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Palliative Care, DNP

Palliative Care, DNP

Family Nurse Practitioner
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Palliative Care, DNP specializes in Family Nurse Practitioner.


Palliative Care, DNP's Latest Activity

  1. Palliative Care, DNP

    What do you hate about nursing and why?

    My biggest complaint is that healthcare has become the equivalent of the Burger King drive thru. Patients come in and order Care their way. Providers are expected to bow and give them whatever they want. It is no longer about doing the right thing but avoiding having the Patient Advocate called.
  2. Palliative Care, DNP

    Prescriptive Auth in SC

    Planning to relocate to SC. Reading through requirements for the state. Am I understanding correctly in SC that you must have a supervising physician before you can obtain prescriptive authority? I thought I would ask here but will follow up with call to SC Board. Thanks!
  3. Palliative Care, DNP

    Schedule IIs

    I was reading an article that said OK, GA, MO, AR, SC, & WV still do not allow NPs to write schedule II prescriptions. Just curious how Hospice & Palliative Care NPs do their jobs in those states? Almost every patient I see requires a schedule II. Just wow
  4. Palliative Care, DNP

    WHNP or FNP in VA?

    WHNP/FNP gives you more options. CNM still relegates you to only women's health.
  5. Palliative Care, DNP

    WHNP or FNP in VA?

    The job market in our area is limited for women's health. I would definitely say the dual program would give you more options. The Hampton Roads area is saturated with NPs. A dual certification is make you stand out. If you end up in a rural area like the Eastern Shore you will be doing women's health in primary care.
  6. Palliative Care, DNP

    BSN is a joke

    Honestly, I agree there is a lot of BS in the BSN education. I also felt like there was a lot of BS in the DNP. That said, I put in the work because it was necessary to get where I wanted to go. In life, there are so many things we do simply because they are necessary. The value is determined by you. Are you where you want to be? If not put in the work.
  7. Palliative Care, DNP

    what is the cost to become an NP when you already have your BSN?

    Completely depends on the program you choose to attend....Look up programs you are interested in and then tuition/fees.
  8. Palliative Care, DNP

    nurses not using stethoscopes

    I would like to tell you that this is only an issue with RNs. Unfortunately, during my orientation as a new NP most of the NPs & MDs training me never utilized a stethoscope. However, all charted physical assessments. I was absolutely astonished.
  9. Palliative Care, DNP

    "Do you want to live?"

    Goals of Care conversations are part of my daily routine. Patients typically do not understand that DNR does not mean we stop treating the illness. I typically advise them that all measures continue unless/until their heart were to stop. I describe what a CODE would be like for someone in their condition. We have CPR pamphlets with statistics advising the odds of CPR being successful. We always address Advanced Care Plans (ACP) as it is imperative to appoint someone to make decisions should you be unable to do so. Not every patient wants to appoint their spouse as he/she may struggle to make choices the patient would want. Most patients are grateful to have had all of the facts and information given to them to make the best decisions in regards to their care. Many hospitalists that I work with struggle with these conversations and often leave patients confused.
  10. Palliative Care, DNP

    Do You Have a Toxic Boss? (eyeroll)

    My manager is not a bad person. I truly believe that. He simply has zero managerial skills. He is unable to solve issues, deflects if there is one person that doesn't agree, turns every situation around to the employee that questions anything, constantly provides positive feedback, and is a complete company yes man. In regards to feedback, I mean that he constantly blows smoke praising that amazing job everyone is doing. No one can grow without real time honest feed back. Should you approach him with concerns, he will then turn that around blaming the employee with insecurity or lack of confidence. He simply can not trouble shoot or problem solve. But he came to us from Cedar Sinai so we are supposed to be completely in awe and thankful. Well he wasn't in management at Cedars. He was merely a physician. It is the elephant in the room constantly. As long as you are the employee that goes along and questions nothing then you are fine. That doesn't leave room to improve the work environment. He is polite and nice to employees but everyone feels like he is useless to the point we all try to dodge him.
  11. Palliative Care, DNP

    Those who have done distance learning

    I think you should go to loyno.edu and read over what is necessary for entry.
  12. Palliative Care, DNP

    Those who have done distance learning

    I attended Loyola University New Orleans. Most of it was online but we had dates to be on campus every year. I even completed some of my clinical hours in Louisiana. Every semester a faculty member visited each student on the clinical site and evaluated us. I feel that I had the best of both worlds. Honestly, no education can fully prepare you to transition from RN to NP. There is a learning curve and you feel like you are doggie paddling for the first year I am told. I am four months into my first job as an NP. I am constantly learning and asking questions. Best advice is to KNOW what you DO NOT KNOW. New providers that don't ask questions or look anything up are scary.
  13. Palliative Care, DNP

    Best quality DNP education

    Johns Hopkins has a psych program. Very reputable and just $1509/credit.
  14. Palliative Care, DNP

    The View from the Other Side of the Bed: The Family Member

    You pretty much summed up my job daily. Palliative Care provides support, pain/symptom management, and care coordination. We take all the specialty pieces and put that into the big picture for the family. It can be overwhelming with specialists all coming in but only handling their organ (puzzle piece). The challenge is getting the physicians to consult us so we can help from step one. We are not Hospice although we definitely do refer to them.
  15. Palliative Care, DNP

    Patient's family in denial

    Just a typical day for me. I hear this multiple times a day. It doesn't necessarily mean the family is in denial. It does mean they aren't ready for the discussion. Forcing the discussion only makes them stop listening. Meet them where they are. Listen. Be empathetic. Families will start asking questions when there is a change or when they are ready. As mentioned above, most folks think we are the Reaper. Palliative does not mean no Care nor Hospice. We also manage chronic illnesses such as MS, ALS, & Sickle Cell etc.
  16. Palliative Care, DNP

    To all current NP's. What drove you to become one? Advice? Etc?

    What drove me to become an NP? Simple FLOOR NURSING sucks and wasn't going to do that until retirement.