Help NP clinical advice after hours

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Hello I am a BSN RN; I graduated at the height of COVID-19 in 2020! I have listened to countless of my professors and waited to gain clinical experience, critical thinking and years as a nurse prior to going back to school in pursuit of getting my Masters degree FNP. I have been struggling to find a decent program I can trust and the clinical hours. I just like  many nurses out there have to work, and I have a family. My husband travels for work 1 week and a weekend a month. So I am carefully trying to plan ahead for my clinical hours. I was hoping that I could get some information on how to gain clinical hours after normal office (primary care office) hours. What is some advice to manage getting clinical hours in the pm and weekends instead of during normal office hours. Did anyone have success with this? Does anyone have a recommendation?  I have been patiently waiting to go back to school and I do understand it is a priority. However, I am a medical professional with a family and bills to pay. I understand so many of us are!! I would love any ideas or suggestions! I am trying to be optimistic I cannot be the only one with these challenges willing to do the hard work 😓! I am willing to do overnight clinical if it means making it thought and becoming a FNP - please no harsh negativity; trust me I am stressing out enough! 

Kindest regards and thank you for reading my post!! 
- Amanda 

Specializes in Physical Medicine & Rehabilitation.

I've never heard of a primary care clinic doing overnight or after hours and I will doubt you will find anything like that. You need to plan for attending clinical hours to be during regular working hours, the typical M-F 9-5, etc. Saturday and Sunday daytime hours are possible, but I would imagine those clinics are very hard to come by in the primary care setting. Be prepared to have to find your own clinic and preceptors as most NP programs do not provide placement. Some offer assistance in finding placement, but it probably isn't anything guaranteed. This is a normal thing nowadays so just because a program doesn't offer clinical placement for you, I wouldn't deem it as untrustworthy.

My biggest advice is get started early in finding preceptors before you start your program as you don't want to fall behind (as I did) on clinical hours and have to extend an extra 1 or 2 semesters just to complete hours. It's also important to find and research reputable schools/NP programs first and look at the curriculum so you know how many hours you need for primary care, OB, peds, and any additional that may be required or accepted. It's also just as important to find preceptors for OB and peds early in addition to primary care.

Hope this helps.

Thank you so very much for telling me! It has been a concern of mine to find a clinical location and preceptor. I'm very nervous about it. Thank you for informing me to secure clinical in advance!
 

I do hope you do not have to extend for two semesters. It is unfortunate it's become a norm for it to be difficult to get clinical hours accomplished; especially with the provider deficit we face in the US. Hopefully, things will improve! 
 

Kind regards and best wishes to you on your journey! 
 

 

Specializes in Psychiatric and Mental Health NP (PMHNP).

I have never heard of a primary care clinic offering extended hours.  There are some that are open on Saturdays.  

An option might be Urgent Care, either a stand-alone center or one attached to a hospital.  These are generally open Saturday, some on Sunday, and they usually are open until 8 to 10 pm.  

Finally, a nursing home will need people 7 days a week.  I don't know if they have an NP or MD working 24 hours a day, maybe some do.

Occuptional Health clinics might be open for extended hours or some weekend days.

Finally, look for doctor's weight loss centers - many employ NPs and they are usually open on evenings and Saturdays.

Good luck.

Thank you so very much for the ideas! I had not thought about a weight loss clinic as a clinical location! It is worth a try! I have been in email communications with the clinical coordinator trying to figure out what would be deemed "acceptable”; and trying to get clarification on if the FNP program is possible for me! I have been wanting to become an NP for five years. I listened to my clinical instructors and professors in my BSN program; whom all told me to wait and develop "critical thinking" and "nurse brain" from having experience before going back to school. Now I am in a tough position with very little flexibility in my schedule due to my responsibilities.

 

Seemingly, I have good reason to be nervous as securing clinical locations and preceptors is a challenge from what I am reading and hearing. 
 

Thank you for all of the kind suggestions! 
 
 

Kind regards 🙏🏻 
 

 

Specializes in oncology.
AmandaPBSN said:

especially with the provider deficit we face in the US.

can you elaborate on this?

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