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Christen, ANP

Christen, ANP

Critical Care, Orthopedics, Hospitalists
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Christen, ANP has 6 years experience and specializes in Critical Care, Orthopedics, Hospitalists.

Christen, ANP's Latest Activity

  1. Christen, ANP

    NP's reimbursements up to 95%. Can anyone confirm?

    That would be nice, but I haven't heard this either! I wonder where they got that info considering everywhere I look cuts are being made, not increases.
  2. Christen, ANP

    Just graduated. When to start looking for a job?

    Yup, ASAP! Good luck!
  3. Christen, ANP

    Any one else feel this way

    oh yeah! it's part of being a "new grad" again, I think. Some things you catch and you think "I'm so awesome! I can do this!" and some things you miss and think "doh! that was silly of me." I can't wait for "awesome!" > or = "doh!" LOL
  4. Christen, ANP

    Prescribing narcotics to drug seekers

    I agree with some of the posters that this is a provider problem. If the ED physician or NP or PA wasn't handing the narcs out so easily, there would be less of a problem. I know one local facility that became "known" as the place where you could get narcs for any complaint - it got to the point where the HCPs were being harrassed just trying to get to their cars! Ridiculous. Eventually, the provider who was writing for the narcs lost his license. People who use and abuse narcotics quickly find out what facilities hand out the narcs the easiest, and flock to them. As a nurse, you have to be cautious here. You aren't the provider writing for the meds, and you don't want to put yourself in between the drug-seeking patient and the physician who diagnosed the pain and wrote the scripts. I agree with the poster who talked about narcotic contracts. That would be an idea you as the nurse could present, take charge of, and make a policy that the physicians would have to follow. Neatly circling around the MDs/etc, who would have to comply with policy. If it gets really bad, to the point where it's dangerous for you to walk out -- there is always the DEA. I can think of a patient who was identified as a drug-seeker, the police were called, and they were arrested. Narcotic diversion is an arrestable offense in my state.
  5. Christen, ANP

    RN to NP

    Yup, a good point to consider. My program was pretty easy to get into, not too competative. I applied and started school within about a month! NOT the norm, though! :)
  6. Christen, ANP

    NP autonomy in the ED setting

    Agreed, a PA would cover all of the roles you are interested in! The nice thing about the PA is that it's pretty broad in scope - kind of like the BSN is. You go to clinicals in a variety of settings and come out as a type of generalist able to work anywhere. The ER and primary care are similar in a lot of ways, so you could easily bounce from one to the other IMO. The good thing about the NP is that most NPs are experienced nurses who have a good idea what they want to do. If you were a nurse already, I'd tell you to go the FNP route. I'd go with whichever program is cheaper! LOL - where I live, the NP is about $15-20K and the PA is $150k, not the other way around!
  7. Christen, ANP

    RN to BSN or MSN to FNP?

    I think the RN to MSN is a waste of time, because you'll be spending about an extra year on part of an MSN that you'll never use. You need to hunt around for an ADN - MSN-NP program! I wish I could help ya there, but that's the most efficient way to get to where you want to be.
  8. Christen, ANP

    NP autonomy in the ED setting

    Yup, depends on the institution and the rules / comfort level there. One facility I know of required the MDs to cosign everything, notes / scripts / etc. Very time consuming, especially considering my state requires MDs only to cosign on 10% of NP charts. Another place was more "call if you need me" kind of a setting (which I prefer!).
  9. Christen, ANP

    Having confidence issues in clinical rotation

    The worst part of NP school - feeling like a "new grad" again! I mean, really? We go through all that nursing school, start a job as a new grad, don't know nothing about nothing --> finally get good at being a nurse, then we go back to school and have to start all over! LOL - what were we all thinking? I can't wait to feel like I know what I'm doing again.
  10. Christen, ANP

    RN to NP

    I think it really depends on the person. I started out in critical care as a new grad nurse, gained a lot of independance and experience in a few short years, and started NP school 4 years after I graduated with my BSN. I think most people know when they're ready to go back to school. When you get to the point where you are really itching to go back and expand your knowledge base, then it's time. If you're still struggling with time management, appropriate management of patients, and critical thinking, things of that nature, then it's probably not time yet. Like you mentioned, you'll be in school for a few years while you're working, which technically gives you more nursing experience. But, I found that I went to work at that point for the $$ not to learn - I was focused on the advanced practice stuff, not learning more about bedside. It's a very different knowledge level.
  11. Christen, ANP

    PA to NP

    Ahh, that makes more sense. Keep in mind that the level of independance a NP has varies greatly state to state and most states require some form of formal collaboration between the NP and a physician. Aren't there some states that allow a PA to "hire" a collaborative physician? You could do that here in Ga until a few years ago. As others have mentioned, the problem is that you don't have a nursing degree - hopefully your BA is in a science, which would cover your core requirements. Your quickest option would be a direct entry program that would give you the BSN and the MSN in about 3 or 4 years. You could do this part time, which would allow you to work. However, since you don't have a nursing degree, I'm pretty sure you would be required to do clinicals for the nursing degree and then more clinicals for the master's degree. ~shudders~ I'd be interested to know what your plan is with this potential increased independance. Are you thinking of opening up your own practice? There are probably ways to reach your goal without having to do moooore school, which is always the best option IMO. :)
  12. Christen, ANP

    PA to NP

    I don't really see the need to get your NP if you are a PA. My hubby is a PA, I'm a NP, so I understand the differences in the roles pretty well. I mean, it sounds like you're making good money in your current job, so I don't understand why you'd put yourself through 4 - 6 years of school (remember, you have to be a RN in order to get your NP) in order to come out with a degree that's (bottom line) going to not really change your job or level. You're a provider on the same level with each degree.
  13. Christen, ANP

    New edition for Uphold and Graham Family Practice Guidelines???

    I hate that book - I mean, 2003? Really? If I'd only known that when I bought it...I used Current Medical Treatment and Diagnosis and Ferri's Clinical Advisor, both of which are updated yearly and are great references.
  14. Christen, ANP

    New NP Job

    Wow, not the best environment for a new grad! I'm not sure what to say, except that if you feel you are practicing unsafely, say something or get the heck out of there. No job is worth your license. I think a week or so at minimum is reasonable for a new hire, I'd insist on at least that to get comfortable with the charting / patients / etc. Do you see the same type of patient each visit? if so, you should catch on quick! Good luck!
  15. Christen, ANP

    Oh no they didn't...uniform changes in florida

    I like "color-coded" hospitals. The hospital I work at, you can easily tell who is who by what color scrubs they have on. Nurses are white and royal blue, PCTs are navy and tan, respiratory is green, radiology is black and red, transport is black and gray, OR is seal blue...Peds and L&D had a bit more leeway and could wear "cute" scrubs. You grow to love it. The other local hospital allowed TMs to wear whatever they wanted - when I was a student, I never knew who I was talking to - the nurse, the PCT, the secretary? They are color coded now too.
  16. Christen, ANP

    Passed AANP Certification Exam!

    Yay, GREAT JOB!! :-D