Jeana18

Hi Everyone, Anyone in Connecticut who is working as an APRN and has applied for full practice authority? Looking into this as I now qualify to apply; wondering what "documentation" they want us to keep on file for 3 years to show we are eligible... Thanks!

No, I did a Doctor of Nursing Practice (DNP) Family Nurse Practitioner program. Now, I work as a dual-role Cardiology and Internal Medicine Nurse Practitioner in a private practice. I will be obtaining privileges soon to consult in the hospital for our Cardiology patients. No ACNP required.

I am referring to your initial contract to practice, until you obtain independent practice, it cannot be done with another NP. It has to be a physician.

I recently graduated in May 2020, during the middle of the pandemic. I don't think there is oversaturation -- I think that businesses losing money due to the pandemic is the issue. Now things are turning upwards. I passed my boards in February 2020 and graduated from my DNP program in May 2020. I had a job lined up by June 2020 and started in July 2020 with my credentialing ending in November, due to slow pace and closures. I am currently working as a dual-role NP in both Cardiology and Internal Medicine (alongside the current Primary Care NPs). Many of my friends have gotten Urgent care positions and/or Hospitalist roles. I think the availability of jobs is out there, but I would agree that Primary Care is not so open as many of the physicians have been in that field for a while and we are not allowed under law to train with other NPs. I think if that changes in the future, we may see more of an opening for primary care jobs. Hope this helps!

Yes, I know LOL — any app recommendations?

Thank you! The plan is for me to start with office visits and then expand into more in hospital follow-up/consults and in office testing/procedures. I would like to do more reading -- especially on EKGs, common cardiac issues. I wasn't sure if there was a go-to standby book to have for the common issues. Thank you for the EKG book recommendation, will look up now!

2 hours into a 12-hour shift, a smiling, cheerful, and embracing patient is received into my room BIBA from home by EMS. She is positive and optimistic on what is actually facing her right now. Intake complete. She is made comfortable and jokes and stories are shared. But, little does she understand, her oxygen saturation is 65-70% on room air. She is still smiling. I embrace her positivity and attempt to educate. She becomes frightened, but remains somewhat stoic. She smiles still. 2 hours pass, she is still smiling but no improvement. She is sure she will get through -- she questions the plan of care, reassurance is given. She smiles and embraces my hand, squeezes it tight and says, "I know I got this. I know I do. What is meant to happen will be." 1 hour passes, decisions must be made. She is unable to breathe comfortably, she knows she needs the tube, but she questions it; she begins to take our conversations into consideration. She is a fighter. Anesthesia and RT is at the bedside. I am by her side, donned in PPE, appearing as a stranger but yet feeling like the only one who knows her well. Her request, while anesthesia is at the head of the bed, vent at the bedside; "I just want to take to my children." I stop, despite the urgency, pick up the room telephone, dial the number -- instantly her children are there. Her embracing smile has returned. She grasps my hand tight. She relaxes her muscles and looks me in my eyes and the glimmer shines through; her positivity hasn't left. She nods as I tell her "everything will be okay, I'm here by your side." She smiles one last time and whispers, "I know I got this. It will all be alright. Bless you!"

Hello! ? Just wanted to see if anyone could recommend or share any good resources for a new Cardiology Nurse Practitioner ❤️. This is my first job and I'm interested in getting resources that I can keep on hand or in my office -- looking to expand my knowledge base. Thanks ?

What do you think is a good amount of time to give yourself for reviewing? Many people say 2 months. I'm trying to prepare for my near future. And big thanks, your advice and overview is helpful!

I would focus on: - Drug class - Background info about why they use the drug (basic details) - Drugs included in the class - MOA - Dosage - Contraindications - Adverse Events/Interactions - Monitoring - Patient Education When studying, I would focus more on the class of drugs and the information you need to know. Some drugs in the same class may have different MOA -- so focus on those. Also, it's easier to study and remember what is DIFFERENT about each drug class/drug versus what is the same.

Have you tried writing out a visual sheet with all of the information for the drug and/or drug class? I tried using flashcards and it didn't work for me -- now I am currently using visuals and writing out my information on more than one occasion to quiz myself...

Hi, I'm not sure how much clinical experience you have in the field currently -- as you mention you are an RN Student. With all of the changes going on, I would ensure that you have at least your BSN before applying. I am currently in a DNP FNP program -- and I didn't apply until I was done with my MSN CNL. It's up to what you think you can handle -- as far as learning curve is. Either way, most FNP programs require that you meet the educational requirements for a BSN, so I'm not sure if it would be worth it to apply without a BSN. Also, I would make sure you have a few years of experience until your belt before going into a program as it will help make the transition and learning experiences more beneficial.

Hey, Just remember that pharmacology changes every year and even multiple times a year. Make sure your resources are up to date and always read. I'm in a DNP FNP program and I am taking advanced pharm now; MedScape, UpToDate, your pharm book, and this one book from B&N that is a good book to learn all the meds is helpful. I will get the name for you! Good luck!!

I'm thinking the same thing. I don't plan on taking this exam for some time but I am confused reading this because NP programs are supposed to help prepare you, aren't they?

I don't plan on starting this process for another 2 years but this post was extremely helpful. Thanks!