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cruisin_woodward

cruisin_woodward

CT ICU, OR, Orthopedic
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cruisin_woodward specializes in CT ICU, OR, Orthopedic.

I have worked in critical care, surgery, and orthopedic nurse practitioner

cruisin_woodward's Latest Activity

  1. cruisin_woodward

    Negotiating contracts

    I feel funny asking private information about pay etc...Plus, the PAs have a lot of experience, so I'm sure my package will be much smaller?
  2. cruisin_woodward

    DNP seems like a waste...

    That is a MAJOR issue. They all need to be created equal. Should be an accreditation requirement.
  3. cruisin_woodward

    New Master's NP, cannot find job...should I go for my DNP

    I went into the DNP program as a BSN. I knew that I liked critical care and OR. I had NO idea what I wanted to do in regard to my clinical inquiry project, and as I started with one area (family centered care), it switched to anxiety in mechanically ventilated patients, to managing ICU psychosis, and finally ended up with enteral nutrition in mechanically ventilated patients (graduating 12/10, yay!) My program was 4 years though, because I only had my BSN, so I had the luxury of changing my topic, with time to work on it. I think most of my class had a more clear cut idea of what they wanted to do though. You do need to be careful about crossing boundaries in the specialty areas (there is a specific degree for psych NPs, and since your education didn't focus on psych, I'm not sure that would have been wise, but I don't really know what FNP education covers, as I am in an ACNP program, so please forgive me if I am wrong). Any way, if you love derm, then you do have an area that you are interested in. Now you have to ask yourself if there is something about derm that you think should be done better, or differently. If you really want to do the DNP, start looking into what research is out there. There is a lot about the DNP that people do not fully understand, but that is sort of beyond this thread. In terms of helping you find a job, I don't know that it would help you. It is a new degree that people do not know much about, and there is still a lot of unnecessary rhetoric about it. Most of it is based on ignorance about the purpose of the degree and the rigor of the program. I guess that if you want to pursue your DNP, then go for it. But do it because it is something you desire to do, not because of potential job prospects. You will find that most employers will take experience over a degree. With that being said, you now have some experience in your field of choice even if it has been short. If it is taking that much of a toll on you...it's probably not worth it. Sorry that you are so miserable. We spend too much time at work to have it affect your health . Good luck!
  4. cruisin_woodward

    Negotiating contracts

    Hello, and thank you! Well, I will be employed by the surgeon, not the hospital. I think that is where the huge swings in pay come in. I only have 9 years of RN experience. I had 10 years of scrub experience prior to graduating with my BSN. I worked in the CT-ICU straight out of school, but have a very a very strong background in orthopedics as far as the OR is concerned. I've known and worked with this surgeon in the OR for about 10 years. He knows my abilities and likely my weaknesses. I will need training, as I don't have a lot of suturing experience (I have some, but it is limited). Also, obviously, the office. I think this will be a fairly smooth transition for me. I just can't seem to find a clear indication of what to expect with contracts etc. People have told me to "make sure you negotiate for..." all sorts of things. I have never negotiated for a thing in my life! If I buy a car and they say a price, that is what I pay. It is all intimidating to me.
  5. cruisin_woodward

    DNP seems like a waste...

    I graduate with my DNP in two weeks. I have learned a lot more than just "research"...Not sure why that is such a dirty word. Isn't that how we are supposed to practice? Evidenced based practice? Who better to do certain types of research than those who actually work in the field? The purpose of the DNP is not to do research. It is to take the research that already exists and put it into action. We all know that there is a ton of research out there that is never actually put into practice. It often takes 10-15 years for what we know is the better way to do things to actually become policy. The purpose of the DNP is to teach advance practice nurses to take the evidence and bring it to the bedside. The project I did was about enteral nutrition, and gastric residual volumes. I did not create new knowledge. I took knowledge that already existed, and implemented a new enteral nutrition protocol in the ICU that I worked in. I learned how to collaborate with other disciplines. I learned a lot. I took my core NP classes with the MSN students, and had about 1000 more clinical hours. So I did get more clinical time. I agree that some things could be done differently. For example, I would like to see the DNP go to a generalized family nurse practitioner degree with a focused specialty. That would alleviate the constraints that NPs face when it comes working outside of their specialty/population. I have no desire to be called "doctor". I don't even like being called "professor" and I teach undergrad nursing. I just want the best education to be able to do my job. Getting my doctorate was a personal choice for me. I feel like I have to explain myself when MSNs snub me and assume that I think I am better than them (I don't even have any experience, why the heck would I think that?). This topic has now become the old, ADN/BSN topic. It seems so silly to me that we even argue about it. There are ADN nurses that can run circles around me. There are staff RNs that I will look to for guidance because of their expertise. We are all nurses. We are all here for the good of the patient. This shouldn't be a turf war.
  6. cruisin_woodward

