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?

I just started FNP full time, and have 2 boys, ages 5 and 7. So far I've only done one 6-week semester, which was very intense. I only worked one shift the whole 6 weeks (I'm per diem - they told me I had to work at least twice but I ended up canceling that second shift) and I was still plenty busy. I have a lot of support from my mom and mother in law. My husband was basically 100% full time parent for all the weekends, and 100% in charge of bedtime most of the weeknights. Of course, the normal semesters will not be as extreme. Frankly, since I am full time, I am probably going to quit my job. I feel like doing both would mean never being able to pick up the kids and keep an eye on their homework My advice would be to set up a lot of support for yourself. For me personally, the "study anywhere" thing mentioned above wouldn't work well. Though actually with a 1 year old it could work during nap time. But generally what I needed to do was get *away* to the library and be totally focused. If you set up designated time that's all yours for studying, then when you're with the baby you can really focus on the baby. By the way, my very first day of classes was the day of my kindergartener's class opera. Man did I cry about that. The teacher was really sweet about it and let me come to another performance on a different day (albeit without the costumes or scenery), and I was able to get all his grandparents there too.

ps! i am all for coffee on the 8th! it depends what time though, but if it's early enough it's a possibility. i'd have to be back in my neighborhood by 3, unless i try to call in some favors and i'm already calling them in so that i can go to the orientation :)

burnshdp!!!!! hooray!!!! for some reason allnurses stopped sending me updates on posts, so i didn't see this but luckily jen did and told me the great news! that is so exciting!!! we got a bunch of info last week(??? - everything's a blur), including how to register. so last weekend i registered for classes. they tell you specifically which ones to register for, and how. but for now if you go here: and then do the "click here" thing, then you can click through to 2011-2012 (it confuses me that summer session is part of this year and not the beginning of next year!) and click summer and nursing-grad and you'll see the details on the courses. they're:[table=class: pspagecontainer] [tr] [td][table=class: pspagecontainer, width: 979] [tr] [td=colspan: 6][table=class: pslevel1scrollareabodywbo, width: 611] [tr] [td=width: 605][table=class: pslevel1scrollareabody, width: 605] [tr] [td][table=class: psgroupboxwbo, width: 595] [tr] [td=width: 593][table=class: psgroupbox, width: 593] [tr] [td=colspan: 2]nurse-gn 2005 intro stats health profs [table=class: pspagecontainer] [tr] [td][table=class: pspagecontainer, width: 979] [tr] [td=colspan: 6][table=class: pslevel1scrollareabodywbo, width: 611] [tr] [td=width: 605][table=class: pslevel1scrollareabody, width: 605] [tr] [td][table=class: psgroupboxwbo, width: 595] [tr] [td=width: 593][table=class: psgroupbox, width: 593] [tr] [td=colspan: 2]nurse-gn 2060 mental health across the lifespan [table=class: pspagecontainer] [tr] [td][table=class: pspagecontainer, width: 979] [tr] [td=colspan: 6][table=class: pslevel1scrollareabodywbo, width: 611] [tr] [td=width: 605][table=class: pslevel1scrollareabody, width: 605] [tr] [td][table=class: psgroupboxwbo, width: 595] [tr] [td=width: 593][table=class: psgroupbox, width: 593] [tr] [td=colspan: 2]nurse-gn 2303 research in nursing also have you filled out the fafsa form for financial aid yet? i did the one for 2012-2013 but didn't realize until jen pointed it out that i need to do the one for this year for the summer. then there's also some special nyu-summer-financial aid form. i'm now in the middle of working on my fafsa form for this year but got stuck and need to find more info (i'm not organized enough to know what was going on on my taxes in 2010). let me know if you'd consider living in brooklyn, you might be able to save a little $$ i think. i am definitely going to be at orientation. i can't wait! see you there! btw, my email is [email protected] . feel free to email me with real estate questions or anything else! and congratulations!!! [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table] [/td] [/tr] [/table]

where i work, we only have controlled substances in the pyxis. most of the patient's meds come in a drawer specifically for them (not in the pyxis), but when we need percocet, ativan, etc, we have to get it from the pyxis and each time you access a med you have to confirm the count of how many are in there and how many you're taking. this way there's no long "narcotics count" at the change of shift, unless there are a few odd meds here or there double locked in the cabinet. i briefly worked at another hospital where all meds were in the pyxis. this struck me as very very strange. luckily i worked in OB, so it was no big deal as i only needed to get a few things. but the pt population i work with in medicine has tons and tons of meds, i can't even imagine the disaster it would be to have to get each of their pills out of there!

