Esnooopy

I know it is a year later, but I'd be interested to hear an update!

Hi folks! I am working on getting my own business up and running to have a part time private practice as an FNP and lactation counselor. Apparently New York State takes the longest to get a PLLC approved - 4-6 months basically! I forgot to take this into account in some of my other planning so I am wondering about ways to practice in some other format prior to the PLLC. I will of course be consulting professionals on this but if anyone has experience with this or information about starting to practice in NYS without/before having a PLLC I would appreciate your input!

Hi all! I will be switching some vacation days to conference days and am trying to figure out which online CMEs to do. I am in primary care at an FQHC. Some of what I'm considering: -Various Fitzgerald courses, including lab interpretation and several of the other shorter more focused courses. Would like to reinforce and expand my general primary care expertise so that I've got a higher percentage of the info I need easily accessible in my brain. -Pediatrics: I would really like to have a good focused overall peds primary care review because I haven't had the amount of peds younger than teens that I'd like and will hopefully be expanding my peds panel. I've considered doing a PNP board review but that not sure that's the best bang for my buck/time? -National HIV curriculum: I'd like to become credentialed for HIV care and I've heard this is a good start. Concerned that doing this might take up most of the week and not allow enough time for my other needs above, and also looking at it wondering if it is all reading and no video? Not sure I will have the focus/environment to do that in an intensive time frame. Would love to hear recommendations - CME courses (or sources) you've loved or think would be a good fit? Thanks!

I’m in NYC. I am no longer at bedside but I have been in touch with people at my old hospital. She said that there are basically ICU beds all over the hospital, and patient beds in the atrium where I used to eat lunch. She is an infectious disease doc and she no longer sees all the covid patients because they’re far too many for the ID team to see. At the hospital near where I live I’ve seen big trucks outside to hold the dead bodies because the morgue fills up too fast. I’ve heard from friends who work in labor and delivery that they hear codes being called over and over and over again during each shift. I read in the paper that in addition to all the hundreds dying daily inpatient there’s been many DOA. One friend who lives in a pretty small building (maybe 6 families? Not sure) has had a few cases in her building including one death. As an NP I’ve done telephone visits with people at home, many of whom are sick for weeks on end. When I tell them to go to the ER (which I generally don’t) they are very hesitant to do so. It’s started to slow down here - we peaked about two weeks ago. I think only a little under 400 deaths yesterday.

For posterity, in case anyone comes looking to this post for answers, I'll update with "the real deal." They DID indeed have lockers. They had me show two ID's and held on to one of them. They had me empty out my "phone wallet," turn off my phone and hand it over (I volunteered my ipad and did the same). Then they showed me the lockers. I asked if I could leave my water bottle and inhaler outside the locker and she said I could bring them into the test room with me. I also was wearing a cardigan and a necklace, neither of which raised any issue (I've read about issues with jewelry and layers of clothes). One last warning, I couldn't get the water to work in their bathroom sink so leave yourself some purell out as well! o.O Oh - and the test was much harder than I was expecting - started out a little hard, then the beginning-middle had a lot of hard questions and I was starting to feel pretty awful, but then for the end part it was much better. In the end I went back and looked over all my questions and kept track and figured out that I was very confident about half of the questions, so I hoped that was good enough. And it was, I got my preliminary PASS. Huzzah!

Hi - maybe this is a long shot but I am looking for the real deal on this and maybe someone on here will have experience..... I am going to be taking my FNP AANP exam in the times square location this week. I see in the email it says that there will be no lockers provided and you are strongly advised to leave all personal belongings "at home or in the trunk of your car." This seems like odd advice for a location in times square- I don't live right there and I don't drive a car (and if I did I would not spend the morning of my exam trying to find parking in times square!). I don't really understand how following these instructions would be possible unless I bring someone with me to hold my belongings. I'm sort of assuming people just leave their stuff outside the test room and hope for the best? While I'm at it let me know if you have any last minute tips! Exam is Thursday 7/12 - 48 hours from the time I'm writing this post (!!!!)

I am set to (finally!) finish my FNP Master's in May 2018 (kinehurah, knock wood, ptu ptu ptu, insert any other superstitious thing to say here). I'm wondering if anyone has any experience with doing an NP fellowship at PM pediatrics or Community Healthcare Network? Would love to hear feedback about these or any other fellowship experiences. Thanks!!!

I start the day with one or two almond milk lattes. It's not food but it's somewhat filling and gives me the caffeine/hot drink I need to start the day. Bring stuff along to eat easily and quickly when you feel like you need more: bananas, cheese sticks, hummus, single serving peanut butter. PS if you had diabetes your blood sugar would be high. A diabetic whose blood sugar dropped too low would be from taking insulin (or, less likely, their oral DM meds) and not balancing it with enough food....

My school applied us all. I think CVS is under the impression that I myself applied, but I just did what my school told me to do. I think it is too late to get it for spring 2018, as they already sent out the acceptance emails. Here is their website College Students

Hi all! I have been offered 150 hours of clinical at my local CVS minute clinic. The clinic is relatively new, and we do also have urgent care places as well as a hospital and various medical offices nearby, so I'm not sure how much action it gets.... putting that aside for the moment, I'm wondering about the potential for the experience. If anyone's done clinicals at a minute clinic I'd love to hear about your experience. To give some additional background, I am currently doing clinicals in a really interesting family practice and could continue there in the Spring (I'm now in Adult/Geri but they're letting me be in the family practice, so obviously I could continue there for next semester's clinical which is across the lifespan)... I love my current placement but I feel like the experience is very specific - mostly in a good way (very dedicated and holistic provider, probably takes more time with each patient than the average practice would allow).... so, though I have concerns that Minute clinic will be too in-and-out, cookie cutter medical approach, I wonder if having that will oddly complement what I'm doing now so that I will see both sides of the coin. Thanks for any info or advice you can provide! -Ellen, FNP-to-be

Thanks, I appreciate it.

Hi canuckRN2. Due to very unfortunate events in my family life, I had to take a leave of absence from school last spring, and I'm not sure when I will be going back. I loved the program while I was there, loved it. The first FNP cohort will be graduating this May, so there's nothing to report yet as far as where everyone gets jobs (good luck my wonderful NYU pals!). Good luck and congratulations on your acceptance to NYU!

A very minor mistake! No harm, no foul. While we're learning of course we aren't always going to do everything perfectly - that's the way it goes. As mistakes go this was pretty benign. And I once handed a nurse an IV bag I'd mixed, and I'd been a nurse for a long time and just wasn't thinking about it.... my reaction was somewhat similar to yours in that I was both surprised and like "oh yeah, of course! that makes sense!". But I certainly didn't think it was a big deal and neither did the nurse who declined to take the bag from me. Hang in there!

Well opportunities depend on what's going on where you are and, possibly/eventually, what you make for yourself. I wonder if you have enough hours of breastfeeding assistance in your previous employment to count towards becoming an IBCLC? If you worked within a family practice, or started your own, that could be your niche. Even without / before getting certified as an LC, I'm sure you could sell yourself as good w moms and babies.

I don't disagree with the other commenters, but here's one devil's advocate point: as a FNP you can care for babies as well as their moms. Then if you also went for IBCLC (lactation consultant) you could do the primary care for both the mom and the baby, help with breastfeeding etc (and be able to prescribe meds for thrush if that came up during bf'ing, etc). So one thought is whether that appeals to you. Another thought - if you love mother/baby wouldn't CNM be a better match?