yalienne

Run

I am so sorry this happened to you. I am applying to psych np school. I hope it is not that school

Ok then. Since you are aware of the collaborative/supervisory relationship between NP/PA and the attending, with the exception of the few states that allow NP to work independently of an MD. Now you can see why like another post stated that the BON, MB and the states clearly disagrees with you. Hopefully, fundings will go into supporting nursing education so we can have more preceptorship opportunities via residency/fellowship in order to gain more training at every level of nursing (CNA, LPN, RN, NP, DNP etc...).

Note: I meant Fellow not an MD.

If I had to spend 10 years as a bedside RN then to go to NP school, I would not have done it. It would have made more sense to spend those 10 years pursuing a medical degree in order to work using my medical knowledge (which is the point of NP program). Heck, I would have gone to PA schools. However, what makes sense to me is getting an NP degree, followed by residency, followed by fellowship to gain "experience." The NP's that I know, take care of routine problems using evidenced based guidelines. However, complicated cases or unexpected results are discussed with the Attending. Are you bedsides nurses assuming that NPs are making all the decisions? Are you aware of what goes on in the backgound between the MD and the NPs at your local hospital? Before becoming involved in the NP role, I used to think NPs were practiting independently. I am just curious if you are going based on assumption or is it based on a little digging around to see who is truly calling the shot in the backgound. I remember someone said to me, " the NP on my floor is lazy, all she does is sit at her computer." I laughed, because it was pure ignorance and an assumption. The NP hospitalist that she spoke off was busy analyzing data, communicating with patient's family, following up with consultation from the different teams, keeping the Attending updated on the patients' condition, writting orders per attending request, writting discharged notes, progress notes.... Following up with the pharmacists, religious ministry, social worker etc.... Ignorance is bliss. After that same person spent a day as a student NP in the shoe of that hospitalist... She said "I dont like the work of a hospitalist, it is too much work" Like someone I know put it, being an NP is like being a permanent upper resident or fellow MD. Unless you are in one of those few states where NPs practice independently of an MD. I guess I am one of those person that will never be pursuaded that being a bedside RN is key to being a successful NP. I would much rather see NP's rotate in the different branches of medicine just like the MDs. Learning as much as possible and seeing as many patients as possible just like the MD. I would rather see NPs do what has been shown to work for years in order to take care of patients safely and independently, which is what the MDs and the DOs have beig doing for years. As some of you stated, there are RNs who have spent 20 years at the bedside and are terrible NPs. Why is that? Could it be because as an NP we have to learn how to make Medical differential diagnoses. We have to learn about Medical diagnoses and not nursing diagnoses or nursing interventions. As NP, yes nursing interventions are also employed but we go beyond that. We have to learn about treatment, diagnotics tools etc.... We have to learn how to make certain medical decision and how to use evidence based practice. That is the whole of point of residency and fellowship programs. As a resident and as a fellow, NP will work directly with an attending and or an experience NP that will help guide them in those areas. Come on give me a break. No one can tell me that being a bedside RN will do those tricks. Really?? If so, you are lying to yourself. Working with someone who call the shot and learning and practicing to be that person who make the tough decision, is not the samething. I think it is better to learn to be excellent at what you do directly, rather than work at similar but different job in order to be great at your goal job or role. a little sacatics. Here it is.--->So to my CNA friends go head spend 5 to 10 years as a CNA in order to have bedside experience so you can become an RN. As a matter of fact spend 5 to 10 years volunteering at the bedside in order to become a CNA. It take a special person to be a CNA, a RN, an MD, an NP etc..... I know many NPs, who said they cannot do the job of an RN. Not because they think they are better than an RN but because it has its unique challenges just like every other field. I applaude individuals who knows their limit. I also know many RNs who dont want to do the job of a CNA for the same reason. So why spend years learning the skills for a job that you know is not for you, when you can use that time to learn the skills necessary for what you truly want to become. So go ahead. Shredd me into pieces. I dont care. Make fun of my grammar. Make fun of my ideas. That is why this is America. A country where an artist, a lawyer, a pharmacist, a comedian, a reseach scientist etc... can wake up one day and decide I want to pursue nursing as a degree because I can. No one is born with a sign on their forhead that states you are destined to be this or that. So to my new grads, dont get discourage. Keep doing your thing. Learn to be the best at what you do. Set goals for yourself. There is so much that you can do with nursing. Learn what you need to do in order to get there. Stay positive. It is a tough market but remember everyone had to start somewhere.