i vote for D. definitely not B! babies, especially in the beginning, are very all-encompasing. it's a 24 hour per day gig! tbh, when my kids were born i wasn't working or in school, AND i have a very supportive/responsible-around-the-house husband, and i have family who are relatively nearby, and it still felt like a lot to handle. you're probably thinking i'm a big baby (she had all that and STILL felt like it was a lot to deal with?), but (and obviously this depends somewhat on the baby) it really can be exhausting, take a lot of your emotional and mental energy, etc. the other thing to keep in mind is that even when someone else is taking care of your kid (while you're at work or school [or dare i say doing something for yourself ]), there are still going to be things that still fall onto your shoulders. with a baby the first thing that comes to my mind is pumping (i'm sure there are others, like if you are keeping track of which solids the baby's had etc), but for me (now w older kids and working 2 12hr shifts/week, for a while was doing 3x/week) it ends up being school paperwork, the kid's homework, library books, permission slips etc etc etc which is waiting for me when i get home and/or on my days off, or the texts and phone calls about my kids when i'm at work (obviously you don't have to think about kids' homework for a long time but i'm just using my own experience to illustrate my point) not to mention with working and school you probably won't feel like you have enough time w the baby (or to SLEEP :) i've been wondering lately if nurses have a tendency to take on more than most people would. i'm about to start school full time, and had originally been planning on not working at all, though now i might do two shifts per month so that i can keep my per diem status and work during school breaks. i talked to my boss about it and found out that she works monday through thursday, takes a full-time load working on her master's by being in lectures all day on fridays, and on the weekend she spends time with her son. which means the only time she does school work is in the evenings, which to me doesn't seem like a lot of time plus it means that she has approximately zero time to herself (or to get anything done). i think the person who suggested full-time school now and baby after graduation has a good point, but i tend to worry about women who have kids right after graduating because then if they have a gap between graduation and job search they could end up in a bind. i know someone who had a baby after finishing her residency, and then another baby, and now i think she's figuring she won't end up practicing as an MD but will do something related within the medical field. it's great that you're giving your plan so much thought and that you have a husband who can pay the bills and is supportive and excited for a baby! good luck with everything (and someday post an update with what you decided!)

where i work we have 6 patients each when we have normal staffing and a full house, on day shift. if we're short staffed we could have 7 patients! and we are a busy med-surg floor. it's a matter of organizing, prioritizing, working quickly, multi-tasking, etc. it's also a matter of getting the hang of it, so don't feel bad if you're overwhelmed at first!!! we all are. when i get organized for the day, i make a cover sheet and put lines on it to make six boxes. usually i make them small enough that i have some room on the bottom of the page for random stuff. i put the name and room number at the top of each of the six boxes, and on the side i put four check boxes for looking at vital signs, doing my assessment/flow sheet, vital signs again, and a note. then in the middle of the boxes i put the med times, combining 8's and 10's as one box because i generally give them together (if you're not willing to give QD meds early, you're going to end up giving them late). i usually put 12/14 together (we use military time) and 16/18's together, though i usually jump ahead of myself and give the 16's separately from the 18's if i have a chance (that's 4pm and 6pm)... and if the patient has finger sticks or dressing changes i put check boxes for that too. the face sheet on the front of my paperwork helps me see the big picture, so i can decide who to go to first, and i try to keep in mind what i can bring with me. running late on 10am meds and now it's 11am? bring in the 12's if they don't have to be after lunch, and bring the glucometer in there with you. we have computer work stations on wheels with med drawers in them so i'm able to chart as i go along for the most part. but you can take down little notes on your paper to remind you to do stuff later. if you have spare moments, think what you can do during them. (waiting for a page to be returned? you can chart something or pour some meds). know that you'll get the hang of multi tasking and of the tasks themselves, and you'll adjust to the fast pace. just be careful and know that it's ok to peek at your papers and/or the computer because it's hard to keep 6 people straight!

