OllieW

My facility use to have 15-20 NP openings listed regularly, but since COVID all has changed. We currently have one job listed and its PRN in one of the rural clinics.

The military is an option. Enter as an RN and either attending NP school while active duty or use the post 911 GI bill after separation. AD nursing is an experience you cannot get anywhere else.

You can always just endorse your RN for the state you want then take your NP boards in the state you want to relocate

I was that student who never looked up and took minimal notes (I was always on time though). I actually had a professor tell me it didn't seem as though I wanted to be in her class - Well DUH!. Many instructors read from a PPT or drone on and on about topics we do not need. I read my assignments and completed every project and if it were not required I never would have stepped foot in a lecture. So when online classes were an option I was so happy and could sift through all the nonsense to get to the information that was expected of me. Not one size fits all!

i did the DNP and the PhD bridge...I enjoyed both....i am mental i know

Bottom line....NO. the degree matters...

I am dual in Family and acute care

I did not ADN then BSn then MSN then DNP then post masters for another specialty and now working on PhD. It is not the path for everyone and some question my sanity, but I just am a glutton for wanting more. I have friends who have their MSN and are happy and excellent NPs. You do you. The ones who I can't deal with are the insecure ones who bash the DNP degree fro no reason. If its not for you, fine live your best self.

I remember hearing how NPs were going to NM where they enjoy full practice autonomy and enjoy higher wages. texas will be one of the last stares to grant full practice to NPs.

I remember a lecture from that lady who does reviews (cannot remember her name). Anyway, she addressed off label applications of medications that had research to support the use. She suggested either referencing the off labeled study or including the EBR in your charting. the research is there to protect both the provider and the patient. I cannot imagine any reputable source supporting Ozone therapy...

I worked in an LTACH in Florida as an RN (in a past life) and on the off shifts the RN ran the code and pronounced. We did always confirm with the attending via phone that he/she would sign the death certificate.

When I worked ICU there were many times I just said, "hey watch out for my patients while I go _______". If there was anything significant I would let the covering nurse know. To be honest any competent ICU nurse should be able to walk into a patient care situation a respond accordingly. the patients are monitored and there are protocols in place. I did have one instance where I went to the bathroom and had the nurse next to me keep an ear out. I returned to find my patient was out of bed and he had removed all his leads. She and I got him back to bed and then he flipped himself over on his stomach (he was a 380 pound + guy). We thought (crap now we have to flip him back over). My friend looked at me and said, "he isnt breathing". We coded him and he didnt make it, but nothing would have changed no matter who was covering.

My practice will not even interview an applicant from a for profit online program. The reputation of the school you attend does matter.

Most of the ones I know of have 80% or a B as passing.

There are loads of for profit online schools who take anyone who can write a check.

I am an FNP and spend 1/2 my time in clinic and the other half IP. Depends on your state and DON. The Consensus model has been mentioned for years, but the states I work will not see its adoption in my lifetime.

Hmm I have never even met my collaborative physician.

I do not understand why the bitterness towards the terminal degree. If you do not want to advance your education, then don't. I do not get the bitterness. I do not see DNP nurses downgrade the MSN only nurses.

Two minutes ago i saw a position for hospitalist in IL and it listed qualifications of Adult NP, Family NP....

A friend of mine was accepted at one of the online for profit universities with a GPA under 3.0. I was shocked. I didn't think a school would even look at an applicant with a GPA sub 3.0, but her check cleared and they welcomed her with open arms. When I say under 3.0 it was not like a 2.9 or 2.8...I wonder if they even looked at her transcripts once her check cleared.

Even performing wellness checks in my NP clinical rotations we did not examine the member on a child over maybe 2 years old unless the parent pointed out a problem. I cannot imagine any reason a school would need to know if a make was circumcised or not.

Loads of IP FNP jobs where I live. Don't let people tell you it is one way or the other as it really depends on where you live.

I can see how it would be a difficult adjustment going from acute care setting of 20 years to a clinic setting, but I would not walk away so soon. You need time to adjust and find competence in your new role. As far as NPs working in hospital settings that all depends on where you live/practice. Some states limit IP NPs to ACNPs, but most states do not have that requirement. i see several hospitalist positions open to new grad FNPs where I live.

Maine, Vermont or Colorado.....I prefer small town with less traffic and four seasons.....

Excellent points.. It is not just NPs who get low offers in more populated areas. I have several physicians I work with who have shared similar stories where areas where people want to live have lower salaries. It is supply and demand. I did my research while I was in NP school and found a low cost of living with a high demand and I am glad I did.