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Nurse Practitioner -FNP

NP   (248 Views | 3 Replies)

2,153 Profile Views; 165 Posts

Hi all,

I'm interested in becoming an NP and have always planned to be a provider. I was wondering if FNPs can give me a better insight on what they do and the stress level. What do you like and don't like about it? Basically what will I be getting myself into. I want to settle down with a family later and a 9 to 5 job as a provider at an office is best for me but I am open to other options as well. If FNPs can talk about what their day is like and what type of location or setting you are working at (I.e. office, hospital, home health ect.) that would be great. Thank you very much.

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Uroboros has 16 years experience as a APRN and specializes in Advanced Practice Critical Care and Family Nursing.

61 Posts; 1,351 Profile Views

Apologies no one has responded to your common question. I'll crack the ice as simply as possible. First, I'd suggest you do your research regarding where you want to live and practice as FNP may not be the way to go if jobs are unavailable. From experience I would also recommend multi-certification to cover you in a time of APRN credential amalgamation. For example I have post-masters certs in adult acute care, family, and occupational health, with PhD in progress. The ACNP has afforded me numerous hospital based positions during my career. FNP, along with the occ med cert, has provided options for community care, whereby I have practiced in urgent care, DOT, and rural clinics. I plan to use my PhD to finish my career teaching and lobbying for future APRNs in my state. 

I currently co-manage a high volume urgent care that went urban pre-hospital COVID triage and collection center overnight. We are also adjunct to a large teaching system where I am among academic faculty. We work off 40 hour weeks, with varying day flex shifts. Teaching hours vary with class size and enrollment, along with online options. Pay is all contractual, but I'm 50 and debt free so it's been good to me. 

Best advice I can give you is think in terms of liability. Always ask yourself if called to court, does my cert cover me for this, no matter what. For hospital jobs, you'll have to have some form of acute care training to be fully covered. That's a hot debate that's getting hotter as jobs become more competitive between acute care and family APRNs, which is partly why I got both. Nevertheless, we work in an equal opportunity environment for litigation, it's simply a matter of what personal risk you are will to take. Really wish you the best. Hope you get some more good feedback than my rant here. Godspeed. 

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BCgradnurse has 11 years experience as a MSN, RN, NP and specializes in allergy and asthma, urgent care.

1 Follower; 1 Article; 1,663 Posts; 49,710 Profile Views

Hi,

FNP here.  I work in a private specialty outpatient practice-Allergy, Asthma, and Immunology. We are physician owned and are not affiliated with a health care system.  My practice is split pretty evenly between adults and peds, so having the FNP certification is a necessity.  My previous experience is in adult internal med and Urgent Care.  I work 5 8 hour days in the office.  I have no hospital responsibilities.  My job can be stressful, but I like the predictable schedule and not working nights, weekends, and holidays.  I rarely stay late, but I do take home at least a little work most nights.

I hope this is helpful.  Best of luck to you.

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KatieMI has 6 years experience as a BSN, MSN, RN and specializes in ICU, LTACH, Internal Medicine.

2 Followers; 1 Article; 2,557 Posts; 43,438 Profile Views

Decide: 

- where you want to work (hospital, clinic, SNF, etc)

- target specialty

- adults, kids, women, men, newborn, geri, doesn't matter

- OK with psychiatry or hate it

FNP offers the widest spectrum but limits (in some places) your ability to work in acute care and many specialties. Play from your current and past experiences and play from there. FNP provides excellent foundation but it is possible (although absolutely not 100% mandatory) that you will need additional certificates down the road. I am an FNP and going for acute care certificate next year although I already work as a hospitalist, just out of consideration that my family might want to move in another state at some point.

As a provider, especially at start, whenever you end up, you will experience very high level of stress and exponential learning curve. No kind of RN job will prepare you for this and a strong NP school provides only the starter pack of knowledge, nowhere near the level you actually need it, although it can send you on the right path if the program avoids fluff and buff. You'll likely have to work more hours than a bedside RN. There likely will be holidays and weekends and call nights, as well as 5 to 7 or even 12 days in a row work "runs" before you get experience, find a better position and start enjoying your life. 

Your experience as an RN will matter little if anything at all. You start from square zero and go up from there. 

The main thing which makes or breaks many new NPs is responsibility level. It is immencely higher than one for bedside RN of any rank or role. You won't have that beloved option of "if in any doubt, just call and ask" for more than a few weeks at the very beginning, you have to think and make decisions and bear the burden of them. You won't be able completely leave it for anyone else, even for physician under whose license you are supposed to practice. 

It will be the world of REAL, evidence-based medicine. No "nursing diagnosis" and other fluff, only hard language of numbers and experience, in which you will bring a human touch and some special things only we nurses know. 

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