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Polly Peptide

Polly Peptide BSN, RN

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Polly Peptide's Latest Activity

  1. Polly Peptide

    Is it worth it to be an NP?

    I am at a decision point and I am struggling with pulling the proverbial trigger. I decided to change careers and go back to school several years ago, with the goal of becoming an advanced practice nurse. I always thought I wanted to be an AG-ACNP, although I did not know at the time what specialty. I decided I needed some nursing experience so I went through an accelerated BSN program. Here I am now - accepted into a well-respected brick and mortar school, who will find me my preceptors (and the tuition reflects that!), slated to begin in August. But this nurse is...scared. My main problem is, I do not like nursing all that much. I've had a couple of jobs in my short time as a nurse, and I find them all to be physically and emotionally exhausting. And now I'm concerned about what providers face. I think the system sucks. Bureaucracy, politics, patient scores, what insurance companies and Medicare think, and the almighty dollar seem to have taken precedent over safe and sensible patient care. This is nothing new but perhaps my rose-colored glasses are just now off. I'm wondering if the job is really just that much more burdensome than being a nurse. I was thinking of specializing in hospice or palliative care. I like the idea of managing symptoms and making a patient as comfortable as possible while dealing with a life-limiting illness. But I've really enjoyed that work as a nurse - because you form a relationship with the patient and their family and sometimes have the opportunity to be with them as they pass from this world. As an NP, I think the relationship with my patients would change. Part of me just wants everything to slow down and do a whole lot LESS of this stuff. Even though I never thought I would say that and I have always been full of curiosity and loved to learn. I live in a saturated area and am just wondering if, with everything considered, it would even be worth it.
  2. Polly Peptide

    What to say in exit interview

    I was contacted AFTER I left an employer for an exit interview. Mostly, I didn't want to give my precious time to them anymore than I already had. But I wanted my truth heard. So even if it was a risk to my career, I told them that I had been bullied, insulted, called names, and poorly trained. It felt oddly competitive, not cooperative at all. I was told NOT to touch things or move and then when I was hesitant to touch things or move (because of previous instructions), I got scolded for not taking enough initiative. I was refused to be introduced because I was "just" orienting and one of "those people" and would only be known by my name once I was off orientation. On and on. The culture was horrible. There were some nice people there and they got me by. But I couldn't leave fast enough. I told them everything in that exit interview. If I am not eligible for rehire because of THEIR culture problems...well, I wouldn't want to go back anyway.
  3. Polly Peptide

    Am I Making The Wrong Choice To Go To Hospice?

    Hospice case management can be very rewarding but there is definitely a reason you are salaried! You will often be working "after hours" with charting and preparing for IDG (interdisplinary group) meetings, which happen weekly. If you are still interested, ask about on call requirements and if there is a dedicated admissions nurse. If you will be required to do those things, it will mean more work beyond your "salaried" time for you. Picking up back-up on call once every 6 weeks is fine but covering on call every other weekend or so isn't okay. Having to do all your own admissions and managing a full caseload of 15 patients, etc., is a challenge. Ask those questions. Every so often you will get done earlier than 5 or be able to squeeze in a doctors appointment but that is more the exception than the rule. I actually love hospice, the experience, the patients, the families (for the most part). But maybe ask about a hospice or palliative unit in the hospital first? Or if you are interested in case management, see if you can do a CM job in the hospital before jumping ship? The RN CM jobs in hospice will be there if the others don't work out.
  4. Polly Peptide

    Vanderbilt MSN 2020

    I cannot say why you were waitlisted and others got in because you seem like a great candidate based upon what you shared. However, you should know that you are compared against the pool of applicants you apply "against" and that changes from year to year. For example, the first year I applied, I applied as a non-nurse and got in. I decided I wanted nursing experience first so turned it down. The second time, I applied when I was still getting my BSN (thinking I would go part time while I worked) and got waitlisted. After some experience I applied again and got in. On this board, you will see lots of people accepted who have NO nursing experience because they have that pathway. However, I found it MORE difficult to get in once I was a nurse, because the competition was different. You, however, have lots of experience, so it is likely something else. Sounds like you applied to the track for those with a BSN, while you were still working on it. It doesn't help to say "shoulda woulda coulda" but your app may have been more competitive if you had done their "RN to MSN" entry. I don't know this for sure, but perhaps they consider years of experience WITH a BSN for the BSN to MSN track. If you don't get pulled off the waitlist, it is very likely you will be a top candidate in another year. Don't give up.
  5. Polly Peptide

    Hospice as first RN job?

    I went into hospice is an almost-new-grad. I, too, have a heart for it and my experience confirmed I was right...I love hospice and my patients. However, I am doing what the above-poster said and quitting to go to acute care. I have other reasons too, but I feel I've missed some valuable experience/education as well as skill development. I am a mid-life career changer and I felt quite comfortable in most of hospice's often-challenging emotional situations. You have to be calm, compassionate, level-headed, and able to talk through tough topics. Another thing that I wasn't totally expecting (but maybe should have) is the family discord that pops up with end of life issues. It is one of the reasons the interdisciplinary team (social work, chaplain, etc) is so valuable, but as the nurse/case manager, you have to be able to comfortably talk to people with heightened emotions. I will miss it and expect I will come back to it later. For now, I am going to go learn in another environment/around other nurses and professionals and develop my skills. I did NOT like the feeling of being scared to hurt my patients with a straight stick or some other procedure (yes, we do those in hospice!) because I haven't done them in MONTHS or maybe only ever did it in school.
  6. Polly Peptide

    What's the least saturated specialty in APRN?

