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direw0lf BSN

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  1. direw0lf

    Oversupply of Nurse Practitioners

    How were you an NP in your last year of med school? (not being sarcastic, am really curious how that happened..how old were you when entering med school, how long had you been an NP, and how you handled that workload..feel free not to answer all of these questions if they seem too prying)
  2. direw0lf

    FNP's in acute care

    Thank you! I do not have the experience, I'm a new nurse. I am very ambitious though...I enjoy bedside nursing very much but i want more. So I'm really trying to take the time to find a program that will prepare me or what I should do. If in the end being a better NP means being a nurse for more years, then that's what I'll do.
  3. direw0lf

    FNP's in acute care

    Thank you both so much for the clarifications. Very helpful! Dodongo - that is what I want to be able to do. I turned away from what I originally thought I wanted while I was still in nursing school (psychiatric NP) and fell in love with pediatrics. With psych NP, there seemed to be no separate programs for acute or primary. Now I'm looking at peds NP programs, and many are geared for primary only. I thought maybe FNP would encompass both acute/primary. What do you think of this program? http://nursing.rutgers.edu/academics/dnp/postBacc/FamilyNPEmergency/index.html
  4. direw0lf

    Oversupply of Nurse Practitioners

    This thread worries me, but yet in the hospital I'm at (a trauma 1 , teaching hospital) I continue to see more and more NPs hired in all specialties, because they work for less than MDs. I agree 100% NP schools are too easy to get into. Most just require a 2.7 or 3.0 min GPA to get in without taking the GRE. If 2.6 or under, they require the GRE but still can accept you. I don't think NP schools should raise the bar to MD schools entrance requirements, because we already are nurses continuing our education, but maybe at least make the academic requirements higher. I actually think if programs just increased clinical hours and classes, you'd have less people desiring to take them on to get their FNP.
  5. direw0lf

    Nursing school has pushed me to the edge. Anyone else?

    Listen in the nursing real world after you graduate, you need to be FLEXIBLE. There's gonna be a ton of crap flying at you at once, and you need to adapt fast and think on your feet and get used to things not always going the way your type A wants, nor are you going to like how your managers, coworkers, and patients treat you all the time. I'm not trying to be cruel or insulting here, I feel like I am definitely a perfectionist who wants things ordered and in MY organized way or how I think is organized. When I see those meme's about ICU vs ED nurses, I'm like "yep I'm that ICU one" with the cords all perfectly coiled and untangled, and the ED nurse's cords a tangled ball I also got offended at first when one of my preceptors would tell me the most basic things, and I felt like maybe she thought I was dumb and had never had an A in my life. (that's not how they feel, btw). I'm a new nurse. But I have learned, how I wanted things to go, really can't go that way. I had this whole plan of how my day would go with my assessments, meds, and charting. I was wrong! I'm telling you all this because I want to help you! YES u can change. You can learn not to react with anger at people you think are treating you like a baby, as you wrote. You can control whether you skip class or show up on time, for the most part. This is your choice, and in nursing real world, it does not get different, it gets more intense. Up to you whether you want this or not. But don't put blame on your upbringing - YOU control your life's direction now, not your parents or teachers. Rise to the occasion.
  6. direw0lf

    FNP's in acute care

    What I'm seeing in the curriculums for FNP programs are that they are geared for primary care, and the clinical sites must be completed at primary care settings. I met an FNP graduate who was in the process of completing a certificate program for acute care and was having her clinical rotation in the trauma unit. So my questions really are: 1. Do FNP programs prepare you enough for acute care settings also, with an extra certificate course for acute care 2. How "easy" is it to get hired in acute care with an FNP? My goal is to work in both primary and acute care settings. I've even considered medical school because I felt NP programs can be so limiting, but maybe they aren't? I chose a career in nursing in part because of the flexibility..to not have to stay in one area. Thank you in advance
  7. direw0lf

