/r/apnurses

Photograph via snooOG

A place for Advanced Practice Nurses and students to gather and talk about issues pertinent to the profession.


Welcome to /r/apnurses! This is the place for Advanced Practice Nurses and those interested in the profession to gather to discuss the field and issues related to it.

Check out our FAQ!

We have a sister forum located at npforum.net, so please check it out!


Related subreddits:


Reminder: We do not provide official answers or provide professional judgement. As always, speak to your healthcare professional for answers specific to your condition.

/r/apnurses

2,352 Subscribers

1

Midi health

Does anyone work for MIDI as an NP?

0 Comments
2024/10/03
01:37 UTC

2

Highest number of notes you have signed in a day? (Including notes from days ago needing to be caught up on) Needing inspiration 🌈

1 Comment
2024/07/18
04:13 UTC

3

Need advice on DNP Specialty Certifications

I am getting ready to re-take some undergrad courses so I can apply to OHSU's AccBacc program. My original plan was to apply to their dual-enrollment program that would take me straight from the AccBacc to a DNP for PMHNP. My professional background is in runaway and homeless youth so it was pretty mental health heavy and I've spent many years immersed in the neurodivergent community. However, physical health is another special interest of mine and I don't want to get stuck in an either/or situation.

My first undergrad degree covered human service, public health and psychology because I really thrive on variety and making connections with different areas of study/practice. I'm now wondering which certification would set me up best to work with patients in a more holistic way. I want to treat patients with all their co-occurring conditions in mind.

I have taken a look at the Acute Care Nurse Practitioner (Adult-Gerontology) program and think this is the route that might get me closest to what I envision doing, but I'm also not sure if this would be an equally restrictive focus.

I would love to hear about different chosen educational paths and careers that has lead to so I can get a better idea of what roles are out there and how to best prepare.

Thanks for your time!

4 Comments
2024/07/15
18:31 UTC

2

Burnt Out PMHNP <1 Yr Experience

Hi all,

I'm a PMHNP working for a large corporation, and I've reached burnout after less than a year. The job has been disorganized and stressful, and despite my efforts, I've received no support. My mental and physical health have suffered. I worry about making mistakes in prescribing, diagnosing, and charting that could lead to lawsuits or jeopardize my license. I feel exhausted and overwhelmed, and I'm even thinking that losing my license might be a relief despite the student loans.

I've resigned from my current job and feel slightly better knowing change is ahead. I have some questions:

  1. Starting My Own Practice: Is it a bad idea to start my own telehealth practice now, seeing fewer patients and working 3-3.5 days a week while dedicating the 4th day to learning? It seems more manageable than my current situation, but I have a limited perspective.

  2. New Job Search: I'm applying for other jobs that offer better work-life balance, support staff, learning opportunities, and manageable patient loads.

    • What kind of workplaces would you recommend for someone needing these conditions?
    • If you've been in my shoes, what helped you cope with fear, exhaustion, and backlog of patient notes?

Additionally, I've started having migraines, likely due to the job.

  • Legal Protection: Before leaving my current job, what steps can I take to protect myself legally from potential lawsuits or licensure issues?

Thanks for any advice you can offer.

Pic for attention

1 Comment
2024/07/12
23:33 UTC

1

Locum tenens

I am thinking about going to locum tenens work. Please post any tips, advice, what to look for, what to ask, pay, contracts, taxes, licences, pros and cons, benefits, etc. Thank you!

1 Comment
2024/07/06
02:22 UTC

0

Any UK based nurses willing to share their thoughts in our short survey? Chance to win a £50 gift voucher

Hello, I hope this is ok to post here. I am part of a group of researchers from the University of Westminster. We are looking to hear from UK based healthcare professionals on their opinions about yoga as a wellbeing intervention for the health and wellbeing of HCPs (no yoga knowledge or experience needed! All views welcome - positive and negative!) The survey is completely anonymous and it is hoped the results will inform ways of supporting healthcare worker wellbeing. You can participate using the following link:

https://westminsterpsych.az1.qualtrics.com/jfe/form/SV_834pRgH49PM8c6i

All participation is very much appreciated.

