SnowShoeRN

I work for CVS MinuteClinic and would be happy to answer any questions you have! I love it there. Private message me for more info. :)

Hmm. Tricky. I did my program in Boston and as hard as it was for me to find a position in the city (I ended up having to move for my 1st job), I don't think I would have accepted a position with a new practice that wasn't also heavy on the orientation/support. I don't know what your prior experience is and/or your APRN clinical strengths, but for me personally I would have looked elsewhere had I been offered a similar position. Best of luck!

Oh so very constantly. And it's been wonderful. I actually found my "here-is-where-I-will-be-in-10-years" list that I made when I graduated from nursing school 11 years ago. According to that list, I was going to get a ton of experience in ER nursing, travel the US, UK, and Australia as a traveling nurse, and end up working for the Royal Flying Doctor Service in the outback. All very cool, workable, and noble ambitions. And I could have. But, instead, many of my circumstances changed. Relationships changed. Family changed. My health changed. I grew in different ways. I did a lot more focusing on my life than I thought I would. And, professionally, ended up wearing all kind of nursing hats from med surg to ortho to cardiac to camp to pedi home care. But never ER. And I'm not living and working in the outback either. After almost a year of primary care burnout, I work at a MinuteClinic as a FNP and I absolutely love it. Life is indeed what happens when you're busy making other plans. Keep dreaming and work toward your goals. You're at a wonderful place in your life. But know that it's very possible your dreams will change too. And that's entirely okay. Welcome to nursing. :)

I can't advise you from a legal standpoint, but I would personally feel very uncomfortable doing that. At my last practice, we would get drug authorization forms come in and my my supervising MD was adamantly AGAINST us signing for each other. She was of the opinion that if our name was not on the original prescription, we didn't know the pt or their circumstances to sign the authorization. And that wasn't even including schedule II's. Maybe someone here with more experience can advise? Best of luck.

Based on the federal definition of health care provider shouldn't you be interviewing MD's, DO's, PA's, NP's, CNM's, etc? If so, I'd contact pediatricians, PNP's, pediatric social workers, and pediatric psychologists in your area. Not that RN's opinions aren't important, but I'd clarify that with your instructor. Or did she mean healthcare professional?

To OP, as I'm sure you're aware there are many non-cosmetic uses for Botox as well. Don't know if this is something you might be interested in doing, but you could always consider offering non-cosmetic services as well. Best of luck. :) An evidence-based review of botulinum toxin (Botox) applications in non-cosmetic head and neck conditions

Have you tried contacting derm or costmetic surgery practices in your area? You may be able to find a derm MD who would be willing to help you out...

Loan repayment is a good reason to stay a FQHC, but keep in mind that just because you apply doesn't mean you'll get it. I was told when I interviewed that everyone who applies, has gotten it. Well, after doing a little more research I found out that wasn't true and I became one of the many who didn't end up getting it, even though my debt to income ratio was quite high. Best of luck in what you decide.

Your job sounds uncannily like the place I just left. Right down to the insanely high turnover. After working in a similar practice for about 9 months, my biggest takeaway was that I went into it without asking the right questions and meeting the right people. Of course, that being said, there were also a lot of surprises that I couldn't have anticipated. A lot of the challenges I faced were similar to yours - overbooking, no admin time, unavailable physician collaborators despite being told they would always be available, not knowing my numbers or what was expected of me, problematic MA's, and always overtime. While I was contracted for 40 hours a week, it wasn't unusual for me to do 50 or even 60 hours a week with the time that I ended up putting in after work and on the weekends. Working at FQHC's has it's pros and cons as I'm sure you're aware. I LOVED my patients. I loved them so hardcore and still think about them. I loved the difference I was making in their lives and even though the hours were grueling, I found my job to be very rewarding. Up to a point. I learned a ton and, in some respect, enjoyed the complexity. But you DO have to focus on only 1 or 2 issues per visit and that can be very difficult as people are often lost to follow up for months or years at a time. As time passed I did become faster and more efficient when it came to seeing patients, labs, returning phone calls, paperwork, meds etc. But as that happened, I also became more and more miserable in my personal life as my work-life balance really suffered. Of course your situation is your own, so I can't advise you one way or the other. It could be newbie blues, or it could be a toxic environment. Only you can decide if your environment is something you need to warm to or something that is just increasingly making you miserable. Have you tried speaking with your collaborating MD? What does your friend have to say about your experiences? Whatever you decide, I wish you the best.

I got mine in less than a week, but I've really heard anything between 1 to 6 weeks. :/ Sorry if that's not really helpful. I hope you get it soon.

I agree Laura. Thank you.

I'm hoping that the nausea never progresses to vomiting! That would be awesome. And of course that it's free from complications. Thanks for your response and well wishes. :)

Thank you! Me too! Fingers crossed. :)

Great advice as usual TraumaRUs! Thank you. :)

Hi everyone! I'm hoping you can help me with a couple of things I'm dealing with. For those who are pressed for time, I have a TL;DR at the end. I recently accepted a position at MinuteClinic and will be starting next month. Thing is, I just found out that I'm a little over 4 weeks pregnant (unexpected, but welcome) and don't know how or when I should bring this up with them or how to handle morning sickness once I start. I've been reading a few threads about the subject and don't want to screw them over, but at the same time I'm concerned that I could lose the pregnancy the 1st trimester and then disclosure would have been somewhat irrelevant. I'm considered advanced maternal age and a high risk pregnancy for a few other reasons so a miscarriage or other complications are not outside the realm of possibility. My husband and a NP friend with children seem to think that it's best to wait until I'm done with my 1st trimester since I'm not due until September anyway. But I do feel kind of crappy that I'm not letting them know now. My hours will allow for a lot of flexibility in terms of being able to make MD appointments and possibly even schedule around the worst morning sickness days. Honestly I think this will be a really good position as far as work/life balance in concerned. I just have a tendency to want to be really transparent with my employers. My second concern is that I will be starting this position at the peak of morning sickness - between 9 and 10 weeks. I'm really worried I'll be vomiting on the way into work or, God forbid, while examining a patient. For any of you who have dealt with morning sickness while seeing patients, how did you handle it? I'm a little queasy in the afternoons these days, but I know it's early yet and the full-fledged nausea hasn't yet hit. Frankly I'm really scared that my preceptor will be in the middle of showing me a computer program or I'll be giving someone an exam and then have to run to the trash can and vomit. Which while normal with pregnancy would likely appear beyond unprofessional not to mention be incredibly embarrassing. Does anyone have advice about how to disclose my pregnancy to my employers or how to handle morning sickness? Please let me know your thoughts. Thanks in advance for your help. TL;DR - I'll be starting a new job next month while 9 weeks pregnant. When should I tell my employer I'm pregnant and how do I deal with nausea (and possibly vomiting) while seeing patients? Thanks for your help.