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aprnKate's Latest Activity

  1. aprnKate

    New Grad NP - How I Got Multiple Job Offers

    These are great advice for new grad who are searching. Many new grads always complain about how they can't get jobs and that there are no job opportunities. There are plenty of jobs out there. Its just all they want is to stay in the city and a major metropolitan area. What they fail to see is that clinics and employers have to pick the right candidate and it takes time and it is not a RN job where you can just get up and leave. These employers have their time invested in you and taking the time to train you so they of course want to make sure you don't just leave right away (not saying that all employers take the time to train you but there are bad employers out there as well) and waste money and the time to invest in your orientation/training since there are overhead costs that they have to spend on you like your DEA, Malpractice insurance, salary...etc. They are actually not making any money off of you when you first start but are hoping once you get acclimated with your job you will be able to make up for the overhead costs and overtime make revenue for them. Don't just let employers interview you. YOU NEED TO INTERVIEW THEM AS WELL! Don't just nod at everything they say. Come prepared. ask about the patient population, how many patients you'll be seeing, how much will they be paying extra if you did any procedures, work environment, benefits... etc. You need to also make sure that they are the right fit for you and you need to get a feel for the people that you are going to be working with because if you already don't feel at ease during the interview its most likely that you will not be at ease with them working permanently. Last thing you want is that you accepted an offer for a really high salary and you are miserable within 3 months... so miserable that you want to quit but you have a 1 year contract so you have to stay and everyday you come to work until your 1 year is up you are dreading getting up from bed. Rural areas and underserved areas are really under rated. I have never worked as a NP in a metropolitan area it was always rural and underserved. I have learned so much from my patients and build so much trust. I have found that if you build good rapport with your patients, they are more likely to take in your suggestions and be more compliant with their disease management. One thing about rural area patients though is that they get attach to you once you become their regular provider which can be very hard when you decide to leave. Serving rural areas is the most rewarding and fulfilling job so far that I have ever had. Working in rural areas, sometimes you have the liberty to do a lot more in your clinical practice. For example, I work primary care Internal Medicine everyday but I am also scheduled in school based Teen Clinic anywhere from 2-4 times a month (that's not over time by the way. Instead of scheduling me in Internal Medicine they will schedule me in Teen Clinic which is something I want). On top of that, my MD supervisors have encouraged every MD/NP/PA that if they have a passion for a certain type of specialty or they have a project that we want to do to help improve patient care (this is not mandatory, its optional) they will support us and will provide guidance for this and will give us time within our 40 hour week schedule to do this. I find that this is the best set up for me as I can do primary care and also hold a specialty clinic once to twice a month. I am so blessed to have found this rural area that I am at. I think it is one of the most beautiful areas in the US to live in. I live in the 4 corners area and i am surrounded by 7-8 national parks/monuments within a 20 min to 5 hour drive. NM,CO, UT are only 1.5 to 3 hour drive. It qualifies for loan repayment (although I never had any loans because I worked and went to NP school at the same time & paid for it but my NP school tuition cost was only about $28,000 at a public state university) As far as curriculum vitae/resume goes, you don't have to spend money to have someone do them for you. You can do it yourself. You can just ask your preceptors or your NP instructors if they can provide you a sample of their CV/resume and try to tailor the format to theirs and how you apply it to your professional experience (whether in healthcare field or not) and your education. Once you've done that, just ask one of your professors to review it for you and give you feedback. None of my NP preceptors and professors were opposed to this. In fact, they gave me suggestions and feedback on how to do my CV/Resume properly. If you don't feel comfortable with any of your instructors/professors/preceptors you can always contact your local NP group and see if someone is willing to take a look at it. Also, please don't put your hourly salary or your salary on your CV/Resume, I have seen this before. I'm sure everyone has a different way of doing references but I never did put my references on my CV/Resume. I figured if they were truly interested after the initial interview they would call me back and request for them and most of the employers who were interested did that. If they weren't interested they never asked for it and I never heard from them again. What I will tell you to invest your money on is once you have accepted a job offer (and again, this is optional but this I think is worth your investment), is for a lawyer to take a look at your contract before you sign it. One thing to be familiar with is a noncompete clause (I won't explain it here because I think its worth your time to do the research and googling it up yourself). If there is something you do not understand in your contract or some type of fancy jargon that you do not understand or may have different interpretations.... its worth getting a lawyer to take a look at it so you don't allow yourself to get jipped by mindlessly signing a contract.
  2. aprnKate

    NP Rx

    its only common practice if you want your licensed revoked or get disciplinary action on your record
  3. aprnKate

    NP Rx

    its common practice only if you want to get your licensed revoked or get disciplinary action
  4. aprnKate

    New grad FNP desperately seeking for a job!

