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ANPFNPGNP's Latest Activity


    Does School Really Matter?

    If there's a need for NPs in the area, then it won't matter - they'll hire anyone if they're desperate. Otherwise, it can matter a great deal. Many physicians (and the public) are turned off by online NP programs. How many physicians do you know who attended medical school online? When searching for an online program, look at the acceptance rate (red flag if the acceptance rate is high)...do they require a decent score on the GRE (red flag if no GRE is required)...do you have to find your own preceptors (red flag if you must find your own preceptors). Many factors to consider. It shouldn't be easy or convenient to attend NP school, just as it isn't convenient to attend medical or PA school. The bottom line is...we have patients lives in our hands, so get the best training possible!

    positive advice about Walden University NP program

    I've been a NP for 8 years and I've owned a very busy practice for 3 years. I precept students from various NP programs. I've had students from brick and mortar schools and online schools. The ones from the "brick and mortar" schools were FAR better prepared than the other ones. One of the online programs even let students take their tests at home (!) before they got into trouble with the Board of Nursing. That school just started having proctored tests last August and 50% of the students failed the first Health Assessment Test. They had a 100% pass rate on their tests before they were proctored. Does that tell you anything? I've had some good students from online programs, but even they said other students were getting away with murder. I've heard of NP students paying people to verify they did clinicals with them, even though they never set foot into their clinic. I've heard of NPs having other people take their tests or took them in groups. I've been absolutely floored at what some students didn't know - those students attended online programs. I've had physicians refuse to precept NP students attending online programs after working with a few. A physician told me that he had a student do a PAP and after she inserted the speculum, she turned to the medical assistant and asked, "Is that the cervix?" Oh my goodness, the examples I could give you! Don't think that experienced RNs are all "up to snuff" either. I had a couple with 25 years of ICU, Med-Surg, ER, etc experience and they had absolutely no business being in a graduate program. I also precepted a NP from a brick and mortar school and she only had 2 years of psych experience. I almost didn't take her, but she turned out to be the best student I've ever precepted. So, you honestly never know. Any graduate program that has a 98% acceptance rate is probably a diploma mill, as is any graduate program that doesn't even require the GRE, interviews, time on campus or proctored exams. As far as the number of clinical hours and the board exams - WHAT A JOKE! Go ahead, flame me all you want, but I've precepted over 30 students, so I know what I'm talking about. Furthermore, ask yourself, what would you think about a physician who completed their medical school online?

    If you get an FNP, can you later work in mental health field?

    I believe this depends on the state. I know that in Texas, we're required to be certified as a Psych NP or CNS in order to work in the mental health field. Actually, I'm surprised that any BON would allow a FNP to work in mental health considering the fact that we didn't train in that area. I have a friend who is a Psych NP and all of her training pertains to mental health. I refer patients to her all the time, because I'm not licensed to provide this service to my patients. Even though I have a strong psych background as a RN, I was only trained to treat short term (mild) depression and situational anxiety as a FNP. As far as getting a post-graduate certification in another specialty, you may not have to repeat some of the core classes, such as physical assessment, ethics, theory, etc. But you will most definitely have to take all the courses pertaining to psych. You will also have to complete a minimum of 500 hours in a mental health care setting before taking the exam. Of note, it is difficult to get credentialed with any insurance companies, other than Medicare or Medicaid if you are a Psych NP. My friend has her own practice and she wasn't able to get credentialed with any of the insurance companies except for Medicare and Medicaid. However, most patients have a higher copay for specialty visits (usually around $50) and that's what my friend charges per visit. She has done very well with a "cash only" practice.

    Why are so many Doctors hostile towards the DNP?


    Emergency Nurse Practitioner programs?

    FYI, just because you've been trained to do more than take care of minor emergencies in the ER doesn't mean a hospital will let you do it. The hospitals in my area would never allow that. We can work in the fast track (and we also suture there), but that's it. Also, I don't know which state you live in, but be aware that those combination ER/FNP programs are not recognized in every state. There was a combo ER/FNP program at UT-Houston and a couple of their graduates moved to other states and couldn't get licensed as a NP due to the fact that they graduated from a dual program.

    Differences (Educative/Clinical) between NP & PA

    I agree. There should absolutely be more clinical hours involved - the degree is misleading. I own a practice and I know how tough it is to get credentialed with insurance companies as it is. I'm just wondering if they'll require practice owners to have a doctorate when all this rolls around. It was a piece of cake getting myself credentialed when I was actually working FOR physicians, but it's much more difficult getting a NP owned practice credentialed - go figure!

    Differences (Educative/Clinical) between NP & PA

    Ellen NP, Which state do you reside? I think it's a good idea to require a few years of practice before venturing out on your own...I'm all for that! I live in Texas and I just opened a clinic 6 weeks ago. In fact, we just saw our 100th patient today! In Texas, it is required that we have a collaborating physician who reviews 10% of our charts and they must be on site 10% of the time every 30 days - very restrictive. We're hoping to rid ourselves of those restrictions in 2011. However, I really don't think it's a good idea for new NPs to become independent. I think it's important to practice as a NP a few years before being allowed to fly solo. I can see the Texas legislature going for something like that...a few years of NP practice before being allowed to become independent. In fact, I had always planned on getting 5 years of experience before starting my own practice and I'm right on track! Another funny thing about Texas...if you're a MD you can supervise any type of NP. In fact, one of my friends is a Family NP and her supervising physician is a psychiatrist - my friend treats the primary stuff and the doctor treats psych. This is allowed in this state. Kinda like that cardiologist who was treating Michael Jackson - he could have legally supervised CRNA's here. Scary, huh?
  8. I graduated from the Vandy program, however I had several years of nursing experience before I started it. I'll admit, I had never heard of a direct entry NP program until I went there. One of the direct entry students who graduated with me lives in the same city and she is doing extremely well. I would put her up against several experienced RN/NPs ANY DAY! Experience does NOT equal expertise!
  9. Video of Winkler County nurses after verdict... http://www.cbs7kosa.com/news/details.asp?ID=17882
  10. ARE YOU KIDDING?? THE NURSES WERE MANDATED BY THE TEXAS BOARD OF NURSING TO REPORT HIM TO THE MEDICAL BOARD!! They went about it the RIGHT way! Once again, I GUARANTEE you that a doctor would have NO problem reporting a nurse to the Board of Nursing for substandard care! I don't know what your Nurse Practice Act says, but the Texas Nurse Practice Act DEMANDS we report physicians to the medical board for unethical or unsafe practices. We can get disciplined for NOT reporting this type of thing. Are you even a nurse???
  11. The PROPER WAY to go about something like this is to report it to the MEDICAL BOARD!! I can assure you that a doctor wouldn't have a problem reporting US to the board of nursing for substandard care.

    Five sue over nursing-school ouster

    So, a student could pass the final exam with flying colors, but they could be told they failed if the professor didn't want them to pass the class.

    Five sue over nursing-school ouster

    I don't see how it's legal for a school to deny you the right to review your final exams. This just doesn't make sense. I suspect if someone challenged them in court, this rule would change.

    Five sue over nursing-school ouster

    If any of these instructors are board certified as NP's, then they don't have a choice but work in their specialty. We have to work a minimum of 1,000 hrs per every 5 years in order to maintain our license. I believe that comes out to only about 20 hrs a month, but at least that's something. Frankly, I just assumed that all RN's had to work in order to maintain their license...maybe not.

    Can Someone Be a Nurse Without Jean Watson??

    You can be empathetic and caring without the theory.