misty_dawn

I just passed my certification exam YAY!!! Once I have my active state licence and NPI number I will be starting my job. My question is where do I start looking for my own malpractice insurance coverage at? What type of coverage should I look for? Thanks.

I just completed the online post masters program at Eastern Kentucky University. It was wonderful and I am happy to say that I just passed my certification exam this past Friday. I felt very prepared for the exam and for going into practice. It is an amazing program and not to costly.

As a new NP this is such an eye opener to me and I thank you for this post. I never thought about needing my own malpractice insurance as my company provided a policy. I will now be looking into my own policy. I thank you again.

I had this very same question. When I spoke with the WHNP in my GYN office (she had been a WHNP for 8 years) she specifically said that unless I already have a job lined up as a WHNP, to go the FNP route because it was more marketable. She also said that as a WHNP you can only do womens health, so if you get burned out you really have no other option besides seeing only women. She did say that a FNP can work womens health, you just do not get as much school training as a WHNP. I am taking her advice and have applied for the FNP program at EKU. 100% online, they are also a brick and mortar school with an excellent reputation and a 100% board pass rate.

I too have applied for summer start. I love the fact that they have had a 100% success rate. So far all dealings with the campus has been positive. I read a lot of reviews that stated they were really student friendly and understand that we all work. Keeping my fingers crossed for admittence.

I am seriously considering applying for the summer start EKU online post masters FNP certificate program. I know that the classes are taken one at a time and are 8 weeks long. I work (3) 12 hour shifts a week that is probably not negotiable to change since I still have children at home. Tell me about the program, the good/bad/ugly. I am also looking up information for Drexel University, University of Mass- Boston, and Angelo State as these all have an online post masters certificate program and the application deadline is not up. How would these compare to EKU?

I have never felt more a part of a team/family than I have while working here at the school. The best part.... today starts our 2 week winter break!!!!!

I am having difficulty finding any clinical guidelines on pulse oximetry in schools based on EBP. Any ideas where some can be found? What are your school policies regarding this?

My supervisor wants me to do a research project on clinical guidelines based on EBP on using pulse oximetry in the nurses office. We currently do not do pulse ox unless the parent supplies the monitor. Do you do this vital sign, when and using what parameters?

2 more accidents today (her mom just had a baby this morning too). Some of the teachers had mentioned that they think it is a sign of abuse. What do y'all think about that?

Well said. I took a huge pay cut coming into school nursing and I couldn't be happier that I did. I am so thankful that all of the staff at my school respect me and what I do (as far as I know anyways). School nursing is no walk in the park some days, but it sure beats a day in the hospital any day. I really do not care what people think about the career path I have chosen. Each area of nursing has its pros and cons and someone has to do it. I am just thankful that I chose this field of nursing.

2 accidents again today. They sent in one change of clothes so when I called for the second accident her mom just came and picked her up from school and took her home. We had set up a conference for after school today and she called a half an hour before and cancelled it. She said that she won't be able to meet in person again before winter break but might be able to do a phone conference. Would it be wrong to start doing behavioral consequences from the teacher at this point? The mom was supposed to bring in medical papers last school year and never did.

I can almost bet money that she had type 2 diabetes and I really do not think the mom had her checked. She even has the markings on AN on her neck which can indicate type 2. It is just so frustrating for me and her teachers that nothing we attempt to try and do is working...even having her go to the bathroom every 2 hours, because if she thinks she does not have to go to the bathroom she just stands in there. It is not like we can go in there and make sure she goes. UTI is possible, in her chart she had 3 last year alone- but I still think it is something more.

We have 1st grade little girl who is extremely obese and is continuously wetting her pants and being sent to the nurses office. This has been an on-going situation since last year. The last nurse, principal and teacher had several conferences with the parent to discuss the accidents as well as her behavior and refusing to do most classwork last year. The mom works for a urologist and said last year that she would have the student looked at- no medical indication of a problem by a physician was ever turned in. Fast forward a year and nothing has changed. Her parents hardly ever send extra clothes and she has had 4 accidents this week alone (2 yesterday and 2 today). I have had to call her dad each time to bring her clothes. A few months ago she sent in paperwork from the place she works at, electronically signed by a NP, that stated the student needed to be sent to the bathroom every 2 hours and have access to water. No medical indication of anything wrong. She is still continuously having accidents. No matter if the teacher sends her to the bathroom or not. She has even peed on my bathroom floor right in front of the toilet. I have asked the mom if she had been tested for diabetes and she said that she did but she does not have it (I highly doubt she was tested). I am wits end with all of her accidents. I feel it is more of a behavioral issue and not necessarily a medical problem- if it was I would hope her mom would have taken care of it. She just sits in her classroom and does not do her work, she cries hysterically when she is not getting her way and has also wet her pants when she does not get her way. We are supposed to have another conference next week with her parents. I am not sure what to say or do anymore. I get so frustrated each and every time she comes in to my office for an accident and has to sit there for at least 45 minutes until new clothes arrive. What can or should I do?

I agree with Flare. If the kid is in distress and the parent refuses to take them home then I would tell the parent that it is fine I will just call 911 and she can pick him up from the ER (and have a bill to pay). I am sure that would work but I have not been in that situation. Ever if there was respiratory distress and the parent isnt available it is a quick trip to the ER. Luckily I have my principals backing too.