Jump to content

kguill975 MSN, APRN, NP

Member Member
  • Joined:
  • Last Visited:
  • 258


  • 0


  • 6,222


  • 0


  • 0


kguill975 has 1 years experience as a MSN, APRN, NP and specializes in APRN, ACNP-BC, CNOR, RNFA.

kguill975's Latest Activity

  1. kguill975

    ACNP salaries

    It's weird that ya'll are getting accurate numbers. It's way off for Houston. I'm $22K above the average, and I only have 2 years experience. Somebody messed that one up.
  2. kguill975

    Adult NP seeing kids

    I've been in this situation before, I'm an ACNP/First Assist, too. You can first assist, because that's a certification that is gained with RN licensure, it has nothing to do with NP scope of practice. You can round on the pt, and do dressing changes, but you cannot prescribe or order any thing. When you write your note, you can write the A/P, but you have to tell the nurse that they need a telephone order from the doctor, if the pt needs something. The role is similar to that of a scribe. Any duty that can be done by a RN without a doctor's order can be carried out by you for a pedi pt. Anything else, they need an order from the Dr. It's a hassle, but being a first assist is so much fun! Edited to say that if you decide to see those pedi pts, it's YOUR responsibility to make sure that the MD is signing your chart. We all know how prompt and attentive they can be. (Hint of sarcasm)
  3. kguill975

    Is West Coast University a good school?

    There is NO positive side, when new grads from all over the US are struggling to find a job. My concern is that you haven't even tried a more affordable school. Why pay more if you don't have to? If you're that fixated on the school, at least take all of your non nursing pre-reqs at a community college. It'll save you a couple hundred dollars a month in loan repayment. Here's a little comparison for you...my MSN NP degree cost me $22K, and I make well over $100K a year. You're going to pay way too much money for initial licensure. Good luck to you, none the less.
  4. You could take this time to get a job (if you don't have one), and start paying off the amount that you owe. Since money is an issue, I also recommend taking your non-nursing classes at a community college. It's a lot more affordable, and can be done out of pocket. Why take out a loan to take "random" non-nursing core classes? Also, don't rush! Nursing school is competitive, so take your time and do well. Good luck to you!
  5. kguill975

    Online Vs. Traditional FNP Programs

    Hi, I attended a local B&M school, that wasn't a top tier school, but well known in my area for putting out quality nursing school graduates. I'm a single mom of a special needs child, and I worked full-time weekends, for a 32 hours/week position. I completed my clinical hours primarily during the week, but I did ACNP, so there were some night/weekend clinical shift requirements. When those came up, I used PTO for work. I believe that if you have no choice, but to work full-time, you'll do what it takes. I took my time taking the theory classes, but when the clinical portion started, I had to follow the matriculation, since there's very little flexibility there. There were a lot of times that I was really stressed out, but you just have to push through. I came out owing $22K, which I feel is a very affordable program. Good Luck to you, and you're smart to plan ahead.
  6. On cataracts and hand cases maybe, but on big joints, they're still getting blood off of the ceiling at the 30 min. mark. The only place I've ever seen it really enforced was in surgery centers. In big trauma centers, it's a lot harder.
  7. kguill975

    Surgical Instruments

    Hi, There's a spiral bound book with pictures of instrumentation, that is a requirement for surgical technology programs. It's been a long time since I was tech, so I don't remember the name. I'm sure you'll find it, if you google books for surgical technology. Glad you're loving the OR!
  8. kguill975

    Loan Forgiveness Help

  9. kguill975

    NP preceptor

    Brittany, if that's your real name, please remove it. There may come a day, when you're really frustrated and you may decide to vent. Things could get really ugly for you, if you can be identified. PM me...I'm an ACNP in Houston, but I can help you find some preceptors. Good Luck.
  10. kguill975

    new NP cant find a job

  11. kguill975

    pray, read the bible, but overwhelmed

    Have you considered that maybe God is trying to reveal something to you about this job? I pray every morning before I touch a patient, and I often pray over the course of the day, especially on rough days. I'm a NP, so I don't have the pressures of passing meds, but I sometimes get stressed when I'm trying to figure out what's going on with my patients. A simple, "Lord, I need your help right now", usually calms me enough to be able to focus and prioritize. If you find yourself having these kinds of days often, start asking God if He's trying to reveal something to you. It could be that you aren't where He wants you to be. Regardless, He is a very present help. God bless you, and I pray things get better for you.
  12. kguill975


    I'm brown and I used to get it all the time, "Are you really a NP or just a First Assist?" In their defense, I wear baggy scrubs, a hoody (instead of a lab coat, never did like those things), and Chuck Taylor's. I'm mid 30's with an 18-year-old, so I've lived enough of life to not care what people think.
  13. kguill975

    Salary vs Productivity Pay

    I wish I could compare apples to apples for you, but I'll give you my first NP experience. I'm an ACNP/First Assist (dream job) and my first job paid $90K with all licensing, credentialing, liability insurance, medical insurance, and CME paid by the employer. I had 3 weeks vacation, plus his 2 weeks vacation that he visits oversees, paid. We operated out of 6 hospitals, and also saw consults and post-ops in 3 additional LTACs, not including the rounding done at the hospitals. I had very little support, other than calling in between hospitals, mainly to get updated lists, in case I missed a new consult in the ER. Operating and rounding into the night, and all I could think about was whether I wanted that life or not. I did it for 10 months, and then left. I was under so much stress and pressure, that I began to hate who I had become. I was impatient with other nurses and patients...stress will do it to the nicest people. While I loved the job, I HATED the job. My quality of life sucked, and I hated my life. When I finally left, I felt that not even $150K a year would be enough. I wish I could tell you that you will have a completely different experience, but I believe that if I had a better support system, and maybe one or two less hospitals to round at, I would have loved that job. Good luck to you, and congratulations on becoming an NP.
  14. kguill975

    FNP moving to TX

    Seems like I remember prescriptive authority taking the longest, but I'm not sure. If you don't have a job yet, you'll have to wait on the DPS and DEA.
  15. kguill975

    FNP moving to TX

    Hi, I'm an ACNP in Houston. Start with prescriptive authority through the BON. After that, you'll need DPS and DEA numbers for Texas, but you can't apply for these until you have a sponsoring physician. Congrats and Good Luck!
  16. kguill975

    NP practice in Houston, Tx

    This rule actually differs in different regions. My state allows ACNPs to treat 13 years old and up. As an ACNP student, I did rotations in Internal Medicine, Ortho, ED, Surgical Telemetry/Stepdown, Neuro ICU, & Surgical Transplant ICU. All of these rotations were planned according to my interests (went on to become a Surgical NP/First Assist), so these were relevant rotations. I agree that you never know what the future holds, but I can say for certainty that I'll never have an interest in taking care of pregnant women or small children, so FNP was never a consideration. Good Luck to the OP.