Being offered job in clinic as RN to help train as NP how to negotiate???

carachel2 · Aug 26, 2011

This type of situation is what we were always told to avoid. I can't see how training as an office RN is going to remotely help you as an NP ?

lynn5707 · Aug 26, 2011

I believe his idea would be that I would work as much as I could as an NP, but not write orders, scripts, etc. I would also be able to learn more about oncology. Why would this be something to avoid???

Thanks!

Trauma Columnist · Aug 26, 2011

This is fraught with over-running your current RN scope of practice.

You can't really DO any NP duties as an RN without getting into lots of trouble.

I would vote no on this situation.

Trauma Columnist · Aug 26, 2011

An APN does much more than write scripts, and order tests. Many times I discuss treatment options from the APN viewpoint. I would never have had these conversations (even if I one the options) as an RN.

Personally, I don't see how this is going to benefit the practice if you are working as an NP when you are an RN. Just too easy to cross the scope of practice line.

lynn5707 · Aug 26, 2011

Even though the idea would be to help me learn to work as an NP, he made it very clear that I would not do anything that is outside my normal scope of practice.

I will be meeting with him next week to see what exactly they are looking for. His practice is one that I was wanting to work at possibly when I graduate, so I was pretty flattered that he approached me.

coast2coast · Aug 26, 2011

Could he precept you during your NP program ? That way you would be learning and working at the NP level and it would be appropriate b/c your status would be that of a student and not an RN.

Trauma Columnist · Aug 26, 2011

In my programs, you couldn't be paid for clinical time.

lynn5707 · Aug 27, 2011

Hi,

If I do start working for this group, I would not be able to do my clinicals with them. I will know more after I talk with him this coming week. He did say that I would not be able to do anything outside of my current scope of practice, but that he wanted to hire me to work for him so I could learn more. Like I said previously, his practice was one that I wanted to work for as the docs and other nurses are very nice. He also told me that one of his NP's started as a student in their practice, and another NP was hired as a new RN, and went back to school while working there and became a NP. I don't think they are trying to do anything to put me or them in jeopardy. I was told earlier this year that the doctor wanted to hire me. I really don't see what the difference would be in working for him, or working on the floor while I am going to school.

Thanks for all the input. I will let you know how the meeting goes.

Lynn

Trauma Columnist · Aug 27, 2011

Its very easy to cross the line, that's all I'm (and others) are saying.

We do sincerely wish you the best.

coast2coast · Aug 28, 2011

In my programs, you couldn't be paid for clinical time.

I wasn't clear in my first post. I meant the OP should work elsewhere and rotate through the oncology clinic as an unpaid NP student. She would learn the specialty and work (supervised of course) at an NP level without putting her RN license at risk.

lynn5707 · Aug 28, 2011

Thank you all.

I am not sure I want to do this after reading everyone's post & I don't want to limit myself during clinicals. I want to be able to experience as many things as I can and not be obligated to one place at this time. (I would be limiting myself by committing myself early on and I don't think that is a good idea.)

Anyway, thanks again for all the honesty, etc. I do appreciate it.

Lynn