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Vanfnp's Latest Activity

  1. Vanfnp

    How low would you go?

    Agree with all - wages are way too low. In my area, psych NPs are commanding salary more than twice that to start. I just looked at a job ad in my area by that particular company, outraged at the same low salary advertised for a similar APNP position and was happy to find the $50,000 was actually for LOAN REPAYMENT! So maybe your friend should look into the job....but accept nothing less than what she is worth.
  2. Has anyone else ever noticed just how many left handed people seem drawn into the medical field? I'm a lefty myself and will often see 3 or 4 lefties at the same desk and am curious...have seen this at several facilities, mainly in ED settings, anyone else see this quirk?
  3. Vanfnp

    looking for book

    I have "Avoiding common errors in the ER" by Mattu and others-I bought it at a conference, but probably widely available. Many good tips, written more for provider perspectives, but helpful
  4. Vanfnp

    Entering NP School Directly from BSN program

    If its the last class, as in last class ever before the university nixes the program for the DNP, then I would consider trying to enroll in an FNP program instead of ANP if it is offered-otherwise, as an Adult NP you will be limiting your practice to those over the age of 13 which will seriously limit your future job prospects. If you can't, why not wait a year or two and go for the DNP?? If you are young and the only reason you want to go for the NP now is because its the last NP class ever-what's the rush?? In a couple years the powers that be will have it all ironed out so that the BSN to DNP will take no longer than the NP takes now. Some of us old coots will maybe get to retire and hopefully the economy will improve. If I have my say, salary will get better. Good luck, whatever route you choose....
  5. Vanfnp


    It would be very beneficial for you and your resume to work as an RN and precept in the field when you are in your MSN training, learning all you can about the labs, therapies, medications so you can slip right into the role when you are finished with your training. I am sure this is at least part of what the MD meant by his words. The certifications and degrees are crucial but the HR people also like to see some experience too.
  6. Vanfnp

    FNP in hospital

    As it has been explained to me-of course before you would start practice you would get a legal opinion or something on this-as long as you can back up your particular specialty area with the proper work experience/certifications/education/seminars, you are ok. This is with the understanding too that you have adequate support in this specialty area in case you need it (an on-call MD if you are hospitalist, etc). Wherever you work, you need to make sure you have the resources in place for when the wheels fall off the bus. Otherwise, you invite the lawsuit...
  7. Vanfnp

    Admitting Privileges

    In my last NP position in nephrology, I had admission privleges and admitted our patients for nephrology or other acute concerns. I wrote admission orders, did daily rounds, even coordinated transfers on in and outpatients. I have since transferred departments to a new family practice clinic in my hometown and the local hospital does not allow NP's admission privleges due to hospital by-laws, or so I've been told. I would love to work as a hospitalist, I'm hoping it becomes a reality in the future.....
  8. Vanfnp

    Views on the Nurse Practitioner Professionals

    as you consider your options, realistically you have minimally 4 and likely 5 or more years schooling ahead of you although some may be part time. Nursing school requires specific credits-despite your BA and MEd, sadly you may need additional credits to get a BSN. I think by the time I got my BSN, I had something like 166 college credits, needing 121 for the darn degree. Doesn't matter though-go for the RN, then let your new employer help pay for your advanced degree over the next few years. Take your time and enjoy your kids and then your new career.
  9. Vanfnp

    Am I really an RN

    Have you read Patricia Benner's book, From Novice to Expert? It's a classic, like 25 years old and used to be required reading for many programs. Perhaps it has fallen from favor now but as a new RN I found it invaluable for many of the reasons you are struggling with now. Benner acknowledges a basic fact that is not directly addressed in nursing school; all new RN's face a steep learning curve. They each start fresh in a role with huge responsibilities and greatly individualized tasks they may or may not have seen or done before. Their RN cohorts may not be willing to mentor them. Benner believes that it takes about 5 years to move from a new novice nurse to expert. If you change specialties-you may find yourself back at novice again although you may move through the stages faster. Rather than have this make you feel bad about your skills, this should give you hope; all nurses go through these feelings. If they don't, they probably aren't paying enough attention to their skills! I remember feeling some pride as I started gaining confidence-you will too. And of course, many people will move through the stages faster/slower depending on their skill sets/spplication process. I would recommend you read this, its not a very thick book, easily available on Amazon or from a student somewhere. I borrowed my copy out otherwise I'd have offered you mine.....If all else fails, you might want to change out of med-surg ...good luck!
  10. Vanfnp

