FNP- Did I make the wrong decision at this job.

Find a new job, you're being taken advantage of

Find a new job, you're being taken advantage of

I agree. had a similar situation during my first job. I basically had 3 roles and travelling more than an hour and a half one way. I know that you do have to make revenue with private practice but the main thing I realized for myself what I was looking for is a work and life balance. Anyway, everybody has their story of why they quit their first job and at some point you will work over time 50-60 hours a week but just make sure you are being compensated for the extra work that you are doing.

If I were you I would find another job, it sounds like its not worth the headache even if my boss gives me a pay raise. Long story short, I ended up being a travel nurse practitioner after 10 months of my first NP job (I've been an NP for only 16 months) and its been really awesome!

I have found that many physicians see NPs as simply a way for them to make more money. The provider probably isn't providing the quality of care that you are. That being said...interruptions from the nurses? Stop them now. I would create a sign in sheet. If it isn't urgent (i.e. coding) then they write down the patient and concern and you deal with it when you get a chance. 20 a day isn't unrealistic, but you need to find ways to make it flow smoother. If she isn't willing to help you with that then you need to find a new job.

When I was struggling with time management and what I felt were unrealistic demands, one of the partners came on his day off and shadowed me around a facility. He made notes on what worked and what didn't work. He gave me a lot of good tips. If your boss can't do that, then run.

Yeah that's how it goes for medical folks at a lot of psych hospitals. You could probably implement some things to make the job easier, but...walk. Your boss is riding your back. Most docs do a H&P really fast. NPs are generally slow in effort to be thorough. But again...walk. It won't get better.

I work a couple weekends per month at in patient psych doing H&Ps on new admits. Can take from 20 min for adolescent up to one hour for adult with comorbid diseases. I've had as many as 17 in one day but I get paid per patient as 1099 contractor. We do paper charting which is faster to me then most EMRs. Yeah time to look for new job since your boss does not care. 25 visits is one hour? I also do medical consults as pp suggested those are called in to one unit and addressed next day. Most consults can wait since this is not Acute care medical.

Thanks everyone for your comments on my situation. My collaborator informed me she knows I need help but she will not pay for a NP, LPN or a MA right know but she will hire a medical secretary for me to do the administrative work I do. However, she is not understanding the workload within itself is to much for one NP. The place where I am working they stated they always had 2 NP's this is the first time they have only had one at this facility. I do understand that she is a seasoned physician however how does she possibly see 22 patients in 1 hour??? Well these same patients she states she see, I end up having to treat them through out the day for something she should have caught if she was really see the patients for follow up. I believe I am about burnt out know and I have actively been looking for a new job. I have tried to incorporate things like a communication book however it was shot down by the facility. I had no input on who will work with me throughout the day at all her (my collaborator) and the office manager made the decision on the secretary I get. I am not feeling like my collaborator even is considering how I feel about anything especially since I am in that environment all day by myself 9-11 hours daily. Yes, I was trying to make it to 6 months but I don't think its gonna happen.

seeing 20 patients a day is realistic but in addition to 4 or more admissions in the same day....not so much.

If the patients are complex admissions ....not very realistic at all!

How long have you been at this job? Polish up your resume and get busy sending emails and making calls. Leave this gig off the resume. If asked about the time gap simply say that you haven't been able to find the right position since NP school.