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mommy.19

mommy.19

APRN
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  1. mommy.19

    Surgical Nurse Practitioner best route

    I'm a little late to the game, but figured I would tell my story. I graduated in 2010 with my BSN, and started working at a hospital outpatient wound center staffed by a group of surgeons/podiatrists, etc. I developed a great relationship with the surgeons (worked there 3 years). Started MSN-CNS program in 2013 and moved jobs to make time for clinicals, but maintained good relationships with the surgeons. I graduated and thought I had several prospects lined up---but they didn't pan out. My favorite surgeon called me up and said they needed another APRN, and wanted to train this person as a First Assist in Surgery. I'm completing the NIFA program now and will start 10/1 orienting in my new role.
  2. mommy.19

    NP in the OR

    I'm an APRN-CNS and will be accepting a position with a surgical group who is paying for my formal RNFA training in order to become certified and bill for my services. Teaching hospitals are the only facilities that do not allow billing for first assists (due to residents often filling this role).
  3. mommy.19

    My NCLEX Experience 7/6/2016

    Sending good vibes! I crawled these forums for weeks before testing. Fast forward 6 years and I just took APRN boards. These certification exams are the WEIRDEST tests ever! Make sure and post as soon as you know!!!
  4. mommy.19

    CNS title

    http://www.nacns.org/docs/TitleProtectionTable.pdf Here is a list of CNS title protection by state, in case you were curious! I too run into individuals with the title "Clinical Nurse Specialist", who are RNs with varying levels of academic preparation.
  5. My program was ranked one of the highest in the nation among nursing programs, and we are CCNE accredited :) Our faculty make site visits and discuss our progress with our preceptors.
  6. mommy.19

    Can NP's perform surgery legally?

    APRNs can be first assists, and even bill insurance. The FA training specially for APRNs can usually help outline the specific issues to your state of practice.
  7. mommy.19

    What to ask for in a job interview?

    I appreciate this input, and agree it is so important to discuss the must crucial aspects of the position other than compensation. I have already discussed these very important issues at length, since the position is in my specialty area, which I am ridiculously passionate about :) We often forget that it literally is NEVER all about the $.
  8. My MSN-CNS program has a list of preceptors that have agreed to assist students in the past, but the student is responsible for seeking his or her own mentors in the fields they desire (within their specialty focus of choice). In the FNP program at my institution, this causes some students to have to stay out for a semester due to inability to find preceptors, even within several hours' driving radius.
  9. Any rapidfire tips on what to clarify or ask for in a job interview for an APRN being hired on salary by a hospital? (Clinical Nurse Specialist specifically). I would likely be doing direct care as well as facility policy/protocol work and have a hand in billing (which I have experience in). 1. potential for productivity bonuses/evaluation increases 2. educational stipends/time off for conference for CEUs yearly 3. malpractice/dea/npi number cost coverage (~1300 in my state) 4. specialty certification stipend What do you you all think are other important things to consider? Thanks!
  10. mommy.19

    Why do you wear a white coat? (if you indeed do)

    I understand the history of the white coat, but due to spread of nosocomial infection, and the disgusting nature of sleeves alone, I do not wear one. In my MSN/APRN CNS program, we are allowed to wear a fleece vest with the college of nursing logo over professional attire. I find it more important that name tags appropriately identify staff so patients and visitors can easily see. And please refer to PAs and APRNs as "advanced practice providers", which is our preferred title :) Mid-level is a term that many national nursing associations have discredited as a title, which carries a connotation that other providers somehow give higher quality of care. I understand this will take many years and 'elevator speeches' to change, and I appreciate you taking the time to read my post!
  11. mommy.19

    CNS programs for Adult/Gero

    University of Oklahoma College of Nursing :) I will graduate from the AGCNS program in May!
  12. mommy.19

    Wound care NPs?

    The consensus model for APRN licensure has made it to where all APRNs are educated and certified in a population (check out ncbsn.org for more info). For example, I'm in an adult/gero CNS program and that is the population I will be able to see when I am certified. After certification in a population, APRNs can go on to specialize in a sub-specialty or focus, which may or may not be a certification at an advanced practice level (I'm a WOCN and will take the CWCN-AP exam after I take CNS boards, but my state governs which exams it accepts in order to grant advanced practice authority).
  13. mommy.19

    Regarding Heel Ulcers Without Eschar

    The suggestion of changing the dressing up to 4 times daily is not supported by literature or current knowledge of moist wound healing principles. I would advise against this.
  14. mommy.19

    Choosing a route - CNS vs CRNA (chem bachelors, ADN)

    This is what the consensus model and LACE (licensure, accreditation, certification, and education) will regulate and standardize across the board.
  15. mommy.19

    Choosing a route - CNS vs CRNA (chem bachelors, ADN)

    Nursing is only one sphere of CNS practice. To give the least complex explanation, I would Google 'CNS 3 spheres of influence'-patient, nurse, and system. This will explain that as one of the 4 types of APRNS, we diagnose, treat and care for a population of patients from wellness to acute illness inclusive of health promotion and disease prevention, prescribe, educate patients and families, and act as mentors to nursing staff, and much more. This is not to say that some CNSs have much more of a clinical role and interest and practice more in the patient sphere, while others practice more in the organization/nursing sphere and act as change agents and mentors. This is likely the 'non diagnosing and prescribing' role you describe (which in some states without rx auth is what some CNSs do). But I assure you CNS practice is alive and well in all permutations of the 3 spheres where allowable. In response to your stance of presuming all other states are like your own, I would love to presume my state was like some others and afforded full practice authority for all APRNs, but alas it is not so. I honestly find educating others about the CNS role is one of the most challenging parts of becoming one, because different areas of the US are so divergent at this time, as we discussed earlier about some states only having recently accepted 'CNS' as a protected title that requires an MSN in CNS studies to utilize. May the consensus mode help us all!
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