LSNP

Hi Amalay, You sent me a private message but I am not able to respond because I haven't been an active enough AllNurses member...? Anyway, I can't give you much good advice because I did not end up switching positions. I am still an FNP in the same clinic. I was unable to find any RN positions that would provide adequate inpatient bedside training (though honestly I didn't search very hard, no interviews, etc). I still enjoy my side job as a SANE RN, but that also isn't typical RN work. I did look into getting a post-master's certificate in midwifery (I think I would love it!) but even with my current experience it would be 2y of schooling (1 of didactic, 1 of clinicals) and $40K tuition. I couldn't justify that since I am still paying off my last degree. I will totally do it if I have a windfall of cash!

Thank you all so much for the input! You are giving voice to the little bit of reason that is in the back of my head telling me I am just burned out. And thanks for the perspective on floor nursing. The grass just always seems a little greener, right? I still really think I would like L&D, but am sure I am just seeing the positive parts of the job. You're exactly right @missdeevah that I could get a Women's Health job. I already do pretty full practice women's care in my primary care office. I think I need a break from so many responsibilities. Thanks again everyone, I am so grateful for your input!!

This might be a bit of a unique situation, but I'm hoping for some advice or personal anecdotes of similar situations. I graduated from a direct entry NP program (biology BS degree -> RN -> MSN) 6.5y ago. In other words, I only have RN experience from my clinicals, not from working as an RN. BTW, I'm not asking for any judgment on that piece. :) I have been quite successfully working as a family nurse practitioner in a busy family practice clinic for the past 6y. I really enjoy my patients, but I am SO. BURNED. OUT. I work all day, and then go home and work on charting, refills, etc paperwork in the evening and on weekends. I'm a bit of a perfectionist, and it is a tendency I haven't been able to break, and it is ruining me in this career. I have a few nights per month on call. I never feel like I am "off of work," EVER. About 6mo ago I added a per diem job as a SANE RN (sexual assault nurse examiner). Despite the unfortunate circumstances that bring these patients in to the hospital, I really enjoy that job. Recently I've been considering the idea of giving up my NP career (as I am getting somewhat closer to paying off my 6-figure loan) in favor of becoming a bedside nurse. In particular, I really think I would enjoy L&D nursing. I don't see any way of getting into it though, since I don't have floor experience as an RN. There are some local hospitals that have specialty residency programs, but they will only take RN's who graduated within the past year. I definitely need more teaching/experience before I could do the work. And yes, I've considered going back for midwifery degree. Just don't have tens of thousands more dollars to do it! Any advice? Am I just crazy? Thank you reading my long post, and for any and all advice!