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TheSquire DNP, EMT-B, APN, NP

Urgent Care NP, Emergency Nursing, Camp Nursing
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TheSquire has 10 years experience as a DNP, EMT-B, APN, NP and specializes in Urgent Care NP, Emergency Nursing, Camp Nursing.

DNP, APRN, FNP-C, CEN; working in an Urgent Care for professional development with goal of returning to ED as provider.

TheSquire's Latest Activity

  1. TheSquire

    Chicago NPs

    I graduated from DePaul's DNP/FNP program in November 2018, intending to go into Emergency to initially work Fast Track. I already had a MS in Nursing, so I'd sat the boards after completing the initial clinical curriculum. My problem was that between 2013 when I entered and 2018 when I graduated the employment market saturated and most EM groups wanted experienced APPs to work the main floor. I couldn't even get an Urgent Care job for the better part of a year, since those practices are more bottom-line focused and really don't want to train a completely green new grad. Eventually, I ended up moving to NJ for an Urgent Care position out here; I interviewed in October 2018 and spent the next few months getting my licenses transferred. They paid a bit light, but were willing to hire me on and train. They also turned out to be a bit...hmmm...fly-by-night, and after a year I ended up in a different, better, and better-paying position.
  2. TheSquire

    Adjunct faculty job

    As addressed by others, schools, colleges, and departments of nursing use adjunct positions the way they're intended to be used - to allow a department or school to bring in current practitioners in a field to teach in the classroom and/or supervise on-site learning. Most nursing schools have a bevy of adjuncts which are used for supervising clinical rotations; some states require instructors with faculty rank to supervise lab sections as well. Some schools will have an adjunct teach didactic sections, but if they're doing that they're possibly being auditioned for a non-tenure-track position. Being able to teach multiple classes is one of the better ways to ensure consistently being picked up as an adjunct. I gravitate towards teaching lab myself, either fundamental skills or health assessment, so when the program I first taught for only had 2 cohorts per year, there was always a class I could teach. When they went up to 4 cohorts per year I could pick my favorite class and stick with it, which is when the second strategy to being consistently picked up came into play - I.e., be good at teaching a class other adjuncts don't want to teach, to the point that the program director/course coordinator will slot you in first.
  3. TheSquire

    DePaul MENP Program Admissions

    There's a lot to unpack here written by someone who doesn't know what they're talking about, so let's take it from the top. If you're going into nursing specifically to do advanced practice, you're going into the wrong field. If you know that you want to do that, go be a Physician's Assistant. The various advanced practice fields in nursing exist for experienced nurses who decide to go to the next level, not as a quick route from lay person to provider. There is no functional distinction between an MSN and an MS in Nursing; the difference is largely historical, and you can sit boards just the same. My classmates (and students) later matriculated to and graduated from many different post-masters and DNP programs. The MSN-DNP programs that heythatsmybike talks about are properly referred to as DNP-Completion programs...and those require prior advanced practice certification. MENP grads apply to BSN-DNP programs, just like any other baccalaureate-prepared nurses - although I suggest keeping your syllabi to see if you can get out of some grad courses if you matriculate elsewhere. As a graduate of both the MENP and the DNP at DePaul, more than once class transfers over. In fact, for the first year you can go part-time and generally keep pace with the full-time students. DePaul's DNP options are limited, so if you're counting on staying for the DNP you should keep that in mind in case you want to do Acute Care. Graduate School is expensive, but if you go on to pursue additional education in nursing, be it a doctorate or post-master's certificate, the Nurse Practice Act of the State of Illinois requires only requires faculty to have a Master's Degree...which all MENP grads have. I was not unusual in being able to teach my way through my DNP, getting tuition waivers for all the classes I taught. I ended up graduating with no additional debt. Part of the reason for the MENP is that graduate education opens up access to GradPLUS loans, while second bachelors degrees aren't supported by Dept. of ED.-backed loans.
  4. TheSquire

    Multiple Certification Bodies - how did we get here?

    I'm not familiar with said CRNA strife - care to elaborate on what it is and how it's related to having only one certifying body?
  5. Loads of people here forgetting that nursing students for over a decade have had access to social media, including this very forum. They read and have an idea of what they're getting into, the monthly "How do I prep for x unit" posts notwithstanding.
  6. I went into Emergency Nursing not because it was glamorized, but because my prior medical exposure was prehospital, because I like being a jack-of-all-trades, and because I liked being able to leave work at work at the end of my shift. I didn't even know that I could go directly into the ED as a new grad until one of my instructors mentioned that that's what she did. (She was also both an FNP and a CRNA.) At that point, I intentionally made sure I had as much ED exposure as I could get, even doing my immersion experience in the ED. There was no glamour, it was just the kind of nursing I felt would fit me best, and I was right. I feel like threads such as these get started by nurses who are salty that newer nurses "don't have to put in their time" in med/surg prior to going on to a specialty they actually enjoy.
  7. TheSquire

    Multiple Certification Bodies - how did we get here?

