What's the main difference between a NP and physician assistant ? Great info. 👍

Many many differences. The main one? Background. Lots of places where this info could be much better explained than I can on forums and google searches.

eddyjoemd this is a legit book! There’s also a condensed version of this book that I read when I first started icu.

Gotta have fun with it all, you know?

I'm glad you got something out of this video. You'll surely meet others who are willing to help you become the best you can possibly be!

💪🏼💪🏼💪🏼

Betty Smith you must be making top dollar as a paramedic if you’re wage increase to np is only 10k. Or you’re looking at low paying np positions?

Don’t do FNP. Do acute care.

Best of luck in your journey! Thanks for your support!

I checked out gaswork.com. Really cool site. In medicine you can't honestly find salaries posted around like that. Heck, most times even the actual cities are hidden in the postings (i.e. great insert state here town with a growing college population). Actually, same applies to gasworks here haha. Retention is a huge problem due to the other jobs with more lucrative hours and comparable pay. Loyalty can only get you so far. I haven't looked into the economics of the payment schemes for NP's regarding billing or value myself. I appreciate you providing sources and actual numbers. That will definitely help those visiting the comments section a ton. Thank you!

My pleasure!

Small community! Hope you’re doing well, too! Good luck in your training 💪🏼💪🏼💪🏼

Best of luck in your journey!

eddyjoemd Thank you. I was born 1 pound 2 oz preemie. I recently met the doctor's who was part of my care in the NICU 26 years ago. They asked me if I'd be interested in sharing my story. I said ok. A journalist and a film crew documented our meeting and interviews. I was the smallest female survivor at that hospital and I'm grown up now and healthy. They have to edit it and publish it

They cried when they met me. One of them was only a student at the time and he says he chose to become a Neonatologist because of me, I changed his life. He ran through the hospital with me right after birth to get me intubated. Tears ran down his face as he hugged me. He never thought he would get to meet me again.

Omg that’s such an amazing story! Thank you so much for sharing it with me! Let me know when/where I can watch what they filmed 👍🏼

eddyjoemd thank you. I will. I deal with life long eye complications from it. Retinopathy of prematurity and a few other degenerative diseases. They had gotten in contact with a specialist in a big city to see if he would assess my eyes since I've been having insurance problems here where I live. He responded and said he would be happy to see me. I will get on a train to go travel there.

I have a post on vasopressors on my website and have covered it a lot on my instagram account.

I’m glad to help, Christopher! Best of luck!

That's a great question. Short answer is that I do. I try to give my NP's as many "reps" as possible to get them comfortable with procedures. I try to be present during intubations, though, because even I like to have a second set of capable hands in the room for airways. You never know what is going to go wrong. With lines I usually supervise a few with that NP before I cut them loose. After that I just check in if necessary. My NP's are sufficiently comfortable with me (I hope) to where they have no shame asking for help if they need it. Same goes with chest tubes but those aren't as plentiful as the other two procedures. I recently had to go to a different ICU to place a chest tube and there was a very capable NP who doesn't belong to my group, but rather the NeuroICU group. I asked her if she had ever done one before and she said no. I asked her if she wanted to do it and she immediately said "Yes!" You better believe I let her place that chest tube. She kicked some serious butt at it, too!

eddyjoemd that’s nice to hear. I think that as seasoned ICU nurses we bring a very unique set of capabilities to the table. It’s nice to see a physician be open to helping us advance. It’s the nursing organizations who are pushing for complete independent practice without providing the sufficient training for nurse practitioners to function independently. Most of us just want to practice within our scope and make enough money to be comfortable and pay back these damn loans.

Yeah that’s a tough battle. It’s a fine balance. I mean, I trained for two years in just Critical Care after three years of internal medicine residency and new non-ICU background NP’s are like “teach me how to intubate!” I’m like woah woah woah....

That would annoy the shit out of me. New nurse practitioners who have no critical care background as a registered nurse shouldn’t be in the ICU. The experience you get in a high level unit as an RN is priceless. Especially in an NP program where the training varies so greatly from school to school. People are quick to dismiss an RNs experience and the value of it until they are no longer present and things get missed and outcomes decline. I’m sure you see the difference between the two in practice.

I wouldn't go as far as to say that they shouldn't be in the ICU. The right mind can be trained properly. A lot of bad mythological "medicine" such as giving a fluid bolus every time the urine output is low wouldn't need to be erased from their minds haha. Ultimately, I do agree that the experience is priceless. Again, I've never worked with any NP's without prior ICU experience, but I have worked with some superstar PA's who had never set a foot in an ICU prior to their PA school and I'd let them take care of me any day without an MD looking over their shoulder. Where are you in your personal journey through all this as you say you were a travel nurse?

Yep! There’s a road for everyone! Just need to go to what makes you happy!

You should go in right after your IM training. It’s hard to go back to training once you start earning hospitalist salary.

@@eddyjoemd Thank you for the advice doctor eddyjoe! I can see how it would be hard to get readjusted to the lifestyle change so i'll definitely look for the opportunity to do what you are recommending.

Jabir, the video you commented on was at 1.1x. I received comments on my earlier videos that I was speaking too slow so I put a little speed on it to also help the videos end sooner. It also helps me edit the video a bit better bc I can't stand to hear myself speak. Should I tone it down a bit? Thanks for checking out my videos.

@@eddyjoemd Just watched your other videos and you're talking perfectly find dude. Perfect speed.

I'll definitely take your comments into consideration. The other thing is that now I have a basic template or a script for my talks versus going acapella. Maybe that has something to do with it, too.

@@eddyjoemd Maybe. Test, test, test!

Nope. NP school comes after RN school.

If I'm honest, I've never seen anyone pay for NP school and then pay for CRNA school. Many nurses I know have gotten jobs in the CVICU and then made the jump directly into CRNA school. If you do things like that it may not be too long. Again, long is relative. I finished my schooling and all my training when I was 35.

Nh, I would say if you want to go to CRNA school, just do that. You are going to spend like 50K plus to do NP only to then spend another probably 80K plus to do CRNA school. Also keep in mind most people cannot work full time during CRNA school because it is very intensive. You would need to get at least 2 years of experience I'm am ICU at a minimum before even applying to CRNA school anyway.

Most CRNA schools make you sign a contract that you cannot work during the 3 years you are in school. Unless you can pay the $100kish for school and however much you'd need for bills for 3 years out of pocket, you'll have to live off of unsubsidized loans like 99% of CRNAs did. Becoming a NP prior to CRNA school is counterintuitive. If you can survive CRNA school, you can pay off your loans very quickly. Working as an independent CRNA you can pull $300-400k a year. I'd subscribe to the channel BoltCRNA for more info.

Mario, I definitely don’t think so.

I don’t know the answer to this question. Can someone else answer?

I was a medic for over a decade, and became a FP-C but could never find a job as they're so limited and people never leave. I became an RN and got a CEN cert, and recently started in our MICU. I think the ER would be good for medics just getting into nursing, but I think long term the ICU is the way to go. If you had critical care medic certs then if you kept your medic, you could do flight nursing with a few years ICU experience. Nursing has a lot more options than EMS, and the money is so much better. I'm really glad I switched.

Haha thanks, Emily ☺️

Haha I don't even know the letters and acronyms behind my own name! 🤣🤣