Riburn3 BSN, MSN, APRN, NP

Internal Medicine
Member Member Nurse
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All Content by Riburn3

  1. Riburn3

    NP salary/pay let’s be transparent

    Thanks. I had to crawl through the muck before I got this job, working for a large volume practice, seeing 30+ patients a day all over a decently sized city, and barely was scratching 6 figures. It prepared me very well for my job, but it's proof t...
  2. Riburn3

    Did you feel ready to practice upon graduation?

    I didn't feel uncomfortable (but also not really "ready"), but I also was very aware of my weaknesses and not afraid to look things up or ask questions. My first job was in a large IM practice that I did a huge chunk of my school clinical work in,...
  3. Riburn3

    NP salary/pay let’s be transparent

    Hospitalist NP in Southern, NM employed by a large national physician practice. We work independently within our group and admit to ourselves with no physician oversite. NM is a very NP friendly state. -$171k base (have to give fourteen 12 hou...
  4. Riburn3

    ANCC AGACNP Exam Tips

    I wrote a similar article when I passed my FNP exam back in 2014, and still receive feedback from people thanking me, so I thought a similar review would be helpful for the AGACNP exam since I recently passed that as well. 1) Start planning NOW!If it...
  5. Riburn3

    ANCC AGACNP Exam Tips

    Both of you sound like you’re putting in the effort and are on the right track. I scored all over the place on practice exams. The Barkley practice tests are in my opinion much harder than the real deal. Keep doing what youre doing and maintain a p...
  6. Riburn3

    NP Wikipedia Article

    Has anyone taken a gander at this recently? Looks like someone with a pro-physician lobby has gotten ahold of the page and it really casts NPs in a very negative light. Some of the statements like contact hours and education aren’t inaccurate, but t...
  7. Riburn3

    NP Wikipedia Article

    Meh, our group did fire a physician because they were a giant dumpster fire and couldn’t punch their way out of a paper bag. They were a hangover of the previous hospitalist service. They never quit, but at least the NPs knew it wasn’t the right fi...
  8. Riburn3

    NP Wikipedia Article

    I think the issue is the person that edited the article is a preferred editor, sooverriding him/her is more difficult. The article also has a soft lock until November.
  9. Riburn3

    NP Wikipedia Article

    There are tons of discussions about this over the years on here. Youll see posters say that experience matters. You’ll have some that didn’t have any experience and say it didn’t hurt them. My personal belief is that its helpful in many ways. I fe...
  10. Riburn3

    NP Wikipedia Article

    To be honest I don’t know. It’s still not a very large sample size and it’s just now only being tried in other places I also mentioned earlier it was really tough finding the right NPs to fill the role. In the first year, 3 NPs essentially left onl...
  11. Riburn3

    NP Wikipedia Article

    Well it is True True, but I admit one of the program struggles initially was getting the right kind of NPs into the job as it requires a very high level of autonomy and critical thinking (we cover ICU as well). Once we found our core, it’s been smoo...
  12. Riburn3

    NP Wikipedia Article

    Hmmm you sure like to just make up a lot of bologna. My comment on consults was in regard to you saying they would run away at an NP run hospital. My point is lots of NPs isn’t scaring anyone away, we live in an underserved area so many consultants ...
  13. Riburn3

    NP Wikipedia Article

    It’s sort of funny you mention “an NP run hospital”. I work as a hospitalist in a group that is 50/50 physician and NP hospitalists. We are part of a pilot program by our company to determine if a larger pool of NPs in a group is effective and safe....
  14. Riburn3

    NP Wikipedia Article

    So because those are the only studies you’ve seen makes it definitive I guess? Many states have had independent practice for over 20 years. You’d think it would be all fire and brimstone there with how terrible NPs are. Look at a map of states that ...
  15. Riburn3

    NP Wikipedia Article

    I agree most surgeons are adequate. Most I’ve met are fantastic. When you took a generalized shot at the NP profession and our personality not understanding shortcomings (which had you actually ever been on this site would know there’s literally hun...
  16. Riburn3

    NP Wikipedia Article

    Clearly never met a surgeon.
  17. Riburn3

    NP Wikipedia Article

    I'll also add after doing some digging, that it appears since the end of march, an entity has taken over the page, and started making numerous edits, and now the page is semi locked. While some comments are fairly accurate, others are blatantly fals...
  18. Riburn3

    NP Wikipedia Article

    Never said it was inaccurate in regard to what you just took the time to post, and even mentioned the part about clinical hours and education in my OP as being accurate. My larger issue is whoever edited it (foreign IP address), especially with rega...
  19. Riburn3

    NP Wikipedia Article

    https://en.m.wikipedia.org/wiki/Nurse_practitioner
  20. Riburn3

    What's a Nurse Practitioner?!

    I think this is a pretty reasonable question and I respect it more than "what is a nurse practitioner". Depending on state, the roles and regulation can be nearly identical. The reality is, a provider is a provider, and for the most part we all do a...
  21. Riburn3

    What's a Nurse Practitioner?!

    I definitely believe that. When you look at states that utilize midwives more and infant mortalitity rates, you often find states with more midwife utilization have lower infant mortality rates. I work in New Mexico which has a strong midwife cultu...
  22. Riburn3

    Continued good outlook for NP job opportunities in Texas

    Yeah the outgoing Governor of NM had a big NP recruitment effort. Passed a state law that required the board to grant you a license in 5 business days if you were already licensed in another state once your application was complete. I never really m...
  23. Riburn3

    What's a Nurse Practitioner?!

    I sort of hate answering this question. It's also silly how oblivious the general population is as to what we are and do. I was getting a massage the other day, the girl asked me what I did, and I told her I'm an NP. Her follow up was she asked me ...
  24. Riburn3

    What is your on-boarding experience?

    My starting out sounds similar to you. I was fortunate in that my final rotation of school clinicals was with the physician that ultimately hired me, so I was comfortable in the environment, but I was essentially thrown out there and flying solo from...
  25. Riburn3

    Continued good outlook for NP job opportunities in Texas

    Do you have actual proof or is that just anecdotal? My guess is it also depends on your location. Texas is bigger than most countries. What's happening in El Paso is likely very different than the job market in Houston.