tag:blogger.com,1999:blog-40655376523053054792024-03-13T19:23:23.204-07:00NP OdysseyTreat the whole patient, not just the diseaseNPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.comBlogger219125tag:blogger.com,1999:blog-4065537652305305479.post-47630331341674060172018-10-20T08:20:00.000-07:002018-10-20T08:20:02.936-07:00TestDoes this site still workNPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com0tag:blogger.com,1999:blog-4065537652305305479.post-40009244090607048402015-09-08T11:07:00.002-07:002015-09-08T11:07:24.481-07:00New Grad NP<!--[if gte mso 9]><xml>
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<span style="color: black; font-family: "Bookman Old Style","serif"; mso-bidi-font-family: Helvetica;">A little more than a year
practicing as a nurse practitioner and to say the least it has been
interesting. My education and goal was to work in primary care, but without experience
that first NP job was a little tougher than I thought. After graduating and
studying for boards you start applying to jobs you want. Then as time goes on
and you realize the student loans will be kicking in soon you expand the places
you would consider working. In addition there are bills and living expenses
still happening. </span></div>
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<div class="yiv8323396991msonormal" style="background: white; margin-bottom: .0001pt; margin: 0in; mso-line-height-alt: 9.75pt;">
<span style="color: black; font-family: "Bookman Old Style","serif"; mso-bidi-font-family: Helvetica;">There are some jobs that will take
new grad NPs. You can get in with a big organization or there are many clinic
jobs. A lawyer friend told me he hated his first law job, and in most
professions that first job is usually a way to get experience and move towards
your dream job. In many places Pain Clinics are one of those places that will
take new grad NPs, and this is where I ended up and could not wait to escape. </span></div>
NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com3tag:blogger.com,1999:blog-4065537652305305479.post-43239288748974045962014-12-26T09:13:00.001-08:002014-12-26T09:13:36.527-08:00Give a Homeless Person $100 Dollars and See What Happens<div class="separator" style="clear: both; text-align: center;">
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<br /><iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/AUBTAdI7zuY?feature=player_embedded' frameborder='0'></iframe></div>
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This should be the Spirit all year, and the type of person who should be running healthcare in this country</div>
NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com1tag:blogger.com,1999:blog-4065537652305305479.post-36532741014850559832014-12-19T04:34:00.002-08:002014-12-19T04:34:29.042-08:00Dean Ornish - 3 Minutes on Killer Diet<div class="separator" style="clear: both; text-align: center;">
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<br /><iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/I1E-D37URTY?feature=player_embedded' frameborder='0'></iframe></div>
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This is a quick video with an important message. Dr.Dean Ornish has many longer informational videos and books about how our diet is killing us. </div>
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<br />NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com0tag:blogger.com,1999:blog-4065537652305305479.post-4637205984486244232014-12-03T19:01:00.002-08:002014-12-07T20:22:06.133-08:00Different Reality <!--[if gte mso 9]><xml>
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<span style="background: white; color: black; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt;">Mayo Clinic educates some good
doctors. However, they spend years in a small Midwest town without diversity.
That is a problem, most of them have no idea of how diverse populations and low
socioeconomic people live or struggle to get healthcare and pay bills. There are some who come from larger metropolitan areas, but many only know this demographic of people. You also listening to them talk and you realize most of the medical student are still
kids and act like kids. They came straight out of high school, went to college
and right into medical school. So far their biggest struggle in life has been
studying. Many come from well-to-do families with parents who sheltered them,
and protected them from the <span style="mso-spacerun: yes;"> </span>struggles of
the world. Their reality is so different from mine. </span></div>
NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com2tag:blogger.com,1999:blog-4065537652305305479.post-42051276160197916522014-11-14T04:40:00.001-08:002014-11-14T04:45:22.304-08:00Orthopedics<span style="-webkit-text-stroke-width: 0px; background-color: white; color: black; display: inline !important; float: none; font-family: Helvetica, Arial, sans-serif; font-size: 12.7272720336914px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 15.5999994277954px; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px;"></span><br style="-webkit-text-stroke-width: 0px; background-color: white; color: black; font-family: Helvetica, Arial, sans-serif; font-size: 12.7272720336914px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 15.5999994277954px; orphans: auto; outline: none; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px;" />
<div style="text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<div class="separator" style="clear: both; text-align: center;">
