From chrisbsmith at mindspring.com  Thu Mar  1 14:20:35 2007
From: chrisbsmith at mindspring.com (Christine Smith)
Date: Thu, 1 Mar 2007 14:20:35 -0800
Subject: [NP-Students] questions about the profession
References: <BAY129-F40283671294430B93E85F2C5800@phx.gbl>
Message-ID: <007b01c75c4f$d5eba330$6401a8c0@ChristineNB>

Ginnny -

Quite an extensive list of questions for a busy NP to write out answers to. If you have not yet found someone you can call me and I will be happy to answer via phone. I have been an RN for 20 years, NP for 8 years, work in a busy ER and run a clinic for uninsured patients. 

You can email me at chrisbsmith at mindspring.com

Also, there are lots of NPs on NPinfo and NPclinical.

Christine Smith, NP
Antioch, CA.

  ----- Original Message ----- 
  From: Ginny M 
  To: np-students at nurse.net 
  Sent: Wednesday, February 28, 2007 4:51 PM
  Subject: [NP-Students] questions about the profession


  Hello.  I am currently a nurse practitioner student at SIUE.  We have recently gotten an assignment to interview a nurse practitioner.  Surprisingly, I don't know any nurse pracitioners, except for my professors at school.  I have some questions to ask about the profession.  I will then be writing a paper about the responses.  I was hoping you might be able to help.  Here are the questions.  I was hoping you could forward this to someone that would be willing to answer the questions.  They do not have to give me a name.  Thanks so much for your help.

  Ginny Minnigerode

   

  What kind of struggles have you encountered when it comes to patient trust?  

   

  Has getting patients to trust you been a big struggle?

   

  What do you do when you do not know how to treat a patient?  What do you say to the patient?

   

  What resources do you use to keep up-to-date?

   

  How long did it take you to get comfortable?

   

  What is your opinion of the Doctorate of Nursing Practice?

   

  What aspects should I look for in a contract?

   

  Are you glad you became a nurse practitioner?

   

  What advice would you give to a new NP grad?

   

  Do you feel you had enough education?

   

  What should I look for in a job?

   

  Are you pressured to see more patients that you can handle?  How do you handle it?

   

  What are the strengths and weaknesses of the NP role?

   

  How do you keep the medications straight, especially when it comes to price?

   

  What kind of reimbursement issues have you encountered?

   

  Do you feel you get compensated for what you are worth?

   

  What kind of nursing treatments do you use?

   

  Do you feel support from the other team members?



------------------------------------------------------------------------------
  Rates near 39yr lows! $430K Loan for $1,399/mo - Paying Too Much? Calculate new payment 


------------------------------------------------------------------------------


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From jlambertrn at comcast.net  Thu Mar  1 18:34:38 2007
From: jlambertrn at comcast.net (jlambertrn at comcast.net)
Date: Fri, 02 Mar 2007 02:34:38 +0000
Subject: [NP-Students] questions about the profession
Message-ID: <030220070234.11567.45E78D3E00029D4500002D2F2200745672029D9B9D0A0D030E0406@comcast.net>

Ginny-
Is that Southern Illinois University, Edwardsville?
Julie Lambert, NP

-------------- Original message -------------- 
From: "Christine Smith" <chrisbsmith at mindspring.com> 

Ginnny -

Quite an extensive list of questions for a busy NP to write out answers to. If you have not yet found someone you can call me and I will be happy to answer via phone. I have been an RN for 20 years, NP for 8 years, work in a busy ER and run a clinic for uninsured patients. 

You can email me at chrisbsmith at mindspring.com

Also, there are lots of NPs on NPinfo and NPclinical.

Christine Smith, NP
Antioch, CA.

----- Original Message ----- 
From: Ginny M 
To: np-students at nurse.net 
Sent: Wednesday, February 28, 2007 4:51 PM
Subject: [NP-Students] questions about the profession


Hello.  I am currently a nurse practitioner student at SIUE.  We have recently gotten an assignment to interview a nurse practitioner.  Surprisingly, I don't know any nurse pracitioners, except for my professors at school.  I have some questions to ask about the profession.  I will then be writing a paper about the responses.  I was hoping you might be able to help.  Here are the questions.  I was hoping you could forward this to someone that would be willing to answer the questions.  They do not have to give me a name.  Thanks so much for your help.
Ginny Minnigerode
 
What kind of struggles have you encountered when it comes to patient trust?  
 
Has getting patients to trust you been a big struggle?
 
What do you do when you do not know how to treat a patient?  What do you say to the patient?
 
What resources do you use to keep up-to-date?
 
How long did it take you to get comfortable?
 
What is your opinion of the Doctorate of Nursing Practice?
 
What aspects should I look for in a contract?
 
Are you glad you became a nurse practitioner?
 
What advice would you give to a new NP grad?
 
Do you feel you had enough education?
 
What should I look for in a job?
 
Are you pressured to see more patients that you can handle?  How do you handle it?
 
What are the strengths and weaknesses of the NP role?
 
How do you keep the medications straight, especially when it comes to price?
 
What kind of reimbursement issues have you encountered?
 
Do you feel you get compensated for what you are worth?
 
What kind of nursing treatments do you use?
 
Do you feel support from the other team members?



Rates near 39yr lows! $430K Loan for $1,399/mo - Paying Too Much? Calculate new payment 



_______________________________________________
NP-Students mailing list
NP-Students at nurse.net
http://lists.nurse.net/mailman/listinfo/np-students

NP Central has RESUME HOSTING SERVICE to get you connected 
with employers and to help employers find you!  Go to 
www.npcentral.net and click on SUBMIT RESUME to get listed.
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From: "Christine Smith" <chrisbsmith at mindspring.com>
Subject: Re: [NP-Students] questions about the profession
Date: Thu, 1 Mar 2007 22:27:54 +0000
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From neujane at aol.com  Thu Mar  1 23:10:09 2007
From: neujane at aol.com (neujane at aol.com)
Date: Fri, 02 Mar 2007 02:10:09 -0500
Subject: [NP-Students] questions about the profession
In-Reply-To: <030220070234.11567.45E78D3E00029D4500002D2F2200745672029D9B9D0A0D030E0406@comcast.net>
References: <030220070234.11567.45E78D3E00029D4500002D2F2200745672029D9B9D0A0D030E0406@comcast.net>
Message-ID: <8C92AB0F280AF52-FC8-68E2@FWM-D05.sysops.aol.com>

Patient trust has to be built up over time. My difficulties have been with patients who come in with viral symptoms and want antibiotics to get well. 
 
