New NP: Nervous, need resources and advice!

offlabel · Oct 25, 2016

Will you not need to run things by a more experienced and trained provider for a few months until you get your "sea legs"?

Flaring · Oct 25, 2016

Will you not need to run things by a more experienced and trained provider for a few months until you get your "sea legs"?

Yes, but I don't want to ask them about every single patient and look incompetent. I just want some good sources for thorough guidelines . It is party because I'm a bit OCD and can't rest if I feel I missed something.

Flaring · Oct 25, 2016

Posts like these make our profession look poor as we strive for independent practice.. Please do not post this as many physicians and possibly politicians read our forums and it is important that we show them that we are indeed competent and ready to take on the challenges of primary care
So admins, please delete this thread.
Ask your supervising physician for help. That is what they are there fore.

You sound ridiculous. You have no business asking anyone to delete my thread when I am asking for some tips so I can ensure I have good resources as I enter practice.

offlabel · Oct 25, 2016

Ahhhh....got it. A troll:roflmao: Had me there for a sec.

Flaring · Oct 25, 2016

Ahhhh....got it. A troll:roflmao: Had me there for a sec.

What? I'm not trolling I'm asking for advice. I'm confused.

Julius Seizure · Oct 25, 2016

What? I'm not trolling I'm asking for advice. I'm confused.

I am confused by it too. They must have meant the other comment was from a troll?

Anyway, have you become a member of your professional organization yet? Are you familiar with resources like Latest Medical News, Clinical Trials, Guidelines – Today on Medscape

Try getting some things like that to help build your knowledge as you go. Your workplace may provide access to other resources as well. And never be afraid to bounce ideas odd your colleagues. They know you are new at this!

guest769224 · Oct 25, 2016

You sound ridiculous. You have no business asking anyone to delete my thread when I am asking for some tips so I can ensure I have good resources as I enter practice.

He is ridiculous. Pay no heed to AAC.271. He has a poor reputation on these forums and bizarre mindsets. It's great you're reaching out. Hopefully BostonFNP or Jules will respond.

Trauma Columnist · Oct 25, 2016

Its totally fine to ask questions here - please feel welcome. The AMA, politicians, etc., are not going to care what we ask here....

Personally, I use the following resources:

1. UpToDate - have your practice either get you your own subscription or if they have lots of providers, get a practice subscription - it is an excellent resource.

2. ACR Appropriateness Criteria - detailed reasoning for ordering radiology procedures

Flaring · Oct 25, 2016

Thank you trauma. Those are helpful. In clinical I often used up-to-date as my sole resource when treating patients. Example, if someone came in with a rash I would loosely follow the up to date guidelines for a rash combined with my own clinical judgement. Any other newbies agree with this strategy or is there another good resource i should add?

allnurses Guide · Oct 25, 2016

I feel like I just need access to big book of guidelines to help me get started.

If you passed your boards you should have a basic competent understanding of the major guidelines. You should be able to trust in your preparation.

2. Does anyone else feel this way at first? Aren't you scared of really screwing up and losing your license? Does it get better? What's the best way to gain confidence?

Every novice provider from NP to PA to MD to DO has a period of transition when they enter practice. Physicians do this as interns and (hopfeully) have some guidance around them. You should be in the same position, identify a mentor in your practice and allow them to guide you when you need it. Start slow, 3-4 patients a day and work your way up. Remember that if nothing else, if you can identify that which is not normal and seek advice on it, you will do well in your role socialization to the provider role. What would it be about a hypertensive patient that would be abnormal? How about the rash?

Flaring · Oct 25, 2016

If you passed your boards you should have a basic competent understanding of the major guidelines. You should be able to trust in your preparation.
Every novice provider from NP to PA to MD to DO has a period of transition when they enter practice. Physicians do this as interns and (hopfeully) have some guidance around them. You should be in the same position, identify a mentor in your practice and allow them to guide you when you need it. Start slow, 3-4 patients a day and work your way up. Remember that if nothing else, if you can identify that which is not normal and seek advice on it, you will do well in your role socialization to the provider role. What would it be about a hypertensive patient that would be abnormal? How about the rash?

Thank you Boston. That's a helpful way of phrasing it. So a hypertensive patient who went from normal to high very suddenly would be abnormal, or if they already have some target organ damage, or were incredibly young I would ask for advice because it's not really a typical presentation. And a rash that was growing rapidly, or was associated with systemic symptoms, I would ask someone. Like that?