<span style="-webkit-text-stroke-width: 0px; background-color: white; color: black; display: inline !important; float: none; font-family: Helvetica, Arial, sans-serif; font-size: 12.7272720336914px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 15.5999994277954px; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px;"><a href="http://4.bp.blogspot.com/-dyoCiScRMmw/VGX5QDNol8I/AAAAAAAAAsw/8dgyuTzTyPo/s1600/images.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-dyoCiScRMmw/VGX5QDNol8I/AAAAAAAAAsw/8dgyuTzTyPo/s1600/images.jpg" height="88" width="320" /></a></span></div>
<br />
<div style="text-align: center;">
<br />
<span style="-webkit-text-stroke-width: 0px; background-color: white; color: black; display: inline !important; float: none; font-family: Helvetica, Arial, sans-serif; font-size: 12.7272720336914px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 15.5999994277954px; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px;">The Emergency Department and Cardiology seem to get the glory on TV and otherwise as the ones who save lives in an urgent situation.</span></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
<span style="-webkit-text-stroke-width: 0px; background-color: white; color: black; display: inline !important; float: none; font-family: Helvetica, Arial, sans-serif; font-size: 12.7272720336914px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 15.5999994277954px; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px;">But, it is Orthopedics that make life worth living</span><br />
</div>
NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com1tag:blogger.com,1999:blog-4065537652305305479.post-28326965996415686452014-10-15T16:28:00.002-07:002014-10-15T16:28:28.507-07:00Cultural Desert <!--[if gte mso 9]><xml>
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<![endif]--><span style="background: white; color: black; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt;">The Mayo Clinic has one big
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in a small homogenized city. </span></div>
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NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com4tag:blogger.com,1999:blog-4065537652305305479.post-53342699903891304622014-09-27T10:44:00.002-07:002014-09-27T10:44:29.786-07:00New Grad Nurse Practitioner Jobs<!--[if gte mso 9]><xml>
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<![endif]--><span style="mso-bidi-font-family: "Times New Roman";">If you
are adventurous and eventually want to apply and get that dream job you need
experience and the right resume. When I worked
with student nurses I told them to go anywhere to get that new experience.
Experience matters first and then employers will look at the quality of that
experience. <a href="https://apply.mayoclinic.org/tgwebhost/searchopenings.aspx?SID=^BTw3hBqyQ1XNKXJYmVnj4Rfo/A1JPtsUyaniMsEptw6e2_slp_rhc_pcJ4cstS1ozjHUsl1d" target="_blank">New grad nurse practitioners </a>may need to do the same. If you think medical students move away from home for 5-8 years to get their experience, a year or two is not bad. </span></div>
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<br /></div>
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<span style="mso-bidi-font-family: "Times New Roman";">To employers experience matters first, and then they look at the quality of that
experience. As a new grad NP you have some choices. However, new grad NPs
opportunities are limited and not always the best. </span><span style="mso-bidi-font-family: "Times New Roman";"><span style="mso-bidi-font-family: "Times New Roman";">Truthfully, there are some crappy jobs out there for new grad NPs. Many</span> jump into that first
job at a no name place, that requires none of your skills, and you will take
blood pressures and fill out paperwork all day. The whole time knowing you will leave as soon as you
get the experience. Future employers know this too when they look at your resume. </span><!--[if gte mso 9]><xml>
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<span style="mso-bidi-font-family: "Times New Roman";"><a href="http://health.usnews.com/health-news/best-hospitals/articles/2014/07/15/best-hospitals-2014-15-overview-and-honor-roll?int=a01008">Mayo
Clinic</a> is a medical destination for people from around the world, and </span><span style="background: white; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt;">one of the country's most prestigious names</span><span style="mso-bidi-font-family: "Times New Roman";"> in healthcare and research. <a href="http://health.usnews.com/health-news/best-hospitals/articles/2014/07/15/best-hospitals-2014-15-overview-and-honor-roll?int=a01008" target="_blank">Mayo Clinic</a>
consistently ranks as one of the top medical institutions and schools in the country, and they hire new grad nurse practitioners. Although they many smaller clinic and a hospital in Arizona and Florida, I am only talking about the Rochester MN campus, with over 35,000 employees. Of that about 1000 are NPs and PAs, and they are
very nurse practitioner friendly. There is no battle here between NPs and PAs, we are equal. Because it is one of the top medical schools,
