sauce

people really overthink things on this forum. it has guidelines, and I hope they taught people in nursing school how to read, because that's all that's required to follow guidelines. And I am pretty sure a guy named psychguy would be a mental health provider, but that doesn't seem obvious to everybody , lol

all the differences are there because the credentials bodies are ran by stupid people with worthless DNPs. They have no idea how to run an organization and try to keep nursing as far away from actual science as they can. Oh well, once these graduates start killing people maybe things will change, until then, they probably wont.

pretty sure at most hospitals CRNASs do the same as the MDA.

I never said anything about community colleges. I was pointed toward the for profits. Not quite sure how you made that non-existent connection. Community colleges are the wisest choice anybody could make for their first two years, I was pointing out you have to have like, no brain basically, in order to enroll in a for profit. The worst part is, people try to defend going to a for-profit. I mean hey, you don't have to listen, but when your sitting there eating your ramen noodles paying your big tuition bill, when I drive by you in my new F150 platty, youll know I was right.

you cant really explain it much better than a waste of time and money.

well, if they are doctor title hungry and they go for the DNP instead of MD, they probably just couldn't hack it out in organic chemistry or physics and went the pseuododoctor route

the math thing is pretty true. my original degree was in physics. While there aren't many jobs out there for physics people doing actual physics (unless you have a masters or phd) we get hired like crazy for computer type stuff. Physics gives a great understanding of the world, teaches complex problem solving.. it was hard as balls though, I barely scrapped by with a 3.5 and had to kill myself to get it. but when I graduated I got job offers from every computer-(insert anything here) company in the US. Employers love physics and math majors.

basically what psychCNS said is if you like real science nursing isn't for you. Thanks for admitting nursing isn't real science. its pseudopsycholophilosophiEnglish 101 its not even worth the ology.

I found this article in my E-mail recently, it was a pretty good read, and if one goes around the site they will see several other complaints by preceptors pushing the same issue. Students are not prepared for clinical. Has the Bar Been Lowered for RN/NP Programs? : Clinician Reviews I have seen this in a few students I precept also (which I only do now from certain schools). I had a few kids from online universities (the for profit crap-wagons) as students a few times. It was awful. None of them had any clue how to diagnose, prescribe, or even really do a true physical exam. Basic stuff they should have learned in nursing school, much less an MSN program. Get with the program people, you go to these for profit schools with no requirements besides a BSN degree, don't learn squat, and expect us to precept you? Sorry this is real life. This message is brief, and to all those people who attend these junky schools. Stop making our profession look terrible. If you cant get into a real school, then many you should just stay a nurse, you probably aren't cut out for the real deal MSN level thinking. Yeah, yeah, I know I sound harsh, but your type are the reason that our profession is looked down upon by so many. Personally, I am pretty well respected, but every time I start a new job or meet a new doc or whatever, I have to prove myself, and it is because of sloths that attend these programs and lower our standards. So the take-home is. Don't go to a crappy school and expect to find a preceptor, we know better than to waste our time with you. Go to a well respected school and we will be glad to help you out the best we can and accommodate you. I already wrote a nice long, nasty letter to our credentialing agencies telling them this, of course they turn a deaf ear. The credentialing groups for nurse practitioners is weaksauce, and ran by a bunch of DNP- think they know it alls that are trying to I don't know what, by pumping as many nurse practitioners into the market, ignoring quality. I cant wait for the flames from this one, people on this forum seem to resent the truth, and sit in their little happy-bubble world full of white coats, stethoscopes, and hopes for a big easy paycheck. And to those who come here, from those, for profit schools and try to tell us that they were one of the students who "went above and beyond, because learning is about what you put into it" I have one thing to say. you already told us what you put into it by going to one of these programs. A lot of money and no thought. School is supposed to filter out those who aren't fit. PA and MD/DO schools do this. Yeah, every once in a while a junky one slipps by, but you know its a lot less frequent than NP schools. Just fess up and admit that this is all true.. Preceptors are seeing it everywhere. NP education is a lax joke with fluffy requirements. I also gave psychguy and Jules A a personal spot to like this post. Why? Because they have great wisdom and common sense, and you all don't like what they say, because its the truth. sauce out.

