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Neuro Guy NP

Neuro Guy NP DNP, PhD, APRN

Vascular Neurology and Neurocritical Care
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Neuro Guy NP has 7 years experience as a DNP, PhD, APRN and specializes in Vascular Neurology and Neurocritical Care.

Neuro Guy NP's Latest Activity

  1. Neuro Guy NP

    New Paradigm for the DNP. What do you think?

    To be honest, the PhD in Nursing does not reinforce clinical content beyond the APRN specialty either, so to a large extent people are misunderstanding the purpose of a doctorate. If the content doesn't interest, then just don't go get a doctorate. Plain and simple. But don't belittle the degree or assume it has little value. It just doesn't interest you, doesn't mean it's valueless. A degree in accounting isn't appealing to me, but I'd never say it's meaningless. But to continue the discussion, it would be interesting to have the practice doctorate include more clinical content applicable to daily practice, but the theoretical and practice change content should remain. That way it can still focus on the translational aspect of incorporating evidence and change management better. That's the intent of the degree, and again, people need not register if they don't appreciate the degree. Remain educated at the master's level - nothing wrong with that. Just my two cents.
  2. Neuro Guy NP

    FNP no longer allowed to practice inpatient

    But very few positions will you be caring for patients across the lifespan so generally it doesn't matter. Cardiologists, Neurologists, Gastroenrerologists, etc. are all either adult or peds focused in their practice, not both. The only times being able to care for patients across the lifespan matters at all is generally primary care (and even then there are PLENTY of internal medicine - ie no peds - practices), ER, and maybe a couple others. So this argument in support of FNP is quickly dying. Even for ER there are many level 1 trauma academic centers with separate Peds ERs and an ACNP can be in the adult side. I've seen it plenty. I support advanced practice nursing of all stripes but the tropes that perpetuate facts that are either inaccurate or outdated are getting very old. I'm active with the ANCC and AACN, including writing questions for the board exams and no matter how much education is provided about the various specialties and scope of practice, etc. it just seems that it doesn't get through sometimes.
  3. Neuro Guy NP

    FNP no longer allowed to practice inpatient

  4. Neuro Guy NP

    Collaborative physician request

    A nursing message board is probably not the best place to find one.
  5. Neuro Guy NP

    Hospital of the University of Pennsylvania

    Never say never! While I personally don't work there, I know people who do. I know many people in Pennsylvania, New Jersey, and New York from a variety of disciplines. In fact, when I lived in the area I interviewed there but ultimately decided to relocate to take another opportunity elsewhere. I do believe however that members who may work there are probably won't comment to maintain their privacy. Anyway, OP, HUP is a great place to work. Top of the line facility - one of the very best in the nation - and there's lots of pathology so you'll get a good experience.
  6. Neuro Guy NP

    Shortest NP program

    No need to go to a school that will cost an arm and a leg. I don't advocate that anybody break the bank. A reputable state school will do just fine (emphasis on the word reputable though). It should also be noted that "certain" programs - let the reader use discernment - are usually the ones most notorious for costing a _______ ton of money. We're not being Debbie downers, just realists. Nothing said earlier was untrue and it's this exact mentality that's hurting the profession - the quick and fast mentality of instant gratification with minimal effort not present elsewhere. If you can't put forth the time to properly invest in the training, then you simply can't be an NP. That's why there are barriers to entry. We have to remember that we have patients' lives in our hands and it is incumbent to do the best we can in our preparation. Having this licensure, as the state BON will tell you, is a privilege, not a right. So if you can't properly put forth the time and effort, a different easier career should be considered. And to be honest I don't care if that offend some because it is the truth. I tell it to my students and people interested in nursing. Ours is an honorable profession and we need to protect it.
  7. Neuro Guy NP

    FNP no longer allowed to practice inpatient

    I'll concede there are more PAs in the OR, but again ACNPs can do just as well. Clinical surgical rotations in school even for PAs just aren't long enough to really be able to say with a straight face will make you proficient. So both providers can be trained after school to do well in the OR. Just because something has traditionally been a certain way doesn't mean it's better. And here in the northeast it's very common to see surgical positions listed for ACNPs. Maybe not in your area, but here it is. I've spent my fair share of time in the OR when I did neurosurgery. Now I'm strictly Neurocritical. Again, this is just an old stereotype that just doesn't hold true anymore. It's a stereotype from the time when FNP was pretty much the dominant NP type - there weren't any ACNP programs. I would take a PA over an FNP for the OR because of the educational background. Just saying.
  8. Neuro Guy NP