they are use to teaching people, and they have resources to teach you. </span><span style="mso-bidi-font-family: "Times New Roman";"><span style="mso-bidi-font-family: "Times New Roman";">I have met NPs and RNs from all over the country here doing one if two things<span style="mso-spacerun: yes;"></span></span>. They moved here like an extended travel nursing assignment and get a lot of experience, or they fall in love and make Mayo their life long employer. Either way you win. Minnesota also makes it relatively easy to get your credentials approved through the Board of Nursing. When your future employer looks at your resume what will be the quality of your experience?</span></div>
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<span style="mso-bidi-font-family: "Times New Roman";">You are now an <a href="https://apply.mayoclinic.org/tgwebhost/searchopenings.aspx?SID=^BTw3hBqyQ1XNKXJYmVnj4Rfo/A1JPtsUyaniMsEptw6e2_slp_rhc_pcJ4cstS1ozjHUsl1d" target="_blank">Advanced Practitioner so use that when searching jobs at Mayo Clinic </a></span></div>
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NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com2tag:blogger.com,1999:blog-4065537652305305479.post-76865094078355598962014-08-18T16:31:00.000-07:002014-08-18T16:31:06.431-07:00Diet Mt. Dew<div class="separator" style="clear: both; text-align: center;">
</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-r69OrgCqzdE/U_KL1-gzMYI/AAAAAAAAAsQ/3ov7-D-HV8g/s1600/Diet%2BMt%2BDew.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-r69OrgCqzdE/U_KL1-gzMYI/AAAAAAAAAsQ/3ov7-D-HV8g/s1600/Diet%2BMt%2BDew.jpg" /></a></div>
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<br />
<div class="MsoNormal" style="line-height: normal; margin-top: 0in;">
<span style="mso-bidi-font-family: "Times New Roman";">Learned a lot today in the pre,
intra and post-operative settings. I also learned that an important accessory for
many of the physicians, residents and medical staff was the use of Diet
Mountain Dew. I admit I was a regular user in nursing school. </span></div>
NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com2tag:blogger.com,1999:blog-4065537652305305479.post-46778150672554664592014-07-30T08:39:00.000-07:002014-07-30T08:39:15.566-07:00Attitude is 90%<div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/xLimu0fw8gg?feature=player_embedded' frameborder='0'></iframe></div>
<br />
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The human body is amazing in how it works. As healthcare practitioners we can tell you the anatomy and physiology of how it works. But if you do not have the right attitude you will never reach your potential. Also I believe without the right attitude you will hinder your mental and physical health. </div>
NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com1tag:blogger.com,1999:blog-4065537652305305479.post-58608277136373029422014-07-25T13:06:00.000-07:002014-07-31T20:02:10.505-07:00Mayo Clinic and Rochester<div class="separator" style="clear: both; text-align: center;">
</div>
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<div class="" style="clear: both; text-align: center;">
Rochester's population is about 110,000 people and growing quickly.</div>
<div class="" style="clear: both; text-align: center;">
The two largest employers are the Mayo Clinic with about 36,000 employees and IBM. A lot of downtown is made up of Mayo buildings and businesses that support Mayo or rely on the visitors Mayo brings to town.</div>
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</div>
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<a href="http://3.bp.blogspot.com/-rDc1SEK9Wm4/U9Kv0LAd35I/AAAAAAAAArY/rU9FqgE7nTM/s1600/Mayo+Clinic+(2).jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-rDc1SEK9Wm4/U9Kv0LAd35I/AAAAAAAAArY/rU9FqgE7nTM/s1600/Mayo+Clinic+(2).jpg" height="360" width="640" /> </a></div>
<div class="separator" style="clear: both; text-align: center;">
Looks and feels like a bigger city than the population </div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-Qmuzl8e-JnI/U9K1D-9PXmI/AAAAAAAAAro/JhVDfhEtB3w/s1600/Mayo+&+Rochester.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-Qmuzl8e-JnI/U9K1D-9PXmI/AAAAAAAAAro/JhVDfhEtB3w/s1600/Mayo+&+Rochester.jpg" height="360" width="640" /></a></div>
<div style="text-align: center;">
<br /></div>
<br />NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com0tag:blogger.com,1999:blog-4065537652305305479.post-67977325389494106142014-07-22T11:50:00.000-07:002014-08-06T09:52:19.900-07:00Mayo Clinic<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-i331hNbLMbw/U86qwi_CV4I/AAAAAAAAAq4/TwnLL5X7oCI/s1600/Mayo+Brothers.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-i331hNbLMbw/U86qwi_CV4I/AAAAAAAAAq4/TwnLL5X7oCI/s1600/Mayo+Brothers.jpg" height="225" width="400" /></a></div>
<div style="text-align: center;">
Mayo Brothers </div>
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<span style="background: white; color: #333333; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt;">Visiting Rochester and the Mayo Clinic you realize what a huge part of the
community the Mayo is, and I mean this in a good way. The same way Disney World
transformed the Orlando area from a swamp in the 1970's to a vacation tourist
destination today, the Mayo Clinic is transforming Rochester into a world class
Medical Destination.</span></div>
NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com0tag:blogger.com,1999:blog-4065537652305305479.post-89425421329526579152014-07-04T12:17:00.001-07:002014-08-06T09:50:36.608-07:00New Grad RN and NPs jobs. . Spread Your Wings<div style="text-align: left;">
