Julia77

I am starting as a new NP in a specialized ICU role. I am concerned that many of the nursing staff, having been on this unit for 15-20 years, are more knowledgeable in this specialized area of practice than I will be, yet I know I will be responsible...

Thanks for sharing your thoughts. djmatte, I completely understand and respect the RN role, and yes, I have experience in ICU, although not in this specific type of unit. I have noticed that some RN's will willingly do certain tasks when asked b...

While you are still at the job is there any way to get training? Can you get training from the other NP? Is he or she an ally? Can he or she provide insight or advice? ((())) Julia

Yes, absolutely, contact the CNO. They will send you a package that will explain everything, and when they are satisfied with your preparation and have the needed paperwork, you will take an open book jurisprudence exam, using the info on the CNO we...

How do you know what your state requires if you are new to the state? Thanks.

Jules, can you please be more explicit for those of us terrified and unexperienced with negotiating as to how your conversations go when the subject of payment comes up? Thanks, Julia

I think this may be a case of different locales using different language. Critical patients are quickly determined to be ICU patients in my ED. They are then identified as admit-no-bed ICU's. I have been responsible for these heavy, heavy patients i...

Oh, if you are applying to a competitive post baccalaureate program, do not do WGU

I believe Western Governors was relatively painless and easy (yes, required work and APA style) but I had an awesome mentor who helped me focus on key aspects of successful course completion. Would do again in a heartbeat. My regret is that I should...

If you come in to this mess, you need to let CN know right away. You need to say that it is not a safe assignment before beginning, and I would let my manager know, also. When you are maxed you need to tell CN right away, and advise that you are 1:1...

Can you frame your concerns based on patient care, and patient needs? What compromises in patient care or in team function happen because of these concerns? Julia

My ED went through a time when bags were discouraged. However, our nurse manager understood that newer nurses often felt more secure with their educational and other supplies available to them, and was understanding of this need. I would also be un...

Our local EDs have hired only NPs. I believe there are regional differences, though. Julia

Do you break in the Doctors' Lounge? Are you welcomed to Journal Club? Are you invited to the same educational/CME opportunities that the physicians are? Do you have full digital access that staff physicians have to educational opportunities? Do you ...

Are all NP and PA charts reviewed, stamped and double billed by MDs?

I agree, that we are all professionally responsible to obtain the appropriate continuing education to maintain our licensure, however, the other educational requirements or opportunities our facilities offer, or require may differ from licensure requ...

CONGRATULATIONS!!!!!!! :)

At my shop, if it's an adult that doesn't do anything then they get nothing but Strattera or Wellbutrin. PsychGuy, can you please explain what you mean by this comment? Thanks, Julia

"We are nurses and we need to continue to define ourselves differently from physicians." I am curious as to why you feel this is imperative? I believe the NP is taking an educational and professional step into the role of diagnosing and prescribing, ...

I am interested in learning about the tax and legal implications of a nurse practitioner, living in a Canadian province, licensed in the US, to start a travel NP corporation with the said NP working for the corporation. Has anyone done this who can...

Thanks, I read up on your posts, and was hoping you would help with some information! Julia

I am interested in your post, but curious what this means: I staff solo fory region. Thanks, Julia

Good luck on your exams! Can I ask for input on the best value for dollar in terms of multiple choice question bank for clinicals, exam prep, identifying weak areas and preparing for MCQ tests and final licensing exam? APEA seems really expensive...I...

I am wanting to buy some QBANK access for my phone but am trying to figure out what the best deal is, length of time, quality of questions and explanations, etc. I have another year left of NP school to go and ongoing clinical exams. Advice please?...

Did you buy the bundle or the assessment or management? The Qbank looks pretty pricey from $79 per month for the one component, $129 per month for both components, and up to $299 per 6 months with both components. Can you use them on your mobile pho...