First Job, Unsure of Role

Specialties NP

Published

My first NP job ever, and they are opening a new clinic, which is where I'll work, though I'm training at one of their current clinics. When I was interviewing, I was told that they would have 1 new doc, in addition to 2 current docs, plus me. First NP in an organization of about 60 docs, spread across multiple clinics (Physician owned group). They did also ask if I was interested in patient education, which I said I love educating my patients, esp new dx, like DM.

Fast forward to my first week, and I've trained all week on the EHR, which is a good thing. However, an MA showed me the plan for the clinic (new building), and now apparently they have hired 2 (not 1) new docs. There are 4 doc offices, each doc with their patient rooms nearby. I have no office, no patient rooms...there's one triage room, far away from all the doc offices, where I'll see patients. It's next to the storage area. Additionally, they were not going to give me a lab jacket until I asked. The HR lady was surprised that I might wear one. The docs each get $1000 q3 yrs to decorate their areas. I don't know how I would ever meet my RVU goal for bonuses having one patient roomed at a time.

What I have going for me, is that they did not give me a contract. I feel like I am being lumped in with the front office/supportive staff. My onboarding packet looks like what every one of them is given. I only need to give 2 weeks notice, and My EHR trainer told me that she knows they will utilize heavily, but she knows the docs are unsure of exactly how to use me. I honestly feel like it will be humiliating to show up, feeling like I'm a provider, yet only have 1 room in the corner, in the opposite area from the other providers, doing God knows what. I don't know what to do...wait and see what's in store when we move to the new clinic 2nd week of August, or talk to them now? don't have a job-description, but I don't want to be treated as an RN. What to do?

Specializes in Family Nurse Practitioner.
Update: lunch went well. They talked about how they we're looking forward to me seeing patients, and having my own office/rooms, apologizing for how they've not really been organized, and thanking me for my patience with them. It was mainly pleasantries, and the president telling me not to ever hesitate to reach out to him should I need to.

Fast forward...I've been seeing patients for about 4 weeks now, but the most I've seen in a day is 5 patients (not by choice, that's all that's been put on my schedule). I'm not sure how quickly other NPs usually have their patient numbers go up. I'm looking on the bright side, and taking my time to thoroughly prepare and research patients that I'm going to see.

Problem; because my numbers are not up, they want me to start off without an MA once I move to my own area next week (I've been using my collaborating physician's staff, or those of whichever doc might be out). I've been totally opposed to this, and I'm waiting to see how it plays out. The nurse manager, and COO agree that I need one, but I guess the docs who are partners in the organization feel that it's not financially feasible since my numbers are not up. But I know my numbers will never be up if I have to do everything by myself, not to mention that if all the 60 docs have an MA, and a nurse, I should at least have an MA.

It sounds like your options are insist on a MA with a full load of patients or get stuck trying to beg someone else's MA to help you which will suck and probably will be long term. This wouldn't be an issue if schools actually prepared us to work to the full extent of our scope upon certification so there wasn't the need or perceived need of a lengthy ramp up process. It wasn't an option back when I started so I'd go for the full load but I also had significant experience as a RN in my specialty. Thanks for the update and good luck.

My first inclination is to get the MA and get those numbers up fast. But on that note, if they're really wanting you to do things without an MA and they feel you only going 5 patients a day for the long haul is something they're ok with paying your likely 100k salary is worth their while, I wouldn't say you're exactly losing anything.

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