Does your first job define you?

[MallysMama]

I'm wondering y'all's opinion on how much a first NP job defines you and your future options. Say you have a set area you're hoping to work, but another -very different- offer comes along first. Will taking it hurt your future chances of getting into the area you want? Or is any experience helpful?

[Jules A, MSN]

Thanks for sharing what you feel makes a rockstar NP! That's quite the image you paint. I just wanted to clarify....do you feel someone with a "bleeding heart" isn't capable of being well know and respected (a "rockstar")?

While I haven't become an NP yet- so I can't say for sure if I will sink or swim- I have always been an empathetic, kind person (one you would consider a "bleeding heart"- though better dressed). However, I'd like to think I can still be an excellent NP- one who earns what I'm worth, and is respected and well known. I feel like maybe you equate soft with being incompetent. But can't it be possible to be that way and still be a "rockstar"?

On a side note- I think The Bleeding Hearts would be an excellent 80's rock band name!

Seriously my opinion, is simply that, and not shared by everyone so please don't read too much into it. You need to model your practice based on the providers you admire and what is congruent with your values. I threw in the snark about personal presentation because I think as NPs we are starting with a deficit and have to work harder and present better to be considered on par with physicians which is a personal goal of mine, not all NPs feel that way and thats fine.

I'm sure some of it is my specialty where being "soft" can be the kiss of death especially dealing with substance abuse and personality disorders but again jmo. I'm definitely kind and empathetic when indicated however I maintain firm boundaries with patients, admin and staff especially when it comes to only doing things a provider does. My goal is to improve function. I have very little interest in prescribing medications that will not accomplish that especially on a long term basis nor do I feel denial is overall an effective coping skill.

If a very knowledgeable NP wastes their time inserting themselves in tasks or therapy that isn't what they are billing might be considered a decent provider but I personally wouldn't call them a Rock Star which to me indicates the whole package. Not everyone can or even strives to be a Rock Star and thats fine.

[PG2018]

It's probably spoiled me more than anything. There's nothing in nursing I'd do otherwise besides what I presently do. There isn't a position in advanced practice better for me than the one I have now. It's also my first position and hopefully my last.