Getting patients to trust me has not been a big struggle as I work closely with the MD's in my practise. This really helps secure patient trust.  
 
When I do not know how to treat a patient I ask one or more of the MD's in the practise for advice. I tell the patient that I need to seek more information and that I will talk to their MD.
 
To keep up-to-date I rely on internet connections, books, magazies, and my peers.
 
I am still not comfortable! Every day brings new challenges and unique situations.
 
The Doctorate of Nursing Practice is an ideal, much as the BSN level for being a registered nurse once was. The multi-levels of nursing practice weakens the profession. I think it needs to be strengthened from the bottom up before demanding a PhD for the APRN. LPN's should be differientiated from nurses. Associate's RN's should be differientiated from BSN's. Until these basic changes take place, it is difficult to understand and promote a higher level of education for APRNs.
 
Forget a contract unless you specialize. You can earn a lot more money as an RN than a FNP.
 
I am glad that I became a NP for my own learning. The monetary benefits are not there.
 
Advice to a new NP grad- Find a practice that you trust their clinical judgement to work in the first year. 
 
Wishing you luck,
 
Jane 
 
-----Original Message-----
From: jlambertrn at comcast.net
To: np-students at nurse.net
Sent: Thu, 1 Mar 2007 9:34 PM
Subject: Re: [NP-Students] questions about the profession


Ginny-
Is that Southern Illinois University, Edwardsville?
Julie Lambert, NP
 
-------------- Original message -------------- 
From: "Christine Smith" <chrisbsmith at mindspring.com> 

Ginnny -
 
Quite an extensive list of questions for a busy NP to write out answers to. If you have not yet found someone you can call me and I will be happy to answer via phone. I have been an RN for 20 years, NP for 8 years, work in a busy ER and run a clinic for uninsured patients. 
 
You can email me at chrisbsmith at mindspring.com
 
Also, there are lots of NPs on NPinfo and NPclinical.
 
Christine Smith, NP
Antioch, CA.
 
----- Original Message ----- 
From: Ginny M 
To: np-students at nurse.net 
Sent: Wednesday, February 28, 2007 4:51 PM
Subject: [NP-Students] questions about the profession


Hello.  I am currently a nurse practitioner student at SIUE.  We have recently gotten an assignment to interview a nurse practitioner.  Surprisingly, I don't know any nurse pracitioners, except for my professors at school.  I have some questions to ask about the profession.  I will then be writing a paper about the responses.  I was hoping you might be able to help.  Here are the questions.  I was hoping you could forward this to someone that would be willing to answer the questions.  They do not have to ! give me a name.  Thanks so much for your help.
Ginny Minnigerode
 
What kind of struggles have you encountered when it comes to patient trust?  
 
Has getting patients to trust you been a big struggle?
 
What do you do when you do not know how to treat a patient?  What do you say to the patient?
 
What resources do you use to keep up-to-date?
 
How long did it take you to get comfortable?
 
What is your opinion of the Doctorate of Nursing Practice?
 
What aspects should I look for in a contract?
 
Are you glad you became a nurse practitioner?
 
What advice would you give to a new NP grad?
 
Do you feel you had enough education?
 
What should I look for in a job?
 
Are you pressured to see more patients that you can handle?  How do you handle it?
 
What are the strengths and weaknesses of the NP role?
 
How do you keep the medications straight, especially when it comes to price?
 
What kind of reimbursement issues have you encountered?
 
Do you feel you get compensated for what you are worth?
 
What kind of nursing treatments do you use?
 
Do you feel support from the other team members?



Rates near 39yr lows! $430K Loan for $1,399/mo - Paying Too Much? Calculate new payment 



_______________________________________________
NP-Students mailing list
NP-Students at nurse.net
http://lists.nurse.net/mailman/listinfo/np-students

NP Central has RESUME HOSTING SERVICE to get you connected 
with employers and to help employers find you!  Go to 
www.npcentral.net and click on SUBMIT RESUME to get listed.
Attached Message
From:chrisbsmith at mindspring.com
To:np-students at nurse.net
Subject:Re: [NP-Students] questions about the profession
Date:Thu, 1 Mar 2007 5:27 PM

_______________________________________________
NP-Students mailing list
NP-Students at nurse.net
http://lists.nurse.net/mailman/listinfo/np-students

NP Central has RESUME HOSTING SERVICE to get you connected 
with employers and to help employers find you!  Go to 
www.npcentral.net and click on SUBMIT RESUME to get listed.



_______________________________________________
NP-Students mailing list
NP-Students at nurse.net
http://lists.nurse.net/mailman/listinfo/np-students

NP Central has RESUME HOSTING SERVICE to get you connected 
with employers and to help employers find you!  Go to 
www.npcentral.net and click on SUBMIT RESUME to get listed.
________________________________________________________________________
AOL now offers free email to everyone.  Find out more about what's free from AOL at AOL.com.
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From neujane at aol.com  Thu Mar  1 23:10:16 2007
From: neujane at aol.com (neujane at aol.com)
Date: Fri, 02 Mar 2007 02:10:16 -0500
Subject: [NP-Students] questions about the profession
In-Reply-To: <030220070234.11567.45E78D3E00029D4500002D2F2200745672029D9B9D0A0D030E0406@comcast.net>
References: <030220070234.11567.45E78D3E00029D4500002D2F2200745672029D9B9D0A0D030E0406@comcast.net>
Message-ID: <8C92AB0F6B3F929-FC8-68E3@FWM-D05.sysops.aol.com>

Patient trust has to be built up over time. My difficulties have been with patients who come in with viral symptoms and want antibiotics to get well. 
 
Getting patients to trust me has not been a big struggle as I work closely with the MD's in my practise. This really helps secure patient trust.  
 
