47yomalestudent

Hi Dave, out of curiosity, did you elevate your concern about breach of contract before you resigned? Perhaps there was a sound reason for the actions the hospital made? Maybe it was a temporary action due to a circumstance you were not aware of ? In any case, if they set you free with minimum training, they either thought you had a handle on the job tasks or they were not only setting you up for failure, they were setting the floor up for failure as well. I can't see a Nurse Manager doing that to themselves. I'm just saying sometimes a good closed door heart to heart is in order when you feel your being mistreated at any job. I agree with some of the posts I have read, your resume may come across as a bit of a flight risk. Perhaps your cover letter can be updated to explain the short stints you've had at each job, while also complementing those facilities and yourself for the experience you gained working there. Last thing, hang in there. I firmly believe God has a plan for each if us, and he may be steering you for even better opportunities.

Thank you very much !!!

#529... Great question, and very good point. Thanks!

#520- I would think a strep test would be in order whenever someone shows up with those symptoms.

I think the jest of this topic has evolved into a debate over the educational differences between a MD and NP and should NPs be allowed to practice autonomously? I am of the opinion they already do in many different environments. Sure, most have consulting physicians they work with, but when the rubber is meeting the asphalt, they are often working alone. The consult generally happens after the initial interface with the patient and the diagnosis & treatment have been rendered. In some more extreme cases, the NP may order tests and call the consulting MD before proceeding with treatment. I'm of the mindset as long as the NP understands the scope of their limitations, there is nothing wrong with this. Also, the recent changes in HC Policies almost dictate a more advanced role of the NP.

#488- I agree that not all programs are created equally. A person should research the school they are considering attending to be sure it offers a quality education. As for a NP researching a diagnosis online, I don't have an issue with that at all. In fact, my doctor routinely refers back to his books when diagnosing a patient. He has a general idea of what he thinks is wrong, but he is competent enough to verify his initial assessment. I'm in a transitional phase (educationally speaking) right now. I've been an aircraft mechanic since 1988 (still am), and not only do we refer to the Maintenance Manuals to support our own "hunch" when a system on the airplane is not working, we are required to do so by the FAA. If I take one panel off of the airplane without an open Manual sitting beside me, and a FAA Inspector walks by and sees it, I'm subject to not only a fine, I could lose my license. That should be a comforting thought to all passengers, just like a MD or NP researching their own "hunches" while diagnosing a patient should be comforting to that patient. In fact, look at all the APPs these days that are designed for MDs that do just that. As for Google, who amongst us hasn't used it while taking classes?

C'mon folks, his (or her) screen name is Gluteus... So it should be of no shock value to learn that even they consider themselves to be an ***.

[email protected] Would love to have a copy, thanks!

MDs seem to trust NPs, do they not? NPs are not only working in Family HC clinics, you can find them in hospitals making rounds, ordering tests, prescriptions, making diagnosis, and sometimes administering immediate life saving emergency care. I understand they consult with MDs, but it is normally after the treatment has been rendered. Sometimes a week or longer after the patient was treated.

Our lab instructor banned food or drink in the lab for health reasons.

My cumulative is 3.1 but I have all A's in my math and sciences. I do still have A&P2 to take, and like you, need to study for the entrance exam. It seems like most areas have waiting lists, but our school recently only started accepting residents of the our state. This should help .....

All great posts. I'm hoping to maintain a job through this journey so I'm eyeballing the LPN to RN path. The local college has a nights and weekends program. However, there is a nights and weekends RN class in a neighboring state. I have one Pre-Req left and that's A&P2. Actually looking foreword to it because A&P1 was fun.

Go to see your Family Practitioner these days, chances are your going to see a NP. Sure, maybe a Physician will glance over their charts every few months, but the patients care was entrusted to the NP by the overseeing Physician. If that Physician was concerned about the competency of the NP, they would be in the office looking over their shoulder every day. When my mom went to the Emergency room in January of 2013, it was a NP who initially evaluated her, ordered tests, talked to the family about the severity of her advanced cancer and her current medical condition, and had her admitted to the ICU where she passed away 3 days later. My friends wife is a NP for a local hospital. She makes rounds, is on call, and performs tasks just like a Physician. My point is there is a place for NPs and they are already performing those jobs. If a hospital trusts a NP to conduct the initial evaluation of a patient in the emergency room, then the hospital must have faith in their educational background to perform at a high level.

Most places will at least have a probation period. I've never even heard of anything like you described. I know it's probably not worth the effort, but I'd be tempted to call and request compensation for the hours I worked. You did have expenses just to show up to work, such as gas or transportation fees. Your time is also worth something. You could have spent that day searching elsewhere. Very odd and unprofessional. I'm pretty sure I wouldn't take a family member of mine to see this Doctor who obviously lacks character.

The Princess Bride- I don't disagree with the basis of your post; a doctor goes to school longer and receives more clinical hours. I don't think anyone is suggesting NPs will ever replace the need for MDs. The argument is, "are they educated and competent enough to perform certain tasks that in the past was completed by a MD"? I know 95% of the time when I visit my Family Care Practitioner, I'm seen by a NP. Most of my visits are for allergies, flus, stomach bugs, etc.. I feel very confident in my NPs ability to diagnose and treat me for these ailments. On the other hand, if Im having a more serious issue, I'll go see a Medical Doctor that specializes in that area of expertise. As for a NP only having a Bachelors Degree???? What State are you referring to? My wife, who has 28 years of clinical experience in Women's Health as a RN/ BSN, is now working on her NP. The minimum requirement at the moment is a Masters Degree. I understand that is changing to a Doctorate Degree next year. She plans to specialize in Women's Health, I think she meets the clinical experience you mentioned above?