0 Comments
2024/06/12
12:59 UTC

2

Looking for a NP refresher course after coming back from illness

I graduated in 2020 as an FNP and landed a job in my chosen specialty of Palliative Care in a hospital setting. Unfortunately, I got COVID after working for only six months and was unable to work for a year. When I finally felt I was able to work again, I didn't feel comfortable working as an NP due to some ongoing health issues, so I worked as a Clinical Nursing Instructor for two colleges. Thankfully, I now feel that I am ready to practice as an NP again but not in a hospital setting. I just interviewed for a job at an LTC/SNF facility. Seems like a great opportunity as they are happy to work with new grads and the pay is reasonable. Unfortunately, I feel unprepared because I never really got to practice. I think the best way to approach this is to take a refresher course or a targeted CE course. I am looking to you kind folks for some sort of recommendation/guidance on what course(s) to take. TIA!!!

6 Comments
2023/12/06
02:43 UTC

1

Advice

I'm 33 years old, and planning to get my second degree. I'm lucky to have the support of my husband to continue my education. Today, I received a letter of acceptance into the nursing program at Cypress College!! I'm happy but at the same time in a dilemma. I also got accepted into the accelerated bachelor's program at Concordia University Irvine almost a 60k for the program. Cypress College offers an Associate's Degree in 2 years program while Concordia a Bachelor's degree in 13 months. The cost is extremely high at Concordia but worth it. What would you guys do?

3 Comments
2023/12/01
08:12 UTC

1

Alternative APN pay structures???

Does anyone here get paid through a “collective” structure or where you get a percentage of revenue generated versus a base w bonus or RVU structure? If so, what percentage is standard?

0 Comments
2023/11/12
01:08 UTC

0

PMHNP School | My 3 Most Important Boundaries

0 Comments
2023/06/20
22:11 UTC

1

Advice on finding a DNP project site

Hi everyone,

I am in a DNP-PMHNP program, currently looking to implement a project for older adults in a primary care setting in a major city in the northeast. Any advice on finding a practice site? Did you all just cold-call offices? There are a few major university hospitals in my city, so I have already emailed their primary care geriatric research teams but haven't heard back yet.

I will say, I go to a brick-and-mortar school that is an hour away in a small town (that just so happens to be in another state), they have connections to PCP teams in their small town, but my research so far has been in the current major city that I live in. Also, it's hard finding specific, relevant research in the small town that those connections are in.

I really appreciate any and all advice you guys have. I'm starting to consider just calling the front desk at smaller PCP offices, I'm just not sure if this is considered rude or just an unspoken rule of something that we shouldn't do. Thank you so so much.

Edit: When I say practice site- I mean a DNP project implementation site. This is not about clinical placement.

2 Comments
2023/06/14
14:48 UTC

2

UCD FNP Program and life balance

Hi there,

I am looking for some advice from FNPs who finished graduate school while starting a family. I am planning on going back to school at the same time as getting married and trying to start a family. I am hoping to hear from those who had a baby in school and about your experiences. The kicker is that I still have to work. I’m applying to the new UC Davis program that is DNP-FNP in 3 years which a hybrid model. I’m wondering if I am in over my head here.

Thank you!

4 Comments
2023/05/11
06:20 UTC

0

Anybody have knowledge of or experience with the Texas Tech (TTUHSC) FNP program?

1 Comment
2022/09/14
14:43 UTC

0

Graduating soon. Question to those already practicing.

Did anybody go straight into a specialty? What are your thoughts? Did you get training? I have not started looking or applying go jobs. I want to hear from those you have gone through this experience. If anybody went through family/internal medicine would you consider switching or have you switched? I’m so nervous now that it’s getting to the end and where I will go from here.

1 Comment
2022/08/16
13:31 UTC

2

[Question] International Schools & Canada

I'm a Canadian RN (specifically Alberta) and want to take my NP. I don't want to do Athabasca University, wondering if anyone knows of international schools that are accepted in Canada?

0 Comments
2022/07/27
17:23 UTC

0

Where to go next?

I am graduating from MSN AGNP program and I don't know what to do? AANP vs. ANCC...?!?!?! how do I proceed once I past the boards? DEA NPI....I am so lost.

5 Comments
2022/07/22
18:01 UTC

2

Looking for an NP or CNS to interview for homework

Hello, I am an MSN-FNP student looking for an NP or CNS willing to be interviewed ( recorded via Zoom or other platforms) for school homework. The NPs I work with had to cancel last minute, and my other contacts have not worked out. Just five questions about your role as an APRN. Please message me. Thank you!

11 Comments
2022/06/28
14:50 UTC

3

Do APN’s in a primary care office perform prostate exams if they are the professional performing the physical?

