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DTWriter's Latest Activity

  1. DTWriter

    Have Not Worked Since Graduating Nursing School

    How should OP address the gap year without disclosing that she had kids? Jason, how did you address your gap (if you were asked about it)? To everyone: How should the OP address the gap year without disclosing that she had children? Or, should she go ahead and reveal that she had children? How should any nurse address the gap year without disclosing a medical reason? Unfortunately, in healthcare, I have seen employers eliminate job candidates due to medical reasons, even when these reasons have been resolved. But, not disclosing medical reasons and just having a gap year can raise eyebrows
  2. DTWriter

    New grad Nurse quits nursing

    OP, are you open to trying another field in nursing? How about a field that deals with adult patients? Are you willing to relocate? So far, you had jobs dealing with sick children, which probably included crabby, over-the-top, "Karen" parents. In some states, after 6 months of nursing experience, you can move on to a non-clinical position. When you were studying for the NCLEX, was there a particular topic that you found interesting?
  3. DTWriter

    Ruining My Career?

    OP, you do what is best for you. An RN does not need years in med-surg, let alone start in med-surg. Would having med-surg experience make it easier to go to other fields? Well, yeah, because they are lazy interviewers and lazy recruiters who cannot, or unwilling, to connect the dots when dealing with a job candidate who is going from one specialized field to another. Nevertheless, there are employers out there who will accept literally any type of RN experience; so, if you are willing to relocate to find those employers (if the need arises), do not worry too much about the possibility of, say, going from DM education to something else. At this point, this would be doing things backward, but jot down what you are looking for in a nursing position (without looking at the qualifications for your DM position), and then see if the DM position aligns with your needs - not your friends' needs, your needs. Consider the pros and cons of accepting this position and really ask yourself if you have the cajones to address the cons if they come up. Side: You are not alone with not liking bedside nursing, and do not feel guilty for doing so. As you already saw, there is more to nursing than bedside nursing.
  4. DTWriter

    Best NCLEX Prep 2020

    A couple of decades ago, Kaplan was (imo) the ****; now, with the exception of its decision tree, it is just (imo) *****. UWorld is currently the go-to (along with other study materials).
  5. DTWriter

    Lazy patient

    One of the many woes of bedside nursing. Assuming that the patient is lazy and not just tired and needs help - Imagine if you tell this patient "no." Shields up. Red alert.
  6. DTWriter

    Stood up for a phone screen

    OP, good luck but keep this in mind. Usually, but not always, but usually, management treats you the best during the interview process; from there, treatment goes downhill. If they are treating you this badly now, imagine how they will treat you when you are an employee. Even if there was an emergency, the recruiter should have sent you an email to reschedule.
  7. DTWriter

    Is this a hostile work environment?

    That's the dark side of nursing for you. Live, learn, and get into a better position elsewhere. Side note: Whistleblowers tend not to last long. In the future, if you are going to report a violation, and you are not a favorite of your employer, be prepared to vamoose. Don't believe the farce of reporting being a learning opportunity - it should be, but, in reality, you will be putting a target on your back. Report when necessary (i.e. witnessing a narcotic diversion, obvious patient abuse), and still be prepared to vamoose. Unfortunately, even those with legit reasons to report will have a target on their backs.
  8. DTWriter

    Nurse Practitioner Needed/Not Needed?

    There is a need for nurse practitioners... for experienced nurse practitioners, that is*.
  9. DTWriter

    Nurse Practitioner Needed/Not Needed?

    There is a need for nurse practitioners... for experienced nurse practitioners, that it. There are stories of new grad NPs having to leave their home states for employment, but, it is their home states' loss. Down the road, their home states' politicians could cry about the lack of providers for all I care. As a new grad, I am likely to leave my home state for employment, but, on the bright side, the other state is more appealing.
  10. OP, I get what you are saying. Ultimately, I want to work in an urgent care position because, quite frankly, I want to "treat them and street them," but getting there usually requires a year or two years in primary care. In fact, several speciality positions request a "one-year post-graduate experience." If you are lucky to get a specialty position from the start, great. If not - Think of it this way: You spent (maybe) 6 years as an elementary student. You spent (maybe) 3 years as a middle student. You spent (maybe) 4 years as a high school student. You spent x amount of years as a college student, and now you are about to get your FNP license. Would it hurt to spend just one more year in primary care before you get into a specialty that usually requires one year of primary care experience as an NP? How just 6-9 months more in primary care before moving on?
  11. DTWriter

    Family Practice or SNF

    Not too long ago, another facility attempted to get me to work as an APRN (as needed) and as an RN as needed, but more so as an RN "because the other NP did it," but they would have paid RN salary when I did RN work It was not an SNF, but, still...if one facility had the idea to do something like that, could another try the same?
  12. DTWriter

    Help- Minute Clinic or Planned Parenthood?

