ndnursepract

ndnursepract

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All Content by ndnursepract

  1. What do you sign?

    In my opinion, yes! But I didn't make the rules! And let's face it--I don't know a single lay person that knows what "APRN" even means.
  2. What do you sign?

    ANCC says that you use whatever your state dictates for legal documents such as prescriptions and chart notes. For professional endeavors such as speaking engagements, use all your relevant credentials--which should be in the following order: Highest...
  3. PMHCNS vs PMHNP

    I know the PMHCNS is ultimately being phased out, but what do you see as the difference now between a PMHCNS and a PMHNP? Is there anything within one scope that is not in the other?
  4. Finding the elusive cervix...

    Try doing the bimanual exam first. If you can manually feel the cervix, you'll have a better idea which direction to direct the speculum.
  5. NP school and preceptors

    With your position as ADON, do you have some connections with the docs and/or NPs there that you could ask about precepting you? Would be helpful and much less stressful for you getting started in a program knowing you already have someone to help y...
  6. $29/hr--why am I still in this job!?

    Yes, you read that right. Been in same FNP position over a decade, and have had two raises in that time. Presently making $29/hr. Other staff in the facility is underpaid as well I am certain (nursing, lab, etc). RN's in the area probably make in ...
  7. $29/hr--why am I still in this job!?

    Perhaps the remote places SHOULD pay more, but they definitely do not. Even RNs/LPNs make quite a bit less here than in the larger cities of the state. Still no excuse for my low wages. And despite the low wages, our clinic has amazing longevity am...
  8. $29/hr--why am I still in this job!?

    Yep, no question. Mostly venting in what I hope is a safe place to do so. I know I need to have asked for a raise a 1000 times over, but then I figure I am so far behind the 8 ball at this point, he will probably give me $1/hr increase, so why bothe...
  9. FNP Student, need opinion on experience

    ICU experience definitely not necessary to practice as an FNP. I worked in both ICU and med-surg prior to becoming an FNP. While I loved working in ICU (and didn't so much love med-surg), the med-surg experience was definitely more valuable. The sick...
  10. Pmhnp program

    I am presently attending UND for a post-master's in PMHNP. When I was first thinking about the program, I emailed both the PMHNP track director and the overall director of the nursing graduate programs. Both answered me promptly and when they didn't ...
  11. Reducing Boys' Embarassment

    My first few years in practice this made me so nervous. Have to do them in sport physicals from 3rd grade for some schools through seniors. Finally, I figured out just to be as matter of fact about it as can be. Most boys know it's coming either fr...
  12. I am an FNP and have never heard of any special additional certification for FNPs to treat psychiatric patients, though there certainly could be something I am not aware of. Psych practice is within your Scope of Practice an an FNP, but as with anyth...
  13. I am an FNP and have never heard of any special additional certification for FNPs to treat psychiatric patients, though there certainly could be something I am not aware of. Psych practice is within your Scope of Practice an an FNP, but as with anyth...
  14. I think my application for PMHNP was due January 15, and I submitted the final documents January 15. Received acceptance notice in April. If the deadline is October 1, I see no reason why you need to wait another cycle at this point.
  15. Number of Patients per Day

    14-18 patients a day seems very reasonable for primary care. Some of those will be quick 15 minute visits, including charting, and some will take an hour. 6-8 patients per half day is very doable.
  16. AANP National Conference

    Agree! I went in 2008, and have always wanted to go back; it just hasn't yet worked out.
  17. Labs for viral vs bacterial infection

    First I look at the WBC--if elevated, almost always bacterial. Then look at differential. If neutrophils high (left shift), bacterial. If lymphocytes high (right shift), viral. Also, if granulocytosis, probably bacterial.
  18. DNP

    Congratulations!
  19. LTC's are a joke

    Seriously? How are the prescribers making money from the pharm companies? I've been prescribing in LTC and clinic for 12 years, and never once has a pharm company given me money....
  20. Charting on my free time

    That's ridiculous. Some charts take 1/2 hour or more to really complete! Especially if you are updating diagnoses, medication lists, etc. To say nothing if you are having to order meds as well. Now I'm in Family Practice, so some visits are short ...
  21. FNP wanting to specialize

    I think it really depends on what area of the country you are in. In ND, the vast majority of NPs are FNPs. Yes, there are a few WHNP, NNP, PNP, PMHNP, AGNP, etc, but VERY FEW. By far the majority of NPs working in the specialty areas are FNPs. I...
  22. MSN NP or MSN + Post-Grad Certification

    Get your license, go work in an ER for a year while you're applying for NP school. The RN experience will be invaluable for you and your future plans. Trust me the year will fly by, and you'll be back in school before you know it. Why spend that yea...
  23. UND PMHNP Program

    Hi Charlie101, Yes, I am working, but my course is quite light as I am doing the post-master's certificate. I only have 4 credits right now, which is 2 classes. That may change next year when will be doing clinical. I may not be able to work; we'll ...
  24. Clinic RN / Primary Care?

    It will ABSOLUTELY be helpful. I too was a critical care nurse before starting NP school. Had never really spent any time in a clinic. Like someone above said, they are VASTLY different. You will still use your CCU knowledge some but the clinic ex...
  25. UND PMHNP Program

    marigoldey, I have personal as well as professional reasons, but for one thing, my rural area is getting well saturated with FNPs, yet there is a huge need for mental health care. I may not be the best to comment on the teachers and course delivery a...