6 Comments
2022/06/16
16:14 UTC

8

[serious answers only] what do you think about our NP profession, specifically FNP?

What do you think about it? I have heard so much negativity about it, it just broke my heart! And seriously made me worried about our profession. Some people on Reddit even called it the dumbest thing to get into. Should I regret getting into the profession?

Please be constructive, respectful, and honest. This is like an educational and career advice for me snd it might be beneficial to others.

12 Comments
2022/01/30
08:28 UTC

2

Starting my first FNP clinical rotation, any advice?

I am looking for any advice or tips on preparing for my first clinical in my FNP program. I feel unprepared and like I know nothing. If anyone has any input I would highly highly appreciate it.

6 Comments
2021/06/09
17:45 UTC

3

Mounting Student Debt

Students who have paid for school by themselves; How did you fund your APRN schooling, and has it been worth the high interest rate loans? (if you’ve taken any). I finished my bachelors degree in business years ago and racked up a bunch of debt from that. I don’t know why I completed that degree. I knew, while in that program I didn’t like it. But I felt like I had to finish it. Today, I am 9 months away from completing my bachelors in nursing. I have saved up enough to pay for the last year out of pocket and received a 24k scholarship, but I am still facing a mountain of previous student debt from my first degree (roughly 50k). Considering schools in my area, I’ve estimated the cost of a Masters program (19K) plus the cost of a CRNA program (54k). Is this a reasonable expectation? If so, how did you end up paying for everything? I want to be optimistic about my future but the reality of taking tens of thousands of dollars in private loans at 8-12% interest is a scary thought. Is that even a realistic thing to do, or would I be ruining my life?

17 Comments
2021/02/28
12:03 UTC

1

[Question] What defines a 'Policy'? ELI5

I'm hoping the good folks of r/apnurses can help me answer a question I've struggled to find a definite answer to for many of my course assignments-

What exactly defines a 'policy'?

I'm tasked with finding policies to analyze such as "Prevention of prescription drug abuse policy" but have had a lot of trouble determining what exactly is and isn't a policy. Most often there are programs that reference policies, or policy proposals, but it seems extraordinarily difficult to just find something like "Policy for preventing abuse of prescription drugs".

Can anyone please explain like I'm 5 how I can tell what would be considered a policy or not?

Thanks so much in advance!

1 Comment
2021/02/17
16:46 UTC

1

Dissertation Study on Physician Assistant+Nurse Practitioner students' attitudes and expectations about gay male HIV-discordant couples ($50 amazon gift card raffle upon completion!)

Hello rising healthcare providers,

My name is Michael Whitbord. I am a 5th year doctoral student in the clinical psychology program at Ferkauf Graduate School of Psychology, Yeshiva University, located in the Bronx, New York. Under the supervision of my research advisor, Dr. Shelly Goldklank, I am conducting research to understand the attitudes and expectations of medical students regarding certain subgroups of patient populations. We hope to explore whether there are any differences

between pre-professionals who are currently enrolled in physician assistant and nurse practitioner programs on their endorsements of particular attitudes. These attitudes are specifically about gay male HIV-discordant couples. We define this couple as members of a primary romantic relationship between two gay men in which one partner is HIV-positive and the other is not. In addition, we also would like to examine any relationships between trainees’ years of professional training, demographic information, and the quality of trainees’ prior subjective experiences with members of gay male people living with HIV/AIDS and their HIV- serodiscordant, primary partners.

In order to meet the inclusion criteria for our study, participants must be 1) at least 18 years of age and 2) currently enrolled and matriculating (taking coursework and in good academic standing) in an accredited professional training program for either nurse practitioners or physician assistants 3) that is located within the United States**.**

Below is the link that will take you directly to the study:

https://yeshiva.co1.qualtrics.com/jfe/form/SV_ehpEEDcuAiE1eqV

Please note that it is necessary that all items in the questionnaire are completed for responses to be recorded and usable for the data analyses. All responses are anonymous and no identifying information will be collected.

For taking part in this research, you will not be financially compensated. However, upon successful completion of the full survey, you will become eligible to enter a raffle to win one of four $50 Amazon gift cards. Four winners will be selected.

To qualify for a chance to enter the raffle, participants will be required to complete the entire questionnaire. Please note that if a participant submits a survey that is incomplete, they will not be eligible to enter the raffle. Winners will be notified on or by March 31st, 2021.

