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VivaRN's Latest Activity

  1. VivaRN

    accepted supervisor position, need resources

    Thanks SappyRN and Amanda.RN for these great suggestions!
  2. VivaRN

    accepted supervisor position, need resources

    Congratulations Amanda.RN! I am excited to see how it goes and I'm sure you will do very well!
  3. VivaRN

    accepted supervisor position, need resources

    Just wanted to update this thread to say that I am loving my job! Oddly enough I have always been someone who I felt had more anxiety than others, mostly around wanting to be sure I did the right thing. It made me a good clinician but it wasn't always a pleasant way to feel. This is not something I would have expected at all (as I very much fell into this role), but management so far has been a great fit. When I see a problem, while I have the responsibility I also have the power - hey, it is my JOB - to get people together to solve it. I would have thought the increased responsibility would be more stressful (and in the moment, it can be), but I really like having more control over my environment. I don't feel anxious at all like I used to. I like that I have the power to be a good boss, direct the work-flow and give people a break when they need one. It helps that my boss is excellent as well... maybe I am finally in a good work environment! Just had to share my happiness with you ~ thanks and please add your insights!
  4. VivaRN

    A question for those who have been fired?

    I was fired nearly a year ago and, while it still impacts me in my weaker moments I can honestly look back and say it was a positive. It got me out of a job I was clinging to more for stability than because I enjoyed it. I was completely open about being fired in interviews (although it was very difficult) and ended up getting an even better job than the one I was fired from! I'm a manager now and looking back, I can see how different I am (in a good way) from the manager who fired me. It was such an awful work environment. I felt very anxious about being fired again at first, then I met MY new boss and saw that she would never target me the way that old manager had. Working with good people goes a long way. To the OP: you will be fine. Being fired is more common than you think. If your new job is good and you're supported, it shouldn't happen again.
  5. VivaRN

    Did I burn my bridges?

    Admittedly I am a new supervisor so perhaps those with more experience will have a different perspective, but I would not think badly of you. You were honest and transparent the whole time. You were only doing staff nursing for a month. You have been a successful educator on that unit for many years. Your manager wants you to be happy and doing what you do best. There is nothing wrong with trying and then realizing your strength is in something else, that is life. Don't make it an issue and it probably won't be one. If anyone asks you about it you can tell them that, while you enjoyed and appreciated your staff nursing experience, you realized that education is where your heart is.
  6. I am an HIV NP through and through and through and through and... (well, you get the idea). 1) I love the patient population 2) Talking about sex and drugs is part of my job 3) Guidelines change all the time and there is always something new 4) Strong social justice and advocacy/policy component 5) Many opportunities for education: patients, families, and the community Things I don't do: peds. The soundtrack of screaming sick children is not my cup of tea. At present I am also terrified of touching a pregnant woman without excessive consultation (ah! the liability!), but I could probably learn if I did it every day. Also don't do critical care. I did that as an RN and, while it was ok, I like patients who talk and opportunities for prevention. I'd rather keep them OUT of the ICU than do the whole adrenaline thing.
  7. VivaRN

    Change of Name.

    Why should the term "Nurse" in NP be demeaning? We have had so many strong nurse leaders in our profession - here are some of my faves: Lillian Wald, Margaret Sanger, Bobbi Campbell, Mary Breckinridge (please google these people if you don't know who they are!), and many contemporary nurse leaders making a huge difference in the world. They are researchers, they have founded clinics, they are advancing health policy. It is partly because of their legacy that I am proud to have the NURSE in nurse practitioner and to consider myself a nurse. I would also stipulate that as nurse practitioners, we do incorporate elements of the nursing approach and philosophy into our practice. It reminds us to focus on the patient's response to illness vs. being trained solely in the medical model. I would argue that it is partly our roots in nursing that allow us to be such skilled educators and primary care providers. Being connected to nursing also helps us integrate more smoothly into global health arenas. PA's do not have an international equivalent, which can make finding this type of work a challenge. For example, doctors without borders can accept advanced practice nurses but not PA's. Our job is to improve the image of nursing, share our stories, talk about the great work that nurses do every single day, and educate the public about our role as nurse practitioners. SkiBumNP, I am curious to hear more about why you feel the way you do? I am sure there will be a lot of perspectives on this.
  8. VivaRN

    Would you do it all over again?