uhhhh, why are people even arguing and trying to dispute the awesomeness of the DNP. I mean you get to be an expert clinician, researcher, teacher, and administrative doctor nurse that can do everything from playing doctor, accountant, high end researcher publishing top-notch and useful articles in scientific American, and still wear that white coat. All of that wrapped in one degree? I mean omg we should be making like 800,000 per year with all those skillz. Especially if you get it from like Walden, or Kaplan, or Herzing, I mean those schools make Harvard look like some community college packed into ghettothugsauceville. lolz

lol all those big words they tend to dodge in any nursing curriculum. I talked to one of my friends who is in an online np program. she states they don't have tests.... ever. They write papers and do discussion posts. Let me repeat that they write papers and do discussion posts one more time they write papers and do discussion posts ok, you get my drift. np education is too lax and not formulated correctly at most institutions.

That stinks, it does sound like your in a sticky situation, but here is the quickest fix I can think of. Well the big thing is that everything is repairable knowledge wise. If you still have your physical exam and health assessment book I would finger through that too, in addition to what was stated above. The most important thing is just taking a good history and formulating a decent ddx. The rest of everything else is stuff that can mostly be looked up. I am not sure how strong your physiology and pathology is, but that does help too. Clinical decision making is pretty much the most important thing though and PE/health assessment books can help with that. Looking up the most common chief complaint, memorizing the right questions to ask, most common etiology behind that complaint (pathogensis helps also but is not directly required for diagnosing at the PCP level), and be able to explain it to the patient is of high yield importance. There are quite a few common chief complaints, but you can look up online and find the most common. Usually they include (insert body area) pain, diarrhea, fever, weakness, not feeling right, anxiety, depression, fatigue (different from weakness), MS injuries, abscesses, infections, lung issues (look up DDX for all of these), etc. It is doable and as long as you take initiative you will probably be fine. Drugs, treatment, etc can all be looked up at the time of the diagnoses so focus on those last, but many treatments are self explanatory. Understanding the red flag drug interactions are important though also, but epocrates and Medscape have a decent interaction calculator. It is highly sensitive and many of the interacts below the series/contraindicated level do not occur often. At least you have a slow pace to work at though, perfect for learning. Self learning is a powerful tool if used correctly and a year from now you could kick some major a** once u get everything down

I do not believe that psychguy and synaptic are berating the profession. The job is probably just pretty easy for them. Some things are easier for some people than others. I come from a physics/coding back ground.. which I still do in my spare time.. and it makes pretty good side change. I will say that physics/computer science is much more challenging than being a nurse practitioner... the knowledge ceiling (useful knowledge ceiling) is MUCH higher, more focus is required, and a deeper ability to use abstract thought is also required. in turn, being a nurse practitioner requires much more thought process than an RN. I also found being an RN rather repetitive, somewhat unintellectual, and rather boring. But I Love the social aspect of it. yeah, if I could go back I would have went to med school, they love physics majors.. but the time investment was too great and I would have had to give up my IC coding contracts. I was able to maintain those through nursing school and my masters. Anything that requires abstract thought, computation, and application of complex algorithms, rules, and micro-theories, will be ultra-difficult. I struggled to maintain a good GPA in physics, but I did. This struggle did not present itself in nursing. This is just my experience though, take it as a grain of salt. I am sure there are very bright nurses out there, but the applicable knowledge ceiling is not very high. I mean technically one would get soo into hemodynamics of the vascular system and be able to calculate out the difference in the turbulent flow and linear flow of each blood vessel in the body and plot it on some excel chart for sh*ts and giggles but I do not believe that would help much on the job. Just an example... of how far one could go into the micro-zone of things. I do not see why people get so defensive about their profession. I know for me, mine does not define me, so I actually get to relax and never take offence. I feel for those who let their profession define them... have they lost their individualism?>

120000 or so from nurse practitioner-ing. another 140k from my new side biz.

If a product is continually bought, the seller has no reason to change the product. Students are purchasing degrees from said colleges on a regular basis, even though they are dissatisfied with the product. it is a little bit different in the education sector, because some people would otherwise not be able to pursue a master's degree though, but it still must be taken into account. Degrees and products, even though we have to work for them also. As time goes on degrees from said schools will not be worth as much as they are now, and if one is not willing or able to get into a program that is sufficient it is most likely better that they stay a nurse. The advanced practice field is not for most people, even though 10 years from now we will probably have 2-3 times the number of the nurse pracitioners we do now. Just because they want another degree basically.