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ICU, Military
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anchorRN has 17 years experience as a BSN, MSN, RN, APRN and specializes in ICU, Military.

anchorRN's Latest Activity

  1. anchorRN

    NP Binder

    I'm a new NP. I began working at a nursing home and wow was that a mistake. There are a lot of problems at that facility and I didn't think it was safe for my license/liability to stay there. Im starting a job at a family practice job in 2 weeks and I want to be well-prepared. What do you guys have in your NP reference binders? I've saved little things along the way thorough school and I'm looking to add to mine. What do you guys suggest? Just simple little "cheat sheats" that might help me along the way
  2. I am a KY FNP and was just issued my Virginia NP license today (I live on the Virginia border). I am so confused about prescriptive authority, it appears I need to have this added to my license? Also can I go ahead and apply for DEA# now? I was interviewed by an addiction medicine clinic in my area in Virginia and need my DEA # to to start the DEAX waiver process. I have called the VA BON but are difficult to reach and the last lady I spoke with was extremely rude. I'd like to bounce a few questions off a VA NP before calling them back so I don't look like an idiot LOL. Thanks in advance.
  3. anchorRN

    Virginia Controlled Substances / DEA

    Hey all I'm a newly certified FNP-BC and licensed in KY. Here we have to wait 1 year before we are allowed to prescribe controlled substances. This is really hindering my job search right now because there are several addiction medicine clinics hiring. I live about 5 minutes from the Virginia border in eastern KY (very rural area) and there are several clinics hiring there also and from what I can tell in Virginia from browsing their state board of nursing site is that there is no waiting period for new graduates. The only requirements I saw was either 1000 hours as an NP or a graduate level pharmacology class (which I had in my MSN FNP program), and then of course an appropriate collaboration with a physician. Am I correct? I couldn't find any cut-and-dry answer on VA's BON site. Also - is there a website / resource for new NPs that outline most states' requirements for practice? I have found combing through BON's websites is very cumbersome and sometimes confusing and hoping there is something a bit less cluttered out there somewhere. Thank you!
  4. anchorRN

    New grad FNP - Health Risk Assessments?

    Awesome info man! I'm also a guy and although the sketchiness of going into a person's home is still a concern, I'm a little less worried about my safety than others may be. My main concern is to get some experience on my resume. When I apply to jobs on Glassdoor, Indeed, etc., alot of the positions have a "pop up" that asks how many years of NP experience do I have and you have to answer that question (zero for me) before letting me submit the application. I assume this sends it straight to someones trash LOL. I'm a veteran and I'm going to apply for some jobs on USAJOBS and see if I get any responses because of veteran preference. I'm more than willing to move away from here.
  5. anchorRN

    New grad FNP - Health Risk Assessments?

    I graduated in May 2020 and passed my ANCC boards the same month (FNP-BC). The job market is slow here in eastern KY, and I really need to get my foot in the door but most jobs require at least a year of experience. I have been contacted by recruiters about doing health risk assessments for a medicare companies (annual wellness exam) in the person's home. Has anyone had any experience with these? I am in KY and would not require a collaborating physician since no medications would be prescribed. Would this count as "real" NP experience? Also in KY you must be a practicing NP before you can apply for a DEA license (with proper collaboration agreement), so would this experience start the clock for that requirement as well? I ask because alot of jobs around here require a DEA license, which I am not yet eligible for. Also - would I be looking at lots of liability with these exams? The company does provide malpractice insurance with tail. Incidentally - I am in a position where I could do travel/locum assignments, however my new grad status is hindering this as well. I can move pretty much anywhere (not married, no kids). Any advice would be appreciated.
  6. anchorRN

    All these nurses writing articles

    When I was in the Navy and stationed at the Naval Hospital in San Diego we were not required to be accredited by an accrediting agency since we only accepted TriCare. But they opted to get that TJC accreditation because there is a stigma attached to hospitals that do not have it. And I assure you that hospitals do, in fact, pay out of their own pockets to have the surveys completed. It’s all about getting that little gold TJC seal to put on their advertising publications. What a joke.
  7. I graduate FNP school in May 2020. I'm looking for some advice on which certification review book to purchase for the 2019 ANCC exam (since the exam was updated in May 2019). I'd prefer mostly questions with rationales. I also plan on attending a live review session in person and would appreciate recommendations which to attend also. Thank you !
  8. anchorRN

    Graduating April 2020.. Navy Next?

