ICU2NP

I work in LTC/TCU/AL settings. We have moved to mostly tele-health visits via the previously mentioned Doxy app- but it has been slow so we are also using FaceTime. Tele-health restrictions have gone out the window, so luckily I can work from home but still take care of my patients and screen those who are high risk. The nursing homes have been great about assisting us with this. Right now I am going through my 80+ resident building and screening everyone with quick visits, and updating POLSTs as we are already having shortage of ventilators where I live so we want to know who is a DNI for sure.

Yes I work for a private company that is local to where I live, they contract with the facilities (I do not work for the facilities). Many of the larger hospitals also have contracts with them. I believe if you just search LinkedIn, Glassdoor, etc. you could find some companies. There are multiple companies hiring in this setting where I live right now. Good luck!

Wow how awful!!! You will find something great, I'm sure ? Good luck and keep us updated!

I agree with Dodongo... go outpatient and work in a specialty clinic. I think they get longer appointment times than in primary care, also. While I was applying for jobs I saw pulmonology clinics looking for acute care experience. I've heard this is a low stress specialty from an outpt standpoint (chronic management of asthma, COPD, & OSA).

I think derm is pretty fast-paced also. An NP I am working with now did derm for awhile, and she said it was patients every 10-15 minutes. So she took a 50K pay cut to leave because it was too much. I am in the TCU, LTC, and AL setting. It is pretty go-at-your-own pace. I love that I can prep the patients when I want (at 5am with coffee on my couch), then go in and round on my patients at leisure, then sit with my lunch and chart. Then go see a few more, and either chart there or head out & chart elsewhere. Done by 3pm. Love it.

I would shadow some NPs in both settings before making any decisions. I am an old ICU nurse, was there for 13 years. If you don't want crappy hours and weekends, don't do ACNP. Most jobs I saw for ACNP in ICU/hospitalist were 7 on 7 off, and you usually have to rotate through nights. You could do ACNP and not work in the hospital, but most of your clinicals are inpatient. So I would say FNP or AGNP. And this is why I say shadow- please go back to school because you want to be a provider, and not just to get away from crappy staffing & acuity in the ICU/advance your career. You have to go back because you want to think, act, etc. as a provider. That means thinking a lot about the billing side of things and thinking about your work as a business. I was surprised about how much of my day revolves around this. I think this is why a lot of nurses are unhappy when they become an NP just to get away from bedside. Just a thought - good luck!

I'm not familiar with pediatrics, but is there some type of home care you can do in peds as an NP? I am working in different nursing facilities (LTC, TCU, assisted living) and somewhat making your own hours and not having set appointment times right after another is really enjoyable. Or maybe a specialty clinic in peds would offer you longer appointment times w/each patient, therefore hopefully reducing burn out? Good luck!

I had good luck with Glassdoor and LinkedIn.

Could you expand on why? I'm not seeing anything written that discusses potential harm to patients.

Are you a primary care focused cohort? That’s probably why they are discouraging inpatient rotations? We weren’t really supposed to do inpatient rotations either, as we are primary care (AGNP). I learned the most in TCUs that had high acuity (not just elders needing rehab post-knee replacement). It felt very acute care-ish at times, with multiple comorbidities to manage. Some of those people who are getting discharged from the hospitals are SICK.

I spent the summer doing every activity possible with my kids, drank a lot of wine, and slept in Then I went casual at work (best idea ever), and figured out ahead of time when would be the best time to study. For me, it was to wake up at 5am and get a solid 2 hours in every day before my kids woke up. To have that plan in place worked out well. Enjoy the summer!!

I'm not officially an AGNP yet (graduate May 11) but I'll answer anyways... 1) I just signed a contract with a company that goes into various SNF, TCU, and assisted living facilities. 2) My area is saturated, so I was unable to find a job in a primary care clinic which is what I originally wanted. They all wanted 2-3+ years experience and it seems d/t the saturation they could afford to be picky. 3) Can't answer this one yet, sorry. 4) The AGNP preceptors I've had/friends I have that are AGNPs have worked in SNF/TCU/AL, inpatient specialties (pulmonary, ortho, oncology, palliative & CV are the ones I have personal experience with), outpatient family practice and internal medicine clinics, outpatient specialty clinics, and hospice home care.

I don't know if that is typical of NP residencies, but no guarantee of a position afterwards? I don't know if I'd like that. I guess it depends on how saturated the market is with NPs in your area. If it's super saturated, I might be more inclined to do the residency to be a more attractive candidate. But if not... I think I'd get a job elsewhere.

I would, and we have been using part of the student loans for some living expenses so that I could go casual at work and concentrate full time on school. I need to give my full attention to my studies, I owe that to my future patients. The last two semesters were a beast with 3 days of clinicals, 4 classes and now our independent study and studying for boards. If I were you I would absolutely do it.

Women's health yes, OB no. I am interested in women's health but every women's health job I've come across so far also has an OB aspect... so unfortunately I can't apply to those.