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db2xs

db2xs

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  1. db2xs

    Can I work with specialist as FNP or should I pursue AGNP

    You should do what you want to do the most. As an RN I jumped into a specialty despite everyone telling me "You have to start off in med-surg" (which is not true). As an NP student I took the AGNP route because I knew I did not want to work with women or children, and despite everyone telling me, "An FNP gives you much more flexibility."
  2. db2xs

    NP Salaries

    1) what is your specialty? Palliative care 2) How many hours do you work per week? 40 FTE 3) How many weeks of vacation/sick time? Accrued per hour, first year 18 days. 4) How many years of experience? New grad 5) What is your total salary with bonuses? 135 k 6) What is your total revenue to the practice? No clue, I'm new. I'm in California.
  3. db2xs

    What is the best way to look for jobs?

    I had huge success finding jobs on LinkedIn.
  4. db2xs

    Oncology vs. Med-Surg.

    I worked in heme-onc for almost five years. I can't say whether heme-onc is med-surg on steroids because I've never worked in med-surg but we were taking care of primarily step-down-type hematology patients on a tele floor, so there were a ton of medications (almost all IV), ton of infusions (chemo, immunotherapy), symptom management. Also on our floor we took care of the more "stable" vents, managed tube feedings, cardiac drips--you name it. The only things we did not do were auto or allo transplants. To answer dianearc's questions, if you want to get pregnant, then chemotherapy is a concern, of course, but not so much before getting pregnant--otherwise, half of the RNs wouldn't be able to work. The minute someone finds out they're pregnant, however, they should tell someone. I think back issues would go with any unit, not just heme-onc. On my unit, day shift had a 3:1 ratio unless we were severely short-staffed, sometimes (rarely) 2:1 depending on what was going on with the patient.
  5. Unsure if this was directed toward me, but of course you have every right to cherry pick whom you'd like to precept. Re the "crap reputation" schools, I too am unsure of why people enroll in these, but somehow they do.
  6. I am in a online distance AGNP program at a private school on the other side of the country and I am having to find my own preceptors, despite the list my school provided me of previous local preceptors. As much as a pain in the A it is, I networked like mad and I also joined the local NP association just so I could get a hold of their membership directory. Not all the NPs out there "can't be bothered" by students. Personally, I think the problem is that sometimes people forget that they too were once new at something and needed empathy and good guidance. I am a preceptor for new grad BSNs and as much as it can be a real pain sometimes and it holds me back, I know that it is essential that someone show patience and provide guidance for these new nurses. I was once a new nurse too! I talked to an NP at my work who went to a local, public B&M school who told me he too had to find his own preceptors when he was in school. That made me feel a lot better, knowing that! I totally understand everyone's gripes on this thread and yes, it's true that APRN programs need to step it up in general. But that is not going to stop me from doing what I want to do, which is to be an APRN. Regarding "quality" of preceptors, I can't help but think of how I didn't have much choice for clinical instructors during my baccalaureate program. I had some amazing instructors and I had some really bad ones. I am not going to fool myself and think that my BSN program knew who would be amazing and who wouldn't be. I know a main gripe is having to shell out a lot of money in tuition, so why isn't the AGNP program providing my own preceptors? I really don't know. It sounds like there are a lot of programs that are doing this and maybe we just really need to argue against it? Creating change can be very difficult but it isn't impossible (for the most part). I am already intending to precept NP students when I am an NP myself. We as nurses need to hold each other up.
  7. I could't agree with this more. Depending on my patient, I will tell them silly jokes and we will have a good laugh together. It's bad enough being sick in a hospital, why not at least have some bright moments? Likewise with my coworkers.
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