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anh06005 MSN, APRN, NP

Cardiac, Home Health, Primary Care
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anh06005 has 6 years experience as a MSN, APRN, NP and specializes in Cardiac, Home Health, Primary Care.

anh06005's Latest Activity

  1. anh06005

    Telehealth with Leadership Health?

    I had an interview with then for a HTN management position that was remote. It does sound interesting but was hard to get a firm grasp on what I would do for the company. The HR guy talked a lot and didn't seem to listen much to me but that may have just been him and not HR as a whole. At one point he said "some patients just really want someone to listen to them" and it seemed odd they'd pay a NP just to listen to people. The job posting I saw mentioned hours can range from a few hours a week week to full time but when I spoke with them they wanted a minimum of 16 hours per week which I cannot do. I was just hoping for maybe a day a week but the way they have it set up they'd want a few hours each day for your panel of patients essentially rather than a full day or two of work a week. It took explaining I cannot do this a few times for the guy to get it. No I will not work 3-4 hours a day on top of my other job. He mentioned things are changing a bit with them expanding so I think it could be legit and hopefully just growing pains but I did not move forward with them myself.
  2. anh06005

    Best Review Bundle For AANP Exam

    Also agree Hollier is great. I got her CD's so I could listen to them multiple times then sell then when I was done. Hollier is great for larger concepts (antibiotics, HTN management, COPD, etc.). I also used Leik as this book gets into more detail. I honestly would not have known a few of my exam questions had it not been for this book (like Morton's neuroma). If I remember right it's bullet points so is pretty direct and easy to get through. I think this combination is pretty great myself. It is tempting to keeping getting more and more books, courses, etc. but try not to do that. Get 2 or 3 reputable sources and KNOW them.
  3. anh06005

    New Grad NP Working Alone

    I think most employers expect a NP to be ready to go. It's a totally different role than as a RN so I don't think anywhere will give you much training. I also had a few days with the doctor and started seeing people on my own. They did try to only give me 1-2 an hour for the first few days I was on my own but after that I was going full force with 15-25 people in a primary care clinic per day....sole provider in the office. Yes I called the doctor if I had a question and did fairly regularly at first. It does sound like this probably wasn't a good fit and the doctor was a bit much so I can't blame you for your decision but I am not sure if anywhere will give you much time to "transition" honestly. Being a NP is scary at first. I remember the first day I felt competent and made a mental note that I was 9 months into my position. Biggest advice is to know your resources and use them. Definitely act confident when speaking with patients but even now I am not afraid to say "let me double check this dosage" or "let me make sure my thinking is on track" and I go look at UpToDate...sometimes in the room with the patient. If you are still iffy as far as physical assessment or ROS goes make a brain sheet like many RN's do. Eventually you'll be able to do it without much help at all. Time, repetition, and experience build true confidence and chances are you'll have to get all of that as an independent provider. Also wherever you land make sure you know how to work the EHR to save time. Many have templates you can build and customize to make your workflow easier. Good luck in finding your happy place but just remember you will NOT feel confident for a while (again, took me 9 months to feel like I kind of knew what I was doing) but it will come with time.
  4. anh06005

    Has anyone worked in Sleep Medicine?

    I know I'm a little late to the party here but are there any specific questions you have? I've worked sleep medicine the last few years and enjoy it more than I thought. In my clinics it is mostly ordering sleep studies (or other testing I deem necessary) and managing PAP therapy and sleep apnea (obstructive, central, complex). I have a few true insomnia patients. Some hypersomnia as well as narcolepsy too. But probably 90% is sleep apnea and PAP therapy. It gets a little redundant but once you get a flow you're good. Every now and then you get a little wrench thrown in but not often.
  5. anh06005

    MSN, $60-$75K, worth it?

    But doing WHAT in cardiac or ICU? The bedside nurse who is there for 12 hours at a time? Nurse manager? Nurse educator? The MSN-CNL might make you look better for a nurse manager or educator but often they still want people to have BEDSIDE nursing experience for these positions. As a bedside nurse a diploma, ADN or BSN are options for you and much cheaper. Some have asked what you want to do and I think this is more of why they are asking. Bedside nurse or something else? I'm not sure I'd jump into the CNL program to be a bedside ICU nurse and go into that much debt.
  6. anh06005

    Leaving at 6 months in?

    Ideally it is best to stay for a year or two. BUT if you're sure this job is where you want to be I'd say go for it and risk burning a bridge with your current unit. If you get this job and stay there 10 years I doubt your next potential employer will say "well he/she DID only stay on the Med surg unit for 6 month...I'm not sure if he/she can commit" Just make sure you're confident in your decision or possibly stay PRN at your current job.
  7. anh06005

