Quote from BCgradnurse
As a previous poster stated, I think you need to decide if you want to be a NP or a RN. You're never going to advance as a NP with your current situation. I'm also curious as to why you went through the expense and work of NP school if you don't want to put the time into the job.
While you're essentially correct, I wouldn't say I'll never advance at all. Even though I don't work full-time, I still see some pretty complex internal medicine patients and do get to do a lot of decision making with the MDs guidance. I feel like I've learned a fair amount since I started. Of course, if I was doing it full-time, I would be learning a lot more.
As for why I decided to become an NP...I really don't have a good reason. I've always thought my RN job was meaningless (I work at a psych forensic state hospital) so I wanted to do something meaningful. I like my RN job because of the lifestyle it gives me, but I want to do something that matters. No hospital would hire me per diem as I have zero experience so I went the NP route because there is a huge lack of primary care providers in this area and even though I'm still not very marketable, I knew that I would at least be able to do something.
Quote from FullGlass
If I read your original post correctly, your RN employer has offered to hire you as an NP. That means you would keep your benefits. My advice is take that job. What is wrong with doing H&Ps? .. My sense is that you may be afraid to give up something you are comfortable with and make the leap to being an NP full-time. I, too, am curious as to why you went to NP school?
I probably didn't describe that job very well. Technically you're doing H&Ps all day, but you don't really take a history or do much of a physical. You essentially look at the patient's record from their prior facility (prison) and re-order what they're already on whether or not it makes sense or is good medicine (if they're on atenolol and nothing else for HTN, just leave it). That
job will teach me absolutely nothing and I will forever be non-marketable to any other employer if I do that and nothing else. Other than the fact that a medical assistant isn't legally allowed to write orders, you could quickly teach an MA to do the exact same job because it's so easy. The only reason the job exists is because somebody needs to write the initial orders for the patients and the NPs are far cheaper than the physicians...plus there's a huge lack of physicians at my facility. The job is basically a career-ender once you take it as you're forever non-marketable once you work there and everyone around here knows it.