Latest Comments by shibaowner

shibaowner, MSN, NP 6,860 Views

Joined: Mar 10, '17; Posts: 591 (50% Liked) ; Likes: 804

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  • 0

    You need to broaden your search and look outside of NYC. This is your first job, don't be too picky. Get some experience, then you can move back to NYC and get a job more easily. There are many parts of the US that are desperate for nurses.

  • 1
    cnatobsn17 likes this.

    You do need to stop using all illicit substances if you want to become an RN, at least during nursing school. My nursing school tested us every year. Some employers will give random urine tests without notice. However, here in California, where pot is legal, some employers state they do not test for pot. So it will depend on your state and your employer.

  • 0

    Just as a data point, I know a psychologist who is getting $350 an hour in Silicon Valley. If you can build a "niche" boutique practice with some affluent clients, you should be able to get a good hourly rate. Your horse angle is definitely interesting. That will also allow you to take some pro bono clients.

    Good luck.

  • 0

    There are plenty of NP jobs in the Bay Area, but it is outrageously expensive to live there! Even with a six figure salary you will likely have to have a roommate. I've seen new grad FNP pay of $120 to $130K, but take a look at housing costs before you make a decision - that pay won't go far there.

    Consider the smaller cities, town, and rural areas. For example, in California, there are NP jobs going begging in the San Joaquin Valley - they actually pay MORE than the coastal cities and the cost of living is way less. Also in beautiful mountain communities, desert, and far northern California coast (Humboldt) This will give you a chance to build up savings and pay off your student loans.

    Here is a resource to find a Health Professional Shortage Area (HPSA) and these locations may be available for loan repayment programs from the federal or state government.
    HPSA Find

    Good luck

  • 8

    Hello.
    First, take a deep breath about the student loan - you can get a payment deferral for up to one year after graduation. Contact your loan servicer(s) ASAP about this.

    Second, there are plenty of jobs out there for new grad FNPs. You can also apply for NP residency programs (just google this).
    You need to be flexible about location and consider the smaller cities, town, and rural areas. For example, there in California, there are NP jobs going begging in the San Joaquin Valley - they actually pay MORE than the coastal cities and the cost of living is way less.

    Third, if you are not getting responses, then your resume needs work. You can research this - plethora of resources on the internet. In addition, there are resume writing services for NPs and it is worth investing in a good resume.

    I'm a Western US gal, so I know there is a real shortage of FNPs in the following areas: central and rural California, Nevada, Arizona, central and rural Oregon, New Mexico, Alaska. Be willing to go where other people are not.

    Here is a resource to find a Health Professional Shortage Area (HPSA) and these locations may be available for loan repayment programs from the federal or state government.
    HPSA Find

    Good luck.

  • 5

    To OP:
    There is a high demand for NPs. The ABSN or regular BSN to MSN or DNP route is just fine. You are correct - it will give you a chance to become more familiar with a new field and the ability to work part time if necessary. In addition, it is possible for RNs to make very good money.

    As for the NP, pay will depend on the speciality and the location. CRNA and PMHNP make excellent money - up to $200K a year or a bit more here in California. Be flexible on location for your first NP job. Don't overlook smaller cities, town, and rural areas. These areas have a lower cost of living and often pay MORE than big city jobs. There is also less competition for those positions.

    Don't worry about your age. I started my BSN at 53 and graduated with my MSN at 55. I don't have dependents and am viewing this as the second half of my life. What's great is I can live just about anywhere and I am ready for some adventure!

    Best wishes and good luck.

  • 5
    mumarada, asystole00, FullGlass, and 2 others like this.

    Here in California, there is a high demand for FNPs. As a new grad FNP, be open to the smaller cities and also rural areas - those are areas of very high need. Inner cities may also have a shortage of providers. For example, while there are plenty of FNP jobs in the San Francisco, Los Angeles, and San Diego areas, there is more competition for those jobs, along with a very high cost of living. If you are willing to go inland to the San Joaquin Valley (Bakersfield, Fresno, Modesto, Stockton, Sacramento, Redding, etc) you will actually get paid more, the cost of living is very affordable, and you may be eligible for NHSC loan repayment programs!

    Here is a tool to help you find Health Professional Shortage Areas (HPSA):
    HPSA Find

    Good luck.

  • 0

    I agree with umbdude that PA is probably a better fit for the OP.

    As far as foreign doctors getting residencies in the US, here is some more info. I would look for states that have a shortage of doctors. This can be determined by the HPSA (health professional shortage area) score. This goes from 0 to 26; the higher the number the worse the shortage. Look for scores of 14 or higher. Some states have a general statewide shortage - Alaska, Nevada, Missouri, Minneapolis, etc - and have programs to make it easier for foreign doctors to work there. Google "states with worst doctor shortage" and check with each state to see if they have such programs. Also google the HPSA or HRSA data warehouse to run various reports on shortages in specific areas.