ok. Good Luck

Ok. I like being part of a solution. I think NP should be required to do residency and fellowships as part of the certification requirement. I think RN and NP roles are very different. However, medical Knowledge is medical knowledge. Medical knowledge can also be obtain through experience via residency and fellowship programs. Being a floor RN is not the only way to gain that knowledge and skillset. I love nursing. I want nursing to go far and to be at it fullest potential. I love the fact that as a nurse we can do so much. I refused to be part of any ideas that will keep us back. A little course on nursing history goes along way..... Learn about how PA field started. [Hint: it has its root in nursing] I also refused to endorse comments like I would go to an MD, PA and never see an APRN. Comments like that keep Nursing from reaching its fullest potential. At every levels, MD, PA, NP there are idiots. Malpractice insurance exists for a reason. Nurses lets not eat our young. Lets find a way to make the nursing field better from the CNA to the PhD level. Once upon a time you were a new grad and inexperience nurse. Remember that. Someone had to take you under his or her wing. I say residency for every level of nursing. I think that is one way to gain experience and to become an expert at your level. I applaud residency program for new grad RNs. I am hoping this mentality will take place in the NP world as well. A few exist but not enough. That need to be the standard across the board. Heck even pharmacists have residency and fellolwship program. Why not NPs? I think that is what we need. BTW, you can not become an NP without having x amount of clinical hours. And Nope those hours can not be gained via online courses. You need to physically see patient. Honestly, I dont see a problem with online courses. Taking non-clinical course online or in class, does not add or detract from your inexperience as a new grad. When an NP graduate, he or she will be a new grad and inexperience. Still, you have to pass your board, which is based on national standard. Lets identify the issues and stick to them. The issue is lack of experience. Lets not bring our profession down. Yes, some people with higher degree do think they are God. Isn't that true with every other profession? Not that I agree with that mentality. I think it is dangerous to assume that one knows it all whether it is a new grad or an experience nurse. Patient safety should be first. All that EGO, jealousy and everything else need to be place aside. It has no room in nursing.

Hello, I so hope you passed your board. Please let us know how it went.

Hi, I just got my PASS after 75 question. I literally thought that I failed. I used the saunders for the contents. I did every single one of the questions in the CD. I looked at the rationale even for the ones that I got RIGHT. I also used Kaplan q bank. I feel that the kaplan q bank is helpful after I have solidified my knowledge with Saunders. I also got a Kaplan RN book to practice some more question especially the priority and delegation type of questions. During the exam, I feel that I was guessing a lot. For the drugs I went with the big guns like photosensitivity, vertigo, signs of liver failure such as jaundice. To be honest, I really thought that I failed the exam. I had 4 hours left and I was still on question 60. The exam stopped at exactly 75. I did the PVT trick and it would not allow me to re-register and 24 hours later, ACTIVE came up on my Board. I honestly feel really lucky. If I did not pay attention to the trends with Kaplan and Saunders, I feel that I could have easily failed this exam. Also, I prayed a lot. Good Luck. I hope this help anyone reading this.

omg, i love this story. i will remember it for as long as i live. thank you for sharing.

Alternatively, if you can get your old job back, what if you guys move half way between where you reside now and the old place? I think what you wish to do is feasible but I do agree that it may cause physical and mental stress, in the long run. I wish you the best of luck.

I think you have a good chance. Good Luck!!!

I have Jesus Christ in my life and I did not have any passion for research as a graduate student. I too once lost my passion for life during that time frame and the will to live. I just existed. So, I dont think that having JC in one's life will help the OP find her passion in nursing. I think JC might place the right people in her life to guide her in finding her passion in life. That starts by talking with a mental health professional or a friend that the OP trust. The OP needs to be proactive about making changes in her life. God help those who help themselves. So by her talking on this forum that is a proactive first start.

ROFLMAO

Apply for a BSN-MSN program, you will be qualified for student loans. You are lucky you have the pre-req done. You can apply anywhere in the US. It will be more expensive but you will be able to pay for school through financial aid. Other option work to pay for school. Good luck!!!