LadyT618

I believe your best bet would be to contact the school you're interested in attending and ask them this question. That would be the simplest way to get an answer to your question, in my opinion. Different schools may have different policies and procedures. Best to be direct and go to the source.

And yes, you will need a collaborative physician or you will lose your $888. Just wait for your first job.

I'm just curious, when you googled it, what did you find?

If you want to prescribe controlled substances in both states, YES, you will need 2 different DEA registrations and will have to pay $888 TWICE, unless you work for the federal government, in which case they'll cover it. And he sure to secure your collaborative physician prior to applying or you risk saying buh-bye to your precious $888.... remember, NO REFUNDS!!

WOOHOO! WAY TO GO! I knew you had this!! ?

I think that sounds like a GREAT plan! And yes, while it isn't the NCLEX, it is still a standardized exam. I have a feeling you're probably ready and just overthinking everything! Make your mnemonics, remember classes (of meds) and relax. Concentrate on what you need to concentrate on over the next few days and go in there on the 11th and knock it out the park! Oh and remember....DO NOT STUDY A THING THE DAY BEFORE!! Relax that day! Good luck and God bless! ☺️

That'll take pure memorization. Try to find mnemonics if you can or make up your own Remember the major players (don't bother with rare diseases). Try to remember classes of antibiotics instead of individual names if possible. And once you walk into the exam room and sit down in front of the computer, write down any and everything you remember and want to remember throughout the exam (they will give you scrap paper and pencil to do this). Don't base your level of readiness to take the exam on scores on diagnostic exams. If you know that you know the material, then go for it. Now, if you don't, then yes, by all means reschedule. Another thing is test anxiety....do you suffer from that?

Just my opinion, but if you truly understand the rationale behind both right and wrong answers of questions you have gone through, then the "facts" will fall into place naturally. If you're talking about lab values and things of that nature, just keep working on mnemonics and memory if you're that concerned over those kind of things. I'm not from this school of thought of basing passing potential on these diagnostic exam scores, so sorry I can't help you there (I didn't take any of them prior to talking ny exam). My opinion is you need to understand the WHY of it all and THAT will help you pass the exam. Good luck!

How long ago did you graduate? Did you study at all while you were in school? Have you studied since graduating? Do you fully understand the WHY behind the material you have studied?

You also need to get prescriptive authority delegation from a physician (as well as a collaborative agreement...often combined into one document). You also should be registered on the Texas Medical Board's website under said physician PRIOR to obtaining your DEA registration.

My pleasure! Best of luck to ya!!

Where I moved from (in TX) was pretty saturated as well, but fortunately, it's just me, myself, and my dog, so moving was definitely an option! Check with your former preceptors and see if they could use some free labor....this is an unpopular opinion but experience is experience whether or not it's paid! Right at that 1-year mark, the emails started coming through and I actually started to get responses when I applied. I rotated with a GNP in the final semester of my program (it was required to rotate in LTC settings in my program). I fell in love with it during clinicals, so I knew I definitely wanted to do it. So far, the only thing I would say I dislike about LTC is the documentation (which is similar to home health...gotta get the documentation in timely after seeing x amount of patients). But that comes with the territory and I knew that going in. What I love it the patient population (I love the elderly), I love the flexibility it affords me in terms of time required for what you need to do in a day. As long as patients are seen and taken care of, that is of the utmost concern. You develop relationships with the patients (which sometimes could be a bad thing, especially when they finally pass on). I'm new in my position but I feel a camaraderie amongst the staff and we're all here to help our patients. I get to dig down deeper into the chart and explore how I can make my patient's life better, not only from a clinical standpoint but also from a quality of life standpoint. I hope I made some type of sense. LOL. It took me a little over a year after graduating for me to land my position, and that was with COVID. Hopefully, things will look up for you now that the COVID thing seems to be dying down. Check out TeamHealth, Daiya, and Genesis as well. These are companies I've come across who hire folks for LTC.

I currently work in LTC, after a year and a half of volunteering for an IM doc (one of my former preceptors) to gain experience post-graduation. I graduated as an adult-gero primary care NP. I found my current position via Indeed and applied directly on their website. I believe most of the positions I saw out there were through either the company that hires the APPs and physicians to work in these facilities or directly with physicians who needed APPs to work for them going into these facilities. Not sure if many hire new grads but I would just keep applying until something gives. Try companies like Optum and United Healthcare (which I think is the same company actually). I was told they hire new grads, though I didn't have much luck and was actually told by a recruiter they'd rather experience. Research/Google those companies that hire APPs and search their websites for open positions (I got an email from one today). Are you ready to relocate if need be?

I found a job in both internal medicine primary care and will be moving on to long term care. I am an adult-gero primary care NP.

I went to USA and when I took it, they split it into 2 separate videos so you didn't have to do a full head-to-toe in 1 video. No notes were allowed. You needed to remember everything by memory and it had to be done in an allotted amount of time. You had to say what you were doing out loud as you performed each step of the physical exam. Hope this helps.

Thank you!! ? I'm an adult-gero primary care NP and always wanted to either find a job performing house calls or caring for the elderly in facilities and the job is the latter. The salary was a little more than I expected actually. Along with the benefits and perks, I truly could not ask for more ?

It took me about 1 year, 45 days. Yes, it is actually my dream job. No, it came in at pretty much the market rate for the position and the geographic area.

Does your school have a required physical assessment textbook? I would start getting very acquainted with it, and just repetition is key. My program used Bates and had an available pocket guide (ad a separate purchase) that can fit into your lab coat or purse (if you're out and about running errands and wanna study). You can also search Youtube for physical assessment videos.

No I don't. Didn't need peds for my program.

What type(s) of rotations are you looking for?

If you truly want to be a nurse practitioner and do mission work that you would not otherwise be able to if you did not have the NP certification, then by all means, (I think) it is definitely worth going back to finish. To return just to work part-time, I wouldn't but once again, unless it is a personal passion and fire burning within to be a nurse practitioner, then go for it! Don't do it just because, because it's tough out here in these NP streets trying to find employment that pays your worth. I know I love what I do thus far and couldn't imagine doing anything differently.

You're welcome! Glad you got through!

I'll PM you a few names to inquire for primary care. I have no resources for the other 2.

What kind of clinical experiences are you seeking?

I obtained the HCS-D credential for ICD-10 home health coding and COS-C for OASIS coding. You also have other options for both of these, but those are the ones I went with.