JDJones89

Any NPs out there that got a contract saying you cannot get a second job without submitting a request and getting written approval? I can understand a non-compete and not being able to accept any job that directly competes with the place I am going to be accepting employment. But it seems overkill to have to get any and all second jobs approved. I am planning on getting a second job 40+ miles away or via telehealth that is also completely different from the job I am accepting, so it absolutely wouldn't interfere in any way. This is the first contract I am getting and I know I obviously can negotiate. So I am wondering if anyone has seen this and if it can be negotiated out.

Curious to some people's input on something. What are your thoughts on someone giving their medical recommendation for a patient they have never evaluated or treated when that recommendation goes against what a physician diagnosed and prescribed that has properly evaluated and screened a patient? Additional details Pediatric patient, 11 yo, screened for and diagnosed with combined type ADHD by his board certified pediatrician and started on methylphenidate. Patient's mother, who was not present at appointment and did not participate in completing a screening form, disagreed with both the diagnosis and medication prescribed after the fact. She then went to a friend who is apparently a PA (I know this is the nursing board, but PAs and NPs have similar scopes and I am looking more for thoughts on ethicality) to ask their opinion. The PA is a pain clinic provider with no pediatric or psychiatric background. The PA then recommended that the patient not take the methylphenidate and instead recommended Strattera (did not prescribe it though). So I am curious people's thoughts on where this falls on the ethics/professionalism spectrum. My thought process was that the physician was able to use the tools of screening forms to accurately diagnose and treat a disorder. Discussions were had between the physician and father of the child to make a correct choice of medication that fit the child's needs and situation. The PA knew very little about the child, his background, or his social situation and made a blind recommendation. That recommendation really could result in poor efficacy as well as reactions due to the child's medication compliance because of his social situation in his home life. So I am just on the line of being unsure if the PA crossed the ethical line of making an uninformed recommendation or if it is more just unprofessional or poor judgement that they did so? Or maybe neither if you think so? Really would love any thoughts you all have!!

Hey everyone, I was hoping some of you all had information about USPHS. I am a current RN with my BSN and working on my MSN. I got an email from my school about USPHS and that was the first time I heard about them and started looking into them. I have scoured their site pretty throughly and have already sent an email off to get in contact with a recruiter, but it said it could take up to 30 days for them to reply. So, I am curious about anyone who has worked in this service as a nurse and their opinion about them and just some generalities of how it all works. I also have some basic questions I can't seem to find. 1. Where do/can you live? Are you required to relocate? Or, can I continue living where I am and am sent on "deployments" for work with them? (I am a single father with 50% custody of my children which would make relocation near impossible at this time, maybe in 10 or so years I could) 2. I saw on their site there is a reserve corps as well. How does this work and differ from the normal? 3. On another thread I saw that deployments only last for a maximum of 2 weeks, is this true? 4. In the times you are not deployed do you work regular jobs of your choosing? Or, do you continue to do "work from home" kind of stuff for USPHS? 5. **If 4 is a yes** If you are deployed does it work like the military reserves in that your "day job" has to honor the deployment and can't fire you or cut your position? 6. Is the salary comparable to working regular RN or NP jobs? 7. Are there physical requirements to join like there is in the military? If so, how strict are the requirements? 8. Do they take NPs with more specialized degrees? I am working on my Primary Pediatric NP and not sure if that would be useful to them or not. Thanks in advance to anyone who can help me out!!

Well not so much a rush as much as I'm ready to just finish up all my schooling. I know how hard it is to get back to it once you stop and I'm afraid if I do it'll be awhile. I have two kids and a pretty busy life and it'd be nice just to knock it all out now while my kids are young and be done with that portion of my life, you know? And, I'm pretty positive as far as the area I want to work in it's just that I've always heard mixed reviews as to which letters to put behind my name. I've heard PNP limits me, especially in an ER setting and was even told at one point I wouldn't be able to see anyone over the age of 16. Whereas as FNP I feel like is so generalized I may be passed over for a pediatric position because maybe they want someone who specializes in Peds....i feel like it's a catch 22.

