Sigh...the dreaded day...advice needed - page 4

by PinkPinkster

7,981 Views | 57 Comments

Greetings to all. I just discovered this site only hours ago through a friend of mine. I am absolutely overjoyed to have stumbled upon such an amazing site such as this one. I am writing this post because...I am seeking... Read More


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    Remember Benner's Novice to Expert theory? You're trapped in the Advanced Beginner stage. The only way to get past it is to get out there and do it. Pretty much everyone, on starting a new job feels nervous about being able to do it appropriately and confidence can be a bit missing for awhile. If you did well in school, you'll be able to adjust to the work too, I bet you a nickel!

    Go for it.
    tyvin and PinkPinkster like this.
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    Welcome PinkPinkster and congratulations on achieving your educational goals. I myself am not a new nurse, but I am new to this site. I am so glad I stumbled across it, as there is an abundance of experience and knowledge amongst the members here. After 16.5 years of nursing practice, I am finally able to persue an advance practice degree. I raised my children as a single parent and have had to do it step by step... Tech, LPN, ADN then BSN. I personally know several APRNs who work solely as bedside nurses. There's no shame in it, and there's no such thing as being "just an RN". I agree with the other posters regarding a simple, but honest answer during the interview. Something along the lines of 'Now that I've accomplished my educational goals, I would like to focus on bedside practice. I feel that my advanced degree will be useful in this regard.' Also, I would encourage you to reach out to your mentor. I know you mentioned feeling embarrassed to do so, but it can only help. And remember, with a nursing degree, there are a great many employment options including Case Management, Medical Review, Education, Parrish Nursing, and on and on. Good luck and keep us posted!
    PinkPinkster, andrew.youv, and Psychcns like this.
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    Great suggestions! The only thing I would add is be persistent with the interviewing. Go on a lot of interviews and see if you can figure out which would be a good fit for you. A staff job would be less stressful but there are stressors--group dynamics and time management. If you go for an APN job make sure you have plenty of support. Best wishes..
    PinkPinkster likes this.
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    Not to be a jerk, but does anyone else find it odd to make it through a Master's degree without addressing this issue along the way? I can understand post-grad jitters, but if you are this uncomfortable with nursing, how did you make it through the clinical component? What were you doing before looking for a nursing position? Why were you not interested in pursuing a ARNP job before your husband's disability? In terms of your husband making a full recovery, how long do you expect that to be?

    I'm sorry if this is rude and OP is legit, but after reading the Munchausens by internet article I am skeptical of what I read online. I am having a really hard time understanding the dynamics of this situation.
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    Quote from chrisrn24
    That is perfect.OP, I know you say you just use a PRN but maybe you need to be reevaluated or sit down with a therapist to discuss your problem. I do apologize if my first response seemed flippant to you, but I am only trying to make you see that this crippling fear isn't normal.My sister has anxiety issues and once she dealt with them, she couldn't believe she had waited so long to figure it all out and seek help. And plus, a nurse who has experience in anxiety is a great advocate for patients to be properly treated. It will actually probably help you feel more connected to your patients, being able to empathize with what they are going through during the scary time of hospitalization.
    Exactly. "Crippling fear." But apparently that's just me projecting my issues onto the OP as netglow stated. We're talking about a nurse practitioner who is incapable of working as a nurse. You dont just get a swift kick in the butt for that. A person needs help. Not a lecture to griw up, because its obviously more than thst. Just because I can relate to anxiety, that means Im projecting? That's BS.
    PunkBenRN likes this.
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    Quote from PinkPinkster
    Salutations klone, I really would much rather prefer to work as a staff nurse. I feel now that my education is complete, and I am going to for the first time utilize my license as a nurse...it only makes sense to start as a staff nurse before I attempt to utilize my APN education. My concern is how will I articulate clearly my reasons for not ever having secured a nursing position of any level, despite completing an Advanced degree in nursing and instead secured work in management. How can I convey this honestly and professionally whilst still sounding appealing?
    Seriously Pink? I was nothing but supportive of you and you click "like" to netglows comment about me? Don't post if you don't want opinions then. All I said was I can relate to anxiety and that turns into me projecting my issues on you? You have an NP and can't work. I'm an anxious new grad and manage to drag myself to work. But IM projecting?
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    Quote from PunkBenRN
    Not to be a jerk, but does anyone else find it odd to make it through a Master's degree without addressing this issue along the way? I can understand post-grad jitters, but if you are this uncomfortable with nursing, how did you make it through the clinical component? What were you doing before looking for a nursing position? Why were you not interested in pursuing a ARNP job before your husband's disability? In terms of your husband making a full recovery, how long do you expect that to be?

