New nurse and I think my job is better suited for experienced nurses

[lavender2814, BSN, RN]

I'm 4 months into my nursing career, and at this point, I'm unsure why my manager hired me. I work for a subspecialty clinic, and it's very complicated. The way my role was described in my interview is the COMPLETE opposite of how it actually is. I do procedures and also assist providers with more invasive procedures. There are certain days when I'm assigned to listen to 50+ voicemails and call patients back to address their wide range of questions/issues. EPIC in the ambulatory setting is also so different. We get maybe 35-50 lab results per day and follow a protocol to treat each patient. We have to route patient's questions to a provider or answer them ourselves. I'm completing prior authorizations for prescriptions, filling out FMLA paperwork, and faxing referrals too. It's just a lot of overwhelming busy work in addition to the procedures and everything else I do in the clinic. One of my coworkers has been a nurse for 30 years but has been at this clinic part-time for 10 years. And she's constantly worried about me feeling burnt out and stressed. She tells me every week that if she wasn't part-time and had to come in 5 days a week, she'd be beyond miserable. I knew I didn't want to work in a hospital, so I'm grateful for the consistency of my schedule. However, I'm wondering if I should look at other outpatient options that are more suitable for a new nurse. I am going to force myself to stay at this job for at least 6-7 months, but I'm not sure if I'll make it to a year. I have stress dreams about work almost every day, and since it's a small clinic, I also have to deal with a few very catty/immature coworkers. I would really appreciate any advice at this point!

[Julia Liou, RN]

Thank you for sharing your experience as a nurse in the subspecialty clinic. Balancing procedures, administrative tasks, and patient interactions can be overwhelming, especially for a new nurse. Consider the following steps:

Self-Reflection and Communication: Reflect on your journey so far and communicate openly with your manager about expectations and adjustments.

Seek Mentorship: Connect with experienced colleagues for insights and consider finding a mentor who can offer support.

Prioritize Self-Care: Set boundaries, prioritize rest, and take care of your well-being.

Explore Other Opportunities: Research outpatient options that align better with your preferences.

Address Coworker Dynamics: Maintain professionalism and seek positive interactions.

Remember that your health matters, and don't hesitate to explore other opportunities if needed. I wish you the best!