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aok7 NP

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aok7 has 12 years experience as a NP.

aok7's Latest Activity

  1. aok7

    ER NP

    And sorry, to clarify your specific question, perhaps if you worked in a specialty geriatric ED which ONLY sees adult you would only need adult. As I said in above, there are outliers.
  2. aok7

    ER NP

    The consensus model in many hospitals IS being followed, most notably in the eastern states. I am finding it becoming more important to have a career direction (as you do) prior to going to NP school, if possible. Within the hospital in general (not necessarily ED), acute care NP is important for credentialing. For example, I was still a RN in NP school when a co-worker a semester ahead of me was hired for a hospitalist role at our hospital. She was family. She actually started training, was well-established and respected by the docs, all that...well horrible here she ended up not being credentialed by the hospital. I get goosebumps still thinking about this. She ended up working getting a job in outpatient setting, but it was months waiting for credentialing and turning down job interviews, etc., thinking she had a job. Anyway, if you want to work primary with all ages then family is the way to go in urgent care or family, in general. Ob then the midwife etc. ED, find an ED program. Peds, either acute pediatric program or family. Hospitalist or ICU acute adult. Outpatient specialty or adult/geriatric, adult/gero primary. Psych, of course psych. You will find there are a lot of post-graduate programs, and this will be your answer if you want to cover a spectrum of, say, completing an adult program but then doing a year of post-grad family to capture pediatrics for kids. Or working in a hospital and needing acute, do an acute post-grad, as my friend was considering.
  3. aok7

    Where to find CEs after failing AANP

    Sorry to hear. Get back up! Fitzgerald is a course I did for prep and I recall very clear direction in advertising on the site about hours directed for CE such as this, but as above I always ensure the facts from the source.
  4. aok7

    ER NP

    Family or ED specific NP recommended. You need to be able to see all ages. Adult, which I am, is limited to ages 13 and up. There are always outliers, sure there are some Adult NPs out there working ED, but my suggestion.
  5. aok7

    Feeling Lost As An NP

    I am sorry you are feeling bad. You shouldn't. When I graduated NP school I sought a residency-style program within a large established system because I knew I was not prepared to completely manage patients on my own even though I graduated with honors and had years of nursing experience. I commend you for being honest and I hope you find success and happiness in your new role. I think it is important that we regularly ask ourselves whether we are offering best opportunity for optimal outcomes for our patients (which may include collaborating and working closely with other providers) and if we do this we cannot go wrong.
  6. aok7

    Acute Care NP to Adult primary care

    I am adult primary care and avoid considering urgent care or family practice because I do not have training (or experience) for ages < 13 or obstetrics. You will be well-equipped to work in outpatient specialty practice. I work in a nephrology clinic and there is a lot of overlap with internal med (cardio-renal, liver disease, diabetes, urology, etc.). I did apply and was eventually given an offer in an internal medicine office where it was outpatient "adult" medicine, but was actually seeking specialty practice from an internal med/geriatric base of practice. It is important to consider whether you will be credentialed where you do get an offer. Acute vs primary (adult) have basically the same base training but acute directs more toward procedure and ICU-level. You would be an asset in specialty but just as I find you will find limits in UC or family practice. On the other hand, many hospitals are no longer credentialing NPs who are not acute-trained.
  7. aok7

    Cant get a job in a hospital

    Thank you. I agree, "NP" no longer confers what "PA" or "MD" does to the medical community at large. We are in the process of hiring providers within our group, and it is incredible the sense of my group's understanding of risk with hiring a NP. In fact, consensus is we will only consider experienced NPs AND with background nursing experience. At the same time we have given offers to two MD new grads and a new grad PA with no consideration. This shakes me but not at all a surprise. The truth comes out...you can't pass up experience or knowledge with putting on a white coat and acting confident for too long. I still see NP schools advertising, shudder.
  8. aok7

    Nurse Practitioner

    Primary care with education focus toward family nurse practitioner
  9. Thanks for your candor and sharing your experience with the hospital. Sometimes I think of moonlighting in the hospital, but I kind of narrowly assume I'd be "hated" by nurses who might find out a I am a NP. Nursing fundamentally does not support professional growth or empowerment very sweetly. Every addition of degree as a nurse I have swiftly and clearly established a new job (and happened to be higher acuity setting for my growth LOL). So yep, here again worked through the fleeting emotion of returning to hospital for weekend pick-up! Noted pain clinic!
  10. aok7

    Nurse Practitioner

    Completely different, starting with "duties" would be a good word which separates RN role from NP role. Think of it you are now responsible for determining a diagnosis and then "duties" to be followed, as well the one who will be questioned if things don't go right. It's a huge responsibility, and more dependent on what you know rather than what you do for outcomes. Hours I'd say more likely office hours for NP role unless working in a hospital setting.
  11. aok7