    ...AANPCB does exist, and covers FNP and AGNP As for the rest of your post, it doesn't address the historical process that led up to how things got to be the way they are today. I'm not yet interested in why, I want to start with how.
  8. How did we end up with multiple certifying boards per NP specialty - with AANPCB covering "adult" roles and PNCB covering "pediatric" roles in competition with ANCC? ANCC doesn't like to post about its own history on its website, and other boards talk about themselves and not why they exist independently. So, I ask the wisdom of the crowd - how did we get here? I'm not interested in why you like one over the other, I just want to know why things are the way they are today.
  9. TheSquire

    CPR Cert question & career advice

    I re-upped my PALS, and then my BLS/ACLS through an agency in Jersey City. They cap their classes at a super-low level (I think my PALS class had 4 students, and my BLS/ACLS class had only 3 including myself). Personally, I think doing online-only CPR renewal is a bad plan...but then again, many agencies skimp on requirements/feedback, so I'm not sure that I got all the bang for my buck that I should've.
  10. TheSquire

    New FNP Questions

    Either OP did not pay attention during their Professional Development class, or OP's school definitely dropped the ball.
  11. TheSquire

    ANCC Frustrations

    I enrolled in my DNP in Fall of 2014; as I was a graduate of the MENP program at DePaul (and thus already had my MS in nursing) the plan I was given by my SON was to finish my FNP-core, they'd issue a post-master's certificate, and then I'd finish out the DNP while starting to work as an FNP. However, sometime in 2015 I was sat down by my program director who told me that the powers-what-is were apparently concerned that people with masters in nursing wouldn't complete the DNP without the carrot of their APN certifications being held in the balance, and so all the major certifying bodies had decided that they would not credential without completing the program. It was 100% total BS - and it reveals the disconnect between the push for the DNP and what the workforce actually wants. The fact that AACN et al. backed down from mandating DNP-as-entry the same year just added salt to the wound. The only small upside was that I was able to sit for boards prior to graduation before all my mental knowledge went stale. And yes, it totally sucked - if I had hit the job market an extra 1.5 years early, I probably would've gotten one of the last ED NP jobs before all the major groups stopped hiring non-ENP new grads. What essentially needs to happen is that those of us in the initial group of DNP-as-entry cohorts need to advance up the ranks of academia and professional associations, and dismantle half of this crap from the inside.
  12. TheSquire

    Anyone Using 'Doctor' Title at Work?

    That's what was supposed to happen starting in 2015...and didn't. You do not need a DNP upon completion of your NP Program - whether or not that's a good thing is an argument for elsewhere.
  13. TheSquire

    Anyone Using 'Doctor' Title at Work?

    But there is a residency within the DNP...it's just that the DNP-completion crowd squawked at having to be subordinate to another provider, so it was made entirely non-clinical. And people wonder why I have multiple soapbox rants about the DNP despite having one...
  14. TheSquire

    Alphabet Soup of a Title

    It does; it makes no sense other than that it's old, but it does. There are better hills to die on than trying to force title parity with physicians.
  15. TheSquire

    Alphabet Soup of a Title

    You've not responded to what I said. If you want the one-size-fits credential, then it's the APRN, since that's what legally lets you diagnose and treat as a provider. The DNP is superfluous.
  16. TheSquire

    New Grad Camp Nurse

    As an experienced BSA Health Officer (which usually only requires a EMR/EMT depending on remoteness) overseeing ~700 campers and ~150-200 staff, I would want to consider a few things on your behalf: Are you the sole health officer? I've been Health and Safety Director with a new-grad RN as my other health officer, but she had me to fall back on. What is your role? Are you there specifically to be an RN, or did the camp increase the certification required without changing the job description? How comfortable are you with managing minor/major trauma and acute emergencies? Most situations at camp are scrapes, twisted ankles, and glorified dehydration...but the only times I've used an Epi-Pen were at camp, and the first time I diagnosed appendicitis (unofficially - I was still an NP student at the time) was for a patient who walked into my Health Lodge.