift throws everyone off on our unit when the 8hr person(s) leaves, disrupting continuity of care.