If you have any questions or comments regarding this study, please feel free to contact the primary investigator, Michael Whitbord, at Mwhitbor@mail.yu.edu.

Thank you for your time. Please, also consider sharing this study with your classmates and peers.

Best health and wellness,

Michael Whitbord, M.A.

Yeshiva University,

Ferkauf Graduate School of Psychology

0 Comments
2021/01/03
19:40 UTC

1

Lewis University- PMHNP

So I mainly have a few years of mother/baby experience and have just transitioned to nicu a few months ago. I’ve enjoyed being an RN in these fields but it’s not something I’m passionate about....

I’ve decided to have a total specialty changed and go back to school to be a PMHNP. I’m also looking into transferring out of nicu in the next few months onto a psych floor to gain a few years experience as an RN.

Is there anyone who went to Lewis University for the PMHNP track who would be able to share about their experience? I’m looking to apply for 2022. Thank you.

Looking to see if the program is manageable, well organized, and just to see the overall flow. Any insight on what classes are like would be helpful. Did the university help with finding clinical placements of were you responsible for finding a preceptor? Also, do you find the university prepared you for boards properly?

Thanks! 

1 Comment
2020/12/31
11:39 UTC

1

Dissertation Study on Physician Assistant/Nurse Practitioner students' attitudes and expectations about gay male HIV-discordant couples

Hello r/apnurses members,

My name is Michael Whitbord. I am a 5th year doctoral student in the clinical psychology program at Ferkauf Graduate School of Psychology, Yeshiva University, located in the Bronx, New York. Under the supervision of my research advisor, Dr. Shelly Goldklank, I am conducting research to understand the attitudes and expectations of medical students regarding certain subgroups of patient populations. We hope to explore whether there are any differences between pre-professionals who are currently enrolled in physician assistant and nurse practitioner programs on their endorsements of particular attitudes. These attitudes are specifically about gay male HIV-discordant couples. We define this couple as members of a primary romantic relationship between two gay men in which one partner is HIV-positive and the other is not. In addition, we also would like to examine any relationships between trainees’ years of professional training, demographic information, and the quality of trainees’ prior subjective experiences with members of gay male people living with HIV/AIDS and their HIV-serodiscordant, primary partners.

In order to meet the inclusion criteria for our study, participants must be 1) at least 18 years of age and 2) currently enrolled and matriculating (taking coursework and in good academic standing) in an accredited professional training program for either nurse practitioners or physician assistants 3) that is located within the United States.

Below is the link that will take you directly to the study.

https://yeshiva.co1.qualtrics.com/jfe/form/SV_ehpEEDcuAiE1eqV

Please note that it is necessary that all items in the questionnaire are completed for responses to be recorded and usable for the data analyses. All responses are anonymous and no identifying information will be collected.

If you have any questions or comments regarding this study, please feel free to contact the primary investigator, Michael Whitbord, at Mwhitbor@mail.yu.edu.

Thank you for your time. Please, also consider sharing this study with your classmates and peers.

Best health,

Michael Whitbord, M.A.

0 Comments
2020/11/24
04:07 UTC

1

Doctors Share Their Worst DIY Surgery Stories

0 Comments
2020/11/11
19:59 UTC

2

Is anyone aware of a comprehensive list of MEPN programs?

Currently the best I’ve come up with is searching all Master’s PMHNP options on the AANP website and narrowing from there, but they don’t distinguish between MEPN and BSN-MSN on the website. Thank you!

1 Comment
2020/11/10
04:41 UTC

4

Statistics for DNP programs

Hey everyone! I was wondering what the typical statistics are for DNP programs. I know it varies from program-to-program, but it would be nice to know before applying. GPA, GRE scores, etc. I'm looking at programs in Florida, but I'm open to exploring other programs as well. Thank you so much :)

4 Comments
2020/10/23
16:15 UTC

0

Having trouble finding preceptors....

Any advice? Almost everyone I've asked already has students out to 2022!

2 Comments
2020/10/01
23:07 UTC

6

APRN Resume when applying for bedside RN job

Hi.

If you are applying for a bedside RN job do you list your FNP credentials and FNP clinical rotation (use your FNP resume)?

Would you change your credentials displayed from MSN, APRN, FNP-C, CEN to MSN, RN, CEN?

I am looking for a PRN or winter plan job and I am not sure how to approach. I don't want to be viewed as overqualified.

Thank you!

1 Comment
2020/09/23
23:05 UTC

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