    Hey there! @Pixie.RN is correct you need to speak with an officer recruiter, specifically a healthcare recruiter. I spent 6 years active duty in the Navy's Nurse Corps and loved it. I look back now and wonder why I got out, but it does take a toll with travel/moving around every few years/not seeing family from back home, etc. I deployed to Afghanistan and I was stationed on a Carrier for 2 years. It was some of the coolest times of my life! As far as being a brand new nurse.... that might handicap you a bit since there are many other applicants with experience who are clawing at the door to get in. I was almost immediately picked up since I had 8 years of ICU nursing behind me prior to joining AND I had my CCRN. You have to make yourself marketable! Any certifications, etc that you can get to make yourself stand out will help. But, you must first start with talking to a recruiter (and the RIGHT recruiter). An enlisted recruiter will not be helpful and they may even try to sell you on "enlisting" first to get your foot in the door. Never believe this it is a total lie, those people are only trying to make quotas. If any recruiter uses the word "enlisted" you should be extremely wary. Also -- Just because your program is "accredited" there are programs they do not accept. I graduated from a state university with my BSN so this wasn't a problem but I specifically remember them looking up my university to make sure it had a Regional accreditation (i.e. The Southern Association of Colleges and Schools). Some schools have shady regional accreditation (not nursing specific) that the US Navy just doesnt accept. If you can shoot me a PM with your location I can take a quick look and see if theres a recruiter nearby.
  9. anchorRN

    Honest review of EKU PMHNP??

    I’m in EKUs FNP program now and have 2 semesters left. Yes the clinical hours are tough, but I am working full time still and it’s doable. I have nothing but good things to say about the FNP program so far. Actually we were grouped with the PMHNP students through a lot of the didactic material the first year and a half. EKU is very picky about hours but as long as you’re not counting lunch breaks and logging of patient encounters into the tracking system then you are fine. We are allowed to count hours such as preparing to see the patient, coming up with diffs, reviewing labs, formulating plans, and discussing the patient with the preceptor as hours. Any breaks or downtime are not allowed to be counted. In my rotations so far I’ve had very little downtime so hours haven’t been too hard to come by.
  10. anchorRN

    Impella training

    We do Impella fairly often, but use more IABPs. When we do have an Impella the rep always comes into town, checks on the patient daily, and calls once per shift (day and night). I feel they've been very helpful with the ones we've had. They basically run themselves as long as the catheter stays in position. The most common alarm we get is a suction alarm and its easily fixed with a 250ml fluid bolus. I had one the other day and the groin insertion site was oozy but a quick stitch fixed it.
  11. anchorRN

    Finding a Collaborating Physician

    Thanks for the info! I guess I probably have an unrealistic dream of starting my own practice in my town (very rural, the one MD here is about to retire), and found myself wondering how I would go about finding a physician willing to collaborate. Locum work also extremely interests me, but in reality I know I'll need a few years of experience under my belt before I can make either dream a reality. I'm hoping I'll be able to network with some physicians during those formative years as an NP that would be willing to collaborate should I ever decide to do down that road.
  12. anchorRN

    Finding a Collaborating Physician

    ahh yes that does make sense.
  13. anchorRN

    Finding a Collaborating Physician

    Hey all I have a little under a year left before I am done with my FNP. I live in a state where a collaborating physician is required for 4 years for non-scheduled drugs, and indefinitely for controlled (Kentucky). What is the normal process for finding a physician to collaborate with if you arent familiar with the physicians in the area (or they are not familiar with you)?
  14. anchorRN

    Navy vs. Air Force

    I can and do.
  15. anchorRN

    Navy vs. Air Force

    No offense intended. But I do stand by my comment.
  16. anchorRN

    Opening NP clinic in Arizona

    Here's a great thread I was just reading the other day. One of the replies (from Pattifnp) was downright amazing. She goes step-by-step over the process she used to open her own practice. I found it very informative.