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pro-student's Latest Activity

  1. pro-student

    ICU Research Project

    They are NOT the same and tbh it’s a bit scary that you don’t know that. It is possible to have delirium in a patient with a history of dementia (it’s typically call DSD- delirium superimposed upon dementia). I would strongly recommend you do some research into these distinct clinical conditions. Maybe a more appropriate topic would be aimed at better understand cognitive impairment in older adults in the ICU (I’ll leave the PICO up to you).
  2. pro-student

    Acute Care vs FNP, advice needed please

    The Consensus Model does not specify setting but rather populations that APNs should be spending the majority of their time caring for. EDs are not considered inpatient either. An FNP can and do work in EDs especially when the majority of the patients they care for have primary care problems/ emergencies. There is also now board certification for ENPs which requires one to be an FNP (regardless of any other APN certification held). They must also have advanced preparation in the Emergency role through either an academic program, residency/fellowship, or work experience. Dual certification is a great option to cover all the bases but won’t necessarily prepare you for ENP certification if that is a goal.
  3. pro-student

    Pmhnp programs that dont "emphasize" GPA

    I think you should absolutely be proud of your accomplishments and I hope I didn't sound like I was diminishing them in any way. I just urge you to be very thoughtful about your potential for higher level study. It's entirely possible that you could be a very successful student but school will want to see some evidence of that before they are willing to admit you. Like I mentioned, a great way to show that (and to help yourself gauge your potential) would be to take a few nursing classes as a non-degree student. You could also take any courses for college credit (for instance, if you are interested in substance abuse, take some college classes towards a CASAC certification) and, assuming you do well, increase your GPA that way. Just please be honest with yourself. Because what would be so much worse than not getting into PMHNP school would be not being able to finish.
  4. pro-student

    Disappointment in NP Program

    I'm all for advocacy but it will only be effective if done intelligently. Such ignorant comments as calling a petition drive and website "basically a law", claiming to quote policy when only screenshotting a executive summary of said policy, and failing to engage in basic critical reading and thinking are not tools of effective advocacy. It's disappointing because our profession deserves better. If you like a more detailed discussion of the errors and assumptions that you and your overly zealous advocates have made, feel free to read through this thread. Basically, there are not substantive changes in the new accreditation standards requiring schools to take a more active role in the securing clinical sites for students. The CCNE makes careful (indeed expert) use of language including the passive voice to make it sound like they have acquiesced to the requests of the Sawyer Initiative without actually changing policy. In fact, a compelling case could be made that the new standard actually make clinical requirement less stringent since they replaced language that would require clinical experience to be structured for students to achieve competence. A stronger argument could be made that they paved the way for shadowing to be considered adequate clinical experience and thus taken a major step towards weakening clinical nursing education. Bottom line, if I am wrong and you're right. Why did the CCNE exclude the stronger language and commitments they have allegedly provided in personal communication and summaries of the standards for the actual standards themselves? Likely, because they are able to do so and the ignorant advocate are blithely unaware of the wool being pulled over their eyes. In fact, without making any real changes to nursing education standards, the masterful PR at CCNE has turned the "advocates" into their own cheerleaders all without having to give an inch. Yes, advanced practice nursing education, as a whole, is in a dismal state. But being naive and uncritical is doing no favors in advancing the cause.
  5. pro-student

    MAT program

    This is not true and reflects a gross (although unfortunately not uncommon) misunderstanding of the Consensus Model and NP Scope of Practice which makes the distinction on patient population and not setting. Aside from state-specific issues, ACNPs should be focused on adults who are acutely ill +/- chronically complicated. I would say detox would be appropriate but an outpatient clinic would depend a great deal on how much collaboration their is with mental health providers. If the position is to provide ongoing care for chronic substance abuse patients in lieu of a mental provider, then that would not be appropriate. But if the position is to manage medically complex patients, treat primarily their physical symptoms, and mental health providers are also involved in their care, then it would likely be appropriate. Overall, the most important consideration is that the provider (OP in this case) has training and experience in the care being provided which could include OTJ training/supervision.
  6. pro-student

    Disappointment in NP Program

    Wow! This is one of the most ignorant and uninformed things I have ever read. The “Sawyer Initiative” is one NP’s personal attempt at petitioning the CCNE to change policy regarding clinical placement requirements. To placate her, someone from the organization (or so she claims) guaranteed her that policy changed. If you read the actually policy including the changes and her accounts of communication with the CCNE it becomes blatantly clear than not substantive policy change was made and that she is spreading poor information based on her lack of understanding, lack of critical reading, and probably a silver tongue of someone in PR. The CCNE, I’m sure, is happy to take multiple complaints of schools that don’t violate actual policy and file them in the trash. You would have little recourse to challenge any lack of action by the organization since they are acting in accordance with their policies. I agree that there any many problems with NP education, lax admission standards and inconsistent clinical education probably at the top of the list. But it also appears that enough nurses are either ok with the status quo (at least unwilling to take action to make change) or are not knowledgeable of the systems and policies that have lead us to where we are and how to affect meaningful change.
  7. pro-student

