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kyboyrn

kyboyrn

Emergency room nurse practitioner
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  1. kyboyrn

    ANCC or AANP for FNP

    I took the AANP exam, because I heard it tested less on theory and policy stuff, and it in fact had nothing related to theory (I can remember). The continuing education requirements seem more manageable, and retesting doesn't require as much (although I passed the first time thank goodness). Good luck on whichever you choose. There is plenty of information on the web comparing the two. Just google it! lol
  2. I graduated from a FNP program, and went to work in an ER (the same ER where I worked as a ER nurse for 5 years). We have two ERs. There is the main ER, where we see everything, and a second ER where we try to see less acute patients, but will see the others if we have to. I work in both ERs, and I see all types of patients. Not just the clinic fast track stuff. The only things I can't do are intubate, central lines, and chest tubes. A doc has to review all of our patient's EKGs and x-rays. Still, we see some pretty sick patients at times, so I think it depends on where you work. Still, in some ERs working as an NP, you'll get to take care of the critical patients. I participate in the care of all kinds of patients, including patients requiring drips, patients having MIs, etc. So, if you want critical care experience as an NP, just look for a job that fits what you're looking for
  3. kyboyrn

    ANCC to retire most popular, and eventually all, NP roles.

    Reading this makes me glad I went with the FNP certification, and that I am certified with the AANP. I work in emergency medicine, and although I was advised by some that the Adult NP route was the way to go if I wanted to do ER, I was lucky enough to have a friend who told me otherwise. He was certified in Adult care, and he attempted to get a job at a few different emergency rooms, and no one would hire him because he couldn't treat children. So, he went back and got his family certification so that he could get a job (at the same ER I work at). Also, in regards to what the author who started this discussion was talking about as far as geriatric care, I feel that our FNP program adequately covered geriatric care. Actually, one semester was focused quite extensively on the aging population, which is great because in the ER, the elderly (as well as children) make up a large poriton of our patient population. I see the goal of what the ANCC is doing, but I disagree with how they are doing it, and that they are actually doing it. I am sorry to all of the APNs that are in these specialties that they are phasing out. I do disagree with the initial posters idea that the family practice certification may be phased out in the future. I think that the biggest push for nurse practitioners is in the family practice area, to fill the void of a decreasing amount of family practice physicians, and to provide primary care to patients across the lifespan in rural areas. I think if there were to be only one remaining certification (which I hope never, ever happens obviously...we need all of our APN specialties as far as I'm concerned) I think the family practice certification would remain. The AANP has less certification choices, so all of this streamlining won't affect APNs certified with them I suppose. I personally chose them because of a variety of reasons, but I'm kinda glad I did now. Continue to advocate for the varying certifications, and maybe with enough support, there will be some changes to what the ANCC actually does in the long run. Sorry if I got a little long winded guys. Worked a long busy 12 in the ED, and I'm not able to sleep, and I gotta be back at it in the morning!! Loving my job as a ER NP thought!!!
  4. kyboyrn

    Why is it too soon to pursue FNP, My Plan......

