Sigh...the dreaded day...advice needed - page 4

Greetings to all. I just discovered this site only hours ago through a friend of mine. I am absolutely overjoyed to have stumbled upon such an amazing site such as this one. I am writing this... Read More

  1. by   Psychcns
  2. by   netglow
    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.
  3. by   BostonFNP
    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.
  4. by   NutmeggeRN
    [QUOTE=JBudd;7152365]Is your registration still up to date?

    I'm curious too, Don't you need a certain number of hours working to maintain licensure?
  5. by   BostonFNP
    ANCC says 1000 hours per 5 years (each renewal) but state BoN/BoM may have additional requirements.
  6. by   LynnLRN
    You just need to get a job in nursing. Just do it. Nobody is competent in anything until they do it. It is that simple. You will not gain confidence until you get a job, you learn, and then you do.
  7. by   Cauliflower
    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!
  8. by   Sun0408
    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.
  9. by   mombabyRN96
    I didn't even know you could get into NP school without some experience working as a nurse first?
  10. by   PinkPinkster
    Greetings all,

    I barely have had time to breathe it seems these last several days because of my prior obligations with my work as well as my continued job searching and 2nd interview I just had. I was so determined to secure a nursing position that I had already provided notice to my Regional Director that I would potentially be leaving two months back as a way to motivate myself to actually follow through this time. I am extremely comfortable in my present position so I needed to light a fire so to speak underneath my bottom to get going. Now that she is aware that I have already started the interview process of my job search we have finally announced my decision to the staff since we had decided to withhold that information in case something changed. I will stay to help screen new applicants for our company until a new Manager has been selected. So to sum this paragraph up...IM ACTUALLY GOING FORWARD WITH THIS TRANSITION!!! HOLY COW!!

    With that said I met the clinic staff today whom I found to all be extremely pleasant and nice. I have never wanted to work somewhere so intensely before today. I bonded immediately with the Doctors wife and she seems really enthusiastic about the prospect of me joining their small team which is a relief on so many levels. The doctor requested that I come in Saturday and Sunday when it doesnt conflict with my current work schedule to observe how the clinic functioned and of course to shadow. He didnt state that I would be seeing patients during this time and I didnt have the courage to ask him, all he said was to "shadow and observe clinic flow". I did reach out to one of my friends whom I hadnt spoken much to since we were batchmates and she stated that most likely he would be observing me as I seen a few patients to assess my knoweledge and work ethic. Does anyone know what is standard when a potential provider is observing? He said he would like to "hammer out the fine details" and finalize things by next week which I hope means he's leaning in the direction of taking a chance and hiring me.

    Also, he did mention that he was interested in potentially expanding clinic hours which I found to contradict his previous statement of wanting to have more time off. Of course its not a big deal as I am just happy to even be considered for this position. He also asked me if I would mind working the evenings and weekends which I told him "of course not" despite the voice in the back of my head that was screaming "yes you do!". Also, I am slightly concerned when considering the fact that I would be assuming the role of the Office Manager as well as working a dual role as a provider and expected to work at nights and the weekends when typically an onsite manager is generally needed during the day time. It is apparent now that the Doctor is not exactly sure in what capacity he will utilize me or what the responsibilities of this job will exactly entail for that matter. Its definitely obvious that this position I will be assuming if I am offered the job will be created and defined as time goes on...the doctor is absolutely playing it by ear much more than I realized. Nonetheless I am convincing myself that I am capable and up to this exciting new challenge and this opportunity is worth the risk.

    Thanks to everyones immense support and advice. I look forward to it.


  11. by   roser13
    I feel compelled to point out just a couple of warning signs that I see in your post:

    First, be very cautious about a clinic that is run by a husband/wife team. That combination can work very well or it can be truly lethal. Be very observant of the interactions between wife-husband and wife-staff.

    Secondly, if you really DO mind working nights and week-ends, you need to be up front about it from the beginning. I'm not saying to refuse, but negotiate a schedule that you can live with. You DO have negotiating power and you WILL be an asset to the clinic.

    Please don't sell yourself short in these preliminary negotiations. Obviously, the MD isn't quite sure yet what the parameters of the position will be, and you need to participate in forming them into a position that is workable for you both. It's very easy under the circumstances to lose sight of the fact that as much as you might want a particular position, an Employer also finds much desirable about you.
    Last edit by roser13 on Feb 5, '13
  12. by   BostonFNP
    You really want to avoid situations where you are the sole provider on site at a given time, unless you are very confident in your practice and comfortable on the phone with colleagues.
  13. by   netglow
    Sounds like just why an MD would want an NP. You are to become an integral part of his practice. Now with two providers it is assumed that more patients would be seen and should be assumed that changes will take place, such as extended hours. Sure he might want to see how you seem around patients. He's hiring an NP to bring in business not scare it away. Remember, he's probably got someone else in the wings too for the position, so you need to show him you are the right person for the job. This is a big economic decision for him. Soon you will need to be as much part of the income of this practice as he is, or, he'd not be hiring an NP. He did say he wanted some time for his family. Other hours are part of the job of an independent provider, I am sure you will share call.

    Just remember, that for most professional people life fits around work. Not too many have the luxury of fitting work around life, at least until you are well established and have found some niche or other source of income. He's gonna feel that he's spent years building the practice, now in hiring you, you're gonna have to put in some elbow grease to help it grow.