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<a href="http://1.bp.blogspot.com/-eF1MXmi6rCc/U7XZLgOaIgI/AAAAAAAAApU/QAN1lY_aQgY/s1600/phoenix.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://1.bp.blogspot.com/-eF1MXmi6rCc/U7XZLgOaIgI/AAAAAAAAApU/QAN1lY_aQgY/s1600/phoenix.jpg" /></a><span style="color: black; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">I have to take my own
advice. For years I have worked with student nurses and the one question they ask
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new grad RN's has always been to be flexible, and go anywhere to get
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because of family, but others won't move because they are afraid to leave the
security of their community. The economy changed things and over the last 5-years
it became tougher for new RNs to find work, and even more so in areas like San
Francisco and Boston where nurse are paid extremely well. My advice is even
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their wings to get some experience. Besides traveling to another city for a job
interview is exciting and it also shows them you are committed. Then after a
year or two, when you think you know what you are doing, you can go ahead and apply
to work closer to home. Moving away is what 99% of medical students have to do
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<span style="color: black; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">I do understand not wanting
to move, I liked calling the SF bay area home for the last five years. After becoming
board certified six months ago my plan was to continue working on-call as an RN,
while started to apply for local NP jobs. However, most of the jobs near me were
in pain clinics or one of those retail store clinics, and that was not for me.
I want to keep learning and preferably in a teaching hospital or specialty setting.
The current hospital I work at is not NP friendly (NPs know these places) and
other jobs near me were being filled with those who had experience and
connections. </span></div>
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my wings and apply only to places I wanted to work, and in specialties like
orthopedics and sports medicine, because I like musculoskeletal
specialties. Getting hired as an NP is a long process of interviews and
credentialing, but after all the paperwork I got the job I wanted, in the
specialty I wanted. So NPs & RNs spread your wings and do not settle in
your little corner of the world looking for a job you may not want. . </span></div>
<br />
<br />
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<br />
<h1 class="quoteText" style="-webkit-text-stroke-width: 0px; background-color: white; color: #181818; font-family: georgia, serif; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 18px; margin: 0px 0px 15px; orphans: auto; padding: 0px; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px;">
<i>“Travel is fatal to prejudice, bigotry, and narrow-mindedness, and many of our people need it sorely on these accounts. Broad, wholesome, charitable views of men and things cannot be acquired by vegetating in one little corner of the earth all one's lifetime.” - </i><b>Mark Twain</b></h1>
<br />
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<span style="color: #181818; font-size: 12.0pt; font-weight: normal;"></span></h1>
</div>
NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com5tag:blogger.com,1999:blog-4065537652305305479.post-36183438936865705612014-06-03T13:28:00.002-07:002014-06-03T13:28:29.979-07:00Life Has Many Paths<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-lBsk3jBhs14/U44tavhPF9I/AAAAAAAAAos/xsYrjqK70RA/s1600/Mt.+Diablo+trail+5-2014.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="http://2.bp.blogspot.com/-lBsk3jBhs14/U44tavhPF9I/AAAAAAAAAos/xsYrjqK70RA/s1600/Mt.+Diablo+trail+5-2014.jpg" height="360" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Mt. Diablo Trail</td><td class="tr-caption" style="text-align: center;"><br /></td><td class="tr-caption" style="text-align: center;"><br /></td></tr>
</tbody></table>
<div class="separator" style="clear: both; text-align: center;">
</div>
The path can be easy or challenging, but staying in your comfort zone often leads you nowhere.<br />
<br />
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Getting an NP job as a new grad was challenging. It felt like being a new grad
RN again except with more intense panel interviews. Over the years working with
student nurses I have told them they may need to move to get a job and
experience. Well now it is my turn, and the hard part will be moving. I have lived
in this place for 5-years and really like it, but the job and experience I want
is too far away. The San Francisco bay area is a great place that pays well,
and that means NPs and RNs with experience come from around the country to work
here. Someday I will be that experienced NP
taking away a job from a new grad. Not because it was planned, but because I was on that path. </div>
NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com2tag:blogger.com,1999:blog-4065537652305305479.post-4587222092946241322014-05-18T10:05:00.001-07:002014-05-18T10:05:08.220-07:00Yeah Minnesota<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-_hdnV416OUY/U3jniMB2_9I/AAAAAAAAAoM/hE2_d3xvPnw/s1600/NP+Independent+states.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-_hdnV416OUY/U3jniMB2_9I/AAAAAAAAAoM/hE2_d3xvPnw/s1600/NP+Independent+states.jpg" height="230" width="400" /></a></div>
<div style="text-align: center;">
