ghillbert

Why? You make no sense. You can have acutely or complex chronically ill patients at specialty outpatient clinics just as much as inpatient. Decompensated heart failure with concomitant poorly controlled diabetes, cardiorenal syndrome etc.

I am talking about the definition of Acute Care NP, as per the Consensus Model, as I stated. I know many ACNPs who work outpatient specialty clinics.

This is not confusing. Acute care NPs work with acutely ill patients. Family NPs work in primary care. If you want to do a critical care NP fellowship, yes you need acute care NP Program of course. You don't need to stay in ICU all your life as an acute care NP, but you are limited to acute care.

This is not correct. Acute care can take care of acutely ill or complex chronically ill patients, regardless of the setting. See: Consensus Model.

UCSF is in San Francisco...

More than 50% inpatient = union NP at my system (southwest PA). UCSF, for one is union but there are plenty.

In a hospital where RNs and NPs are in the union, years of nursing experience absolutely contributes to the starting NP salary.

I don't think a hiring manager owes you an interview. Perhaps they didn't think it was a good fit once they met you. Perhaps they had another applicant who fit in better. Maybe they got feedback from a current supervisor that was not good. Perhaps a bunch of things. I would just move on. You can always apply when they advertise again. Making waves with HR etc will guarantee you won't be hired to that unit.

Read the patient, not the chart. Sooooo many times someone tells me something based on what is documented but they didn't check it themselves. Don't go by someone else's assessment - do your own, as soon as you can get in the room.

Also if you'll have fresh postops, make sure you know the consequences of cardiopulmonary bypass and you will understand what you see in your postops a lot more easily. Agree regarding reviewing anatomy and physiology. Knowing which valve is where, what preload/afterload/contractility is, and which receptors your drugs work on will be a huge headstart.

Yes. All you need is please accept my resignation effective xxxx. Check your contract if you have one to ensure you give adequate notice to get any PTO etc paid out.

From memory it was about 770 clinical hours when I did it, they found placements (they are affiliated with a large hospital system), all profs have doctoral degrees but no idea about tenure, academics required GRE, admission essay, I can't recall the GPA requirement, comprehensive exam to graduate.

Disagree. I went to Pitt in person, and it was entirely not like that at all. I am clinical faculty for other schools that are entirely not like that. I agree that the schools need to be held accountable to provide appropriate preceptors and programs, but I do not agree that 90% are bad.

Local professional associations you can join as a student to network with NPs is the best, if your school doesn't provide preceptors.

I was referring to the poster above me. I know what NY BON requires, but I think they have the terminology confused.

Are you a physician or medical student? Just about every post of yours is crapping on NP preparation and professionalism. Who refers NPs to the "noctor" reddit?

CGFNS is a company. What do you mean, NY BON doesn't require CGFNS?

I think you sound very naive and defensive. It's quite ironic that you are advocating for further education in the form of doctoral degrees "advancing the profession", but can give no evidence for such opinion. The whole point of doctoral study is to be able to make and support a hypothesis... with evidence.

I disagree. Nurses can't control physicians. They can control the substances they remove from secure storage and leave on their computer. If it wasn't there, it wouldn't have happened. The nurse's job is to safeguard the patient by following procedures and protocols. Leaving drugs unsecured is not the way to do that.

Depends on your contract

Have a written agreement and if she comes up short, she doesn't get extra meds. If it's repeated, you can discharge her from your care. Getting an early refill due to a holiday, and independently changing her own dosing are two different things.

Read the website or orientation for the programs you're thinking of doing - it is not standard across the board, but program-specific.

Why was sedation sitting around unattended? I feel the nurse made the error there.

Not discounting your clinical judgement, obviously SOB on 100% isn't stable, but WCT with normal BP is a "stable" rhythm per ACLS with regard to need for DCCV/defib. Shocking someone has it's own obvious risks, and there are a lot of things to try before that.

"Unstable" in reference to rhythms means hypotensive, in which case you could cardiovert. I work in cardiac and very, very, VERY frequently a WCT is not VT but an SVT with BBB.