When I do not know how to treat a patient I ask one or more of the MD's in the practise for advice. I tell the patient that I need to seek more information and that I will talk to their MD.
 
To keep up-to-date I rely on internet connections, books, magazies, and my peers.
 
I am still not comfortable! Every day brings new challenges and unique situations.
 
The Doctorate of Nursing Practice is an ideal, much as the BSN level for being a registered nurse once was. The multi-levels of nursing practice weakens the profession. I think it needs to be strengthened from the bottom up before demanding a PhD for the APRN. LPN's should be differientiated from nurses. Associate's RN's should be differientiated from BSN's. Until these basic changes take place, it is difficult to understand and promote a higher level of education for APRNs.
 
Forget a contract unless you specialize. You can earn a lot more money as an RN than a FNP.
 
I am glad that I became a NP for my own learning. The monetary benefits are not there.
 
Advice to a new NP grad- Find a practice that you trust their clinical judgement to work in the first year. 
 
Wishing you luck,
 
Jane 
 
-----Original Message-----
From: jlambertrn at comcast.net
To: np-students at nurse.net
Sent: Thu, 1 Mar 2007 9:34 PM
Subject: Re: [NP-Students] questions about the profession


Ginny-
Is that Southern Illinois University, Edwardsville?
Julie Lambert, NP
 
-------------- Original message -------------- 
From: "Christine Smith" <chrisbsmith at mindspring.com> 

Ginnny -
 
Quite an extensive list of questions for a busy NP to write out answers to. If you have not yet found someone you can call me and I will be happy to answer via phone. I have been an RN for 20 years, NP for 8 years, work in a busy ER and run a clinic for uninsured patients. 
 
You can email me at chrisbsmith at mindspring.com
 
Also, there are lots of NPs on NPinfo and NPclinical.
 
Christine Smith, NP
Antioch, CA.
 
----- Original Message ----- 
From: Ginny M 
To: np-students at nurse.net 
Sent: Wednesday, February 28, 2007 4:51 PM
Subject: [NP-Students] questions about the profession


Hello.  I am currently a nurse practitioner student at SIUE.  We have recently gotten an assignment to interview a nurse practitioner.  Surprisingly, I don't know any nurse pracitioners, except for my professors at school.  I have some questions to ask about the profession.  I will then be writing a paper about the responses.  I was hoping you might be able to help.  Here are the questions.  I was hoping you could forward this to someone that would be willing to answer the questions.  They do not have to ! give me a name.  Thanks so much for your help.
Ginny Minnigerode
 
What kind of struggles have you encountered when it comes to patient trust?  
 
Has getting patients to trust you been a big struggle?
 
What do you do when you do not know how to treat a patient?  What do you say to the patient?
 
What resources do you use to keep up-to-date?
 
How long did it take you to get comfortable?
 
What is your opinion of the Doctorate of Nursing Practice?
 
What aspects should I look for in a contract?
 
Are you glad you became a nurse practitioner?
 
What advice would you give to a new NP grad?
 
Do you feel you had enough education?
 
What should I look for in a job?
 
Are you pressured to see more patients that you can handle?  How do you handle it?
 
What are the strengths and weaknesses of the NP role?
 
How do you keep the medications straight, especially when it comes to price?
 
What kind of reimbursement issues have you encountered?
 
Do you feel you get compensated for what you are worth?
 
What kind of nursing treatments do you use?
 
Do you feel support from the other team members?



Rates near 39yr lows! $430K Loan for $1,399/mo - Paying Too Much? Calculate new payment 



_______________________________________________
NP-Students mailing list
NP-Students at nurse.net
http://lists.nurse.net/mailman/listinfo/np-students

NP Central has RESUME HOSTING SERVICE to get you connected 
with employers and to help employers find you!  Go to 
www.npcentral.net and click on SUBMIT RESUME to get listed.
Attached Message
From:chrisbsmith at mindspring.com
To:np-students at nurse.net
Subject:Re: [NP-Students] questions about the profession
Date:Thu, 1 Mar 2007 5:27 PM

_______________________________________________
NP-Students mailing list
NP-Students at nurse.net
http://lists.nurse.net/mailman/listinfo/np-students

NP Central has RESUME HOSTING SERVICE to get you connected 
with employers and to help employers find you!  Go to 
www.npcentral.net and click on SUBMIT RESUME to get listed.



_______________________________________________
NP-Students mailing list
NP-Students at nurse.net
http://lists.nurse.net/mailman/listinfo/np-students

NP Central has RESUME HOSTING SERVICE to get you connected 
with employers and to help employers find you!  Go to 
www.npcentral.net and click on SUBMIT RESUME to get listed.
________________________________________________________________________
AOL now offers free email to everyone.  Find out more about what's free from AOL at AOL.com.
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From neujane at aol.com  Fri Mar  2 01:05:57 2007
From: neujane at aol.com (neujane at aol.com)
Date: Fri, 02 Mar 2007 04:05:57 -0500
Subject: [NP-Students] questions about the profession
In-Reply-To: <8C92AB0F280AF52-FC8-68E2@FWM-D05.sysops.aol.com>
References: <030220070234.11567.45E78D3E00029D4500002D2F2200745672029D9B9D0A0D030E0406@comcast.net>
	<8C92AB0F280AF52-FC8-68E2@FWM-D05.sysops.aol.com>
Message-ID: <8C92AC12027B1C4-FC8-69D5@FWM-D05.sysops.aol.com>

 
 
-----Original Message-----
From: neujane at aol.com
To: np-students at nurse.net
Sent: Fri, 2 Mar 2007 2:10 AM
Subject: Re: [NP-Students] questions about the profession


Patient trust has to be built up over time. My difficulties have been with patients who come in with viral symptoms and want antibiotics to get well. 
 
Getting patients to trust me has not been a big struggle as I work closely with the MD's in my practise. This really helps secure patient trust.  
 
When I do not know how to treat a patient I ask one or more of the MD's in the practise for advice. I tell the patient that I need to seek more information and that I will talk to their MD.
 
To keep up-to-date I rely on internet connections, books, magazies, and my peers.
 
I am still not comfortable! Every day brings new challenges and unique situations.
 