Courtesy of AANP.org</div>
<br />
Right after Connecticut Minnesota voted and now makes 19 States and the District of Columbia that have become full practice states for NPs. <br />
<br />
<br />NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com2tag:blogger.com,1999:blog-4065537652305305479.post-59329339993537666772014-05-03T12:22:00.000-07:002014-05-03T12:22:16.034-07:00NP Independence expands again. <!--[if gte mso 9]><xml>
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<span style="color: black; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Eighteen States and the District
of Columbia now allow NPs to practice independently. Connecticut being the most
recent. As four decades of outcome research in primary care has shown, NPs
provide safe, high-quality care. These are not straight out of school NPs
practicing independently. Depending on the State it can only happen after gaining 2-4
years (approx 4200-8300 hours) of experience working in collaboration with a
physician. Yes, there will be a few NPs able to become independent right away,
but most will stay working in their current positions and with physicians. </span></div>
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<a href="http://4.bp.blogspot.com/-eQIxYDz14gA/U2U_xUUJvHI/AAAAAAAAAnw/MTjS2CeWNQs/s1600/Nurse+Practitioner+Independent+States.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-eQIxYDz14gA/U2U_xUUJvHI/AAAAAAAAAnw/MTjS2CeWNQs/s1600/Nurse+Practitioner+Independent+States.jpg" height="303" width="400" /></a></div>
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<span style="color: black; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">The West
seems to be more progressive in this matter, but the East will catch up. It's a tough fight with the National and State chapters of the AMA, a few think only doctors are qualified to diagnosis and treat patients. California
tried to pass an NP bill last year, but the California Medical Association spent a lot of money and it failed. It usually takes a few tries to pass these types of things. </span></div>
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<span style="color: black; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">But what's happening in the
South and not one State. I worked in Florida as an RN, and understand the good
old boys club (FMA), with their large membership of retired and semi-retired doctors
not wanting to give an inch to NP independence. But as for the rest of the
south, this is the stroke belt and a recognized area of health problems, in
addition to a shortage of primary care practitioners. NPs need to get together
and organize because patients need you, but expect a smear campaign from your state medical association <span style="mso-spacerun: yes;"></span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span></div>
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NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com2tag:blogger.com,1999:blog-4065537652305305479.post-48131088016431062402014-05-02T08:48:00.002-07:002014-05-02T08:48:42.947-07:00Time to Relax<!--[if gte mso 9]><xml>
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NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com1tag:blogger.com,1999:blog-4065537652305305479.post-70271578591577054622014-04-19T13:31:00.003-07:002014-04-19T13:31:47.126-07:00Nurse Practitioner Preceptors - Plan Ahead<!--[if gte mso 9]><xml>
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I would not
mind being a preceptor for an NP student sometime in the future, and when I
feel comfortable with my own skills and time management, but that will be a
year or two. These days I regularly see postings of students looking for nurse
practitioner preceptors. I have even received emails via my LinkedIn profile
asking me to be a preceptor. I was lucky in that my school matched us with
preceptors, but here is the problem. Many schools and online degree programs do
match you with a preceptor, and after you start do not give a damn that you
cannot find a preceptor. They have your money and you are on your own to find
preceptors.<span style="mso-spacerun: yes;"> </span></div>
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<br /></div>
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As a NP
students you will need preceptors, and a minimum number of clinical hours to
get board certified. National standards also require your preceptors to be
certified, practicing and pass a screening process; this avoids fraud on the
part of the school and by the student. </div>
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The thing is
there are not enough preceptors for all the students out there. <span style="mso-spacerun: yes;"> </span>Nurse practitioner I have talked to do not
precept for many reasons and it has to do with the business of healthcare. Most
companies give NPs a set block of time to see a set number of patients. In
primary care that is usually 15-20 minutes to see the patient, diagnose, treat
and chart, and the urgent care visits are as fast as possible. Your preceptor then
needs to double check everything the student does, because it is their license
in jeopardy every time the student sees one of their patients. I'm sure but
probably some large and small companies also do not want the liability of a
student. <span style="mso-spacerun: yes;"> </span></div>
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<br /></div>
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If you Google
