SlyFoxRN

I can tell you they are now part time only and full time is not an option. They are also very cheap and tend to get mixed reviews on AN.

I was talking about in restrictive states though, where the agreement is required. So if that is the offending comment I certainly didn't intend for it to be. As I said, I was referring to the example that had been previously posted, which was revealed to be a PA.

Juan, I'm very confused as to why you just responded to me in such a hostile manner. In the previous comment, you stated you weren't sure "how it came up" and I was giving you my viewpoint. I don't know if you misunderstood my comment or what, but I don't think having a constructive conversation and putting forth my views on an issue amounts to "schooling you" on NP issues, especially when I thought I was answering a question you just asked in your previous comment.

My guess is that in this state, a practice agreement must be drawn up between the NP and their supervising physician (aka: more restrictive state). For normal prescriptions involving patients of the clinic, the NP can write the prescriptions without permission because it is covered by the practice agreement. In this case, the NP must have written for a family member who did not come to the clinic, thus was not covered by the physician practice agreement. Hence, an NP writing a prescription in this case is doing so without the permission of a supervising physician. Total BS, but chances are they wanted to bust the NP for prescribing to family, but since there is no outright law preventing that, they used this "loophole" instead. Again, this is why if you DO have to prescribe for family, you cover your butt by ensuring you have an established patient record.

This reprimand is not for prescribing to family...its for prescribing without physician authorization to a family member. In a independent practice state this would not occur.

You know, I'm always so annoyed by physicians that paint a whole group by one incident. You answered one question incorrectly so now she wants to hear from no NP studwnt ever again? If a med student made the same error would all med students then suddenly be undeserving of her time?

Self-prescribe - no. It's questionable, and while I don't think there is any law per se, most nursing boards have "position statements" on it and list it as bad practice. Family members/friends - again, there are position statements on this. The main issue is an established provider-patient relationship. If a friend/family member calls and asks for a specific med, and you fill it, there might be an issue if the pharmacists reports it and the board asks for patients records explaining why you chose that med. Not having the records is a big no-no. So, while I still don't recommend it, if you had a family member that needed something, you could always establish an official record. Bring them into your office, examine them, chart it, and then prescribe. Everything would be above board then - I've read of many other MDs/PAs/NPs using this method to ensure they have a paper trail.* *Not legal advice and simply my own observations. Do not attempt anything that may jeopardize your license.

Clarkson requires experience FYI

Oh really? Where did you find that info? I've been looking all over but can't find much on it..

He'll come around. Lots of people - MDs, Med students, NPs, RNs, PAs - make mistakes. He understands you're new, and I think he's just a little concerned that you answered without knowing. If you're really worried, go talk to him when you have time. Tell him you were nervous and spoke without thinking, and that you will not make that mistake again. Tell him you know you made a mistake and that you will try to earn his trust so you can work together well. I'm sure he will appreciate that, and look for him to try to trip you up again and see how you handle it. Say you don't know!

I'm applying for Fall I think. Not sure yet. What made you choose it?

I took Orgo, Micro, A+P, labs, and a foreign language in the same semester, all at a top 20 ranked private school. It wasn't fun, but I did it without much trouble. As long as you set your mind to it, you can do anything.

I would also like to add that I don't blame you for hating hospital work. Hospital RNs are simply not treated well - long horrible hours, bad pay, administration that will treat you as the scapegoat for any issue as long as it protects their precious physicians, etc, etc. And even if you do find a place that treats you well, as you said, bedside nursing is just not for everyone. I went into nursing thinking I would be doing a lot more thinking (after all, they teach so much patho/pharm, etc in nursing school) and yet when I landed my first job I realized it was much more labor intensive than I had hoped. I don't enjoy hard labor - I don't want to stand on my feet, lift patients, etc. I care too much about my body to damage it that way, so floor nursing is not for me. I have found alternate (non-hospital) RN positions and will become an NP ASAP.

RN and NP is very different. Many of the top NP schools (Columbia, for example) have direct entry programs where you get a BSN and MSN in one. Being an experienced RN will certainly help as an NP, as you will have a huge source of previous knowledge to draw on. You will remember what certain illnesses "looked like" and how the patient acted and presented themselves, and you will recognize those symptoms in patients as an NP. In addition, you will have years of seeing treatment protocols in action, seeing what worked and what didn't, and how different medications/treatments affected patients. This is all extremely valuable. Despite that, being an NP is entirely different than being an RN. As an NP, you spend a lot more time researching/thinking vs following orders. It's a whole different role and RN experience can only help to a point. PAs, MDs, and DOs are not RNs first and they do just fine.

Think of it this way: so what id you're 40 when you graduate nedical school...you'll be 40 anyway! Might as well be an MD.