The Doctorate of Nursing Practice is an ideal, much as the BSN level for being a registered nurse once was. The multi-levels of nursing practice weakens the profession. I think it needs to be strengthened from the bottom up before demanding a PhD for the APRN. LPN's should be differientiated from nurses. Associate's RN's should be differientiated from BSN's. Until these basic changes take place, it is difficult to understand and promote a higher level of education for APRNs.
 
Forget a contract unless you specialize. You can earn a lot more money as an RN than a FNP.
 
I am glad that I became a NP for my own learning. The monetary benefits are not there.
 
Advice to a new NP grad- Find a practice that you trust their clinical judgement to work in the first year. 
 
Wishing you luck,
 
Jane 
 
-----Original Message-----
From: jlambertrn at comcast.net
To: np-students at nurse.net
Sent: Thu, 1 Mar 2007 9:34 PM
Subject: Re: [NP-Students] questions about the profession


Ginny-
Is that Southern Illinois University, Edwardsville?
Julie Lambert, NP
 
-------------- Original message -------------- 
From: "Christine Smith" <chrisbsmith at mindspring.com> 

Ginnny -
 
Quite an extensive list of questions for a busy NP to write out answers to. If you have not yet found someone you can call me and I will be happy to answer via phone. I have been an RN for 20 years, NP for 8 years, work in a busy ER and run a clinic for uninsured patients. 
 
You can email me at chrisbsmith at mindspring.com
 
Also, there are lots of NPs on NPinfo and NPclinical.
 
Christine Smith, NP
Antioch, CA.
 
----- Original Message ----- 
From: Ginny M 
To: np-students at nurse.net 
Sent: Wednesday, February 28, 2007 4:51 PM
Subject: [NP-Students] questions about the profession


Hello.  I am currently a nurse practitioner student at SIUE.  We have recently gotten an assignment to interview a nurse practitioner.  Surprisingly, I don't know any nurse pracitioners, except for my professors at school.  I have some questions to ask about the profession.  I will then be writing a paper about the responses.  I was hoping you might be able to help.  Here are the questions.  I was hoping you could forward this to someone that would be willing to answer the questions.  They do not have t! o ! give me a name.  Thanks so much for your help.
Ginny Minnigerode
 
What kind of struggles have you encountered when it comes to patient trust?  
 
Has getting patients to trust you been a big struggle?
 
What do you do when you do not know how to treat a patient?  What do you say to the patient?
 
What resources do you use to keep up-to-date?
 
How long did it take you to get comfortable?
 
What is your opinion of the Doctorate of Nursing Practice?
 
What aspects should I look for in a contract?
 
Are you glad you became a nurse practitioner?
 
What advice would you give to a new NP grad?
 
Do you feel you had enough education?
 
What should I look for in a job?
 
Are you pressured to see more patients that you can handle?  How do you handle it?
 
What are the strengths and weaknesses of the NP role?
 
How do you keep the medications straight, especially when it comes to price?
 
What kind of reimbursement issues have you encountered?
 
Do you feel you get compensated for what you are worth?
 
What kind of nursing treatments do you use?
 
Do you feel support from the other team members?



Rates near 39yr lows! $430K Loan for $1,399/mo - Paying Too Much? Calculate new payment 



_______________________________________________
NP-Students mailing list
NP-Students at nurse.net
http://lists.nurse.net/mailman/listinfo/np-students

NP Central has RESUME HOSTING SERVICE to get you connected 
with employers and to help employers find you!  Go to 
www.npcentral.net and click on SUBMIT RESUME to get listed.
Attached Message
From:chrisbsmith at mindspring.com
To:np-students at nurse.net
Subject:Re: [NP-Students] questions about the profession
Date:Thu, 1 Mar 2007 5:27 PM

_______________________________________________
NP-Students mailing list
NP-Students at nurse.net
http://lists.nurse.net/mailman/listinfo/np-students

NP Central has RESUME HOSTING SERVICE to get you connected 
with employers and to help employers find you!  Go to 
www.npcentral.net and click on SUBMIT RESUME to get listed.



_______________________________________________
NP-Students mailing list
NP-Students at nurse.net
http://lists.nurse.net/mailman/listinfo/np-students

NP Central has RESUME HOSTING SERVICE to get you connected 
with employers and to help employers find you!  Go to 
www.npcentral.net and click on SUBMIT RESUME to get listed.



AOL now offers free email to everyone. Find out more about what's free from AOL at AOL.com.

_______________________________________________
NP-Students mailing list
NP-Students at nurse.net
http://lists.nurse.net/mailman/listinfo/np-students

NP Central has RESUME HOSTING SERVICE to get you connected 
with employers and to help employers find you!  Go to 
www.npcentral.net and click on SUBMIT RESUME to get listed.
________________________________________________________________________
AOL now offers free email to everyone.  Find out more about what's free from AOL at AOL.com.
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From neujane at aol.com  Fri Mar  2 01:06:14 2007
From: neujane at aol.com (neujane at aol.com)
Date: Fri, 02 Mar 2007 04:06:14 -0500
Subject: [NP-Students] questions about the profession
In-Reply-To: <8C92AB0F280AF52-FC8-68E2@FWM-D05.sysops.aol.com>
References: <030220070234.11567.45E78D3E00029D4500002D2F2200745672029D9B9D0A0D030E0406@comcast.net>
	<8C92AB0F280AF52-FC8-68E2@FWM-D05.sysops.aol.com>
Message-ID: <8C92AC129ECC0D9-FC8-69D6@FWM-D05.sysops.aol.com>

 
 
-----Original Message-----
From: neujane at aol.com
To: np-students at nurse.net
Sent: Fri, 2 Mar 2007 2:10 AM
Subject: Re: [NP-Students] questions about the profession


Patient trust has to be built up over time. My difficulties have been with patients who come in with viral symptoms and want antibiotics to get well. 
 
Getting patients to trust me has not been a big struggle as I work closely with the MD's in my practise. This really helps secure patient trust.  
 
When I do not know how to treat a patient I ask one or more of the MD's in the practise for advice. I tell the patient that I need to seek more information and that I will talk to their MD.
 