    With California, most employers will not look at you if you do not already have the CA NP license.
  13. DTWriter

    What to do about DNP and flu shot?

    Depending on where you live, you may find an organization will not force you to get the flu shot, so long as you give a "valid" reason (i.e. religious reason); HOWEVER, you will probably be required to wear a mask for your entire shift. With my former employer, employees who refused to get the flu shot had to wear a mask or were terminated. _______ Are we being punked? Will our comments appear on Jimmy Kimmel or Jimmy Fallon? If so... Each time I get a shot, I will think "Kobe." Each time I give a shot, I will think "Kobe." And, if the patient is cool with it, I will say "Kobe" - I hope that saying "Kobe" when giving a shot becomes a nursing trend. That would be awesome.
  14. DTWriter

    Family Practice or SNF

    Hello, I am a new grad FNP having trouble deciding between a family practice or an SNF. Context: I currently live in a state that is practically an anti-new grad state. After searching within my home state for some time, I decided to apply out of state and got a bite with a family practice. No guarantee offer with the family practice yet; they want me to get their state's NP license first. While waiting for the other state's NP license to be approved, I received an email in regards to an NP position at an SNF within my home state. ______ Now, I am leading towards the family practice clinic. I want to work with adults and children and be in a marketable position after 1-2 years for walk-in clinics. However, there is not much information on the family practice clinic. No glassdoor reviews. No indeed reviews. (Though I am aware that anyone can claim to have work for someone and then write a good or bad review online, they tend to help me weed out bad employers.) Their yelp reviews are average patient clinics (i.e along the lines of "They did not answer my phone calls~" or "They did not give me antibiotics when I had a cold.") The practice currently has a couple of clinics with plans to expand. Honestly, I think it would be a great opportunity to see how clinics are built from the ground up and be one of the first ones but it would be a huge financial risk. The other state is one of the top three most expensive states to live in. (Sorry for the vagueness; this dilemma is currently happening and I do not know who may stumble upon this thread.) Below is a list of the pros and cons specific to each position. Family Practice - PROs -Adults and children patients (or, at least the chance to see children) -The chance for office procedures (if this is also the case for SNFs, please let me know). Family Practice - CONs -The front desk decides who you see; they may add walk-ins without consulting you -Patients are expected to return. If they are not returning, then you must be doing something wrong, and the fact that they prefer to be seen by the doctor has nothing to do with it~ -Expected patient load. This practice expects providers to eventually see 4 patients per hour. SNF - PROs -The patients are set. It is a matter of meeting a quota per week and hours are flexible; likely 15 pts. per day -See the same patients with occasional new ones SNFs - CONs -If it is like bedside nursing. Assessing, diagnosing, prescribing OK, but, being the RN as well? No. Just no. I hate bedside nursing, not so much the patients but their relatives who think that the nurse is also their nurse I don't know how well-staffed the SNF is but it will be a deal-breaker if they want me to work as an RN as well. -Unlikely to perform office procedures (maybe wound care?) Now, as a new grad, I realize I am in a "beggar cannot be chooser" position, but, if given the choice, I want to choose the position where I am likely to succeed, stay at least 1-2 years, and then be in a position to move on up. So, if I am in the position of having to choose: Should I risk going with the family practice with not much information on it? Or, should I go with the SNF which may prevent me from being considered for positions where providers need to see children? I have some ideas to remedy this (i.e. doing volunteer work), but, what is your take? Extra info: Family practice's orientation 2 months SNF practice's orientation 3 months Doing both will not be possible at this time.
  15. OP, think of this experience as a "good" bad experience. Now, you know what you do not want for a nursing job. Nursing has different fields; try applying for another one. The next time you are offered an RN position, ask to shadow the unit, during the shift you will be assigned to manage.
  16. DTWriter

    Forced from RN to MA question

    Did they at least bump up your salary? Are they still going to pay you as an RN when you do MA work? Do you have obligations that are preventing you from moving away to areas with better job opportunities (i.e. child(ren), spouse, another relative, etc.)?

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