Rnis 2,953 Views
Joined Jun 22, '10.
Posts: 100 (49% Liked)
Clearly the parlor comment was tongue in cheek. I certainly don't have to do any of those skills it just can take up to 30 minutes to an hour to facilitate those tasks.... which yes we do IV's and straight caths on occasion in primary care.
I think there is just a lot of defensiveness seething from your posts. It sounds like you have a lot of great experience in your profession and I am certainly not judging you as a provider. I just commented that it's not really possible for you to make a blanket statement that previous RN experience is not relevant.
But what is learned and experienced as a bed side nurse is very often not applicable at all in a clinic or office setting.
I don't think being an FNP is not exciting. I seen random things all the time....and I love procedures. What I do think is different ........is there isn't a lot of work place drama or stress.....and I personally love that . I am not sure about the posts about staying hours to chart. I have a 95 % fill rate and I am done with my charting every night. I almost always leave within 20 to 30 minutes of my official end time (at the latest). I am a very fast typer and do a fair amount in pre-charting (which were allowed to do) and during appointment. For my fellow colleagues that aren't as efficient , they don't stay late either....they just save it for the next day and do it when they have a no-show or lunch.
I think if you went into this role wanting to be a nurse practitioner.....1 year is to early to throw in the towel. Find another job in this role that is a better fit. However, I am always confused when people who got an FNP think they were going to work in a hospital. My program was very clear from the start that this was not the appropriate degree for that goal.
I think the Drs I work are pretty holistic. We are able to choose our 'time' structure for patients. most of the PA/NPs choose a longer time structure with their patients. (20/40 as opposed to 15/30 structure) interestingly enough...many of our female physicians also choose the longer appointment structure. by choosing that longer structure you have to spend more time in clinic....but I think in the end you are able to get most of your charting done during actual visit times...and it's a lot less stressful to not be rushing patient to patient. I think the extra time allows people the freedom to spend the extra time getting to know their patients. Not being stressed is priceless. Love my co-workers. I have had the opportunity to observe most of our MD's , NPs and PAs in my practice. Each has there own individual style but I think they are all trying to look at the patient holistically.
I don't I would ever feel comfortable participating in that type or relationship. even with work related stuff.....I would only share stuff I would be comfortable mgt knowing. interesting concept though.....
On a more general discussion I have pondered for years that I could probably benefit from counseling regarding a high stress long term issue in my life..... can't bring myself to set it up. Too busy and too aware of how much goes into the medical chart....don't really want my business out there for every future nurse, provider, MA to snoop in when I go to the dr in the future. It's not even a 'secret' issue I'm pretty open about it.....I just like to be in control of what is shared and when it is shared.
Sorry they weren't upfront with you. hope you can work it out with them.
All of our reviews from press gainy are publically shared...so I have a few unflattering reviews but some really nice ones as well.....It's so hard not to just focus on the people who didn't like me . I really try not to dwell on it too much. Sorry about your google experience.
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!
prn at an urgent care? I think it's not uncommon for the college clinics to still have limited hours in the summer
I worked 2 12's a week and would use my vacation time strategically during clinical rotations.
I work at a big organization so I feel it is pretty set in stone.....but they are usually great about giving providers off the days they want if it doesn't leave the clinic without enough access (I get 6 weeks a year plus 1 week CME)
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.
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
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