To keep up-to-date I rely on internet connections, books, magazies, and my peers.
 
I am still not comfortable! Every day brings new challenges and unique situations.
 
The Doctorate of Nursing Practice is an ideal, much as the BSN level for being a registered nurse once was. The multi-levels of nursing practice weakens the profession. I think it needs to be strengthened from the bottom up before demanding a PhD for the APRN. LPN's should be differientiated from nurses. Associate's RN's should be differientiated from BSN's. Until these basic changes take place, it is difficult to understand and promote a higher level of education for APRNs.
 
Forget a contract unless you specialize. You can earn a lot more money as an RN than a FNP.
 
I am glad that I became a NP for my own learning. The monetary benefits are not there.
 
Advice to a new NP grad- Find a practice that you trust their clinical judgement to work in the first year. 
 
Wishing you luck,
 
Jane 
 
-----Original Message-----
From: jlambertrn at comcast.net
To: np-students at nurse.net
Sent: Thu, 1 Mar 2007 9:34 PM
Subject: Re: [NP-Students] questions about the profession


Ginny-
Is that Southern Illinois University, Edwardsville?
Julie Lambert, NP
 
-------------- Original message -------------- 
From: "Christine Smith" <chrisbsmith at mindspring.com> 

Ginnny -
 
Quite an extensive list of questions for a busy NP to write out answers to. If you have not yet found someone you can call me and I will be happy to answer via phone. I have been an RN for 20 years, NP for 8 years, work in a busy ER and run a clinic for uninsured patients. 
 
You can email me at chrisbsmith at mindspring.com
 
Also, there are lots of NPs on NPinfo and NPclinical.
 
Christine Smith, NP
Antioch, CA.
 
----- Original Message ----- 
From: Ginny M 
To: np-students at nurse.net 
Sent: Wednesday, February 28, 2007 4:51 PM
Subject: [NP-Students] questions about the profession


Hello.  I am currently a nurse practitioner student at SIUE.  We have recently gotten an assignment to interview a nurse practitioner.  Surprisingly, I don't know any nurse pracitioners, except for my professors at school.  I have some questions to ask about the profession.  I will then be writing a paper about the responses.  I was hoping you might be able to help.  Here are the questions.  I was hoping you could forward this to someone that would be willing to answer the questions.  They do not have t! o ! give me a name.  Thanks so much for your help.
Ginny Minnigerode
 
What kind of struggles have you encountered when it comes to patient trust?  
 
Has getting patients to trust you been a big struggle?
 
What do you do when you do not know how to treat a patient?  What do you say to the patient?
 
What resources do you use to keep up-to-date?
 
How long did it take you to get comfortable?
 
What is your opinion of the Doctorate of Nursing Practice?
 
What aspects should I look for in a contract?
 
Are you glad you became a nurse practitioner?
 
What advice would you give to a new NP grad?
 
Do you feel you had enough education?
 
What should I look for in a job?
 
Are you pressured to see more patients that you can handle?  How do you handle it?
 
What are the strengths and weaknesses of the NP role?
 
How do you keep the medications straight, especially when it comes to price?
 
What kind of reimbursement issues have you encountered?
 
Do you feel you get compensated for what you are worth?
 
What kind of nursing treatments do you use?
 
Do you feel support from the other team members?



Rates near 39yr lows! $430K Loan for $1,399/mo - Paying Too Much? Calculate new payment 



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Attached Message
From:chrisbsmith at mindspring.com
To:np-students at nurse.net
Subject:Re: [NP-Students] questions about the profession
Date:Thu, 1 Mar 2007 5:27 PM

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From maryisabeljones at comcast.net  Fri Mar  2 10:31:29 2007
From: maryisabeljones at comcast.net (maryisabeljones at comcast.net)
Date: Fri, 02 Mar 2007 18:31:29 +0000
Subject: [NP-Students] questions about the profession
Message-ID: <030220071831.27092.45E86D8100016475000069D422064246139C0A020106040A0D0E9C07979D0E03@comcast.net>

1/2.  The fact that I am not an MD is occasionally a problem.  The bigger problem is that many people only hear "nurse" or otherwise assume I am a nurse (ie-female means nurse even  if nurse means MA, NA, LPN, RN, etc).  With more individual contact, patients generally accept me well.  My role is hospitalist for a cardiology group.

3. I contact my supervising MDs.  They round almost daily on all my patients anyway, as I work only in the local hospital at which the group has a very large patient census.

4.  Resources run the gamut from books, journals, professional societies, etc.

5.  I have been in this role for 8 months, so I am still getting comfortable.  My comfort level is vastly improved over that period of time, and my primary MD notes the dramatic increase in my clinical knowledge and skills over that time.

6.  I do not think the DNSc is the ticket that our profession needs.  We are more in need of stronger MSN training programs with stronger clinical work.  I think that MSN is adequate educationally if the program is adequate.  The "degree creep" is showing up all over health care, notably the PharmD degree.  I agree with a previous responder that we need to focus more on getting RNs educated solely at the BSN level, on differentiating LPN from RN (see above comment about the meaning of "nurse"), etc.  Unless nursing mandates BSN as the entry into practice degree for RNs, we will always be a seond class profession.  But, that also means making the BSN graduate functional upon graduation, not 6-8-10 months later.  Also means having appropriate assistive help so the RNs can be RNs.

7.  No experience with contracts.  I would recommend avoiding non-compete clauses, although some say that they are unenforceable.  Be sure that your salary is commensurate with your productivity in charges and reimbursements.

8. Yes, no question.  Although as mentioned by the previous responder, the money may be less than RN pay and the hours are certainly longer.

9.  Have adequate clinical (ie-medical/physician/experienced NP) support and a strong mentor in your first job.

10. NO

11. Support, mentor, salary, job growth.

12.  Often.   You just have to move faster and, unfortunately, reduce your patient education time (I make strong use of our patient ed service).

13.  Strengths: prior healthcare experience, broader perspective, ability to communicate on appropriate level with patients/families/hospital staff.
       Weaknesses: use as MD assistant/gopher

14.  Not really my issue.  Office staff has to do med precerting often, which is sad but required. I try to use oldie-goldie meds when feasible, but main focus is on documented effectiveness.

