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PinkPinkster 1,035 Views

Joined: Feb 3, '13; Posts: 13 (31% Liked) ; Likes: 8

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  • Feb 5 '13

    So, did you get the job??

    While nursing is a tough job with much to be responsible for the only quote I live by is "nothing to it but to do it". Please don't get me wrong, I am by no means playing down our role but we can't let fear stop us. We have to use that fear to push us to be better, learn more etc. We all have anxiety in some form or another and we will all have difficult situations to maneuver through. The thing is, with each new situation we learn, grow and reflect.

  • Feb 5 '13

    Congrats on the job offer Pink Pinkster!!! And welcome to this site. Once you start working, I don't think it'll be as bad as you imagine. It's a matter of getting oriented to what that practice wants, and then it's just repetition, which helps boost your confidence. Soon you'll feel as confident as an APN as you do with management. If I were in your shoes, I'd be seeking APN jobs, not RN jobs. Why learn two different positions (which can be very different) when you've got the brains behind the APN? You can do it!

  • Feb 5 '13

    Remember you are never alone! I consult with my MD and NP colleagues many times a day, and they do the same.

    Really to be a good provider there is one simple secret: know what you don't know, and know how to find the answer. If I am unsure, I consult a colleague. If they are unsure I am in the phone to a specialist.

    Best of luck in our interview. That's a challenging role to fill. Honestly, I would look for on where you can spend dedicated time learning to be a provider and slowly ramp up.

  • Feb 5 '13

    Sounds great! Also sounds like you will become invaluable to this MD soon enough. All you need to do is just keep moving when in private practice, LOL. Just keep it moving.

  • Feb 4 '13

    gosh imintrouble, i guess being honest doesn't pay.
    i for one, respect and admire your perspective.
    and most everyone should be able to speak their truth w/o recrimination.

    op/abbaking, IF there is a next time, at least slip a $10 bill in a spot where the pt will find it.


  • Feb 4 '13

    I'm surmising a number of things, from the OP.

    1. The OP works at a county-run facility.
    2. Facility policy requires "IRs" -- incident reports -- for patients who present with pre-existing alterations to skin integrity.
    3. Incident reports also make their way to at least one person in county government responsible for some oversight of this facility.
    4. The OP followed policy by completing the IR on the patient's skin condition, although the state of the patient's skin had clearly also been assessed by the previous nurse and the patient's physician, thus generating the order for the cream.
    5. The OP has previously been involved in some sort of disagreement with her manager regarding documentation, possibly resulting in some governmental/regulatory/legal action.
    6. The OP now feels that the manager's snarky comments on the IR are retaliation for that previous disagreement.

    Of course ... any/all of the above may be incorrect.

    I don't think you should do anything, OP, except alter the wording of all future IRs you write on skin integrity to conclude with a phrase such as: "Incident report completed per policy". And that is also your defense *if* there is any accusation of impropriety on your part. For now, all that has been done is that your manager has succeeded in making you feel very uncomfortable.

  • Feb 4 '13

    Quote from PinkPinkster

    Greetings PunkBenRN,
    Your inquiry is absolutely valid. Please dont think me rude when I state what I am about to which is that I simply do not have the time, nor energy to fabricate my extremely long post and open myself up to the very brusque criticism and advice which I have received by various members here. I have a very busy and productive life. In addition I am assuming you utilize the internet and online forums much more than myself which means you have probably encountered such issues before with individuals fabricating complete nonsense stories, however I am not one of those people I assure you.

    To your question. My rationale is simply this...I enjoy being a student. I have always excelled in my studies, and there is comfort and excitement that I receive personally when I pursued my education. Also, despite me not desiring to verbalize it, because I am not proud that I have this thought process and simply because it does sound quite sad in terms of my character is that when you are a student it is okay to make a mistake. I am labeled as a student and therefore always have a preceptor to look to and I am not expected to be perfect. Sadly, that has always been a big part of my fear since you must know. I have always received praise in regards to my work ethic, knowledge, and critical thinking skills during my nursing education. The thought of securing a nursing position where I would be functioning completely alone however has always stifled that confidence which I had throughout my schooling. I hope that answers your questions and nullifies your doubts.


    You'll be precepted at first and learn the ropes. And you always have back up, whether its an MD or another NP or your charge nurse. And if you lack backup I wouldn't take the job.

    I get liking to be a student too. I was also freaked out at going on my own, and somedays I have anxiety when I walk into the building. But you don't know the awesome feeling when it's you alone and you figure something out and a patient grabs your hand and is so excited you helped them, or the excitement you get when a patient says "you're a great nurse."

    We all make mistakes. You are not going to be perfect, you have to accept that. Nobody is expecting you to be perfect and they expect you will make a mistake or two.

    Again, you state this is a "fear." I really think its time for you to consider seeing a therapist to reevaluate you.