    I don't see anything wrong with your plan. As far as the experience thing, I don't think it's 100% necessary, but I definitely think that it's highly, highly beneficial. I work in the ED department as a NP, and I had previously worked there as a nurse for 5 years. Because of all of my experience as a nurse, the transition was very smooth. I knew our hospital's formulary (I knew what antibiotics we have, what pain meds, which steroids, etc.) so I knew what I could and couldn't order. I knew what services we have available and when (not able to do venous dopplers at certain times, etc.), I know what doctors are on call, which ones are likely to admit, which are gonna ive us trouble, etc. I was able to move into the role so much more smoothly than many of the new PA's that hadn't worked there previously as a nurse, because I knew the system and how everything worked, and it didn't hurt already having a good reltionship with all the docs and the other providers when I needed help or had questions. As far as pay goes, I think it's different as far as how pay compares to nursing in different areas. Where I work, it's well worth it. Around where I trained, went to school, worked as a nurse, and lived there is a very, very significant difference in pay. I make well over double what I made as a nurse and have the potential to make even more by working a few extra shifts here and there (should make well into the six figures this year, my first year, as an NP). I know in some areas of the country, nurses may make that, but I worked as an ER nurse for 5 years and never made more than 45k in one year. Not only do I make double that just with my contracted hours, the company I work for pays my malpractice insurance, gives me a few thousand for continuing education expenses, and offers medical and dental insurance. I also get the opportunity to work extra shifts, and sometimes if they need someone will offer double pay for a shift or two! :dance: The only problem is with a job like mine is the hours. I work 12 hour shifts, and until they hired new people and I got seniority, I was working nights (until 2 or 3 am). Anyway, I love the autonomy, and the respect that I get. I love the fact I make more money. Pretty much, I love being an NP. I liked being a nurse, but after a while, I got to a point I just got tired of doing what everybody told me to do, and I wanted to be able to make decisions, and interpret labs, and formulate diagnoses. I still get to help people, and I get paid more for doing it. I do recommend experience, but for the outstanding student, I don't think it should necessarily be a requirement, but it does help. Some things you just don't learn in a textbook, like being able to identify a "really sick" patient. With experience, you can just look at a patient and know. Okay, I'm rambling. Anyway, I highly recommend the NP route. As far as pay different, see what you can find out for your area, but for me and all of my fellow students, the pay they are making is significantly more than they made as a nurse.
  5. Me and my girlfriend were talking about this the other night. She is in nursing school, but has worked as a ward clerk, CNA, and ER Tech for the last 3 years, and I'm a nurse practitioner that works in ER (and was a ER nurse for 5 years before I finished school). She says she would. I said I would, but I'd open up my own clinic and provide low cost and free care to the uninsured in my local area (which is actually one of the poorest areas in my state, if not one of the most impoverished areas in the country. Plus, I woulnd't have to work for anyone, which I definitely wouldn't do if I had that much money! I think I would be bored, and out of my element, not working somewhere in healthcare
  6. kyboyrn

    Which certification, AANP or ANCC

    I looked at the recertification requirements, and it just seemed like the AANP seemed easier to deal with and more fair. My employer, and I think most, didn't care as long as I was certified. They are both recognized in all states I believe. I think the majority of jobs and employers could care less as long as you're licensed and certified. Like mentioned before, since the ANCC does the Magnet hospitals, they may print something like ANCC preferred, but as you can see, it says preferred, not required. The main thing is, you gradute from an accredited program, you pass a certification exam, and you get licensed by your state. Most employers really don't care. The tests are similar in difficulty by most accounts, similar in pass rates, number of questions, etc. I'm certified by the AANP, and I couldn't be happier. I'm an NP, just like a few of my classmates that took the ANCC. I agree it seems like it would make more sense if there was one certifying body, but then again, competition breeds innovation! Both groups seem to try to do more for their members, work on making the whole testing process faster, etc. so that gradutes will certify with them. It's great that you know immediately if you passed! It wasn't always that way with eiter of the accrediting bodies, I'm sure (of course I'm new to the NP profession, only graduated in December, and by the age of 30, which was my goal, lol) and I heard it used to take weeks for them to get your authorization to test back to you after they processed all your paperwork. Doesn't take that long for either, because I heard that over the years one would take longer than the other and was causing students to take one test over the other. Of course, when you graduate, you want to get that stuff done so you can test and get to work and make that moolah!! LOL. So, there is I guess some good things about having competing certifying bodies. Boy, I've gotten off topic. Just glad we don't have to re-test like PAs and MDs every few years!!!!
  7. kyboyrn

