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.

It doesn't tell you anything about how they will act once on the job - it is a one time incident, and until a pattern is established, I do not agree with the human desire to hastily pass judgement. If I were the hiring manager (and this were a candidate I was impressed with before the email) , I would simply respond to the email and thank them for expressing interest, then ask some random follow up question that I didn't ask in the interview. If they responded professionally, I would assume the previous email was a fluke. If it the grammar was poor a second time, then obviously I would move on if grammar/spelling were a necessary component of the position. Now, as humans so love to do, carry on berating me with your mob mentality for being a decent person unwilling to resort to snap judgements. Please, the more the merrier - the bandwagon effect is mildly entertaining.

I think I've made it quite clear that I am not an NP, so I will thank you for finding a different venue for trying to attack me for my views as you so often do. You're obsession with stalking me from one post to the next is starting to become amusing. I do not have to be an NP to see how few clinical hours are required for NP programs - some as low as 500, with the average being around 600 or so. Assuming a 40 hour work week, that is FIFTEEN weeks of full-time work to go from RN to someone in charge of diagnosing and treating patients. Meanwhile, PAs have over 2,000 hours of clinical time, and physicians, with residency, have tens of thousands. So no, no matter how much you want to protest otherwise, no nurse practitioner is ready to be an independent provider fresh out of school after spending only 600 hours in the role. Can NPs be wonderful, competent providers? Of course - but only after many, many more hours of practice. To argue otherwise would be ignorant. I'm a huge proponent of NPs, but I would never let one come near me fresh out of school with no physician oversight.

You're welcome. Don't let him bother you like that! His opinion doesn't matter. Think of this way: you're a new NP eager to learn and give high quality care to her patients. He's a physician who hired you yet won't give proper training. Which one of those people is inept? I'll give you a hint - it isn't you! A physician taking on a new grad NP has a big responsibility to train that NP. NP programs lack enough clinical hours for an NP proficient upon graduation, and any physician that wants the revenue increase that comes along with having an NP has to be willing to train them. I'm sure you're a great NP, but just like a new grad medical student NEEDS residency, you NEED a physician, NP, or PA willing to take you under their wing for a while and help you blossom into a capable provider. You will get there, do NOT doubt yourself - you just have to find a supportive teacher to help make that happen.

I just wanted to randomly say that I like how the tv cord has a loop that makes a perfect heart.

I'd start looking elsewhere. That isn't a supportive environment. I'm not an NP, but I read these boards frequently and many people share their work stories. From what I've seen, you're arrangement is actually NOT common. Most physicians, when they take on an NP, realize that they need to train them so that they can trust them to take care of their patients. A good physician knows a capable NP is worth his/her weight in gold, as the physician can feel comfortable in leaving them to work autonomously when they must be away. For a new grad, this competency only comes through a mentorship with the collaborating physician, since NPs lack formal residency (which needs to change). From what I've seen, many physicians give a few weeks of working WITH them so you can learn how they tend to prescribe and treat in their office. From there, you go alone, but the physician is usually happy to be a resource. You should never feel afraid to ask questions, and I feel the environment you're in is VERY bad for you. You won't learn as much as you should, which could jeopardize your license and career if you mess up one day and the physician doesn't have your back (which it sounds like he won't.) Start sending out applications to other positions is my advice!!

It makes you more desirable. Shows them that another school wants you and you clearly have what it takes to go to CRNA school. If the other school is a peer/higher ranked program, it looks good on you.

No no no, my point in bringing up the power thing is just to give an example of the worst case scenario. Whether he is in dire straits or not is a moot point. I simply take issue with the way human beings, in general, behave. Humans are just very judgmental creatures, and I dislike the way they try so hard to make life as hard as possible for everyone else. Why do humans enjoy creating barriers and red tape for others? We all lambast the beauracracy of everyday life, yet when given the power to change it, we impose those very same restrictions on other. I find it deplorable. If this guy doesn't seem capable, by all means, consider a different applicant. If, however, this was an isolated incident for someone who is otherwise capable, then simply give him the benefit of the doubt. Human beings are not perfect - we can not be expected to be perfect at all times, even when it comes to job interviews and random thank you emails.

Now see how you people behave? First, when did I ever say anything about taking care not mattering? Obviously we should all take great care in presenting ourselves professionally, so I would thank you to not attempt to extrapolate things from my words that I clearly did not say. Furthermore, not capitalizing a few letters in an email should not lead one to the harsh judgement of a "lack of motivation to do anything." Human beings are so quick to lay judgement on others while failing to see their own flaws..

Correcting someone and not hiring them are two completely different things. I fail to see the correlation. My point is, I'm just sick of this stuck up attitude regarding everything humans have to do in life. Was it unprofessional? Of course. Would I ever do something like that? Never, I'm extremely proficient and always use correct grammar and punctuation when I can. Regardless, it always seems like people just throw others to the curb for the simplest of things. If this potential applicant used correct grammar and communicated well during other written communication, why not give the benefit of the doubt? I realize my opinion is unpopular here - I'm used to my opinion being unpopular as unlike the other "sheeple" I deal with on a daily basis, I like to think outside the box. I refuse to follow convention simply because "that's how everyone else does it." Having never met this potential applicant, I do not know what other flaws/strengths he had, but if I were impressed otherwise I would not stop considering him for a position because of something as silly as failing to capitalize my name.

Hm, I wonder why that happened. Perhaps he wrote it on a phone or iPad and didn't realize autocap wasn't on? I don't know. I can't think of an excuse for it, but it always saddens me when people judge people so harshly for something so simple without knowing their life circumstances. The world is simply too hateful - we have too many hoops we force people to jump through and too easily cast them aside if something isn't perfect. Should mistakenly not capitalizing a few words ruin someones career, perhaps jeopardizing a position they may have been depending on to avoid being evicted or losing power? I do wonder...but perhaps it's because I am the type that prefers to defy convention and not rely on the pasty American way of faux perfection and pleasantries in all that we do.