  • Feb 4 '13

    Remember Benner's Novice to Expert theory? You're trapped in the Advanced Beginner stage. The only way to get past it is to get out there and do it. Pretty much everyone, on starting a new job feels nervous about being able to do it appropriately and confidence can be a bit missing for awhile. If you did well in school, you'll be able to adjust to the work too, I bet you a nickel!

    Go for it.

  • Feb 4 '13

    Welcome PinkPinkster and congratulations on achieving your educational goals. I myself am not a new nurse, but I am new to this site. I am so glad I stumbled across it, as there is an abundance of experience and knowledge amongst the members here. After 16.5 years of nursing practice, I am finally able to persue an advance practice degree. I raised my children as a single parent and have had to do it step by step... Tech, LPN, ADN then BSN. I personally know several APRNs who work solely as bedside nurses. There's no shame in it, and there's no such thing as being "just an RN". I agree with the other posters regarding a simple, but honest answer during the interview. Something along the lines of 'Now that I've accomplished my educational goals, I would like to focus on bedside practice. I feel that my advanced degree will be useful in this regard.' Also, I would encourage you to reach out to your mentor. I know you mentioned feeling embarrassed to do so, but it can only help. And remember, with a nursing degree, there are a great many employment options including Case Management, Medical Review, Education, Parrish Nursing, and on and on. Good luck and keep us posted!

  • Feb 4 '13

    Great suggestions! The only thing I would add is be persistent with the interviewing. Go on a lot of interviews and see if you can figure out which would be a good fit for you. A staff job would be less stressful but there are stressors--group dynamics and time management. If you go for an APN job make sure you have plenty of support. Best wishes..

  • Feb 3 '13

    Quote from SleeepyRN
    The OP has severe anxiety issues and as we have all stated IS dysfunctional. This requires more than just s "swift kick in the butt." When we are in this frame of mind of sheer panic, beyond normal anxiety, we can't just suck it up and put on our "big girl panties" talk about offensive to someone suffering from a severe problem. OP needs professional help, not "big girl panties."
    "We" must be careful not to transfer what may be an individual's own problem onto another person here. It's just not fair to ramp up their problem to be like yours. Now that's a sure way to cause another person anxiety. Not sure that is what you meant, and nobody here was giving you ideas on what to do with your panties... do you see where I'm going here? The OP wanted the suggestions here, it's her post.

  • Feb 3 '13

    Hey, meant no offense Pink, because the more you read here you'll see that it is often those with the most anxiety that DO step up once they are "onstage" so to speak.

    As far as the RN thing, it's tough to find a position out there. If you actually get an interview for an RN position you can say that you wanted more bedside experience. Simply that. Many RNs who are NPs, work as RNs simply due to the fact that they cannot find employment otherwise. Some do both.

  • Feb 3 '13

    OP, your anxiety IS dysfunctional if you have not been able to even take a first step as an LVN, and RN, nor an NP because of it. Have your other self read your first post. Both parts of you need to acknowledge this problem you are having, and you subconsciously have done this by coming here... but you are not allowing yourself to consciously do this (you're fighting yourself).

    Remember that many here are begging for a chance to even get an interview! So you may get some eye-rolling. Nursing is hard, it's scary and you are right to be scared. Being scared causes anxiety. But it may be that all you need is a swift kick in the pants - someone to burn your books and lock you out of your house so that the only place to go is to a job. Literally. Yes, you may hate it and quit. This is common. But you don't know until you pull up your big girl panties an get out there. Once you do, you might find that you step up in a big way, and all this over-worry was worthless wasting.

    I just kicked you hard in the butt. Get some help and give yourself a chance.

  • Feb 3 '13

    Quote from SleeepyRN
    I think the first response was a little flippant but not meant to come across as judgemental. I suffer severe anxiety, and I too am constantly putting off job searches d/t this. I'm saying this with the very best of intentions. You stated your anxiety isn't dysfunctional. However, due to the anxiety, you are not functioning as a nurse. So I very much agree with seeking help (I am, no shame in it; my psychiatrist even admits he takes Xanax lol). Now, onto jobs you can apply for. How about an NP at a Walgreens walk in clinic? Or a physician's family practice where the doc would be there to help you initially. I go to a clinic that has both an NP and MD, and I've heard her consult with the MD. Just a couple suggestions. Good luck!
    Yes, sorry if it seems flippant but I didn't mean it that way.

    You say it's just about nursing but if its been holding you back for years, you do need to seek some help. Like the above poster said you're not functioning. Maybe you don't need medication but talk therapy to work out your issues with the profession. Finding the "perfect" job is an unlikely reality, so you are going to have to change rather than hope you find something that makes you feel comfortable. Your first job and your first
    Days at new jobs are going to be scary, whether or not you think the job is a good match.