    NP vs. CNS

    You may also consider looking into the FNP route. I know that the ACNP route is great for acute care and ER, but in many ERs, they want the NP to be able to see children (there was actually one who had their ACNP certification and was told that they had to get their FNP or Peds NP certification so they could see kids or they would not be allowed to work there anymore). All ERs are different, but where I work, as long as you can get a ER rotation in school (although I didn't. I was just lucky because I was a ER nurse there for five years so they knew and trusted me) that you can work ER. They will not hire a NP with ACNP certification unless they are dual certified because they need them to see children. I'm sure in bigger areas, and possibly where you work, the ER or trauma center is split up into an adult area and has a seperate Peds ER. In that case, ACNP certification would probably be more desirable as ACNPs get more training in acute care, including procedures such as central lines and chest tubes. Still, where I work, the "mid-levels" (that's what they call us) such as the NPs and PAs aren't allowed to be priviledged to do these procedures anyway. Any central lines, chest tubes, intubations, LPs, etc. must be done by the physician. Even conscious sedation with reduction of dislocations must be performed under the supervision of the physician. Therefore, at least in my facility and many others I've heard of from other NPs, the FNP route is perfectly acceptable, if not more desired, in many ERs. Just a thought and something to consider. I would have loved to have the ACNP training, but the FNP route was more accessible to me, and it actually worked out better for my desired area of employment. Just something else for you to consider. Oh, and I have nothing but the utmost respect for CNSs, but as mentioned by many of the others, they are so few and far between these days, and many facilities are phasing them out because they are choosing to find less qualified workers to try to fill their void in order to save money. It doesn't work, I believe the patients suffer, but that's the sad state of things in healthcare right now. Hospitals and other healthcare facilities are cutting corners. NPs aren't going anywhere though, because even if the hospitals don't need us at all times, primary care always will. I love my ER position, it pays well, and is very rewarding (but stressful at times) but as I get up in the years I can definitely see myself going to work in a family practice office, seeing 20-30 patiets a day, and having my evenings, weekends, and holidays off. Right now though, I'm enjoying my acute care. ER is all I've ever done since I because a nurse, and I really don't know anything else. Good luck in your decision. Look into the requirements for the location or setting you're gonna work. Like I said, FNP may not be the choice for you, but it's something to consider!!!
  8. Hello! Your career goals are very commendable, and I believe what you are planning to do is great! Just remember though, providing medical care at little to no cost is a wonderful idea, but also know that you better get a job on the side that pays, at least for a while, because as other posters have mentioned, a medical education doesn't come cheap, and the average medical student is at least a couple hundred thousand dollars in debt upon graduation. I highly encourage you to follow your dreams, but realize you may have to postpone the free thing a few years until you make some money and get your loans lined out a little. If you have a very supportive family, spouse, etc. that limits the amount you'll have to owe, maybe you can go that route right out of the gate. I know for me, I'm an NP, and the debt and amount of time spent in school was considerably less than medical school, but I also know that student loans are quite the burden, and as much as I'd love to do some charity work, and plan to in the future, right now to pay my loans and my bills, I have to work for pay. It sucks the system works that way, but I'm hoping that in the future, I'll get to make some medical mission trips, and maybe one day donate some time to a free clinic in the rural area of which I grew up. I'm not trying to burst your bubble. By all means follow your heart, and do as much as you can to give back. Healthcare needs people like you. I wish you the best, and good luck!!!
  9. kyboyrn

    Do FNP's really make 80k to 90k a year?

    I work in a rural area in what is considered one of the more poor states in the country, and it definitely isn't unheard of around here. I have friends making more than that in certain specialties, and almost every job offer that I received upon graduation (I graduated in December) was at least in that range. I work in an emergency department, and I will just say that the additional education was very much worth the investment. So, I highly recommend the nurse practitioner profession and I also recommend the family specialty as opposed to pediatric or any of the other specialties because you aren't limited to any one age group, so it opens doors to working in women's health, family practice, emerergency departments, hospitalist, etc.
  10. I'm an NP. I always made good grades, nursing school wasn't too difficult for me, and I feel like I was a pretty good nurse. When I used to tell people I was going back to school to be an NP, they always used to say I should go to CRNA school because they make so much money. The money is great, but even though I could have went to CRNA school, NP school was a much better fit for me. I like the process of seeing the patient, talking to them, and trying to figure out their problem and treating whatever may come up. So many people said I should have went to CRNA school for the money, but as a new NP I'm at the six-figure range, and I love my job. It depends on what you like to do. I always hated surgery. Too sterile, cold, masks, etc. lol, but I do believe many people go into it for the salary. As one poster above mentioned, it is hard. It requires time, effort, money, etc. NP school wasn't anything to sneeze at, but my fellow MSN students in the CRNA track did have a tougher and longer road than us. So, many people do go into it for money, but many of the students I had core MSN classes with that were in the CRNA track were doing it because of the challenge of the role, the technical side of it, they had a genuine interest in surgery, and they wanted a more autonomous role. I went to NP school not because I could make more money, but because of the autonomy, and the ability to make decisions rather than always following what someone else ordered. You also get more respect from other healthcare professionals, including doctors, in the advanced practice roles, so I guess it varies from person to person. Good luck to those that pursue advanced practice. it's not for everyone, but I wouldn't trade my new NP role for anything!
  11. kyboyrn

    AA student contemplating CRNA track...advice?