    Norm ADLs of young adults, NUR111

    Well ADL's are just that...activities of daily living. As a young adult I get out of bed, shower, brush my hair, brush my teeth, eat, go to work/school/shopping, etc. Same as elderly people. I'm just a little quicker in some aspects than they are. What is it exactly giving you issues? Perhaps an example may help? And what do you have so far?
  8. So right after graduation I worked cardiac step down for about 16 months then went to home health for 3 years until I graduated with my MSN. I have now been a FNP for about 13 months. First off HOME HEALTH isn't good for a new graduate RN. Right out of school you're nervous (if you're not then you may get in trouble for being too overly confident), you don't know much about meds, side effects, and interactions (it's impossible to learn that plus everything else in nursing school), and, most of all, RIGHT OUT OF NURSING SCHOOL YOU'RE A NOVICE AND NOT MEAN TO BE INDEPENDENT. That's why orientation is often 2-3+ months and there are so many residency programs that can last a year. Nursing school does NOT prepare you to be an independent RN. It prepares you to be an entry level RN. It prepares you just to not kill people. Not necessarily know what you are doing. Home health is a whole different ball game. YOU are there. YOU are reconciling medications when the patient is fragile because they just got released from the hospital. YOU are the one there when the bed bound patient who can't communicate has a pulse of of 80%. YOU are the one trying to draw the lab work to see if the patients potassium is normal or starting an IV so you can give Lasix to your CHF patient. If you think as a new grad you can handle all of these situations with ease I think you think too highly of yourself. My home health agency once hired a new grad who wound up being a great nurse but it took a looooong while so they no longer hire new grads. Some agencies may be so desperate they don't care. I'd recommend trying to find a job where you have SUPPORT as a new grad RN. Where when something goes wrong you have coworkers to help. Where you can get a second opinion. After that I think home health is great! Many don't understand it but I think it was beneficial to my NP practice. After working home health I know more about the struggles some of these elderly people have at home. The time it takes the caregivers to help their mom/dad. I can simplify most problems so that patients can understand. I know more about the outpatient services available for assistance in the home. And, yes, as you mentioned being confident in assessment is a big part of home health and I gained confidence there as well. Not to mention the knowledge I gained about pharm because, well, a lot of patients don't know why they are on their medications. They say "my doctor told me to take it." Home health isn't for the faint of heart (think about roaches, animals, urine, poop, sketchy areas) and, I think, is NOT for new grads. Just my 2 cents.
  9. Ditto to what the above posters said. Also consider that it may be that you don't get your professors learning style. There is a lot to anatomy and physiology. I was terrified of the lab over bones and muscles (oh the memorization!). Many have done the class before you and passed and you can too. Just have to find what works for you in terms of studying and additional material (there are many YouTube videos available to help). Perhaps just seeing it/hearing it/reading it in different terms will help.
  10. There wouldn't be any difference to get the post masters certificate because you would still hold the same national certification. I'd take the full ride if I had to choose. It may take an extra year or so to get the post masters certificate but unless you just like debt or have a lot of extra money lying around I think it'd be worth it. Plus you'd have more options if the job outlook changed in your area with a 2nd certification (FNP, ACNP, AGNP, etc.)
  11. anh06005

    Did you receive a politically biased education?

    I'm in the Bible Belt (conservative area) and I feel my school was pretty unbiased. We were taught to respect others views and wishes to provide then care they desire when possible. In fact we had debates regarding euthanasia and fluoridated water supply and we had a pro and con group for each so we could hear both sides. I think vaccines were a topic as well. Just my experience.
  12. anh06005

    The Fifth Vital Sign

    I would accept any traumatic event or acute situation as 10/10 pain. I guess I should have clarified: when people want me to give them more pain meds for 12/10 pain for chronic knee issues when they are already obviously groggy and hypotensive (had a similar patient recently/fresh on my mind). I didn't mean to paint everybody with a broad brush and I'm always happy to refer to pain mgmt for chronic pain for them to do the job right with (hopefully) a combination of pharm and non pharm therapy. I know none of us will all agree on the topic of pain buuuut it's hard to believe some of these people. Like the ones whose hands/wrists hurt too bad to even WRITE yet digs through a bag and uses a smart phone to text/play games with ease. PART of a pain assessment can be objective.
  13. anh06005

    The Fifth Vital Sign

    When someone say their pain is 12/10 (like they do) and they are sitting calmly it's tough to believe them. I understand chronic pain patients do learn to live with their pain but I always want to ask if I took a hammer to their foot what would their pain be then? Comparable to where their pain sits day in and day out or worse? If it's worse when I take a hammer to their foot (hypothetically) then they are NOT maxed out on the pain scale.
  14. anh06005

    FNP wanting to specialize

    This is why I'm glad I did FNP but have considered going back for more specific certification. I know FNP can basically do everything with the right training but I just like having the credentials to back it up [emoji52] a little shallow perhaps. I've been doing a lot of women's health in the rural clinics I'm at so I've considered it...
  15. anh06005

    Colostomy bag won't stay on

    Where do y'all get the ostomy supplies? I assume a supplier of some sort. They may have some suggestions if you don't get any others here. How long will it stay on? If you change the wafer more often would it work out better?
  16. anh06005

    FNP wanting to specialize

    Yes you CAN work OB/GYN (aside from delivering babies) as a FNP (I have a former classmate who is currently in an OB/GYN clinic as FNP) BUT... if you know you want to work in OB/GYN why not do Women's Health? If a potential employer in a OB/GYN clinic has to choose between a FNP and Women's Health NP who do you think they will offer a job to? If you KNOW KNOW KNOW it's where you want to be and you do NOT want in primary care why would you bother with FNP? If you think you're okay in primary care then keep with FNP and if when you apply for OB/GYN jobs you don't get many bites maybe go back for post master's.