Update on offer from Dr. working as RN there while in NP school

Specialties NP

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Hi!

I posted this on my original question - just wanted to start a new thread in case no one saw my last answer.

Well, I spoke to the doctor and one of his nurse practitioners last week. Basically, the position will be one where I would be their "nurse", get to know the patients, learn more about oncology, but not be acting as an NP. I would perhaps round with doctors, etc, and the NP's as well. The NP said I would most likely get patients ready to be seen, and as time went on, probably will be taught how to dictate for the Dr, and how to help round with them. There are other RN's at the hospital that I work with that are not NP's that perform those tasks, so I don't think I would be out of my scope of practice. Please let me know if I am wrong.

The Dr. told me just tell them what I want as far as hours, pay, etc and he will give me pretty much whatever I want (he said at least 90%). He would help with school costs. He also said he would be very flexible in hours as I wanted to work part-time even when I finish school.

I am torn, his practice is one that I would want to work at when I'm done. I am supposed to talk with their business manager who manages everything to see what the actual offer is.

I still am on the fence, I don't want to do anything incorrectly, but their practice is highly regarded and the docs and others that work there are great! So, the saga continues!

I really appreciate everyone's honesty.

Lynn

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Specializes in Nephrology, Cardiology, ER, ICU.

Are you sure this is where you want to be when you finish? Are you allowed to do all your clinicals in one area? Do you want to? Do you have other varied experience?

As to what the details of the job are, I think the only place you might get into trouble would be the dictating part.

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Hi,

Yes i will do my clinicals in varied settings not with that group. Their practice is one I have considered to work at when i am done.

I hqve been nurse for 20 years, and varied experiences.

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Specializes in Nephrology, Cardiology, ER, ICU.

Sorry, I was just asking if you would have varied experiences in APN clinicals.

Good luck.

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Lynn,

As a current FNP student, I think your situation sounds great and quite frankly, I am jealous! As long as you don't cross any boundaries (and you will know if you are about to), I think it will be ideal. Good luck to you and congrats on lucking out like that! :)

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I say be proud of the networking you have done, know your boundries and enjoy this amazing opportunity! Congrats on this offer, it is one that does not come along very often:) Just because you start in this area doen't mean you have to end up there...remember nursing presents us with many opportunites and being NP just opens more doors. You can always leave the position if you feel taken advantaged of and move on to the next job. Try not to stress out about this...believe it or not this is a GREAT thing!! Good luck!

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Thanks for all the support. I will be meeting with the practice manager sometime next week to get the final details.

Thanks for all the support. If everything works out, I will stay prn at my hospital just in case. :)

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Specializes in ER; CCT.

Kind of a similar incident happened in a different office with 4 MD's, 3 DNP's, a DO and a brand new DNP without a furnishing certificate. The doctor's supervising doctor wanted the doctor to basically spend 520 hours of half compensated time so that the doctor could get a enough time in for her furnishing certificate. The doctor responded by telling the senior doctor that, although she is a trained doctor, would only do so in consideration of the support of the other doctors for that doctor to become a partner doctor when she completed the time--you know, since they're all doctors.

The other doctors stated that for this to be considered, the doctor would have to spend at least three years at the doctors' offices before a decision could be made. So the doctor essentially told the doctors that for this particular doctor to work at half price, the doctor would need the other doctors to provide for a doctor profit sharing program. Alas, the doctors told the doctor that this could not happen.

So now the doctor is working with another set of doctors at full pay and considering opening up her own practice where she might hire one of the other doctors from the first doctors practice, even though the doctor is not a nurse practitioner.

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Kind of a similar incident happened in a different office with 4 MD's, 3 DNP's, a DO and a brand new DNP without a furnishing certificate. The doctor's supervising doctor wanted the doctor to basically spend 520 hours of half compensated time so that the doctor could get a enough time in for her furnishing certificate. The doctor responded by telling the senior doctor that, although she is a trained doctor, would only do so in consideration of the support of the other doctors for that doctor to become a partner doctor when she completed the time--you know, since they're all doctors.

The other doctors stated that for this to be considered, the doctor would have to spend at least three years at the doctors' offices before a decision could be made. So the doctor essentially told the doctors that for this particular doctor to work at half price, the doctor would need the other doctors to provide for a doctor profit sharing program. Alas, the doctors told the doctor that this could not happen.

So now the doctor is working with another set of doctors at full pay and considering opening up her own practice where she might hire one of the other doctors from the first doctors practice, even though the doctor is not a nurse practitioner.

I know you're trying to make a point by using the word doctor in place of NP, but it makes the post confusing and difficult to follow. If this is confusing on a board full of NPs, just imagine how confusing the doctor title for NPs will be for the public. I know you'll respond with "I'm not misrepresenting myself I do have a doctorate! (*cough* in nursing *cough*), but I'm sure the sentiment isn't lost. Anyways carry on, didn't mean to hijack ;)
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Specializes in ER; CCT.

Just illustrating a situation that happened to someone close to me. Ultimately the physicians and the physicians' doctor did get things worked out. What still remains to be seen, though, is whether or not doctors, physicians and NP's would ever be able to tell the difference between a role, a profession and that of a title--cough, even on a board full of NP's.

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Specializes in ICU.

Dr. Tammy? Honestly good grief....let's see I'm an RN but I'm going to get my doctorate in liberal arts(hypothetically) then I'll go work in a hospital/clinic and demand/introduce myself as a doctor!!! My point is a doctorate in nursing is as irrelevant as any other degree unless you are a DO/MD because with a patient you are implying you are a physician! Negative! How many infarcted histology slides have you studied? How many cadavers have you dissected? None I assume. Quit insulting the NPs and physicians together....

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Although I understand that a nurse practitioner with the title of "doctor" can be confusing to patients, I think we also must be respectful of each other here.

And let's not forget that podiatrists, chiropractors, psychotherapists, ministers, optometrists, etc. all may use the title "doctor" but no one seems to get too excited about that. It's a hot-button issue, but one that should be settled based on academic credentials and level of responsibility rather than on knee-jerk reaction.

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