Re: Transition from RN to ANP
Well, as a VU Adult NP (recently), I can tell you...I feel your pain. I landed a job at a walk-in clinic (pre-warning them I had spent most of my time in Internal Medicine) and I thank god daily for PAs. The PAs in the office have been my guardian angels. They help me all the time.
My hang-ups are not so much the internal stuff, it's procedures. Suturing, stapling and oh me, toe-nails. I had a guy come in last week, the only provider at closing with metal in his eye. I took one rather lengthy look at his eye, and sent him on to VUMC emergency, thinking to myself, I'd want an Ophthamologist myself.
My suggestion, immerse yourself in Brunswald's. The book is superb and the residents at my other job actually read it often. I think you should actually be shadowing another provider for awhile, not long, maybe a week or two. You probably will not be expected to handle acute problems. I would assume you would be checking post caths, MIs and titrating HTN/lipids.
Was this not part of your entrance interview? Expectations? I actually worked a few blocks of time with the supervising MD before taking my job. LOVE it now! Still feel like a new fish in a big pond somedays...but I get better with support from my PA peers and the doc. Good luck!
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