15.  Not my issue - handled by office staff.  But in my previous job, it was a maddening issue.  The medical professions have allowed insurance industry and government too much influence in medical decision making.  Exceeding excessive amounts of time (translated money) is spent keeping the insurance companies happy.

16.  No.  Plus PAs are typically paid more for the same job.  Again, the association with nursing profession (ie-You're really a nurse) is a hindrance.

17.  Patient education.  I have to distance myself from RN care lest I be treated as an RN, etc, etc.  In any job, be sure that you are not lumped into the nursing part of the organizational chart.  This is critical.

18.  Generally yes.

Good luck.

-------------- Original message -------------- 
From: "Ginny M" <ginmin11 at hotmail.com> 

Hello.  I am currently a nurse practitioner student at SIUE.  We have recently gotten an assignment to interview a nurse practitioner.  Surprisingly, I don't know any nurse pracitioners, except for my professors at school.  I have some questions to ask about the profession.  I will then be writing a paper about the responses.  I was hoping you might be able to help.  Here are the questions.  I was hoping you could forward this to someone that would be willing to answer the questions.  They do not have to give me a name.  Thanks so much for your help.
Ginny Minnigerode
 
What kind of struggles have you encountered when it comes to patient trust?  
 
Has getting patients to trust you been a big struggle?
 
What do you do when you do not know how to treat a patient?  What do you say to the patient?
 
What resources do you use to keep up-to-date?
 
How long did it take you to get comfortable?
 
What is your opinion of the Doctorate of Nursing Practice?
 
What aspects should I look for in a contract?
 
Are you glad you became a nurse practitioner?
 
What advice would you give to a new NP grad?
 
Do you feel you had enough education?
 
What should I look for in a job?
 
Are you pressured to see more patients that you can handle?  How do you handle it?
 
What are the strengths and weaknesses of the NP role?
 
How do you keep the medications straight, especially when it comes to price?
 
What kind of reimbursement issues have you encountered?
 
Do you feel you get compensated for what you are worth?
 
What kind of nursing treatments do you use?
 
Do you feel support from the other team members?



Rates near 39yr lows! $430K Loan for $1,399/mo - Paying Too Much? Calculate new payment 
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From: "Ginny M" <ginmin11 at hotmail.com>
Subject: [NP-Students] questions about the profession
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From 4nsicrn at denver.net  Fri Mar  2 19:30:49 2007
From: 4nsicrn at denver.net (Mary Pat DeWald)
Date: Fri, 2 Mar 2007 20:30:49 -0700
Subject: [NP-Students] questions about the profession
References: <030220071831.27092.45E86D8100016475000069D422064246139C0A020106040A0D0E9C07979D0E03@comcast.net>
Message-ID: <091301c75d44$5874fe10$1200a8c0@FLO>



    -------------- Original message -------------- 
    From: "Ginny M" <ginmin11 at hotmail.com> 

    Hello.  I am currently a nurse practitioner student at SIUE.  We have recently gotten an assignment to interview a nurse practitioner.  Surprisingly, I don't know any nurse pracitioners, except for my professors at school.  I have some questions to ask about the profession.  I will then be writing a paper about the responses.  I was hoping you might be able to help.  Here are the questions.  I was hoping you could forward this to someone that would be willing to answer the questions.  They do not have to ! give me a name.  Thanks so much for your help.

    Ginny Minnigerode

     

    What kind of struggles have you encountered when it comes to patient trust?  NONE

     

    Has getting patients to trust you been a big struggle? NEVER

     

    What do you do when you do not know how to treat a patient?  What do you say to the patient? Let me contact one of my colleagues in caring to assist.

     

    What resources do you use to keep up-to-date? Many! Friends, Community Members, Colleagues, Listserves, Professional Organizations, Journals, Clubs...

     

    How long did it take you to get comfortable? Comfortable in what? My shoes were worn and I wore the same pair for 16 years (Thanks to Bass!) Seriously now...same clogs and sent to the shoe repair times one. 

     

    What is your opinion of the Doctorate of Nursing Practice? Do you want the dissertation version? The schools of nursing are hurting for dollars, need I say more? It was in 1965 that nurses spoke out about the entry level being a BSN...we have some work to do!!!

     

    What aspects should I look for in a contract? Read the fine print. Know thyself and what you are contracting for.

     

    Are you glad you became a nurse practitioner? Absolutely

     

    What advice would you give to a new NP grad? Keep an open mind, call on your colleagues and those who have paved the path. 

     

    Do you feel you had enough education? Education is a life long process. There is no such thing as "enough education."

     

    What should I look for in a job? What you are passionate about!

     

    Are you pressured to see more patients that you can handle?  NEVER How do you handle it? I am my own boss.

     

    What are the strengths and weaknesses of the NP role? Strengths are many...weaknesses are in the eye of the beholder.

     

    How do you keep the medications straight, especially when it comes to price? Unclear question...what do you mean by "keep medications straight?"

     

    What kind of reimbursement issues have you encountered? None...Fee for Service, the life of an Entrepreneur...all nurses need to be able to set their fees, just like the car mechanic.

     

    Do you feel you get compensated for what you are worth? What is worth? We are in control of our salary, be proactive. 

     

    What kind of nursing treatments do you use? Again a dissertation. I use a comprehensive, wholistic treatment plan of care that includes but is not limited to provisions that address the mind, body and spirit with a thorough assessment, plan, intervention and evaluation.

     

    Do you feel support from the other team members? I am in private practice, sole proprietor. I have tremendous support from my NP and Nurse Colleagues. 



    Best of Luck to Each and Everyone of You!!



    Respectfully Submitted,

    Mary Pat DeWald RN, MSN, APN, NP, CNS, CCRN, SANE-A
    Coordinator Colorado Mountain and Rural SANE/SART Initiative
    Director
    Evergreen Nursing Services
    PO Box 2634
    Evergreen, Colorado 80437
    303-883-3965 phone
    303-674-8958 fax


----------------------------------------------------------------------------
    Rates near 39yr lows! $430K Loan for $1,399/mo - Paying Too Much? Calculate new payment 


------------------------------------------------------------------------------


  _______________________________________________
  NP-Students mailing list
  NP-Students at nurse.net
  http://lists.nurse.net/mailman/listinfo/np-students

  NP Central has RESUME HOSTING SERVICE to get you connected 
  with employers and to help employers find you!  Go to 
  www.npcentral.net and click on SUBMIT RESUME to get listed.