    Go to rural areas
  5. aprnKate

    PNP-Acute vs Primary- Need advice

    No you don't need an acute care certificate to work in specialized clinics unless its inpatient and it also depends on what your state requires of you as a NP. I have a friend that is a primary care PNP and he now works peds rheumatology outpatient but follows them inpatient sometimes (but not doing any inpatient procedures like chest tubes/central lines..etc)
  6. aprnKate


    its very professional of them to let you have a choice. If you are okay with both of their personalities and how you get along why not choose Physician B even though Physician A was the one that hired you. It will show how flexible you are when it comes to the needs of the clinic and the patients. Besides, someone will have to take over the patients from the NP that resigned, take it as a chance to establish good rapport with the patients the NP has left. Also, remember that you are supposed to be there to serve the patients. Unless, of course there is some really bad reason why you do not want to work with Physician B. Working with Physician B may also help decrease the burden of his workload which I'm sure he/she will be appreciative of.
  7. aprnKate

    Good NP schools

    one that is accredited with good passing rates
  8. aprnKate

    Clarification needed in renewing license vs certification

    Just renew your RN/FNP license as you would for your state when it is due which is every 2 years, check your state requirements on what they want for your license renewal and then your FNP certificate in 5 years when it is due.
  9. aprnKate

    Verification of malpractice insurance by the employer

    Just ask them for proof. Just ask for a copy of the malpractice insurance with your name covered under it prior to practicing. Otherwise, don't start. Its a legitimate question to ask. If they don't provide for you then that's just being shady and they are not putting your best interest at hand.
  10. aprnKate

    Job search at end of year

    Start applying now to 10 places but may get interviews for only 5 to7 but only 1 or 2 may offer you a job that may fit what you are looking for
  11. aprnKate

    NP Rx

    Highly suggest no. It's a conflict of interest. If there is any kind of reaction/side effect it's your license on the line if you didn't see them in a clinic setting and there is no official clinical assessment. Besides you don't want your friends and family getting used to you prescribing them anything. I have had many family members ask me I have always said no. I'm sure there are exceptions to the rule such as in case of emergency which means there is no access to care within like 100 miles or something like that and I'm not talking about the person not having insurance or affording care. . It just means that the nearest clinic is like a 100 miles away or something. I don't think this rule just goes to CA NPs... I think this goes for any NP for any state.
  12. aprnKate

    locum as a new grad NP

    I would at least get a 6-12 months NP experience before jumping into locums unless, of course, it was agreed that you would get trained and a proper orientation for the facility. I started being a locums NP after 10 months of experience and I did fine but I was also left to manage a clinic by myself for my first permanent job so I got used to the autonomy. I once trained a new grad NP fresh out of school with no NP experience whatsoever and she did not do so well she ended up leaving the assignment early. I really don't suggest it but of course it all depends on the individual as well. As locums, they expect you to hit the ground running and depending on the assignment they expect you to see X amount of patients per day. So if you can negotiate training involvement and a fair amount of patient based on your experience to see may be it can work out.
  13. aprnKate

    California NPs

    I hope you already have a California RN license because CA is not part of the compact. I have a TX RN/FNP license. I was a traveling NP and it took me 9 months to get my RN and FNP license and then another 3 months for my furnishing license. I still have my CA license but I have never worked in CA but mainly because it took so long I just went for other traveling jobs and now I am happy with my perm job here in AZ
  14. aprnKate

    New NP going into gastroenterology

    you should read MKSAP 17 Gastroenterology & hepatology. THis is what MDs use to review for their internal medicine boards. I am not a gastro person but i am in internal medicine and i have found reading materials such as MKSAP really helpful.
  15. aprnKate

    New NP, take Integrated pain management job or keep looking?

    your first year aim to get a good footing in your role. What kind of NP do you want to be? then balance this with the salary you want. Ask yourself if you can do pain management forever. Also ask yourself, After one year if you were to go into a full scope of practice (managing chronic diseases, wellness exam) will you be marketable? 24-27 patients per day is a lot you may get burned out sooner than later. just speaking from experience.
  16. aprnKate

    Does it matter which FNP school I pick?

    If you ask me, you should pick a school that is accredited. Affordability is also an issue. Depends on how much loans you want to pay. Also, I don't think you would get paid any higher if you went to a super expensive school either that all depends on how you negotiate when you get your first job.