    I'm sorry if this is rude and OP is legit, but after reading the Munchausens by internet article I am skeptical of what I read online. I am having a really hard time understanding the dynamics of this situation.
    Greetings PunkBenRN,
    Your inquiry is absolutely valid. Please dont think me rude when I state what I am about to which is that I simply do not have the time, nor energy to fabricate my extremely long post and open myself up to the very brusque criticism and advice which I have received by various members here. I have a very busy and productive life. In addition I am assuming you utilize the internet and online forums much more than myself which means you have probably encountered such issues before with individuals fabricating complete nonsense stories, however I am not one of those people I assure you.

    To your question. My rationale is simply this...I enjoy being a student. I have always excelled in my studies, and there is comfort and excitement that I receive personally when I pursued my education. Also, despite me not desiring to verbalize it, because I am not proud that I have this thought process and simply because it does sound quite sad in terms of my character is that when you are a student it is okay to make a mistake. I am labeled as a student and therefore always have a preceptor to look to and I am not expected to be perfect. Sadly, that has always been a big part of my fear since you must know. I have always received praise in regards to my work ethic, knowledge, and critical thinking skills during my nursing education. The thought of securing a nursing position where I would be functioning completely alone however has always stifled that confidence which I had throughout my schooling. I hope that answers your questions and nullifies your doubts.

    Respectfully,

    PinkPinkster
    Last edit by PinkPinkster on Feb 4, '13 : Reason: Grammar correction
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    Quote from PinkPinkster

    Greetings PunkBenRN,
    Your inquiry is absolutely valid. Please dont think me rude when I state what I am about to which is that I simply do not have the time, nor energy to fabricate my extremely long post and open myself up to the very brusque criticism and advice which I have received by various members here. I have a very busy and productive life. In addition I am assuming you utilize the internet and online forums much more than myself which means you have probably encountered such issues before with individuals fabricating complete nonsense stories, however I am not one of those people I assure you.

    To your question. My rationale is simply this...I enjoy being a student. I have always excelled in my studies, and there is comfort and excitement that I receive personally when I pursued my education. Also, despite me not desiring to verbalize it, because I am not proud that I have this thought process and simply because it does sound quite sad in terms of my character is that when you are a student it is okay to make a mistake. I am labeled as a student and therefore always have a preceptor to look to and I am not expected to be perfect. Sadly, that has always been a big part of my fear since you must know. I have always received praise in regards to my work ethic, knowledge, and critical thinking skills during my nursing education. The thought of securing a nursing position where I would be functioning completely alone however has always stifled that confidence which I had throughout my schooling. I hope that answers your questions and nullifies your doubts.

    Respectfully,

    PinkPinkster
    You'll be precepted at first and learn the ropes. And you always have back up, whether its an MD or another NP or your charge nurse. And if you lack backup I wouldn't take the job.

    I get liking to be a student too. I was also freaked out at going on my own, and somedays I have anxiety when I walk into the building. But you don't know the awesome feeling when it's you alone and you figure something out and a patient grabs your hand and is so excited you helped them, or the excitement you get when a patient says "you're a great nurse."

    We all make mistakes. You are not going to be perfect, you have to accept that. Nobody is expecting you to be perfect and they expect you will make a mistake or two.

    Again, you state this is a "fear." I really think its time for you to consider seeing a therapist to reevaluate you.
    PinkPinkster likes this.
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    Just wanted to update everyone and let you know that I secured a 2nd interview for a small rural family practice. This interview will consist of meeting the staff and currently exiting Office Manager. The position is for a Practice Manager which the Doctor stated he would like to be a combination of an Office Manager as well as provider. The current Office Manager who has been there for years and started as a Medical Assistant was just accepted into a PA program so will be leaving. The Doctor stated that his wife who is an RN encouraged him to consider hiring an NP or PA who could assume the Managerial responsibilities as well as see patients. I am super excited and have an amazing feeling about this potential job. I have an extensive background in management and am confident as a Manager. The physician is extremely nice and is looking to bring in another provider so that he can "have some free time with his wife". He has never had a midlevel provider in his practice before which makes me feel so much less intimidated...although I must say I am extremely nervous still. I was completely honest with him about everything. He asked the question I was dreading as well which was "I see that after graduating you pursued a non-nursing job which you are still currently employed at, is that correct?". I simply stated the truth. He smiled and seemed amused but really didn focus on the question any longer as I feared he would. The practice is extremely small and consists of 2 Medical Assistants, 2 Receptionists, the Doctor, and an Office Manager who I would be replacing if offered the job.

    The only negative factor is that the office is two towns away which would take me an hour one way to get their. It is in the country however so there is no traffic. The pay will be 20 dollars more than I am making now which is more than I could ask for.
    I have never been this optimistic about a job before...especially a nursing job Wish me luck please. And again thank you to everyone for your continued advice. I look forward to it. I also have one other interview later towards the end of the week in case this for some reason falls through.

    Respectfully,

    PinkPinkster
    CABG patch kid, Cauliflower, netglow, and 1 other like this.
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    Yay!!!Congratulations!!


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