    FNP no longer allowed to practice inpatient

    I don't think the PA can do more procedures, as for example I do the full range of critical care procedures including bronchoscopy, intubation, EVD insertion, etc. Just not true. I do agree, however, about ACNP having to choose adult or pediatrics. That is true. A couple neurosurgery groups in the area only hire NPs. Otherwise, within a specialty, it's a misconception that PAs have something to offer that we don't. I'd very much like that misconception to die. It's high time. I'm not the only NP procedurally well prepared either that I know, so it isn't a fluke.
  9. Neuro Guy NP

    FNP no longer allowed to practice inpatient

    I think ACNP is just fine for acute care. That's the whole point of the degree. And you can do outpatient specialty with ACNP as well. I don't see any advantage of PA. The main reason people like to talk about versatility in my experience is changing specialty, but who really does that? Who wants to spend 5-10 years building a knowledge base and expertise in a field only to switch to something else and be a newbie all over again? Besides, if I see someone who radically changes specialty (derm to cardiology to GI, not hospitalist to LTACH or ICU to hospitalist, which are more changes in setting of one specialty - internal med) several times throughout a career, I'll show you someone who probably hasn't mastered any of them. Rationale: it takes a long time to build an expertise and if you keep changing, you're not getting the time to truly build and hone that expertise before you're off to the next venture - jack of all trades master of none. We see our physician colleagues stick to a specialty, and that's for a reason. So I think if you carefully reflect on what you want and decide thereafter, the degree choice will be fine. The problem is that too many embark on a path without having an idea of what they want, hoping to figure it out, much like college kids who take two years to figure out their major - costs time and money and may lead to dissatisfaction with the choice. I advocate for prospective NP students to shadow, double up on a rotation of interest to see if that's what you'd want for your career even while in school. ~end of tangent~
  10. Neuro Guy NP

    Shortest NP program

    Yes please don't worry about program length. First find a high quality program and the rest will follow. Nothing in life that is worthwhile is quick or easy. If timing is a concern because of other obligations and you need to quicken things to learn the pain of managing school and life, perhaps instead find a quality program where you can go part time.
  11. Neuro Guy NP

    FNP no longer allowed to practice inpatient

    Same in this region. No FNP for inpatient in Philadelphia, New Jersey, or New York City. ACNP only. New York actually licenses you according to your specialty. So your registration says "NP in Acute Care" or "NP in Family Health" etc
  12. Neuro Guy NP

    Surgical procedures - NP

    There are many posts on this on this board already. Do a search and start reading through them abs you'll find some valuable information. You got some really good answers to some of your other questions, now is the time for some independent research.
  13. Neuro Guy NP

    NP residency and salaries

    Not sure I would agree completely. ICU jobs most certainly tend to pay more than primary care NP jobs.
  14. Neuro Guy NP

    CRNA to ACNP or FNP repost

    Besides, as a CRNA you'll find the ACNP curriculum more interesting to you anyway as compared to FNP. Those attracted to CRNA are more of a acute care 'type' of folk and the FNP curriculum with its focus on primary care and outpatient issues would likely not be of great interest to you. I am willing to bet on that one.
  15. Well keep in mind that most ERs will prefer FNP due to the ability to see children. However, many NYC hospitals have pediatric ED separated from adult ED, however, again ED is typically marketed as FNP opportunity so you may have some difficulty getting past recruiters. It's not impossible, though. You would be wise to advise interviewers that you do not see children if you are an ACNP. It would be bad if that were a surprise and you are asked to see a pre-pubescent child. (As an ACNP myself, I'll see a child as long as s/he has reached puberty and it's not a super specialty problem, e.g. leukopenia in a 13 yr old cancer patient. There's nothing saying ACNP can only see 18 and over). Furthermore, some EDs have the PA/NP staff cross cover adult and pediatric ED. Not many, but some do. Many EDs - especially private groups like Envision (which encompasses former companies like EMA, etc.) - have quarterly productivity bonuses in addition to salary. As a new grad you could probably start with ~ 120k. ED is usually three shifts per week too, so if you wanted to do a fourth shift every so often after getting acclimated and getting into the groove of the provider role, you could make extra. After all ED is one of those where help is always needed. If you ended up doing a fellowship like at R. Adams Cowley Shock Trauma Center you could probably get more money, but obviously during the fellowship you'll make peanuts. I do not know anything about psych.
  16. Neuro Guy NP

    How old can a letter of recommendation be for FNP school?

    Not only that, but since you'll have RN experience, many programs will want a letter from a manager or supervisor or someone who can attest to your clinical acumen. It is good to have someone like an old professor who can attest to your academic ability, but the further out from school you get, the less weight the letter may have depending on the school's outlook. The school may think that the professor has not been updated on how you've done since school and give more weight to the letters from current managers or supervisors or others in a position to evaluate you currently.

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