    Negotiating contracts

    I graduate with my DNP in two weeks. I am hoping to take my ACNP boards in January. I have a position lined up already, only we haven't started any type of negotiating. We haven't even talked about salary. Before anyone says, "You shouldn't be in this for the money", I have to say that I need to make enough to have made the last four years worth it. The problem is, I have visited a gazillion salary websites, and can not find a consistent idea of what to expect. I have seen salaries ranging from $68,000-105,000 to start. I will be working with a very busy orthopedic surgeon. I will be working in the office, first assisting, and rounding in the hospital. I am anticipating long hours. I know that I will be on call at least one weekend a month. There are two physician assistants that also work with him. I don't want to be taken advantage of, nor do I want to be disappointed by expecting too much. I have 16 years of scrub experience, but none as a first assistant. I live in the metropolitan Detroit area. Any insite would be helpful. I know there are other considerations besides salary. Would appreciate your advice! Thanks!
  7. cruisin_woodward

    NP preceptor

    My mailbox is full? Lol that is weird! I'm on my iPhone, not sure if I can PM from here... If not, I will tonight from home :)
  8. cruisin_woodward

    What were your "dealbreakers" or "must haves" with your first job?

    Thank you BlueDevil...I'll look into that!
  9. cruisin_woodward

    Can the NP assist in surgery?

    most RNFA programs require prior surgical scrub experience , like experience working as a scrub nurse. If you can find someone to train you to scrub, then an RNFA/NP CERTAINLY CAN assist in surgery. The problem though is getting the experience. In my case, I have about 15 years of scrub experience, so this will not be an issue. But if you don't have that background, it will be tough to get the required RNFA clinical time. The RNFA programs are really geared toward scrub nurses, or NPs with scrub experience. Good luck!!
  10. cruisin_woodward

    Am I Crazy? Revaming the RN/NP school curriculum...

    Hmm I had to take Bio, A & P, chem, biochem, micro and stats for my nursing undergrad pre reqs... I assumed that was a requirement throughout... I chose to take advance chem I and II after just for fun. I don't remember a thing though.
  11. cruisin_woodward

    What were your "dealbreakers" or "must haves" with your first job?

    BlueDevil, I am curious as to how you find out what exactly the average mean of a new grad NP in your area and specialty. I am worried that someone will offer me $65K and since I actually don't know the average salary of a new grad ACNP in Detroit, I'll jump on it and be taken advantage of. Don't get me wrong, i'm not expecting to make 6 figures, but after all of this, I don't want to be grossly unpaid either. I have searched for salary information, but often it does not differentiate between specialties, or new grad vs expert, etc...
  12. cruisin_woodward

    Tons of student loans, pursue DNP still?

    Well said BlueDevil. I honestly had no idea hard doing the BSN to DNP would be... VERY demanding. When people call it "fluff" I want to scream. I agree with your advice. She can always get her DNP later...
  13. cruisin_woodward

    Should i become a nurse practioner or wait?

    I think experience helps for sure, but the role of a bedside nurse, and an NP are totally different.
  14. cruisin_woodward

    Should i become a nurse practioner or wait?

    I know of one student from Canada with a school visa, who graduated with her BSN, and immediately started into the MSN program. She finished that and went straight into the DNP program. I know that she has NOT worked at all...she is getting almost 2000 hours in clinical between her MSN and her DNP, but other than that, I don't think she has worked as an RN, or an NP whatsoever.
  15. cruisin_woodward

    DNP trouble in sight? FNP graduation Spring 2015...

    My school converted to the DNP, but only in acute care. I think all of U of M(Michigan's) is DNP as well. I wouldn't worry about it....honestly! I'm almost done with my BSN to DNP, ad I'll be surprised if this actually becomes a requirement any time soon..
  16. cruisin_woodward

    AST and ALT levels after open heart surgery

    Lol no, but that's funny! He was trying to educate me on assessment findings... It's my fault I didn't ask for clarification. I tend to go home and look it up, then ask questions the next day if I still don't understand... But it was my final day of clinical...