    I'm just curious, what is an AA? I'm an NP, and the school I went to had a CRNA program, but I've never heard of an AA. Does it stand for anesthesia assistant? I'm sorry if it's a stupid question. I've been a nurse for 5 years, and had all of my core classes with the SRNAs, but I've never heard of of AA. Sorry to change the subject. Anytime I hear of something I'm not familiar with, I just like to educate myself. Thanks!
  12. kyboyrn

    I don't like floor nursing...

    I didn't mind some of the things you mentioned at first, but got tired of a lot of it after 3 years, and was also tired of not being able to make decisions and only doing what I was told so I went back to school and became an NP. Now, I still get to help people and work with patients (the things that I love about nursing and healthcare) but I also get to order tests, diagnose, prescribe, etc. and I don't have to do all the stuff that I didn't like as much about the job. It took a couple years more of education and more money, but I also make much more money, I still get to work with my old coworkers which I love, and I still get to help people which is why I went into healthcare in the first place. So, have you ever thought about maybe going into advanced practice?
  13. kyboyrn

    What do ER's hire more: PA-C, FNP or ACNP ?

    I agree with linearthinker. You need to explore the region in which you wish to work. I'm a FNP and got my first job in an ER, but I also worked there as a nurse for 5 years so I knew the staff, medical director, etc. You said something about Oregon. I've heard that Oregon is one of the better states as far as NP autonomy. I don't think you even have to have a collaborative agreement or anything, you're completely independent. Whether that's good or bad is an entirely different discussion, but it's something to think about. Still, I'm kinda not familiar with the west much, because I live in KY. There are benefits to both. I would have considered the PA route more if I hadn't have been a nurse, but I'm not sure if I was doing direct entry. It's a tough call, but good luck with your decision.
  14. kyboyrn

    LPN+Bachelors=FNP help me here

    I don't know if that is even possible. Like one of the posters above stated, you've got to have an RN, and many require some experience. There are online programs, but many aren't cheap. I know my program was an 18 month program, but it's not offered mainly onlie, and you had to have a BSN to start. I think the Frontier school of nursing offers a RN-MSN program, and I want to think it only takes around 3 years, but once again, you have to be an RN, and I'm sure it altogether costs a little more than that, and you do have to go to the campus and stay a few days once a semester or so I think. Good luck and if you find such a place, let us all know, because it would be quite a find!!! Kyboyrn, APRN, NP-C
  15. kyboyrn

    Big Beautiful Brown Eyes

    That was a beautiful story, and thanks for sharing. I lost my mother to metastatic breast cancer a little over six weeks ago. It started out as breast cancer, and after a mastectomy and chemo and radiation, it went into remission for nearly two years. The cancer then returned in her chest wall, but was too close to her aorta to remove. Then, it spread to her lung, and that is ultimately what took her away to heaven to walk amongst the angels. As an emergency room NP, I have dedicated myself to caring for all of my patients the way that I always wanted my mother to be cared for, and I will always have a special place for the breast cancer, or cancer patient in general. What they, including you Lindsey, is one of the most difficult journeys a person could ever take in their entire life. Our family was lucky, as my mother's suffering was not long and drawn out, and she passed away peacefully in her sleep surrounded by loved ones. I'd like to think because her faith was so strong, even though she fell prey to one of the most terrible, sometimes painful diseases known, God made her suffering less extreme and less prolonged than it could have been. I will forever hold a special place in my heart for the breast cancer patient, the breast cancer survivor, the ones that are valiantly fighting, and those that lost the fight. I am here for the families, as I have been in their place. I cannot begin to imagine what the patient goes through, but as a healthcare provider, I plan on doing everything I can to try to understand, and make each patient that I see with complications of the horrible disease of breast cancer, or any other cancer, a priority and I plan on trying to help them as much as possible in every way possible. As a healthcare provider, as FNP and an RN, as a family member, a friend, a boyfriend, a brother-in-law, an uncle, a future husband, and hopefully father, no woman that is stricken with this disease that I know will ever have to walk alone.
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