i found out - they aren't going to have that theory class at all. they're going to integrate theory within the other courses and instead we're going to do a 3 credit course "mental health across the lifespan". (NYU person who is also a mom with a kid at my kids' school, we saw each other at a school event and i asked questions :) so we're going to be in stats and research (with students of the other NP specialties) and mental health (and anything we ever take with the phrase "across the lifespan", i presume) will be just the 20 of us. the mental health class is wednesdays and thursdays 1:10-3:40, but the thursday class is online(?). when you look at the dates for that one, it conflicts - in the big heading it says both sessions but in the details it says til 8/10 but in the details it says til 6/29. i'm semi-assuming it's just session 1. i think village or east village are your first choices.... lower east side is good too but less close and how good the area is probably varies more on a block-to-block level. village/EV are so gentrified by now that if you can manage to afford it you'll be ok. but it's always good to check it out in person. if you change your mind and decide to stray further out, the trains nearby are the N/R (at 8th st), the A/B/C/D/F(M?) (at west fourth and/or b'way lafayette).... union square has even more train options (adds the 6 and the L to the mix) and isn't that far a walk (depending on which building you're traveling to).... even the 1 train at christopher street isn't a bad walk, that's what i used to take when i was doing my undergrad. even though i'm a commute away it's so so so much shorter and easier than what i do to get to work, and besides which at this point i consider riding the train without my kids to be a very relaxing endeavor (when i can get a seat!) oh and i haven't heard anything since the acceptance. but if they haven't cashed your check i would call and double check on everything. then again, if you emailed acceptance but they didn't get a check from you i'm sure they would have contacted you. gail said we'd be hearing details about orientation etc within the month. oh and btw i don't know if you're trying to get financial aid or what, but i find the whole thing confusing.... i filled out FAFSA but after the deadline. also i found there is a specific place on the NYU website to request financial aid for the summer session, so i filled that out. (i haven't heard anything yet from NYU about this). maybe when you are here looking for an apartment we can meet up for coffee!!! no pressure (seriously), i totally understand if you have your hands full and time limited, and i have work and kid schedule limiting me, so it might not work out but if it can that would be nice!

hey guys, any word? i was able to confirm, btw, that they are only taking 20 students. ps - jen, i was thinking about your housing question and just wanted to add... you probably know this already but NYU campus isn't a campus in the traditional sense. what i mean is, all the nyu buildings are somewhat mixed in with other things. actually, i don't know if they do this anymore but when i was in school they had some students living in a notes! it wasn't even right near the school but there was a shuttle bus. but more likely you'd be in a dorm right in the middle of the washington square "campus", which is more of a hybrid of a campus and a neighborhood.

hmm. i'm certainly getting experience at work, but i've already got years of experience there. i just feel like if i work weekly i'll either have way too little time w my kids (could never help them w homework and would probably be even more overwhelmed w all the odds and ends responsibilities like paperwork from their school etc) and/or i wouldn't study enough. if i didn't have kids i could definitely see doing it. but i'm not a super-go-getter type in terms of packing in 18 hours of productivity in each day, so even then i can't imagine doing full time for both school and work.

if i were just picking up a newborn infant in the hospital, their hair would be covered by a hat and their body would be swaddled. RNZeke pointed out, somewhere above in the thread, that the babies are stripped down for their assessments, which is a different story but in that case i wouldn't be cradling them, and i would be wearing gloves. in either case - and even if i were cradling an infant wearing nothing but a diaper - the "contaminants" to be worried about would be mostly the same ones for which patients would be put on contact isolation... certainly holding an unbathed (almost accidentally typed "unborn" - lol that's another story) infant without gowning up first wouldn't be a likely risk for HIV, even if the baby and/or mom were HIV+. your point about possibly spreading infection is valid, i'm just saying it covers organisms and precautions above and beyond *universal*.