    Pmhnp programs that dont "emphasize" GPA

    Without improving your GPA, you are not likely to be admitted to a program other than a degree mill. I don’t know of any grad school that “emphasizes” GPA as the sole or primary indicator of an applicant’s potential but all reputable programs do have a floor of 3.0. The main reason is that in most quality graduate programs, a grade below a B (which is 3.0 on the GPA scale) is failing. Schools know that if you were unable to maintain a B average in the considerably less difficult undergrad courses, you are not likely to be successful as a grad student. So unless you are very close to a 3.0 and/or there are significant extenuating circumstances, your academic record shows you are unlikely to be successful and any school that would admit you it’s probably unscrupulous and unconcerned with producing a qualified graduate or anticipating that you will not finish the program but are willing to take your money in the mean time. It would be wise to honestly consider your strengths and challenges and whether advanced study in a reasonable goal. One option, if you do choose to purse graduate education, is to take some grad courses as a non-degree student. This would allow you the opportunity not only to improve your GPA but also to help you evaluate whether grad school is a good choice and to demonstrate to admissions committees that you’re able to be successful in advanced nursing courses. If you choose courses wisely, they should also apply towards a degree if you are admitted. As you may already be aware, if a school is not approved by the State of New York, you are not allowed to complete clinicals within the state. If you are near another state and are willing to get an RN license and commute, then that might be a viable option. Otherwise, you will want to consider programs that are located in or approve by NYS. (To my knowledge, Rush is the only online PMHNP program that is approved by NY but don’t quote me on that. Their program is also a DNP and probably not the best choice for you.) Best of luck in whatever you decide.
  8. pro-student

    MS in Health Informatics to MSN/ DNP Family Nurse Practioner?

    There's no bridges for non-nursing master's degrees. Most schools have a policy on transfer credit for specific courses if there is a very close match or if your degree includes elective credits. Although, most FNP programs won't have much overlap with a non-nursing informatics degree not do they usually include electives. So chances are you will be starting fresh. Your best bet would be to ask the schools you're interested in directly but it would be safe to assume little or no course exemptions.
  9. pro-student

    Graduate level courses

    Most schools have some provision for this. Your best bet it to check out the school(s) you would be interested in attending if you decided to pursue a degree. That way your courses will count for something, you'll gain insights into the particulars of the school/program, and can sometimes work to help improve you application if you do apply for a degree program.
  10. pro-student

    MedLife Institute

    Run away! It's not worth it. Whatever reason you have for wanting to attend this particular school for convenience are not worth the likelihood of being poorly educated and unprepared for the demands of nursing. Have some respect for the profession and yourself and choose a school that consistently meets at least the minimum educational standards.
  11. pro-student

    Future of Nurse Practitioners

    WOW! It's interesting to me that would criticize my use of "fancy words" in the same post as you bemoan the decreasing standards of NP education. (I think that's what you were doing. It was a little difficult to navigate the typos and poor grammar.) APRNs are prepared at the graduate level and I don't see a problem with vocabulary that matches that educational level. I don't think intellectualism and nursing are incompatible. The examples you give don't refute my claim. There is still no SINGLE, STANDARD way for an NP to demonstrate competence in a specialty area like cardiology. The fact that you provided links to two different sources should make that clear. Also, the board you provided a link for would not be considered "board certification" as utilized by physicians. When they speak of board certified cardiologist they are referring to someone who as undergone certification by the American Board of Internal Medicine after completing both an internal medicine residency and cardiology fellowship. My point is there is no similar credential that is universally recognized for NPs in cardiology but there is a hodge podge of certificates, exams, continuing education, NP residencies/fellowships that one can pursue. I will concede that the link you provided does refer to "cardiac nurse practitioner" but is not widely recognized and is fairly obscure.
  12. pro-student

    Racial Discrimination In The Nursing Profession

    According to MinorityNurse.com: "How do minority nurses self-identify? 9.9% of RNs are black or African American (non-Hispanic); 8.3% are Asian; 4.8% are Hispanic or Latino; 1.3% categorize themselves as two or more race; 0.4% are American Indian or Alaskan Native." That would put the total at 24.7% Since the OP use the statistic in her article, it would customary to give some reference or source. It's not the reader's job to make and support the argument.
  13. pro-student

