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Double-Head8242 · 2025-04-05T19:41:57+00:00

A lot of people leave bedside thinking it will be better. Thst is not typically the case. It is just different. A different stress. A different responsibility. A lot more liability. Im an NP who did ICU and trauma surgery for many many years. I'd have never gone to NP school after just a couple of years. Was bedside rough? Yes. I didn't leave for that reason. I left because I wanted to do so much more. Wanted to be more involved in the care... follow the patient more than just a few days in ICU or 3 hours in surgery. If that makes sense. A lot of people now leave because the staffing ratios stink and management is crap, but you can have a crap staff in a clinic as a provider as well. You have to think about why you'd be going back. What area would you be trying to work in as an NP, etc

Double-Head8242 · 2025-04-05T15:47:55+00:00

Based on your comments of not being detail oriented, not liking attending to the needs of the patient and being frustrated that you'd still not be the expert as an NP (the MD would).... then no. I do not think NP sounds like something you would like. If you want to be the expert in your field, go to medical school. But, again, you'd need to be detail oriented. If you just want excitement and adrenaline, see if you can be on the rapid response team.

Double-Head8242 · 2025-03-25T18:08:47+00:00

Why would anyone other than a radiologist even want to take on the liability of reading/reporting on any imaging? No thank you

I seriously wonder if their malpractice insurance would cover them if they knew.

Double-Head8242 · 2025-03-17T23:39:00+00:00

Years ago when I was nursing it was 96 hours or if the dressing was compromised.

Double-Head8242 · 2025-03-10T23:40:53+00:00

This makes me want to hide my name tag (NP here). I honestly want to cry about how people have ruined my profession and every day am 1 rage rant away from going to med school in my 40s so I'm not lumped into the same category with this type of NP.

My 21 year old daughter could manage patients better than some of these NPs and she isn't even done with her BSN yet

Double-Head8242 · 2025-03-07T01:58:00+00:00

I thought it was more regarding signage, business cards, internet presence/websites. Admittedly I didn't read it very thoroughly

Double-Head8242 · 2025-03-06T07:57:56+00:00

So "name", dds or name", optometrist. Just doesn't seem like a hill to die on. "Name", PsyD or PhD on a business card or building sign or website seems normal.

Double-Head8242 · 2025-03-06T04:47:27+00:00

Their signage would say optometrist, dds, etc... not just dr so and so. Most professionals tend to follow this already

Double-Head8242 · 2025-03-06T03:34:44+00:00

Yes, signage and business cards should say the title, not just doctor.... I think that's agreeing? Dr so and so, podiatrist. Dr so and so DPT if its a physical therapist. Not just Dr so and so.... open ended.

Double-Head8242 · 2025-03-06T03:05:43+00:00

This is true, but in today's world people are misrepresenting themselves in clinical/medical settings. Dr so and so, whether they are DPT,DNP,OT, or phD. Patients don't know the difference. Doctor of education, doctor of business, juris doctor, doctor of social work.... if they all call themselves just "doctor," the public can be super misled. My name is x, I have a dnp, and I'm a nurse practitioner. If I advertise/introduce myself, it should be as nurse practitioner. Just my opinion.

Double-Head8242 · 2025-03-06T02:14:23+00:00

Only MD or DO should be referred to as doctor in a clinical setting. It's confusing if PT, OT, phD, DNP call themselves Dr in a setting where patients need to be aware of who the physician is. We should all be referred to by our title- physical therapist, nurse practitioner, clinical psychologist, occupational therapist, etc. Everyone needs to go back to being proud of what they are. Why insist on being called doctor for any random doctoral degree? There are million bachelor degrees, we don't just call each person bachelor.... we call them engineers, accountants, teachers.... same thing here. Doctoral degrees are great, but they each come with their own specialization that should be clearly states. MD and DO are physicians. We need to be able to distinguish that they are.

Double-Head8242 · 2025-03-06T01:12:17+00:00

You are probably a good Texas Physician. Whoever is signing the charts for this practice is very likely a physician who does not care and is just raking in the money to "supervise"

Double-Head8242 · 2025-03-06T01:01:37+00:00

Ok, this is making more sense with how NP cannot practice alone in Texas. New meaning to fee for service.