    how to keep track of dr orders

    The underlying theme here is that you need to find a way to work within the system at the facility you work and develop a practice for MD orders that makes sense to you and is compatible with your work habits. I remember learning this early on, simultaneously realizing I couldn't count on a ward clerk to notify me of new med orders as I had been told was the norm. This while phoning the doc to tell him I'd given a med that had been dc'd....Have heart, this is what turns you into an "experienced" nurse!
  11. Vanfnp

    Will NP salary increase b/c of health care reform

    I believe everyone's responsibilities and workloads and paperwork will increase. Certain tasks, formerly the MD's will soon fall to the NP who will drop some to the RN who will delegate some to the CNA or MA and some will be taught to the patient. (Remember there was a time when only MD's gave IM injections!) There will be more government oversight so none of us at the front lines of healthcare will get more money but we can all take comfort in the fact that jobs with nice pensions are being created in the nation's capitol to watch over this boon to the industry.
  12. Vanfnp

    Proper salutation for a NP?

    In day to day life ,"Your Highness" is my preferred, but rarely used, title. As an NP, I introduce myself as XYZ, an FNP. Many times, I give a short tutorial on what actually an NP is and does. Many people don't really know why NP's are so wonderful. Besides, the public really doesn't know the difference in job description between any healthcare professional wearing scrub clothing and personally I feel nursing does itself a disservice by further fragmenting its various degrees and professional certifications-no wonder people are confused. Oops Im going off on a rant, sorry.
  13. Vanfnp

    What did you take away from your ADN to BSN program

    Most of the value from my BSN was from the collaboration with other RN's doing the same thing. We were in a program that met face to face once weekly and we networked and learned a lot from each other. I felt I did pull some human nature stuff from the religion classes and some enrichment from the art classes which I never had time for earlier in my college life way back when but it was at great expense and since I was paying for it, I really was trying to get my money's worth!
  14. Vanfnp

    How many mEq's of K would it take to kill a 54lb woman?

    Maybe what your instructor was trying to ask was-was the amount you came up with quickly in your head enough to kill a 54# woman? Depending on a patient's coexisting conditions, there is a gray area where various amounts may or may not kill em but might do bad things to their hearts and make them feel very badly. After a certain level, you will reach a lethal dose after which you are sure to kill them. You do not want to do this. Potassium is a dangerous drug, heck they all are. Your teacher sounds wise, you are not experienced enough to "do the math in your head". If you think you are, you are headed for trouble. I'm a math whiz but I have my coworkers check my math cause I like to cover myself fully. Paranoia is your friend. Good luck and I truly mean it!!
  15. Vanfnp

    Advice on job offers?

    #1 sounds booooring, like a job you'd take at the end of a career, not at the beginning. Hospital work would give you the greatest experience for your nursing career but with that small baby at home you need to figure out which of the two jobs would work best with the needs of your growing family. Nice that your husband has a job from home. Sounds like you are the envy of the new grads-either job 2 or 3 sound great, I myself am partial to hospital nursing. Best of luck to you.....
  16. Vanfnp

    Adult nursespractioner

    It's like childbirth, you blank the test after its over. I felt like Fitzgerald prepared me very well-I took her review course and reviewed her book (except the stuff relating to peds/OB). I actually thought the ANP exam very manageable. I reviewed the entire book the next year for the FNP which I felt was a more difficult exam-but maybe I was less prepared, I don't know. If you've done your homework with one review book or another, paid attention in class, and put your time in at clinicals-you will be just fine. A little pre-test anxiety is good, it keeps you on your toes. Too much is no good, but a little is fine. Good luck!