and look around at the comments about finding preceptors, I think the best
thing you can do is to be proactive and line up your preceptors before starting
a program, or go into one that matches you with preceptors. Pursue your dreams
but plan ahead. </div>
NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com3tag:blogger.com,1999:blog-4065537652305305479.post-45540130753232679312014-04-07T09:14:00.002-07:002014-04-07T09:14:46.482-07:00Concentra the fast food model of health care<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://encrypted-tbn2.gstatic.com/images?q=tbn:ANd9GcR0rTi1OYZQePsafo2Pcvy9w0sZVY9IWxyJ3HkSYEy5xxzvGrzocw" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="132" src="https://encrypted-tbn2.gstatic.com/images?q=tbn:ANd9GcR0rTi1OYZQePsafo2Pcvy9w0sZVY9IWxyJ3HkSYEy5xxzvGrzocw" width="200" /></a></div>
<a href="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcQs8IyNJYx-HJ17CIS1uScVuGbPClmlWOCsaf6Cb0iDe8HtJbCCAQ" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="129" src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcQs8IyNJYx-HJ17CIS1uScVuGbPClmlWOCsaf6Cb0iDe8HtJbCCAQ" width="200" /></a>I think I have found the perfect example of what happens when you combine a Fast Food business plan with healthcare, it is called Concentra. Concentra is owned by Humana, which as most people know is a for profit managed care and health insurance company. They are in the process of rapidly expanding nation wide, kind of like Subway with one in every strip mall. When I visited two of their clinics recently it was evident by the take a number, sit by the plastic plant, and one of our employees who all dress in the same uniform will help you shortly. Healthcare has been going down this quicker, cheaper and dehumanizing path for a while. <br /><br />
<br />
<br />
<br />
<br />
There are large companies that operate similar services like United Heath who do a good job of not turning people into a commodity and hopefully there will be a rebellion against this type of plastic drive-thru model of care. What happened to the real family physician? <br />
<br />
<br />NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com0tag:blogger.com,1999:blog-4065537652305305479.post-92156610194103347082014-02-17T17:03:00.002-08:002014-02-17T17:03:22.913-08:00Scam Cell Phone Calls<br />I remember when mobile phones were immune to solicitors and credit card service scams. Not any more now they are a regular thing. It is bad enough to have people in the states calling and scamming, but these area codes look like local US area codes but are not. The scam is they call and do not leave a message, and then when you call back you could be hit with a big one time charge. There are apps you can download or simply do not call them back. As for those local scam calls maybe an air horn into the phone.<br /><br /><br /><table border="1" cellpadding="0" cellspacing="0" id="yui_3_9_1_1_1392684245213_1362"><tbody id="yui_3_9_1_1_1392684245213_1361">
<tr id="yui_3_9_1_1_1392684245213_1383"><td id="yui_3_9_1_1_1392684245213_1382" valign="top" width="213">242- Bahamas</td>
<td valign="top" width="213">441 – Bermuda</td>
<td valign="top" width="213">784 - St. Vincent & Grenadines</td>
</tr>
<tr id="yui_3_9_1_1_1392684245213_1380"><td id="yui_3_9_1_1_1392684245213_1379" valign="top" width="213">246 – Barbados</td>
<td valign="top" width="213">473 – Grenada, Carriacou and Petite Martinique</td>
<td valign="top" width="213">809, 829, 849 – Dominican Republic</td>
</tr>
<tr id="yui_3_9_1_1_1392684245213_1373"><td id="yui_3_9_1_1_1392684245213_1377" valign="top" width="213">264 – Anguilla</td>
<td id="yui_3_9_1_1_1392684245213_1372" valign="top" width="213">649 – Turks and Caicos</td>
<td valign="top" width="213">868 - Trinidad and Tobago</td>
</tr>
<tr id="yui_3_9_1_1_1392684245213_1370"><td id="yui_3_9_1_1_1392684245213_1375" valign="top" width="213">268 – Antigua</td>
<td id="yui_3_9_1_1_1392684245213_1369" valign="top" width="213">664 – Montserrat</td>
<td valign="top" width="213">876 - Jamaica</td>
</tr>
<tr id="yui_3_9_1_1_1392684245213_1360"><td valign="top" width="213">284 – British Virgin Islands</td>
<td valign="top" width="213">758 – St Lucia</td>
<td id="yui_3_9_1_1_1392684245213_1359" valign="top" width="213">869 - St. Kitts & Nevis</td>
</tr>
<tr id="yui_3_9_1_1_1392684245213_1367"><td valign="top" width="213">345 – Cayman Islands</td>
<td valign="top" width="213">767 – Dominica</td>
<td id="yui_3_9_1_1_1392684245213_1366" valign="top" width="213"> </td></tr>
</tbody></table>
NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com0tag:blogger.com,1999:blog-4065537652305305479.post-47961256611062411592014-01-30T12:41:00.000-08:002014-05-02T09:00:00.727-07:00ANCC or AANP NP Certification Exam<div class="MsoNormalCxSpFirst">
The <a href="http://www.nursecredentialing.org/" target="_blank">American Nurses Credentialing Center</a> (ANCC) and the <a href="http://www.aanp.org/" target="_blank">American Association of Nurse Practitioners</a> (AANP) are the two organizations that administer the tests to become
board certified as a nurse practitioner. There are several tests depending on
your educational qualifications. Tests areas include Family, AGNP,
Peds, Midwifery and Psychiatric, and tests can then be Acute or Primary care, again depending on your degree. You only need to be certified by one, but I took the primary care test from both
organizations. Why both, well I got cocky and failed the AANP the first time.