I usually do not have any experience with Peds on my floor. Occasionally we might get a 15 to 18-year-old depending on the level of trauma but that is about it. I actually do also work in an ER PRN at a different hospital so I have that going for me as well.

I should have specified. I am already a nurse and work in an ICU. Prior to that I was a paramedic for a few years. So, I have the experience and I'm ready to take the next step I am just unsure as to which step I should take.

I am going to be finishing up my BSN degree soon and am going to be looking into my MSN degree very shortly but am at a loss for which practitioner I should get. I plan to work with pediatrics, ideally in an ER setting. I know the most logical one to get would be one in pediatrics but I remember someone telling me at some point that would be a bad route to take, especially if I want to work in an ER. I would love some opinions if you would all be so kind! Should I do peds? Should I do FNP? Or, something completely different? Any thoughts and reasons why would be greatly appreciated. Thanks!

That is awesome to hear! I hope that starts soon. Thanks for the info

Hey everyone! So, I have a couple questions that I could use some help with. Currently I am working on my ANS and am on track to graduate next Dec so I am starting to look at options for what is next. I have heard multiple people talk about WGU and that they got their MSN through it. It really appeals to me because it is all online, is accredited, and I can do my ASN to MSN and will get my BSN in between. My first question is has anyone gone this route? If so how does transferring credits out of WGU work? I know it is accredited but I also know there is no letter grade for classes...it is pass fail. Next I am wanting to get my NP when all is said and done and I know WGU does not offer this obviously. Are there any schools in IN that offer a stand alone NP course for after I achieve my MSN? I know a lot of MSN programs include NP in the curriculum so when you graduate you sit for that test to get the licensure. But, I have not talked with anyone who has obtained their NP after already having a MSN so I am not sure how to go about that. Any help would be much appreciated! Thanks everyone!

So this is my first time posting on here and I have a few questions. I have been reading a few threads and you all seem to be extremely helpful so hopefully the story is the same for me :) I am currently enrolled in a Paramedic course that is set to finish Dec of this year. I am trying to figure out how to go about doing my nursing degree once I complete it. Back in 2007 I began college and was enrolled in a nursing program and due to having my amazing kiddos I had to put school on hold for quite some time. I completed 2.5 years of the nursing program (I was just about to begin my clinical portion). Now that I am finishing up my paramedic program I still want to complete my nursing degree. I have looked into the school around me and it appeals to me greatly because of the fact there is no time limit put on classes. Therefore all of my science classes I took over 5 years ago will still be accepted. Though as I'm sure you all well know where there are pros there are always cons. It is an actual college that I will have to attend (which isn't a problem for me) but I will also have to do more clinicals. Which any of you have done this route understand the amount of hours that go into the Medic program and honestly I do not know if I wanna slap hundreds of more hours of clinical time on top of my studies. I miss my free time and kids (and the over time at work lol). Excelsior is the other one I have heard about from some of my co-workers who are also going through the program. I like the idea that classes are online so I can do them at my pace in the comfort of my own home. Also I LOVE that there are no more clinicals that go along with it. My main question is I cannot seem to find any sort of program outline that actually says which classes you need to graduate. I see a spot that it lists how many credit hours need to be in each category but that is it. Does anyone know if such an outline exists? If so can you give me the link or maybe write what they are in a reply? Next I know there is a time limit on science classes that they had to have been taken in the last 5 years to be considered, but is there a time limit on transferring nursing classes? As I said before I had taken multiple nursing classes and would love if those transferred in, but I have a feeling someone is going to give me bad news here And if anyone else has opinions they would like to share or experience with the program itself I would love to hear it. I am still torn between which program to go with. Any help would be much appreciated!! Thanks Jesse