JellyDonut

JellyDonut

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  1. New Grad NP hourly wage in Bay Area

    RN experience will help you get that first job as an NP but it is not a factor in starting salary. In a specialty you really do not know squat when you walk in the door and in my experience it takes about a year to get up to speed. You will have ma...
  2. Hospitalist --- FNP or AGACNP?

    It all depends on where you live and practice. Anyone who tells you it should only be this or that cannot speak for all areas. Check with your BON and hospitals in your area. However, the dual FNP/ACNP should cover all bases for anywhere you plan ...
  3. I was embarrassed for how she screamed and cried. Man up! He was not taking you out back to execute you.
  4. Everyone is in NP school !

    i was a bedside nurse for more years than I can wrap my he'd around. It wore me down and made me hate going to work. Horrible families, obese patients, rude physicians and ignorant mid-levels. Throw in lazy administration who paid more attention t...
  5. Anecdotal or otherwise experience with practitioners is more relevant to me than a study of 10 years ago that does not address performance in practice. There are exception to all rules and some neophyte NP may perform brilliantly and I applaud that,...
  6. As someone who has worked with NPs from all different backgrounds I can see a difference in the backgrounds when it comes to practice. A nurse with 10 years experience who becomes an NP is a safer practitioner than someone with zero experience. She ...
  7. New Grad About to Start Working in the ICU - Any Tips?

    Wear clean underwear, deodorant and pack a lunch. Most important have plenty of pens and while you are orientating get up in everything that is going on. Ask questions and ask physicians why they are doing what they are doing. Just be a sponge.......
  8. Debating to start NP school

    Only you can answer those questions... I miss the things you mention like 12 hr shifts with many days off during the week and travel nursing....the thing is you always seems to miss something about what you did before...the whole grass is always gre...
  9. negotiating as a new grad NP

    You cannot blame the practice for offering as low as they think they can get away with paying. Do your research and know your bottom line and ask for more than you are willing to accept. You get a better offer and sometimes they try to draw a line ...
  10. Favorite part of being a Nurse Practitioner?

    In an exam room with a patient and his overbearing wife. She demands that he needs antibiotics and I tell her. "it ain't happening!" I get a rush every time....
  11. NGT/Intubation

    Meds and feeding...the gut is preferred delivery of nutrition and it is nice to have a route to give medications. I am sure there are instances where you may not place a NG/OGT (surgery or procedure), but if you expect that patient to be intubated b...
  12. Advice?? Having trouble finding NP job.

    The first thing we look at in deciding to interview an applicant is where they earned their NP then their RN experience. If you send me a resume of an applicant who graduated from a for profit online program he/she better have a mess of experience or...
  13. DNP changing perscribing authority

    I am not following. the NP scope of practice is identical for MS trained NPs as it is for DNPs. DNP is just additional research and has little to do with the actual practice of medicine.
  14. Antagonistic NP Article

    The article has a slant to it and a lay person reading it would be concerned with the issues it brings up. However, everything they bring up about NPs also happens with MDs. Physicians miss diagnosis all the time or convince themselves it is one th...
  15. Nurse practitioner specialties

    My experience has been the opposite as they usually take FNPs due to being able to treat children.
  16. B&M vs Online

    I know a girl who was a med/surg for two years and went to an online for profit school with a less than impressive GPA that was a bit south of 3.0. Her online program had open book quizzes and no real tests. Still she struggled through, because "sc...
  17. What do you prefer to be called?

    If you teach Dr is appropriate in the school setting or if you want to make a reservation and you feel like being a bit full of yourself. However, in patient care settings the Dr designation should remain with the physician. They are the leader of ...
  18. Are you a nurse practitioner without any nursing experience?

    The troubles we are seeing now and will continue to see are these for profit online programs. They do not have standards for entry that are beyond your check clearing. Do not get me wrong, I am sure there are a few experienced nurses who breezed th...
  19. NP Scope of Practice - alternative medicine?

    I remember I think it was in a Fitzgerald review where she prescribed a medication for an off label use but noted or included the EB article to justify the decision. I always remembered that just in case...
  20. Lied to by new employer

    I think instead of resigning immediately I would have a new position lined up. Why miss a paycheck because they lied to you. Also, do not tell them you are actively looking.
  21. Direct entry NP, switch to bedside RN?

    That may be the difference from direct entry vs years of bedside nursing. I spent ages at the bedside and honestly do not see anything that I could gain from ever returning to the bedside. It was dull and routine and I grew tired of idiot residents...
  22. Hospital NPs & Lounge Access

    I think I was a bit juiced when I finally started working in the hospital as an NP and told I could visit the doctor's lounge. However, I work at a Catholic owned hospital so the freebies are kinda low rent. Soda's and some horrible snack foods, se...
  23. lying about clinical hours

    My actions were approved by my preceptor who signed off it and following clarification from my instructor. Tweaking the patient time to match the hours spent in the clinical site. If I spent 9 hours on site my totals were to match my time minus lun...
  24. SICU moves fast and taking it easy on you will not do you any favors. granted maybe a day or two of shadowing may have been helpful, but 13 weeks will go fast. I do think it is a good idea to write down your questions and pay attention to how your ...
  25. lying about clinical hours

    People tweaked their clinical hours?? GASP! Say it isn't so? Next you will be telling me that urban legend of how a student placed a fake reference in a bibliography. I tweaked my hours and everyone I know had some alternative math when calcula...