First NP Job, misled and unhappy

[NYbaby0126]

Hi all I'm hoping to get some insight from new and experienced NPs here. I have been and DOU and ICU nurse in a trauma hospital for 8 years graduated with my adult-gero acute care NP and since been job hunting. I applied for a place that advertised as an urgent care, I interviewed and found out it was an internal medicine and rheumatology office with the intention of opening and urgent care January 2018. The offer was decent and they gave me a 24hour response in their statement to take the job. At the time this was a fair opportunity and I didn't want to miss out on it

Once I started working I found out that he has another office over 40 miles away that I would require to travel to twice a month, there will be some Sundays, and its 10 hour days with a lot of staying over because he overbooks patients (we had 55 patients in one day) lunch break is 30 minutes if lucky.

Coming from an ICU background I have no knowledge and experience in Rheumatology and am becoming very lost in my career at this time. I feel misled in a way, overwhelmed and fatigued. I have no energy when I get home and just go straight to bed. Is this a normal transition and should I stick it out to gain experience even if I have absolutely no interest in this specialty or quit now while ahead and look for more fitting opportunities. I do have the option of going back to my ICU job as an RN while I look.

Thank you in advance

[DizzyJ DHSc PA-C]

I think you should move on. I'm assuming you went the acute route in order to work inpatient acute care. That is what you are trained to do. So, to end up working outpatient, in a specialty you have no interest in (or training), doesn't make sense. If you don't like rheum then start searching. A new job should be exciting and challenging of course, but not exhausting. There can be a good exhausting if you actually like what you are doing, but doesn't sound like you do.

A lesson learned. It is often a good idea to get specifics about job duties, locations, and hours written into the contract.

[traumaRUs, MSN, APRN]

Agree this doesn't sound like a good fit.

Are they opening the Urgent Care in Jan?

If not, adios!

[BCgradnurse, MSN, RN, NP]

Agree with the previous posters. This job does not sound like a good fit for your skills and experience. I'd start looking for another position. Make sure to get everything in writing next time around.

Best of luck to you.

[David2017]

If you are so exhausted, unhappy and feel that you are working in a setting that you were not trained for, you would do yourself a service by leaving now. I'd suggest that you keep it professional and explain that this isn't a good match. It seems that you have options at this time. I am a new grad as well. But I am looking for a good match.

Best wishes!

[Rnis, BSN, DNP, APRN, NP]

I always think you should get another job first. Best wishes.

[blondenurse12, MSN, NP]

Fifty five patients in one day?! Yikes. I sometimes see 30 but that's a 10 hour shift. It seems like this practice is all about money and not about patient care or cultivating knowledgeable practitioners. It seems you were upfront about not knowing much about rheum and they haven't given you the appropriate skills. I would certainly be looking for another job.