    Racial Discrimination In The Nursing Profession

    Wow. It would be really nice if you could read before you call names. I NEVER said every minority claims racism when they don't get their way. I never even said a single one has. I did, however, say that just because a minority doesn't get his or her way, does not mean racism is at play. But let me ask what is the big picture here? I agree with the OP that racial discrimination is alive and well in nursing. But is the point just to have a pity party? Because, my point in asking us to think critically about claims of racial discrimination is not to deny them but to suggest that, if we want anything to change, we are going to have to do more than make claims. Can you honestly tell me someone who is skeptical about racial discrimination would believe the OPs account is an example of such? Of course they won't. If we want our claims taken seriously (and apparently that's a big IF because most posters on here seem to just want to express pity) then they need to be credible and reported to the agency that has a responsibility to take action. If someone experiences racial discrimination in the workplace, odds are it is not limited to just one person. My reporting allegations, incidences can be formally documented, claims can be investigated, and patterns can be established. All of this will go much further in weeding out discrimination than a long list of sympathy notes. That was my only constructive criticism of the article. It suggest individuals can pursue civil litigation but never advises involving the EEOC. And the example in the article is easy to dismiss by those skeptical that racial discrimination exists. Look, you can attack me personally because you think it is insensitive or unfair for the burden to be on the person who experienced discrimination. But guess what? It is. And if we want anything to change we can't shirk that reality. However, the consensus on here seems to be that we just want to comment on situations we feel we discriminatory. Great, that's totally fine. I'd call that preaching to the choir but choirs need preaching to. My argument is that to get anything to change we have to involve people who are not going to believe a claim of racial discrimination just because. The OP wrote an informative article which is fine is that's the goal. She informed us that racial discrimination exists and told her story. Nothing wrong with that. BUT, to change anything we need a persuasive article that can inspire meaningful action. Maybe the OP doesn't want to do that. That's fine. But I was taking the opportunity to move the conversation into a discussion on what can we do now that we know racial discrimination exists in nursing. STAFF NOTE - EDITED QUOTED POST DUE TO EDITING
  14. pro-student

    Subjective vs. Objective Data

    Both you and Muno have incorrectly described the distinction between objective and subjective data based, I would conjecture, on a misunderstanding of the clinical definitions and a conflation with the lay definitions. If a pt reports a BS to you, its still a pt report and therefore subjective. If a nurse observes a pt is lethargic, that's still objective even though there is some degree of variability between what clinicians would regard as lethargy. The key difference is the source of the data and not the data itself (Bates or Jarvis will both confirm this so you don't have to take my word for it). If you disagree, that's fine but still makes you wrong. And if the internet has taught us anything, its that two people with incorrect ideas don't make something correct. I'm terribly sorry if your "ADN and BSN programs" taught you wrong but you have the opportunity to learn and grow or argue from ignorance. Either way, its no skin off my back. I answered the OPs post because I understand this is a confusing concept and appreciate people who seek out answers and are willing to learn.
  15. pro-student

    Subjective vs. Objective Data

    Susie2310, you're still misunderstanding that there is a difference between objective vs. subjective in the clinical sense as opposed to the vernacular. There is some degree of clinical judgement involved in most assessment findings. But the expectation is that clinicians have the perspicacity to make such judgements. I'm not trying to condescend but comment on inaccuracies. If you don't want to learn anything, feel free to ignore my posts.
  16. pro-student

    Which DNP program do I pursue?

    Don't do FNP if you don't want to be an FNP. Sure a few more jobs might be open to you but they will be jobs that require the lifespan scope. There is this erroneous idea out there that FNP somehow is more marketable but its is only more marketable for jobs that expect you to see pts of all ages. Additionally, most specialty practices are different for adults vs children. FYI, adult specialties include caring for women who make up roughly 50% of the adult population (and often seek healthcare services more often than men). It may not apply to your future specialty area but expect to learn how to provide at least the fundamentals of women's healthcare services (paps, pelvic and breast exams, contraceptives possibly antepartum/postpartum care). As for acute vs primary care AGNP, it depends on what specialties you're interested in and the setting(s) you'd like to practice in. This might include only inpt coverage, only outpt clinics, or a mix or in and outpt. Both are often hired into specialty practices. Primary care NPs are really only prepared to see outpts and more and more locations are restricting privileges for those without acute care certification/license. Also bear in mind that you can add another specialty fairly easily after you are licensed. If I had to choose, all other things being equal, I would probably suggest the acute care just because you would be prepared if a specialty practice wants you to see inpts. ACNPs can also see pts in clinic as well so you might be giving yourself the most latitude with respect to finding a position in a specialty.

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