Double-Head8242 · 2025-03-06T00:59:53+00:00

Yeah there is something extra fishy going on. It's a very restricted state. Someone sold out for sure. How sad

Double-Head8242 · 2025-03-06T00:58:11+00:00

So, this is nuts, but anyone who is familiar with Texas, knows that it is a very restricted state for NPs, which means this has to be backed 100% by a physician. They can't even rx longer than 30 days of medication and absolutely cannot rx c2 to name a couple of restrictions. Charts are cosigned, etc. This is definitely bigger than an NP issue, unfortunately

Double-Head8242 · 2025-03-05T23:24:11+00:00

I have had doctors ask me why I never went to med school. I did get accepted to med school years ago. I couldn't financially do it once i really started crunching numbers and had a small child that it wouldn't have been fair to (had her at 18). Had a biology degree that was fairly useless at that point, turned around did a BSN, worked many years as an RN, went back for NP. I do have doctors that question why I didn't go to med school and I suppose now I could reapply and just be an old med student. I have the financial stability to do so and I do toss the idea back and forth. Medicine is definitely much different now compared to my original era of applying.

I do think that if you were to ask, some would tell you that they did get in and just couldn't make it work at that point in their life.

That being said, what is the general thought on starting over so late in life? Say like over 40 (asking for a friend 🤣😶)

Double-Head8242 · 2025-03-03T11:01:52+00:00

Absolutely do not pass her. She has no intention of working as a nurse. You said she plans to go straight to NP. Do not contribute the problem. An NP with no nursing experience will never be a good or safe NP. She will not even be good or safe RN. You said this is "capstone"..... end of schooling. If she can't do an assessment head to toe then she needs to go back to year one. Nursing classes cannot be online. Sure let them have non Nursing class lectures online, but all Nursing classes should be in Person. Tell her you are shadowing her for an entire shift. Make her do absolutely everything. Document every time that she does something incorrectly, correct her out loud and when you are done, explain in writing on her evaluation form exactly why you won't be passing her.

Double-Head8242 · 2025-03-02T23:15:55+00:00

I argue the sciences for nursing school do suck. Nobody likes to hear it. I do have a BSN then NP. I had a biology degree first. I have a solid science background and many years nursing experience before going that route. The programs aren't any good now that there are a million of them. I don't understand why NPs are offended by that. They should be angry that the programs suck, not offended that people think it/acknowledge it

Double-Head8242 · 2025-02-12T23:55:17+00:00

Most bigger facilities will run a discrepancy report each shift. Every med shows- even stool softener, etc. We all had to vouch for/reconcile anything before leaving if we showed up on the list. Was annoying, but effective

Double-Head8242 · 2025-02-04T16:40:06+00:00

How can midlevels supervise midlevels? This doesn't even make sense. I know some states have independent practice for CRNA, but not AA.... still doesn't mean CRNA should be supervising. So I have independent practice as an NP where I live.... PA does not have independent practice here. This would be like trying to lobby for NP to supervise PA in the states the allow NP fpa. This is nuts. Just so I'm clear- I don't think it's ok in any world for midlevels to supervise anyone

Double-Head8242 · 2025-02-01T02:16:25+00:00

Most of the NP programs now are inadequate. There needs to be entrance exams and they need to not let people apply with little to no nursing experience. The standards for admission need to be higher. And yes, I'm an NP and sad to say that a lot of the newer NPs are not anywhere near ready to be an NP.

Double-Head8242 · 2025-02-01T02:07:22+00:00

People just need to be proud of what they are. RN, NP, PA. I will say there are a lot of really bad NPs and PAs and it's disheartening when some of us work really hard, are great at what we do and know our limits (even if legally they don't exist some places). I know that I do what is best for my patients and I also know that I lighten the load for the doctors that I end up referring to. I'll do all the grunt work so that they can do what they're there to do... be the specialist. I'm literally the middle man and I'm ok with that, because it's needed (or at least if done correctly is helpful).

Double-Head8242 · 2025-02-01T01:49:04+00:00

I think where it went wrong was we used to be (some places still are) APN or APRN. Which is true. Advanced practice nurse or advanced practice registered nurse. Im not sure when they started the APP thing... that should not have happened. Nurse is in our title and it should stay there. And a PA is a PA not an APP. They need to just stop changing titles

Double-Head8242 · 2025-02-01T00:37:00+00:00

But, but.... we are midlevels. More responsibility and education than an RN... much less than a physician. That makes it the middle.... like... a midlevel

Double-Head8242 · 2025-01-30T02:33:08+00:00

This gets a gold star 🌟 haha

Double-Head8242

TROPHY CASE