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From 4nsicrn at denver.net  Fri Mar  2 19:52:34 2007
From: 4nsicrn at denver.net (Mary Pat DeWald)
Date: Fri, 2 Mar 2007 20:52:34 -0700
Subject: [NP-Students] questions about the profession
References: <030220071831.27092.45E86D8100016475000069D422064246139C0A020106040A0D0E9C07979D0E03@comcast.net>
	<091301c75d44$5874fe10$1200a8c0@FLO>
Message-ID: <0a0d01c75d47$610335d0$1200a8c0@FLO>

Ginny and List,

I read through my responses and would like to re-respond to the first 2 questions...never say never. Building trust is key in the nurse to patient relationship. The question is complex and honestly I have run into struggles in my career...but how you define it can be difficult and in what context are you speaking to in reference to trust? I have had patients that have required more time than others in order to build the trust and working with patients with questionable mental incapacities presents their own challenges. When you are working with a patient who has lost their family and those who come to you with tremendous losses in their lives present challenges as well. Trusting a health care provider following a brutal rape from a patient perspective can also be a challenge...so there are many circumstances where trust is challenged. I do not define these as "struggles" per se. Nursing is an art and science and the delivery with care and compassion overcomes the "struggles," though there will always be challenges.

Mary Pat
  ----- Original Message ----- 
  From: Mary Pat DeWald 
  To: NP Students 
  Sent: Friday, March 02, 2007 8:30 PM
  Subject: Re: [NP-Students] questions about the profession




      -------------- Original message -------------- 
      From: "Ginny M" <ginmin11 at hotmail.com> 

      Hello.  I am currently a nurse practitioner student at SIUE.  We have recently gotten an assignment to interview a nurse practitioner.  Surprisingly, I don't know any nurse pracitioners, except for my professors at school.  I have some questions to ask about the profession.  I will then be writing a paper about the responses.  I was hoping you might be able to help.  Here are the questions.  I was hoping you could forward this to someone that would be willing to answer the questions.  They do not have to ! give me a name.  Thanks so much for your help.

      Ginny Minnigerode

       

      What kind of struggles have you encountered when it comes to patient trust?  NONE

       

      Has getting patients to trust you been a big struggle? NEVER

       

      What do you do when you do not know how to treat a patient?  What do you say to the patient? Let me contact one of my colleagues in caring to assist.

       

      What resources do you use to keep up-to-date? Many! Friends, Community Members, Colleagues, Listserves, Professional Organizations, Journals, Clubs...

       

      How long did it take you to get comfortable? Comfortable in what? My shoes were worn and I wore the same pair for 16 years (Thanks to Bass!) Seriously now...same clogs and sent to the shoe repair times one. 

       

      What is your opinion of the Doctorate of Nursing Practice? Do you want the dissertation version? The schools of nursing are hurting for dollars, need I say more? It was in 1965 that nurses spoke out about the entry level being a BSN...we have some work to do!!!

       

      What aspects should I look for in a contract? Read the fine print. Know thyself and what you are contracting for.

       

      Are you glad you became a nurse practitioner? Absolutely

       

      What advice would you give to a new NP grad? Keep an open mind, call on your colleagues and those who have paved the path. 

       

      Do you feel you had enough education? Education is a life long process. There is no such thing as "enough education."

       

      What should I look for in a job? What you are passionate about!

       

      Are you pressured to see more patients that you can handle?  NEVER How do you handle it? I am my own boss.

       

      What are the strengths and weaknesses of the NP role? Strengths are many...weaknesses are in the eye of the beholder.

       

      How do you keep the medications straight, especially when it comes to price? Unclear question...what do you mean by "keep medications straight?"

       

      What kind of reimbursement issues have you encountered? None...Fee for Service, the life of an Entrepreneur...all nurses need to be able to set their fees, just like the car mechanic.

       

      Do you feel you get compensated for what you are worth? What is worth? We are in control of our salary, be proactive. 

       

      What kind of nursing treatments do you use? Again a dissertation. I use a comprehensive, wholistic treatment plan of care that includes but is not limited to provisions that address the mind, body and spirit with a thorough assessment, plan, intervention and evaluation.

       

      Do you feel support from the other team members? I am in private practice, sole proprietor. I have tremendous support from my NP and Nurse Colleagues. 



      Best of Luck to Each and Everyone of You!!



      Respectfully Submitted,

      Mary Pat DeWald RN, MSN, APN, NP, CNS, CCRN, SANE-A
      Coordinator Colorado Mountain and Rural SANE/SART Initiative
      Director
      Evergreen Nursing Services
      PO Box 2634
      Evergreen, Colorado 80437
      303-883-3965 phone
      303-674-8958 fax


--------------------------------------------------------------------------
      Rates near 39yr lows! $430K Loan for $1,399/mo - Paying Too Much? Calculate new payment 


----------------------------------------------------------------------------


    _______________________________________________
    NP-Students mailing list
    NP-Students at nurse.net
    http://lists.nurse.net/mailman/listinfo/np-students

    NP Central has RESUME HOSTING SERVICE to get you connected 
    with employers and to help employers find you!  Go to 
    www.npcentral.net and click on SUBMIT RESUME to get listed. 