    Written Offer for NP job

    Packet of written offer should be within a week or so after verbal offer. Then you have a date, usually, which you need to sign. It takes about 3 months for most established places for credentialing. Some smaller groups may take the risk and have you start sooner, but quite rare. Congratulations!
  12. It's not that you will have difficulty with excelling in NP school. NP practice is not nursing practice, and not much didactic information if any of RN school relates to the medical focus of NP training. And it is pretty well known there are some NPs who cannot shake their prior RN role. That said, NP role is intended from a very solid base of professional excellence as a RN from some level of practice. Med-surg experience is more the hospital suggestion for a long-term career as a RN, it's chatter among nurses that you might consider if hospital nursing was your passion. Maybe you could volunteer in psych or related community service while in school? This would be golden when sitting among MDs, experienced NPs, and PAs in the future at an interview or shadow day. It is not so much the work, and it is hard to even put in words what only many hours of experience brings...I guess look at PA and MD prerequisites...it's not like the volunteer or work experience is going to make a decision on how to treat sepsis down the road any more clear but there's something to experience that we can't pass up. It's like a life law that just is...in all fields. NP schools are passing this up, and only time will tell, yet some will argue we are already seeing evidence of concern for our profession. I am a big believer in requiring NP residency on the other end, but we must do the best within the profession we have. Until then, we have RN experience or as you might consider volunteer time. Again, depending on desperation of employer and a little luck you might not need any experience to get in the door. It's once we're in the door that we need to be more invested, more hours of training with NP school and then residency, then prior RN development won't be so significant.
  13. aok7

    New Student Nurse = Nervous

    The pandemic has left nurses in particular in a situation of carrying more than what is fair. It is always nurses who stay, look at and hear the things others turn away from, and see their patients and families through. It is helpful to look at our history, there are books ANA publishes for our nursing values and another on ethics. A time to remember our roots. There will always be groups of naysayers. Social media is a great way to complain without carrying the other end to the stick - in any field or interest - and probably no accident studies showing the more social media use the more likely depression, etc. It is good to complain here and there, appropriately, and this is a safe space, but I try to keep a 10 min or so limit and back up we stand! Stay the course only if you want to, as nursing is NOT easy and I find it requires effortful self-care to stay healthy. We need nurses so much who will do this, though, so I hope you find your way.
  14. aok7

    What is harder: Hospital or facility?

    I think it depends on your career goals. I started in nursing home/SNF and learned SO much related to flexibility, interaction, and maintaining high standards in often counterproductive set-up. I happened to work in a nice setting where I met mentors and wonderful patients and families, it was a good experience. I went from LPN to ADN to BSN and each step I wanted to increase acuity/experience. I found in the hospital setting a clarity that nurses who were there as their career goal to be floor nurse or the like were some of the most unhappy people I have ever met. This was MY view, so unfair broadly, but truly a lot of anger and disdain for the hospital system. Clearly 12h 3 day shifts was the motivation. My target was to become a NP, and even when I was interviewing and promoting my early days in outpatient I found MDs more impressed with my hospital work, and how "nice" my time in LTC/SNF/hospice. I actually do not think I would have gotten the job I have without the high acuity level 1 trauma LOL experience. Reality, it's the place I learned and developed the least, there are 20 people listening to same same lungs in a period of 12 hours if you know what I mean. If I were to have stayed RN role I would definitely get out of the hospital and work in a..not facility, but hospice or home health or the like outpatient.
  15. aok7

    Nurse practitioner- best jobs

    I would look at how much money you are bringing to the practice and then consider your $40 hourly pay. I believe this information alone will highlight the type of employer you are working for. The only advice I have is to consider your value as a provider, as you carry the ability to bill for your services. This is inherently different from our time as nurses, as money would flow whether we were there or not because providers billed for service regardless. MDs and somehow PAs are trained in a culture where they KNOW their value. We bill just the same, but as you know there is a lot of discussion about this so I will not digress...Your employer probably knows there are NPs who are begging for jobs I would imagine, and here is the point that we have to own this. If there are options in your area, I suggest applying and checking out what is available. When you are in a place of feeling an option (or options I hope), you could sit down with your employer and simply put on the table your monetary value. They may prefer to pay you part-time hours:) As for practice setting, I am in specialty and find a lot of autonomy yet collaboration, professional challenge, and respect. It is what I am looking for in a job. I am paid upper end NP range salary with all the benefits. I feel so fortunate, but I had to make sacrifices to get here...more internal med first job (but I was paid fairly) and I did move to a new region of the country for my first NP job and also my now dream job I moved to an area I would not otherwise live. Come to think of it in my group of 7 physicians and 2 NPs there is only one NP who did not move to work where we do. I have plenty of vacation time, negotiated that, so I travel back "home" every 3-4 months. There's something to everything, it's very personal, but I do appreciate specialty practice which you may enjoy given your background in ICU...targeted depth like that.
  16. aok7

    Secured a job on LinkedIn

    I found a preceptor through LinkedIn and later have established job opportunities through LinkedIn. There is a sense of ongoing professional connections with LinkedIn, a sense of networking rather than simply being a job seeker. I also used Indeed, found success there but definitely a numbers game. I like to narrow my interest where I can, for example if you belong to specialty professional organizations there are usually areas for job openings and here you can really lessen the applicant pool.