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emsguy

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  1. Do you have an NPI number? This is how they look you up and/or with your DEA.
  2. Yes, I have maintained my own policy since RN times and would recommend you do the same as tramaRUs states. It's not that expensive about $1k a year depending on NP board certification and practice.
  3. It doesn't. They read some of your charting, and pretty much that it is, lame extra cost that takes away from NP's. When I was in California I wrote my own protocols. I had one supervising physician that did not understand the scope and role of my clinic and had to learn what we do, how we do it and so on. He is a great physician but was just out of his element.
  4. I made $145K a year, 6 weeks PTO annually, $1,500 CME credit, PPO Medical, dental vision and other benefits, plus a 6% 401k matching, 3 year contract.
  5. It happens all the time in my clinic. Even when I was an RN. Since I'm a male in scrubs and a stethoscope. I do the same thing, introduce myself as so and so Nurse Practitioner, and add "you can call me by my first name or nurse". Invariably, I am called doctor. I sometimes correct but only once, as it can be futile at times.
  6. Wheel chair van driver, gurney van driver/first aid tech, EMT, Associates in life sciences-pre-nursing, BSN, almost done with MSN/FNP.
  7. Doc, I am an RN with a BSN currently in my second semester as an FNP student. As a Family Nurse Practitioner we are trained as primary care providers and sometimes generalist. So our education is geared towards managing this population in the outpatient setting, treating chronic conditions and referring or consulting with another provider when it is beyond our experience, scope, education, and training, which any provider should do when they lack these requirements. For a nurse practitioner to work in emergency or ICU they should either have a background as an RN in these specialties and an FNP, or be trained as an Acute Care Nurse Practitioner. This track is designed for these specialties. As for the Family Nurse Practitioner Education it does vary by state but the underlying core classes are universal, from pre-RN licensure to post NP Certification. Pre-RN licensure: Anatomy (with cadavers or other animal substitutes), physiology with lab, biology with lab and thus microbiology with lab, chemistry with lab, nutritional science, psychology, developmental psychology, Statistics, and other undergraduate course. RN(My school): Pharmacology (physiological response and indications, plus a lot of memorization), pathophysiology, medical surgical (sterile procedures, hemodynamic stability of patients, post operatively), Physical Assessment (from rhine to babinski), Psychiatric, Community health (basically epidemiology) and how to be a school/hospice nurse, Skills lab(IV's, catheterizations, suture removal, blood draws, etc.), research (ok class, how to read clinical research). FNP: Advanced Pathophysiology and diagnostic reasoning (1 year), Advanced health assessment, Epidemiology and biostatistics, Diagnosis and management in primary care, and a minimum of 700-1000 hours of clinical rotations and a masters project or thesis. (health care policy and other non-clinical courses, fluff as I call it). The point is an FNP curriculum is designed to create an outpatient novice primary care provider, not an intensivist, hospitalist, or emergency department provider. FNP new graduates should be hired with the understanding that they will need experience and training. I think a residency program would do the profession much justice and assist in the transition to an experienced competent provider, my two cents. As for physician assistants their training is geared more toward inpatient and acute medical management of patients, unless you are referring to an ACNP. An acute diagnosis needs a broader management strategy and is more complex at times. This would explain the medical model of treating the underlying condition rather than the systemic issues relevant to the patient in PA programs. Many of my paramedic friends have chosen this path as it is a great extension of their knowledge, experience and education. I hope this helps.
  8. So....I have just completed my second quarter of my 8 quarter FNP program and although the classes have different names, it is nearly the same subject matter and course work I found in my undergraduate BSN program. I would love to have more pathophysiology, assessment, pharmacology, etc. or a pathway to prepare me for clinical practice. I feel as if I am a sociology/psychology major being groomed for a Phd in nursing research and paper writing instead of treating patients. I am now questioning my career path and the nursing profession. Anyone else experiencing this?
  9. My FNP program is standard grades except....anything below an 80 is an F. so you can only get an A or a B.
  10. I got into class 115 cfnp! Got email this morning. Good luck all!
  11. I would never let another RN care for my patients medical needs even if they were the mother. Those patients are my responsibility. Yes this is a hard line I take, but there care no matter how trivial is my responsibility. If anything happened who's fault would it be and where is the liability? No, No, No. Why would she want to give the vaccine herself anyways? If her kids do not cooperate than I would rather have the mother hold and distract the child instead of giving the shot. Would you ever ask another medical provider to take over their job? "Here let me insert my fathers Foley, I am an RN. Here let me start my grandmothers IV line I am a para-medic. Can I take out my fathers chest tubes, I am a PA. Let me intubate my mother I am a respiratory therapist. I know a flu shot is "minor", preventative, but you never know.
  12. Did anyone mention "Murse" as an option? I also don't like the word member so lets change it to mangina. Yes "nurse" is not as exciting as Para-medic, or Physician Assistant or Respiratory Therapist. How about Registered Osteopathic Medical Technician, and for advanced practice Osteopathic Practitioner, and build out of the D.O. philosophy which correlates very closely with nursing theory. The osteopathic medical philosophy is defined as the concept of health care that embraces the concept of the unity of the living organism's structure (anatomy) and function (physiology). These are the four major principles of osteopathy: The body is a unit. An integrated unit of mind, body, and spirit (Triune of Man - A.T. Still). The body possesses self-regulatory mechanisms, having the inherent capacity to defend, repair, and remodel itself. Structure and function are reciprocally inter-related. Rational therapy is based on consideration of the first three principles.
  13. HI all! So any working RN's gong from a BSN to a MSN with FNP? I applied for the 2012 fall UCSF MSN/FNP and was wondering how many others have done so? I went to an information meeting earlier this year and there were a lot of people in the meeting, mainly young women going for their first RN and the MEPN program. I think there were only about 3 or 4 actively working RN's in the group. I asked the speaker what the split was between the MEPN and MSN/FNP students that already have their RN and was told that they had a difficult time recruiting working RN's in the program in years past but now its about 50/50. I also applied at UCD FNP/PA program for 2012.
  14. Yes it is much cheaper than Samuel Merritt. The only reason to go there is for their CRNA program (only one in northern california). I was at the informational meeting last year, sorry if this was not clear.
  15. I am a graduate RN from this program and yes the cost is correct. The federal student loan program will max you out at $6,250 a semester excluding summer and tuition and books will run you about $5,000 a semester so you have some extra to put away to pay for 15 units in the summer. Its a great program and 21 months straight 5 semesters with about 750 clinical hours total.

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