First week of NP clinical! HELP!!


Hi Everyone! I am a nurse practitioner student and just started my first clinical rotation in Primary Care this week. Tonight, I am very discouraged and feeling frustrated with myself. This week, I felt completely out of my element and blanked on close to everything. Does this ever get better???? Has anyone else felt like this???

Specializes in critical care, ER,ICU, CVSURG, CCU.

What real nursing experience do you have?


474 Posts

Has 1 years experience.

3 years of ICU dramatization lol. just joking

Editorial Team / Admin


18 Articles; 30,653 Posts

Specializes in Education, FP, LNC, Forensics, ED, OB.

Welcome to

Thread moved to Student NP forum.

CrunchRN, ADN, RN

4,477 Posts

Specializes in Clinical Research, Outpt Women's Health. Has 25 years experience.

Every new job feels like that in my experience.


7 Posts

I have been a nurse for 13 years and the past 7 I have worked in endoscopy in procedure rooms.

Specializes in ER.
What real nursing experience do you have?

As oppose to fake nursing experience?


7 Posts

Thank you...I hope this gets better.


25 Posts

Specializes in Telemetry.

It will definitely get better. I was stressed out and felt lost during my very first week of clinical in a primary care setting. I felt more comfortable as I watched and learned from my preceptor. I asked questions about things I wasn't sure about and my preceptor was glad to answer and clarify things. I soon became more comfortable and finally stared to enjoy it instead of being scared.

best of luck to you Rameygurl!

allnurses Guide


3 Articles; 5,581 Posts

Specializes in Adult Internal Medicine. Has 12 years experience.

You should feel that way! That's why you are there, to learn. What specifically bothered you? Can you make a plan to improve on that? If you can you will do just fine.


7 Posts

Specifically, my preceptor also has a PA student who is getting ready to graduate and is far more advanced (rightfully so) than I am. The PA student is cold and ignores me. My preceptor expected me to be able to do what she does on my first day which didn't happen for obvious reasons. I hate to complain but the setup isn't appropriate because for the first couple of weeks, you need one to one training. I have trained so many nurses in the past and that's how success occurs. Hopefully, I can get past this as I am ready to quit my program.


1 Article; 2,077 Posts

Specializes in Hospital medicine; NP precepting; staff education. Has 22 years experience.

Don't quit! What resources do you have? I recommend epocrates app and family practice notebook. If you want a text, 5 minute clinical is priceless. Know your advanced assessments and be thorough. Present to the preceptor from a medical model using SOAP format. It keeps the interaction brief, informative and in a logical flow.