That made me focus and get serious. I also said to hell with this and
registered to take both the ANCC and AANP tests in the same week. Logic told me
I can’t fail both, luckily I passed both and I am now 2 for 3.<br />
<br /></div>
<div class="MsoNormalCxSpFirst">
Most of my classmates were taking the ANCC test and I started hearing
people saying it was easy and not what they expected. First mistake, do not listen
to people. I should have looked at the websites and noticed that about 80% pass both tests. That means next time you're in a lecture count off your classmates and realize
that on average every 5<sup>th</sup> person is going to fail. Like those awful
group project, count off 1, 2, 3, 4. . (Shit it’s me).</div>
<div class="MsoNormalCxSpFirst">
<br /></div>
<div class="MsoNormalCxSpFirst">
Mistake number two is I studied wrong. You
need to use more than one resource, and especially do not get stuck on practice
test questions for your studying. Master your material from school and
clinicals. Because although Fitzgerald and others books are decent, not one
question from those books are on the tests. They may be similar enough to
confuse you, but they are not the same. </div>
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<br /></div>
<div class="MsoNormalCxSpFirst">
You will hear that
it does not matter which test you take, which is true. The ANCC has been around
longer than the AANP test, and there was a time when organizations like the
Veterans Administration only recognized the ANCC. Today because they are both
certifying boards, companies cannot discriminate against one or the other or they would probably be sued. </div>
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The AANP is 150 timed questions and the ANCC is 175 timed questions. Some
of the questions for both tests do not count, and you do not know which ones. They
mix sample questions into the tests to see how people will answer them, and if
they are viable test questions then they can be added in the future. This
testing is also not like the NCLEX test, where the computer might turn off at 75 questions, or adjust based on how you are doing. You will answer all questions, and they are all random
multiple choice. I did hear that they might be adding some pictures in
the future, which would have been nice with those dermatology questions. For
example reading erythematous scattered raised papules could be a couple things, give me a picture please. </div>
<div class="MsoNormalCxSpFirst">
<br /></div>
<div class="MsoNormalCxSpFirst">
Truthfully, I
really wanted to like the AANP test, because their organization seems geared
towards Nurse Practitioners, and they have local and state chapters for NPs to
network. The ANCC on the other hand is all over the place and seems to certify
everything and anybody including the hospital itself. They are the ones behind the
whole Magnet Hospital certification. Magnet status cost hospital a lot of money
and research is showing Magnet status<a href="http://www.ncbi.nlm.nih.gov/m/pubmed/22094616/"> has not improved patient
outcomes</a>, but it does look good in the advertising and on the letterhead.</div>
<div class="MsoNormalCxSpFirst">
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<div class="MsoNormalCxSpFirst">
Having now seen 475 of the board questions it is true, the AANP test is
concentrated more on assessment, diagnostic and treatment based questions. While
the AANC, while still having assessment, diagnostic and treatment questions, also includes therapeutic communication, research, policy, cultural issues, epidemiology, psychology and some regulatory questions
mixed in. I liked this format, because as an NP only part of your business is assessing and treating patients. Also, look at your program it may be pushing you towards one or the
other test. Besides the core curriculum our program had lots of research and
cultural components.</div>
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<div class="MsoNormalCxSpFirst">
It might be my
background, but the ANCC seemed easy compared to the AANP. Since I took the AANP
test twice their questions seemed redundant and they like to play
word games. For example instead of checking your knowledge base, they would ask several
questions on one topic like TSH, T3 and T4, or COPD and only change some words in the question or answer looking to trick you. </div>
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<br /></div>
<div class="MsoNormalCxSpFirst">
Have to renew in 5-years, but for hundreds of dollars each it will not be with both organizations. We will see who does a better job of supporting and promoting NPs and probably renew with them.<br />
</div>
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</div>
NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com4tag:blogger.com,1999:blog-4065537652305305479.post-18084244794150564572014-01-22T07:16:00.002-08:002014-01-22T07:21:26.663-08:0085 vs 3,500,000,000<br />
I found it shocking that the richest 85 people in the world, and many of them are in the pharmaceutical and various healthcare industries, now have the same wealthy as 3.5 billion or half the world's population. Will be hard not to think of that as I treat some of my patients who are struggling between the cost of food and housing, versus paying for healthcare services<br />
<br />
<a href="http://business.time.com/2014/01/20/worlds-85-wealthiest-people-as-rich-as-3-5-billion-poorest/">http://business.time.com/2014/01/20/worlds-85-wealthiest-people-as-rich-as-3-5-billion-poorest/</a><br />
<br />
<a href="http://www.nbcnews.com/business/worlds-85-richest-have-same-wealth-3-5-billion-poorest-2D11958883">http://www.nbcnews.com/business/worlds-85-richest-have-same-wealth-3-5-billion-poorest-2D11958883</a><br />
<br />
<br />
<br />NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com1tag:blogger.com,1999:blog-4065537652305305479.post-54610951690525796732013-12-21T22:02:00.002-08:002013-12-21T22:02:49.284-08:00In all parts of life, practice makes perfect. <div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/ThQKtgBloUw?feature=player_embedded' frameborder='0'></iframe></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
Video of 20 day old Husky puppy learning to howl.</div>
<div style="text-align: center;">
Probably won't be as cute when it is a 110 lbs.</div>
NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com1tag:blogger.com,1999:blog-4065537652305305479.post-35223183675215910942013-12-14T14:43:00.002-08:002013-12-14T14:43:56.519-08:00What nursing shortage? <div class="MsoNormalCxSpFirst">
The hospital system
where I pick up shifts as an RN recently went through a round of asking nurses
and other staff to take ”voluntary severance packages”, or more accurately early
retirement. They needed more than 200 people to accept this offer or they would
need to start layoffs soon. This is not unusual as many hospitals including one
of the largest systems in the country, Kaiser Permanente, has been recently
been doing the same thing at their 37 hospitals and asking people to take
severance packages and leave.</div>
<div class="MsoNormalCxSpMiddle">
<br /></div>
<div class="MsoNormalCxSpMiddle">
This is a good
and a bad thing for nursing. Why is getting rid of RN’s a good thing? Because a
lot of these retirement packages were aimed at nurses and staff who were
hanging on, and needed encouragement to leave. I can’t blame them when in the
bay area a nurse can easily make over six figures. But, healthcare is a
business in this country and money will always be a factor in how decisions are
made. It is hard to see some of them go because of the wealth of knowledge they
had for newer nurses. However, maybe in a few years this will open up jobs
again for new grads in this area.</div>
<div class="MsoNormalCxSpMiddle">
<br /></div>
<br />
<div class="MsoNormalCxSpMiddle">
The bad is if there was a nursing shortage do you think they would be
getting rid of nurses, even expensive ones? You can Google nursing shortage
myth or not, and get many reasons for the pros and cons of whether there is a
nursing shortage now or in the future. All I know is around here new grads are
not finding jobs. This may be different other parts of the country, but if you
are going into nursing do some research. Because nursing schools will cry
shortage, but they need students and their money. People need to make sure
nursing is what you want to do and not because it is a job or you can’t think
of anything else. </div>
NPOhttp://www.blogger.com/profile/13669816146120005101noreply@blogger.com4tag:blogger.com,1999:blog-4065537652305305479.post-22816600445473020182013-12-07T14:40:00.002-08:002013-12-07T14:40:49.266-08:00Nurses are sick people, it keeps us sane Floated to a floor with a nurse who was taking early retirement. Her daughter and a friend made two cakes to say goodbye. I had to take a picture and add an appropriate caption.<br />
<br />
Preface: Nurses work with body fluids on a daily basis, and most have a sick sense of humor to go along with this type of work. We do not laugh at patients, but we do laugh at some of the things we have to put up with (OK, we do laugh at some patients), it is a pressure valve for a job most could not do.<br />
<br />
Anyway, this is one of the cakes. It is a carrot cake with blue fondant icing in the shape of a bedpan, mango syrup in a colostomy bag, and a Baby Ruth candy bar in mango syrup filling the bedpan. Although tasty many could not eat it after the realism.<br />
<br />
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