RNBSN11

So sorry this happened to you. I would definitely try to take a deep breath, get up and dust off your clothing as it was a little stumble. It was also an experience that you can use as ammunition for the next round. I would certainly consider registering for the AANP exam. I certified through AANP and found their exam focused more on clinical knowledge, which was the reason I chose to test with them. But it's a personal preference, unless job required to have ANCC. I would recommend additional sources, and study based on weaknesses and knowledge deficits. I used Barkley CDs during my long commutes to classes, but even just when in the car around town. I found that course to be helpful! I also purchased Fitzgerald's online course review, and found that a few of her questions were on my exam. However, I found her review only focused on a select few topics that didn't give me a new grad review. Perhaps more for a practicing NP refresher course. Not it sure if this is going to be helpful to you, but do not let this discourage you. You have worked hard and YOU WILL SUCCEED!! One little side note: When I sat at my testing desk, with my blank paper and pen, I wrote down an important phrase that was relayed to me a few years prior. It looked back at this phrase during my exam, and it kept me motivated. When you return to re-test for your certification........CONQUER IT!!!!!!!!!!!!

I would definitely start the process during middle or latter part in your last semester. Certainly evaluating job market for the area. See if the area also has an NP program, as it may make it tougher if competing in a new market with local candidates. Be certain that you know the process for licensure in the state you plan to reside (i.e may need to have your RN license in new state first). It may cause a delay in career and income. Best set of luck to you!

NP's in Texas are required to have a collaborating physician and a prescriptive authority to then be able to prescribe DMEs, dangerous drugs (formulary) and controlled substances Schedules 3-5. We are "given the authority" to do so by said collaborator delegating these tasks within a prescriptive authority agreement. We can only prescribe what is "authorized" within that agreement. Not really autonomous practice. Texas Board of Nursing - Advanced Practice Information

Texas is also a 'restrictive' state, indeed frustrating. Thank you for the great article.

That is correct. However, my FNP program does not provide formal training for care of emergency room patients, but does for Urgent care. In Texas, per the Board of Nurses, ER is outside the scope of practice for a FNP without formal ER training. Therefore, the post-master's emergency/trauma formal training would then expand the scope of practice allowing both the needed hours worked in ED and working within scope of practice. I speak only for my FNP training in Texas and referenced Texas Board of Nurses guidelines.

The University of Texas Health Science Center in Houston offers an Emergency/Trauma program as a Master's and Post Master's. I have included the page info link. https://nursing.uth.edu/prospstudent/msn-postmasters/emergency/

I would NOT agree to a 2 month orientation without pay. This physician sounds like an inconsiderate jerk that only values his own time! He likely would not be a great mentor when one is needed (during those first years).

I do not give my cell number to patients.

I am so sorry. I know this can be very upsetting, but also perhaps a learning experience. FIRST, take a small break and then gather your thoughts. Do you usually do well on exams? Did your school have you take HESI exam? During the testing, did you see a pattern of areas of weakness? Perhaps material or concepts that you didn't remember, or had NEVER heard prior? Were you able to maybe narrow down to two answers? I would try to focus on the weak areas and not much on the stuff that you already know. I used Fitzgerald online review and had been given a Barkley book with CD's. I had a long commute to NP school, so would listen to the Barkley CD's during my drive and found it very helpful. I hope this is helpful.