    I've been an NP now for a little over 3 years. Just like being an RN, you have to find your niche and a job that is good to you, but that is true in every profession. I've changed jobs a few times, paid my dues as an NP and finally found a job that is a great fit. I refused to settle for less. I've never regretted being an NP and would choose it any day because of the opportunities and flexibility.
  9. VivaRN

    Help! My 1st NP job sucks!

    I'm all for having a sit-down with the nice doctor and/or the practice manager. They invested in you enough to bring you in and it is in their interest to keep you. I would be very upfront about your learning needs and need for precepting, your desire to attend conferences and access further training in ENT, and that you will not be doing conscious sedation until you are certified to do so. Sometimes practices without experience working with NP's don't know what your needs are - speak up and try to improve the situation before you quit. If you make your needs known and nothing changes, start job searching. Make sure the good doc at least will give you a good reference.
  10. Thank you, I was thinking if the individual acts out again to say very firmly "personal attacks will not be tolerated. We can meet to discuss privately after the meeting."
  11. Hello, Looking for advice without giving too many details... I am a new supervisor and one of my duties is to chair a committee of interdisciplinary staff ~ about 20+ people. At a past meeting, before I was hired, one committee member stole the floor and engaged in personal attacks against one of my employees. From what I can gather nothing was done. The employee was very hurt and is fearful of this individual. We will have repeated interactions and meetings with this individual in the future. How would you handle this? Has this ever happened to you? I want to be proactive but I don't want to escalate the issue further. Thanks
  12. VivaRN

    When did you earn your wings?

    lol, every time I think I've "arrived" a situation will come along to challenge me. But hey, that is what life is all about! Though I did feel my life was complete when I dx'd pharyngeal gonorrhea, rectal gonorrhea, and of course gonorrhea from the penis (all different patients). I felt like I should win a prize!
  13. VivaRN

    accepted supervisor position, need resources

    Thanks so much for replying, I want so much to do well and step into my role with confidence. Mentoring is a great idea. I will follow up on that! Do you have any advice for how I should approach the employees as their new manager? You said your first year was rough - is there anything you know now that you wished you had known (or that someone had told you!) then?
  14. Hello, I recently accepted a supervisor position because it was the one that was open of two positions I've had my eye on for a long time. While this job is not directly clinical it deals with evaluation of a large-scale clinical program. One position is supervisor (myself), one is not. I will also supervise one other employee who I've heard through the grapevine has some insubordination issues. I'm a bit younger (28) and while I'm experienced clinically I've never been in a managerial role as part of my job. I've coordinated things as a volunteer and as part of my professional organization, but I need some resources to prepare me for this new role. How do I learn to be a good manager? Any advice is appreciated! Thanks in advance.
  15. Honesty is always best. I know of a candidate at another facility who had an outstanding interview but failed to mention a termination. It was uncovered by HR. He was not selected for the position because the hiring manager felt this candidate was dishonest and should've addressed it in the interview. On state applications you can always say "will discuss at interview" as your reason for leaving instead of termination. At the interview, take a deep breath and say "I need to let you know I was terminated from this position." Then explain why, take responsibility and let them know how you've grown since then so it won't happen again. It's a hard thing to do but people respect honesty and a person who is able to grow from mistakes. They are more likely to give you a chance vs. finding out after the fact.
  16. VivaRN

    sticky interview situation - what to do

    I completely agree! This is why I want the person with more experience to be the supervisor/leader until I'm ready to take that on. I'm just not sure how to say that gracefully or if I should even try.