----------------------------------------------------------------------------


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    Checked by AVG Free Edition.
    Version: 7.1.413 / Virus Database: 268.18.5/707 - Release Date: 3/1/2007



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  _______________________________________________
  NP-Students mailing list
  NP-Students at nurse.net
  http://lists.nurse.net/mailman/listinfo/np-students

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From peggysotirop at hotmail.com  Sun Mar  4 09:47:52 2007
From: peggysotirop at hotmail.com (Peggy Sotiropoulos)
Date: Sun, 04 Mar 2007 17:47:52 +0000
Subject: [NP-Students] (no subject)
Message-ID: <BAY102-F15A66371F522A9E8B0D6E1CF850@phx.gbl>

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From ginmin11 at hotmail.com  Sun Mar  4 15:19:40 2007
From: ginmin11 at hotmail.com (Ginny M)
Date: Sun, 04 Mar 2007 17:19:40 -0600
Subject: [NP-Students] questions about the profession
In-Reply-To: <030220070234.11567.45E78D3E00029D4500002D2F2200745672029D9B9D0A0D030E0406@comcast.net>
Message-ID: <BAY129-F3A44714BDC1853288CE17C5850@phx.gbl>

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From duncanm at ualberta.ca  Sun Mar  4 18:02:04 2007
From: duncanm at ualberta.ca (Stewart MacLennan)
Date: Sun, 4 Mar 2007 19:02:04 -0700
Subject: [NP-Students] questions about the profession
In-Reply-To: <BAY129-F40283671294430B93E85F2C5800@phx.gbl>
Message-ID: <200703050202.l2522aR8021433@pilsener.srv.ualberta.ca>

Please find answers below.  I'm an ACNP in Canada, but we all likely have
similar experiences.

 

  _____  

From: np-students-bounces at nurse.net [mailto:np-students-bounces at nurse.net]
On Behalf Of Ginny M
Sent: February 28, 2007 5:51 PM
To: np-students at nurse.net
Subject: [NP-Students] questions about the profession

 

Hello.  I am currently a nurse practitioner student at SIUE.  We have
recently gotten an assignment to interview a nurse practitioner.
Surprisingly, I don't know any nurse pracitioners, except for my professors
at school.  I have some questions to ask about the profession.  I will then
be writing a paper about the responses.  I was hoping you might be able to
help.  Here are the questions.  I was hoping you could forward this to
someone that would be willing to answer the questions.  They do not have to
give me a name.  Thanks so much for your help.

Ginny Minnigerode

 

What kind of struggles have you encountered when it comes to patient trust?


 

Interestingly enough, I find that NPs have advantages over many other health
professionals because they are nurses, not in spite of this.  Nurses are
very trusted by the population, and this trust seems to extend to NP's as
well.  I think the majority struggles that I've encountered in my own
practice relates not particularly to myself as a person, but rather the fear
and mistrust of the health care system, illness, etc.  As NP's we sometimes
deliver news which is burdensome, troubling and life-changing for patients
and their families.  Yet, it is within these moments of disbelief and
mistrust that a therapeutic and trusting relationship emerges.

 

Has getting patients to trust you been a big struggle? 

 

Same as above

 

What do you do when you do not know how to treat a patient?  What do you say
to the patient?

 

I tell the patient."I don't know what's going on here"  I think being honest
is the most important aspect to practice.  I know that I do not know
everything.  I regularly use consultants, either other NP's, MD,
pharmacists, PT/OT, SLP etc.  

 

 

What resources do you use to keep up-to-date?

 

Journals, NPlinks, Academic clubs, review and participate in clinical
practice guidelines, participate and present at conferences, 

 

How long did it take you to get comfortable?

 

Comfort can be a dangerous thing.  I think you need to know what you know
and know what you don't know, and have the wisdom to know the difference.
Too much comfort can mean complacency, and in any level of nursing practice,
a complacent (we've always done it like this.type nurse) nurse is a
dangerous and often out-dated nurse.  

 

What is your opinion of the Doctorate of Nursing Practice?

 

Over the years, the educational background of NP's has changed
significantly:  from post-diploma preparation, to post-bachelor preparation,
to the master level of entry.  I think the DNP is a safe way to standardize
practice throughout the country and the world.  It also provides clinicians
with the highest level of academic and clinical credential.  In the US, NP's
are often referred to as "mid-level" clinicians.  I feel that this is in
fact insulting to nursing practice, that at even the highest level of
practice, we can only be "mid-level."  Nurses need to embrace their
profession and work together to advance the significance of nursing care.

 

What aspects should I look for in a contract?

 

Vacation.  Respect.  A good salary, don't under-estimate yourself!

 

Are you glad you became a nurse practitioner?

 

Yes.  A very rewarding and excellent way to provide clinical leadership in
nursing.

 

What advice would you give to a new NP grad?

 

Find a safe and supportive environment to work in.

 

Do you feel you had enough education?

 

Yes.

 

What should I look for in a job?

 

Administrative and colleague support.  Money and benefits, education
opportunities.

 

Are you pressured to see more patients that you can handle?  How do you
handle it?

 

Say no.

 

What are the strengths and weaknesses of the NP role?

 

Strengths - I find that patient receive better care.  Weakness - haven't
found any.

 

How do you keep the medications straight, especially when it comes to price?

 

A lot can fit in your PDA.  Also, I have a pharmacist that works with me,
nice resource.

 

What kind of reimbursement issues have you encountered?

 

None, salaried position.

 

Do you feel you get compensated for what you are worth?

 

No. Although I get about 30% more then the highest RN, I think for the level
of responsibility, we deserve more.

 

What kind of nursing treatments do you use?

 

Every treatment is a nursing treatment.we are nurses after all!!  Tasks and
procedures do not belong to any one group.

 

Do you feel support from the other team members?


very much so!

  _____  

Rates <http://g.msn.com/8HMBENUS/2752??PS=47575>  near 39yr lows! $430K Loan
for $1,399/mo - Paying Too Much? Calculate new payment 

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From tiggerzee at aol.com  Tue Mar  6 12:31:28 2007
From: tiggerzee at aol.com (tiggerzee at aol.com)
Date: Tue, 06 Mar 2007 15:31:28 -0500
Subject: [NP-Students] Preceptor needed
Message-ID: <8C92E458D51C5E4-E60-702@WEBMAIL-DF11.sysops.aol.com>

I am searching for a Women's Health NP in the north NJ or NYC area who may be able to precept a graduate nursing student from Seton Hall University for a practicum course this summer 2007.  If you may be able to precept, or if you would like more information about this, please email me at the address listed above.  Thank you.
 
Anabela C. Almeida, RN
________________________________________________________________________
AOL now offers free email to everyone.  Find out more about what's free from AOL at AOL.com.
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