    help me prioritize please

    Hey guys I am having a hard time. I'm in a new grad program where I rotate to different units first before my placement. I rotated in pediatrics and MICU and now am in a neuro/tele step down. I thought this would be easy compared to the specialty units, but I have more patients and I'm falling behind. The PCAs are not taking my patients' vital signs or BS or cleaning them if they have a BM or transferring them from bed to chair or feeding (I feel better doing the transferring and though), etc. I am doing all that but this week I had a discharge and admission and I fell behind in meds. When I have blood sugars and see the food trays arrived and I'm stuck cleaning poop I don't know what to do. The PCAs haven't been helping me I think because they see we're 2 nurses here. But I'm in my 2nd week and doing the full assignment myself now, my preceptor checks my charting. Anyway, could you all give me tips or advice please about prioritization? for example the other day at work: 1. Had AM BSs and insulin to give. So I pulled everyones meds, and since everyone was a BS, I didn't know if I should have given all the meds to each patient, or just went around for the BSs first then gone back to do the rest of the meds. 3 of my patients had PEG tubes for food/meds so that takes me a little longer crushing them and stuff. So what I did was give the insulin first then went back and did regular meds. Is that what you all would have done? 2. by the time I was done with morning meds, it was 11:30, BS time again. I took that long because I also did my physical assessments, set people up to eat, transferred , mouth care etc. 3. At noon, wound care arrived and wanted my help with setting up a wound vacc, then the pt pooped, so I was in there for a while 4. one of my patients was getting d/c so I was giving report and getting that ready then another patient had a BP med issue I ended up calling the resident 4 times, bc the BP meds he kept giving would lower her HR and she was off tele and pharmacy I checked said she couldn't be 5. meds again, pt cleaning up, transferring, and I finally did my shift assessments, I was also behind in my q4h neuro checks now 6. Admission from ICU, had to change a person's room because this admission was a climber and she was being put in a room I couldn't have her in because too far from nurses station 7. Dinner trays came, I hadnt done BSs yet, more BMs had happened ok that was about it what can I do different please? edit - ok I read this over and it sounds like I'm complaining or something. Really I just want help to not fall behind any advice? TIA
  8. direw0lf

    Only using Uworld to study?

    You're welcome... I think your plan is perfect! Also what worked for me was about a week before my exam I really piled on the questions, like 200 a day and did rationales (bc I wanted to finish all the questions) some people that may not work for but my scores improved a lot by doing that.
  9. Ok I didn't know where to put this topic, and I certainly DO NOT want to offend anyone with this subject. I love nursing. My whole heart went into nursing school and I put 100% in my work days as a new nurse. Every day I leave feeling it is worth it. It can be one thing that makes me feel it's all worth, one minute in the day, where I make a patient more comfortable or I suggest something to the doc that turned out to really help the patient, etc. It makes my day and I leave feeling good. I feel rewarded in this demanding career and I feel proud to be a nurse. Having said this, I have been thinking about medical school A LOT. I'm at a teaching university, so I work with residents and med students every day. I feel guilty for wanting to go to medical school now like I'm abandoning nursing. My close peer I confided this to said that I'm a nurse and I should expand on my nursing career (NP) instead. I've done some digging about NP programs though, and I really wasn't satisfied with a lot of their curriculums, clinical hours, and/or pass rates/retention rates. And many are more money than medical schools. When I meet a new med student, I have this desire to be them. I want to learn as much as they do to help my patients more, and have that autonomy to do so. I don't have any plans or anything, it's just a strong feeling I have. I "double majored" in biology as an undergrad, so my prerequisites would be almost finished. Wondered if anyone else does, for any other career?
  10. direw0lf

    Possibly relocating to NC

    Not sure where you're moving from, but you may be taking a pay cut. NC is the lowest paying state on the east coast for RNs. That said, Duke located in Durham is a world class hospital. I've met nurse managers there at a hiring event, however I haven't relocated yet. But I really liked the people and atmosphere. Good luck!
  11. direw0lf

    Only using Uworld to study?

    I passed using mostly uworld in 75 qs first time. My school offered us Hurst, and I didn't think it helped. It was very rushed and simplified imo. I thought uworld helped my critical thinking. After reading the reply above me, it just goes to show that everyone will be different. I guess it's gotta be what works for you. I will say though that I didn't think the NCLEX was as hard as uworld. The day before my NCLEX exam, I had finished all the uworld questions, and I redid ones to boost my confidence. The morning of the NCLEX, I redid about 20 uworld questions to make my confidence even higher. You have to really take uworld's rationales to heart, and use critical thinking to expand on what the rationales teach. Good luck! Don't psych yourself out!