    I, too, am curious about the answer to this question. As it relates to NNP - I've heard that a factor that keeps some away is the schedule. Many are required to work 24 hour shifts and some just would rather not, for quality of life reasons.
  7. Polly Peptide

    Confused about this Offer?? HELP!

    I would be uncomfortable with the "additional agreements" clause. How can you sign something saying you will agree to "any additional agreements", of which you currently have no knowledge (and apparently neither do they)? I would ask that that paragraph be removed. What if they decide later to throw some horrible non-compete at you and you've signed this thing and should you ever leave your job, you can't take another one within 30 or 50 miles of your current one?? The "entire agreement" wording looks standard to me. It is saying that the written agreement supersedes anything that you may have been told verbally. However, if you are under the impression you will have benefits (and you WANT benefits), I would clarify that. In fact, I would get any and everything clarified IN WRITING before you sign...so you are comfortable with that last paragraph.
  8. Polly Peptide

    Where are NPs most/least in demand?

    The location quotient map tells the story. Hover over the different areas, don't just look at the map. In areas of highest concentration of jobs (assume this means jobs currently held by warm bodies), the salaries are also the lowest. This is also affected by COL (see CA). For example, salaries are quite low in Nashville, TN (as I mentioned above) where there is a very high concentration of NPs. Same applies to many areas in TN unfortunately. As you can imagine, job hunters find it difficult. Why are there low salaries? Many NP schools flooding the market with new NPs. Another issue (IMO) - low(ish) wages for nurses. Research that and you will find TN isn't anywhere near many other markets (even Nashville, which is NOT a low COL area) so when seeking upward mobility, the first thing many think of is "NP".
  9. Polly Peptide

    Pathway to CRNA

    CRNA now requires a doctorate (DNAP). You will need your BSN, minimum of one year of ICU experience (most will say that is bare minimum, and that is beyond orientation also, although some I've met affiliated with our local anesthesia school advised to apply as soon as the first year is up). You don't need your MSN first. There may be certain prereqs you have to get that you don't get in your nursing program so you will have to check your schools requirements.
  10. Polly Peptide

    Where are NPs most/least in demand?

    Anecdotally, it's my understanding that the Nashville, TN market is pretty saturated.
  11. In your experience, what is the most exciting, action-packed specialty? I think I’ve gotten over the hump in my Periop program and am finding my groove. However I notice that I most enjoy myself when there is a lot going on in the room. I am one who likes to be busy - opening things to the field, retrieving items from wherever, charting, problem-solving, drawing up and dispensing meds, you name it. While it’s nutty when there are tons of reps handing you things, I guess I like the pace. We are about to have to choose a specialty to train in (beyond learning general) and I am curious - what tends to be the most action-packed for you?
  12. Polly Peptide

    How did you know you liked it?

    I am still early in my residency so maybe that is my problem. But so far, I don't know if I really like what the circulator does. Setting up the room, retrieving supplies, listening for the needs of the scrub/surgeon, etc...just the routine nature of it...I guess I'm worried it won't "do it" for me. We had a worrisome situation with a patient's airway in a surgery...patient developed hypercapnia and it was a mystery to the CRNA. I went home and researched it and all I wanted to do was the follow the patient and figure out WHY and what to do about it. But in my role...it stops at the PACU hand-off. (And no, I don't think I want to be a CRNA). I almost LIKE when we are running around crazy busy because at least then we aren't sitting around with all the charting done, waiting to be needed. It just feels like checking things off a list and if things are going well, you WANT it to feel that way. I guess I am needing more action. And you don't want an OR to feel like that, right? I REALLY thought it was fascinating in the beginning, but that is wearing off. Our residency manager has encouraged us to let her know if we have those feelings. Is this normal "disillusionment" or am I not really cut out for the OR?
  13. Polly Peptide

    Tell me about your PeriOP 101 Program

    I am starting a Periop 101 program now. Ours is 7 weeks long with a total orientation time of 5 months. We spend Mondays in the classroom doing AORN modules, skills lab, and have guest speakers. Tues-Fri is spent in the OR with our preceptors. During this time, we rotate through all of the specialties. At the end of 7 weeks, we take the exam and are then placed within a specialty. Following this, we train in our actual specialties, growing more independent, until the end of approximately 20 weeks.
  14. I used UWorld and passed first try in 75 questions. However, I just graduated so our situations are a bit different. UWorld does not provide any review material, only questions. That is one limitation and may be in issue in your situation.
  15. Polly Peptide

    Duke MSN WHNP Spring 2020

    I went back in and was able to figure it out. Glad I saw this!
  16. Polly Peptide

    Duke MSN WHNP Spring 2020

    Anyone else responded to the interview email and get just a general timeframe for interviews? I'm talking a several days timeframe. On the website I had to go to to register, it said that interviews would be conducted from July 15-July 26 and that I would receive my interview date and time 48 hours prior. Did anyone else get the same thing?
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