AGACNP- new grad- starting in hospice?

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Specializes in AGACNP, cards.

Hi all, 

I take boards on Tuesday. I've been applying pretty much everywhere, and I'm getting very few bites. I am interested primarily in cards, palliative, and the ED. 

I have a phone screening with a hospice provider today. Like I said, it is something that I am definitely interested in. My mother received hospice care a few years ago and I was so impressed by the services they provided, and my rotation with a home hospice nurse over a decade ago also left a big impression before that. My concern is that if I take hospice right out of the gate, that it will be harder to get into my other interests (cards, ED) later on. 

Thoughts? 

Thanks,

Jenn

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Specializes in New Critical care NP, Critical care, Med-surg, LTC.

I'm in a very similar situation in that palliative and hospice has always been my eventual plan as a NP. I've just started applying to jobs and I'm mainly focusing on hospitalist at this point for the broadest base of knowledge and experience because I had similar concerns to yours that starting in that area might limit my potential opportunities later. But I'm sure that similar to nursing, people make moves from all variety of specialties. Good luck. 

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Specializes in Vascular Neurology and Neurocritical Care.

It would seem to me that marketability might suffer a bit starting in Hospice. Your skills and knowledge managing acute medical issues and working them up will atrophy because your focus in hospice isn't aggressive medical care, "just" promotion of comfort. It may be wise to do hospitalist to start and then transition. At least later you can point to at least having done something acute later if you want to go back to acute care environment. 

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You are going to probably pigeon hole yourself if you stay in the gig too long.

 

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I find similar to RN roles that NP experience opens doors much easier into that field.  Switching fields can be done, but it is a lot harder to do once down a track of acute vs primary settings, for example.

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Specializes in New Critical care NP, Critical care, Med-surg, LTC.
On 6/25/2021 at 7:48 AM, NPJenn44 said:

I am interested primarily in cards, palliative, and the ED.

Have you found something at this point? Just wondering what you've decided.

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Specializes in AGACNP, cards.

I accepted a Hospitalist job! I start 12/1. Currently going through credentialing. ?

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6 hours ago, NPJenn44 said:

I accepted a Hospitalist job! I start 12/1. Currently going through credentialing. ?

Good luck! I think that is a smart decision. 

 

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Specializes in New Critical care NP, Critical care, Med-surg, LTC.

Best wishes, I'm hoping to find the same!

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On 8/27/2021 at 4:32 PM, NPJenn44 said:

I accepted a Hospitalist job! I start 12/1. Currently going through credentialing. ?

I work as a hospitalist, I REALLY hope you have a good orientation because the learning curve is high. I did a year residency and even then I felt it wasn't enough

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Specializes in AGACNP, cards.

Oh I know! LOL. I did my second rotation in hospital medicine- I know how tough it is and about the steep learning curve. It’s part of the reason that I picked it- I know I will learn a lot and I think it will help me be a really well rounded provider. 

It sounds like I will have a lot of support, which will help. I’m scared but I’m also excited! 

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Specializes in psychiatric nurse clinical specialist.

I have a question- I am psych APRN and am looking for and have had 1 claim paid out by insurance company. They have dropped me. Anyone have this experience and how did they get oterh malpractice insurance.

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