    1. Alaska has J-1 Conrad 30 Waiver Program which waives residency requirement for foreign doctors
    2. This program is available in other states with an acute shortage of doctors

    Hope this helps

  • 0

    Breeze is not updated regularly. Since you submitted your application on 9/27, you won't get your license until January. Be patient. You can contact them using the Breeze website if you want to.

    In addition, did you also apply for a temp license? The temp license takes 8 to 10 weeks

  • 0

    Quote from redscv
    The reason I don't want to take the board is due to the time-consuming match/residency. Maybe I'll consider this path after I have some clinical experience here.
    There are a lot of schools that offer the direct entry MSN, so just do a Google search. You can look at the USN & WR nursing school ranking for graduate education. Washington State board of nursing should have a list of accredited NP programs on their website.

    I didn't know about the difficulties of foreign doctors getting a residency here. However, there are programs for foreign doctors to get work here if they are willing to go to underserved areas. Alaska has programs for that - they are desperate to get doctors up there and since Alaska does not have a med school, they are trying to set up residencies. I'm sure there are other parts of the US, mostly rural areas, that have such programs as well.

    Good luck

  • 4
    liz0105, asystole00, umad, and 1 other like this.

    To the OP: I understand your frustration. However, the SF Bay Area has always been very expensive. Los Angeles is becoming almost as bad. San Diego is also becoming increasingly expensive. In other words, living along the coast of California is expensive.

    On the other hand, the inland areas of California are very inexpensive, have many great recreational opportunities, and are desperate for healthcare providers. You may wish to consider relocation to obtain a good RN position in a cheaper area. Your high-tech hubby could try to find a job that allows remote work. Specifically, there is a high demand for RNs and NPs in Fresno, Bakersfield, Redding and other Central California locations, as well as in the desert areas like Imperial County.

  • 1
    np830 likes this.

    Quote from NEMurse95
    For one, thank you for taking the time to write a reply. That being said, I am more than capable of reading textbooks and scholarly journal article. When I signed up for nursing school, I did so with the expectation and anticipation that it would be a lifelong learning commitment. My question was simply a question asking if my study habits would translate well to NP school.

    I'm just going to say I hope you're more tactful and speak more therapeutically with your patients
    You are not even an NP. I suggest you learn to show more respect to your superiors if you want to succeed.

  • 2
    IfICanYouCanToo and Dodongo like this.

    At least in my NP program, you HAD to read the textbook in addition to reviewing powerpoints. Much of the exam material was not on the powerpoints and only in the text. You might be able to get a C on an exam by only studying powerpoints. And most grad schools consider a C unacceptable and would send you into counseling.

    Some graduate NP classes do not require a textbooks, but have required readings pulled from journal articles. Other classes will require a textbook AND reading required articles. However, you can ask your instructor if you have to read all the articles - some of them will turn out to be optional.

    An NP program leads to a graduate degree. In grad school, you are expected to be able to read A LOT of scholarly material and also to write in a scholarly manner. You will have to write a lot of research papers, which will require reading scholarly journal articles - a lot of them. That material will not be on any powerpoint.

    As an NP, you will be expected to regularly read the professional literature. None of those journals publish articles in powerpoint format.

    Bluntly, in my opinion, if you can't read a textbook or scholarly journal article, then you can't get through NP school, nor can you be a competent professional. If you don't want to read, then choose another career path in nursing.

  • 1
    PMHNPonTheMaking likes this.

    The amount of study time required depends on the individual and on the school.

    Personally, some classes were easy for me and I didn't have to study much for them. Other classes, like pharm and patho, definitely required more study time. I averaged 2-3 hours a day during the week and 4 to 6 hours a day on weekends. One of the most satisfying experiences I had was in our research class. I studied hard for this class, as it included statistics and math is not my strong suit. Other students talked openly about how stupid the class was and that they only spent one hour on the individual paper required and essentially no time studying for the class itself. I felt really dumb. Boy were they upset when they got crappy grades! (I got an A)

    It also depends on your goals. I was aiming for straight As because I knew I was going to grad school to become an NP. If you are happy with Bs and Cs then you can study less.

    Schools vary on level of rigor. In my program, you could definitely get a C and probably a B if you only reviewed Powerpoints. But if you wanted an A, you had to read the book and study hard.

    Nursing school should be hard - nurses have a lot of responsibility and are dealing with life and death. That said, I'm sure there are some individuals who are so brilliant that nursing school is easy to them, but they are few and far between.

  • 2
    willijm1 and meanmaryjean like this.

    You need to check with your school on their policy, so call them and ask directly.
    Most nursing schools will not let you into clinical rotations w/o your vaccines being completed, especially flu.



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