Grumble88

Grumble88

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All Content by Grumble88

  1. PA/NP/DNP: filling the "education gap" re: medical model

    All nursing is evidence based. People draw dramatic conclusions about the difference in education between PA and NP. Realistic differences: In PA you'll have a large number of brief clinical experiences across multiple specialties and will be train...
  2. Hate my FNP job

    Q: "Well who is going to train new grad NP's?" A: experienced NP's I don't advocate for the removal of physicians from primary care. NP's do need either real supervision or a residency period for 1-2 years, but the opportunity for experienced NP's ...
  3. Accelerated Programs

    Accelerated RN programs? I suppose it depends on the individual, but I don't see any point to spending extra time in school. Nursing school prepares you to take the NCLEX and be minimally competent, you learn how to be a real nurse your first year ...
  4. *slightly hemolyzed* potassium

    Your lab should be redrawing hemolyzed samples, not reporting them, but regardless don't stress about it. If you're really worried call whoever is on shift and report it to them so they can follow up.
  5. Duel NP/LCPC programs?

    As above poster said, Psychiatric/Mental Health Nurse Practitioners can provide psychotherapy, but are generally put into a role of med mgmt only, though I know several who provide psychotherapy in a practice owned by a private physician.
  6. Who makes more an anesthesiologist or CRNA?

    Anesthesiologist, about $300,000 more per year from the last figures I saw
  7. NP school, i suffer from tics/tourettes

    Hey there, I recently passed my NP program and passed my board exam. I also suffer from a tic disorder (primarily throat clearing, grunting, sniffing, and blinking). I've dealt with this all my life. It has eased up in my adult years somewhat, but...
  8. Phlebotomist before nursing school?

    Hi Sublee, I was looking for work and just happened upon the position. Technically I was a "lab assistant." My work trained me, but I never actually received a certification. There are hospitals that will train and certify you, call around to loca...
  9. The VA Rule On APRNs Should Not Be Doctors vs. Nurses "To quote the American Medical Association's Principles of Medical Ethics, 'As a member of this profession, a physician must recognize responsibility to patients first and foremost, as well as to ...
  10. Hardly any SATA, mostly multiple choice, Did I fail?

    I only got 6 SATA and passed in 75, don't buy into the whole "more SATA means you're doing well" thing
  11. Forcing Meds on psych pts.

    Restraints and emergency medications are unfortunately fairly common place and necessary at times in psychiatric settings to protect the patient and others on the unit. This sounds like one of those times, just not in a psych setting. I'm certain t...
  12. Allowing the VA to let APRNs practice to their full scope would increase the number of APRNs the VA could employ without having to worry about compensating physicians to "supervise" them, allowing more veterans to receive care more quickly.
  13. Can NPs delegate to PAs?

    Is it legal for NPs to delegate to or supervise PAs in any state or territory in the US?
  14. Graduate entry vs accelerated BSN

    If you know you want to be a clinician and know the specialty you want to pursue, go for the direct entry and save yourself time and money. If you aren't sure what your end-goal is and just want to explore nursing before committing to a field, go fo...
  15. expected salary?

    New grad FNP in TX? Expect to be low-balled with offers in the 80's. I recommend holding out for a job that pays at least 90 plus benefits and CME reimbursal. Don't let anyone sucker you into paying for benefits like liability insurance out of you...
  16. Can NPs delegate to PAs?

    It's the same in my state. Talk about an uphill battle... When your licensing entity refers to you as a "mid-level." Maybe one day that monocre will be removed, but I think it'll be a long time coming.
  17. Can NPs delegate to PAs?

    Thanks, and yeah this is what I've gathered from other sources as well. A colleague of mine has the exact situation you've described, only he hires only PMHNPs in lieu of PAs. He owns and runs the practice and contracts with a third party physician...
  18. Can NPs delegate to PAs?

    PyschGuy, I meant delegate in the same way a physician delegates prescriptive authority to NPs in restrictive-practice states and PAs. As in physician contracts with NP, charges a percentage of his/her billing, and in return "supervises" him/her all...
  19. In my first undergrad degree almost everyone I went to school with wanted to be a child life specialist, I think only two or three actually went through with it and they married partners who were able to provide a living for them, everyone else went ...
  20. Can NPs delegate to PAs?

    Thanks evolvingrn, that's what I was asking. Looks like the answer is a "no" regardless of independent practice, though. Thanks for everyone's responses.
  21. Own practice

    Renting a location, contracting with a delegating physician for himself and the NPs he hires, contracting with NPs to work in his practice, malpractice insurance, and making ends-meet doing telemedicine while he built his practice
  22. Direct Entry MSN programs

    If it makes you feel better I know the UT Austin program only considers your upper-division gpa, not cumulative gpa from undergrad. I would assume some others schools also follow this practice.
  23. 2016 PMHNP certification exam resources

    Currently preparing for it using Barkley review and the ANCC review book. I'm having a hard time finding decent practice questions, bought the ANCCs two practice exams and 5 exams from anccprep.com, but there seem to be so few and they are crazy exp...
  24. Own practice

    I had a long conversation with a colleague recently who started his own practice in Texas. I wouldn't even try in a restrictive state like Texas, but in an independent practice state it would easily be worth it if you do the appropriate preparation ...
  25. Direct Entry MSN programs

    Get straight A's in the prereqs, it's easy to do at a community college level, one or maybe two B's won't disqualify you, but aim for all A's. For expected GPA and GRE scores, contact individual schools and they'll be happy to share that information ...