Rnis 2,774 Views
Joined Jun 22, '10.
Posts: 93 (48% Liked)
Not to be a total jerk....... but that is not real RN experience in relation to the traditional role in the hospital.
I don't quite follow your post.... your patient's set up an appointment with their pcp and then you come in. why don't you have your own schedule? I don't think I could handle a job like that( I would not be happy if I was the pt either) . I only see 11-15 patients on my full days (it sounds like you are seeing that in 3 hours) ..... and I make your hourly wage...so I think your underpaid. I think that also explains why your patient's have a 1 hour wait. That is a schedule that is set up for failure.
As far as the questions.... I wouldn't feel bad. I have been practicing about 1 1/2 years. about 4 months ago I noticed that I have reached my 'comfort zone' where I can handle most stuff without stressing about it later. ... I am not researching stuff when I get home or asking a lot of questions to other providers. when I first started up to date was my saving grace. I still look stuff on there on occasion. Up to date would have led you right to augmentin for the dog bite .......I know because I have looked As you start to see more and more repeat stuff it just gets easier and easier.
I don't think you can work PRN as a nurse without any experience...... at least not in my area. I would look for an NP job. best wishes!
Because they know they do not know as much even though NP think they do (at least some of them think they do). Have you even graduated yet or diagnosed or prescribed???? No, your sitting at home posting on your discussion boards to become physician-lite NP
Our office manager is amazing. She handles all the business aspects of day to day practice. the site chief (MD) is responsible for clinical management issues for all APPs and MDs. I am so fortunate that both are fabulous at that their job. it really allows for good work/life balance.
Sorry that sounds miserable. Maybe start applying for new jobs just to see if there are other options?
Why wouldn't you guys just do the pap? Those are guidelines for routine screening, if they are having s/s that would change the situation. I don't know that I would tell them their symptoms concern me for cervical cancer...just that their symptoms warrant a more indepth exam/testing
I have a spiel I give to young girls when I do their pap before they have even got their results. I always say "if your pap comes back abnormal, don't panic. that is not all that uncommon because the majority of us have been exposed to HPV. Often young women's bodies are able to fight and clear the virus on their own so depending on the results we often just monitor you a little closer for a few years. even if your body does not clear the virus, If cell changes are caught early we can stop cervical cancer before it occurs....which is exactly why doing routine screening is so important.
young women especially worry about their health in this area. I try to really focus on the importance of routine screening to nip any issue in the bud quickly. I have found that giving this talk during the pap has stopped panic return office visits the following week when the pap comes back as ASCUS or LSIL.
I think that it would be hard to do it it all but you could. honestly.....work life balance would be hard. I myself only have my msn but I work as an FNP but do occasional adjunct teaching with BSN nursing students. I try to start my own IVs on patients to keep competent on that skills but I don't want to take a PRN job that requires me to work weekends and holidays....... plus it would be hard to go back to that role.
I feel less tired now working 5 days a week than when I worked 2 12's /week RN (I now work .9 and leave at noon 2 days a week).
As an NP I have more flexibility in time off. I literally asked for all the "golden days' off when I was first hired and was shocked when they were all approved. I have those days off again this year as well. There are a few days I have had to work when I would rather not...but for the most part my job has been amazingly flexible. As a nurse I could never take vacation time when I wanted, I had to make complicated trades. Also I am allowed to call in sick without guilt.... that is huge. The biggest perk is just the relaxed work environment and respect. I have a voice in my schedule and how situations are handled. I rarely feel mentally exhausted. I work for a big organization with tons of support. I rarely have to do the behind the scenes work, we have people that fill out forms, do pre auths, and follow up with all normal labs (we do handle all abnormals) I wouldn't want to go back .
I don't think it will make a huge difference. I think I did the barkley 2014 when I took it in 12/2015. Barkley was fabulous!! I did it slowly over my final semester and then re-did it the week before I took it.... I also bought an app (which I can't remember) that did aanp style questions. I was very well prepared. Good luck!!
I had a LONG orientation.... I had two weeks of spending a few days following every provider on my team. Then I had 2-3 weeks of following them and taking patients and then telling them what I would do before going in with them. Lastly I got to ramp up. I got to pull the holds out of my schedule at my leisure . I had 6 months to loose them all. I see on average 12-16 pts a day...with about an hour of my time blocked for administrative tasks a day. I will say that it has been a smooth transition.
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