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travelcrazyRN has 12 years experience.

travelcrazyRN's Latest Activity

  1. travelcrazyRN

    ED experience would help for FNP

    I have been a nurse for 12 years- started as floor nurse med/surg/tele (5 years), then moved to ER (3 years), changed to case management (3 years), and then went back to ER (mostly for the schedule flexibility) last year while I do the FNP program. While I think the ED experience will help me personally as I move into FNP, especially since I desire to do urgent care, I do not think ER experience is a necessity. I think more employers will care more about your FNP knowledge and education over prior RN experience. You already have a broad range of experience. The FNP aspect is so focused on primary care (none of which you will receive in the ER) that it will not help you in the long run especially if you have other nursing experience in acute care. Most EDs are hectic that you will have little time to learn much that will apply to FNP. Honestly, I would stay focused in the program and finish. I truly understand the burn out, and have tinkered with the idea of taking time off to change out of the ED due to the stress of managing work, family, and school. HOWEVER, I think it is more of the idea of reducing the stress than it is the need to change specialties. My advise is to stay focused on school. Reduce your work hours in your current position if possible. Good luck. If you do want to gain emergent or urgent episodic care experience for an advanced practice role then completing clinical hours in that setting would give you the most bang for your buck.
  2. travelcrazyRN

    Please help, almost 2 years and no job!

    I'm sorry, I hope you find something. I think you should contact the school you originally attended. I honestly did not know diploma programs still existed. Are you in contact with any other graduate from that program? Do they have jobs? Network, network, network. Have you had a interview at all? Have you had another nurse review your resume and see why you are not getting past the resume stage. Good luck.
  3. lunch, what is lunch? My work has no problem deducting 30 minutes from pay but any break time we get is by pure accident. There is a option to mark no lunch to recoup the 30 minutes but you get some negative vibes from superiors when this is done repeatedly.
  4. travelcrazyRN


    Was this a NP class? How are you able to retake if you were dismissed? I wouldn't lie on your resume or application but I would address it in any essay or entry statement why you are changing universities. You can say something like events of your life required you to take some time off, and now you are ready to pursue your degree at so and so university. Then make a positive statement on why you chose the new university. Good luck in your future!
  5. travelcrazyRN

    Patient education frustration

    My first thought was similiar to the poster above. Do you speak Spanish? Is any written material printed in Spanish at a very basic education level? I don't want to degrade this population of people but education has not been their priority and I think their only goal is to feel better as fast as possible as a matter of survival.
  6. travelcrazyRN

    Is tele enough for travel

    I did 4 travel assignments as a med/surg/tele nurse before taking a permanent position in the ED. My first travel assignment was with 3 years of experience.
  7. travelcrazyRN

    Miserable in my contract

    oh do I remember this.... my first travel assignment was a complete nightmare. It was the worst 39 shifts I have ever had. I look back and think of all the redflags that I just didn't know about when I accepted the position. One being, I did not know to not accept a travel assignment that does not interview you first. It was so bad I developed crazy high blood pressure and nose bleeds from the stress(I was in my early 20's and healthy until then). Several times I would go to start someone's IV and my nose would start bleeding. Just the slight movement of bending forward would cause the bleeding. I would take my blood pressure and it would be 200's/100's. This is what I did to help me get through it: I compartmentalized each week- I took it one week- 3 shifts at a time. It was easier than thinking four weeks in advance. On my days off I made sure that I did something fun in the area. It made me enjoy why I actually chose to travel there. I completely changed my diet to a low sodium diet to help with the blood pressure. I walked every day after work, and on my days off to relieve stress. I allowed myself to call out one day (the only penalty besides no pay was a small penalty to cover rent). I ended up losing 25 lbs over those 13 weeks. Once the assignment was over no more high blood pressure. In the end I am glad I completed that assignment but still cringe when I think of that assignment. Also, never ever ever burn a bridge. You never know what will come back around. I absolutely HATED the the floor I worked on and swore I would never walk into that hospital ever again for any reason. Several years later and multiple travel assignments I ended up taking a permanent position at that same hospital in a different department and did not have one problem.
  8. travelcrazyRN

    New NP insecurities

    Boston and Riburn- I see you post a lot, and have enjoyed reading your responses to other's questions. Thanks for being such active members to these boards. Besides Uptodate do you have other references that you recommend for novice NPs?
  9. travelcrazyRN

    Can I renegotiate after accepting offer?

    My two cents.... work for 6 months then re negotiate. You will be more productive, and in addition the employer will have time and money invested into you. If in 6 months they are not willing to negotiate then you will be able to search for another position but will have some experience. You can try and re negotiate now but the hospital does not have much invested in you so they might move on to the next candidate. Are you prepared for that? Is the job market for NPs good where there are other positions? If so then it might be worth it to go back to them for more money. Have you done your research on the NPs in your new area? Is the pay comparable to others in the area?
  10. travelcrazyRN

    purchasing your own health insurance

    Insurance costs depend on age, social history (smoker?), and area. If you are paying 100-200 for "good" insurance you are getting a deal. Most insurances with reasonable deductibles, copayments or co insurances are 350-1000 per month depending on age. Most health insurances that are only 100-200 per month have 10K deductibles , 50/50 co insurances, and small pool of in network providers. Adding dental, and eye to this for 100-200 per month! Please share what company this is so I can sign on too. I have the worse insurance I can think of (10 k deductible, 50/50 co insurance (Not that they pay anything with such a high deductible) for $200 per month. I cridge everytime I send BCBS a check.
  11. travelcrazyRN

    Independent Contract NP and Billing

    LLC seems the safest way to go. LLCs easier to establish, and offers more protection for your personal assets that just having a personal business. This is something you would want to do your research on, and consult with a professional.
  12. travelcrazyRN


    What is the advantage of taking both exams and maintaining both? Thx
  13. travelcrazyRN

    Previous years review CDs

    Do you think Hollier 2013 would be helpful for review CDs if I am planning on taking the cert exam fall 2015? How much could have possibly changed in the past 2 years except for JNC 8? :-) opinions?
  14. travelcrazyRN

    Too old for BSN?

    Graduated at 20 for LPN, 24 with RN, 28 with BSN, and now in the MSN program at 31 (will be 32 in 2 days). Needless to say I have been in nursing school for a long time. There were people of all ages. My LPN program had a woman in her 60's. At 24 years old you are not too old.
  15. travelcrazyRN

    Interview on Friday - Tips on preparing?

    I'm in a program that requires the student to secure their own preceptors for the different FNP classes. I emailed one MD asking to be his student for my final semester (summer) and secured an interview. The MD said they want to choose a student who would possibly move into the practice for a future position. This is a family practice and urgent care. The website lists 5 MDs and 1 PA in the practice. No NPs, however this MD has been a preceptor for my FNP program many times in the past. What do you think I could expect in regards to questions? Also, is there any particular questions you would want a student to ask? I tend to interview well (at least for RN positions), however this is my first interview that could lead to a NP position. This area is saturated with students so if I am being honest, I am more concerned with having him accept me as a student. I think it would be a ideal place to learn and most practices that have the type of environment I am looking for are not accepting any more students. I have studied their website and know a bit about the company but past that I'm at a loss on what to expect.
  16. travelcrazyRN

    Study material -

    Thank you! Will check into all of them

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