ANPNY

I had the review book with questions and the CD set that comes with a book. I used all three to study for my exam and learned SO much. It cleared so many things up for me. The review course CDs and book, in particular. I sold the course on ebay but I wishI'd kept the book It would have been great for refreshers. Good luck

Well I went to work today with doughnuts and coffee (how's that for health promotion, eh?) and asked everyone to come for a quick meeting and just kind of said that things in our office feel like they are getting a little heavy and that maybe we could try to lighten things up a little and try to be a little more lighthearted. This was met with mixed response. Nobody argued it, per se, but nobody seemed too jazzed. And when one of them later asked me if it was normal to feel so tired all of the time. I said "No, it's really not and you should go see your regular PCP to get checked out." I told her I could see her for sore throats and such but that she should go to her PCP for everything else. Hopefully she will spread the word. I think that part of the reason there are so many health complaints is because the employees are just miserable, and bored, and depressed, many of them. The other part is that I kind of let this situation develop. I just didn't realize that people needed to actually have these kind of boundaries drawn out for them.So, either they will run me out of town for my little meeting, or they will at least leve me alone for a little while. Either way, I think I have to look for a new job

I have come to find that there is no such thing as "just a sore throat". People are far more complex than that. i have had patients come in practically crying because their nose is stuffy. And sometimes they really are uncomfrtable, but alot of times they just need a mental health day or a little TLC/sympathy. One thing that NPs bring to the table in all settings is our focus on seeing the patient as more that the sum of their parts and focusing on how to educate patients and promote health at every encounter. I think retail clinics are a great idea that will probably need alot of tweaking before they become a brilliant idea. But I think our stance as NPs should be to rally behind them because they fulfill a basic tenet of NP roots and that is increasing accesssibility of quality health care.

I am curious to know what things are like for other people in similar practice settings. Do you get paid per pt ot salary? I work P/T about 27 hrs/week in a private practice with 2 MDs. One day a week I work alone and see pts from 8a to 6 p I have an LPN unitl 2 pm). I see anywhere from 35-55 pt. We, unfortunately, take walk-ins in addition to scheduled appts. I remember doing clinicals in an office where they did not take walk-ins and I think my preceptor saw about 25 pt in 8 hours, and it was much nicer. Although probably not as lucrative to the boss!

I work P/T in a group practice with 2 male physicians, an office manager an LPN and 4 receptionists. I have somehow gotten the reputation as the employee health NP and I really am not happy with it. It started out as sore throats and such. They will bring their famiily members to me. They all say they feel that I am thorough and caring, and of corse this was flattering initially. But I have come to find that they are all so crazy and such complainers, I can't take it. It has morphed into people just perpetually complaining to me "What does it mean if I have this pain or this twinge?...". The office manager and LPN worst of all. Pretty much every time I have a second to sit down or stop at the desk to chart they are trying to tell me all of their problems. I counted one day last week one girl gave me 6 different things that were wrong with her in 5 hours. And they get extremely personal-I know way more about the sex life and extramarital affairs of my co-workers than I want to know. Tonight the nurse, who is very good to me, otherwise, called me to torture me on the phone AT HOME while I was trying to feed my daughterabout a rash on her lady parts that she thinks is from rough sex. Explaining in detail the sex positions she engaged in. Like, I don't even want to know this from my best friend. You probably won't beleive me if I tell you that is the least of what these people tell me. I have tried to approach some of the worst complainers jokingly like "Oh, here come the complaint du jour" just trying to jokingly point out that they complain alot to me. I went to my boss and the pretty much the only thing he saw was dollar signs and sent out a memo that no one can be seen on job time anymore. But they still all complain all day-now I am just not documenting it as a visit! The staff is not what you would call high-caliber, obviously, and morale is very low perpetully because the boss is a bit of a jerk. But this job actually works pretty well for me on other levels, I am just so burnt out with these people that I can't even just have a cordial conversation about the weather at work! I have no real desire to be friends with any of these people. I just want to be a co-worker. It is most unpleasant. I actually applied for another job today. Thanks for listening to my long vent. Any advice appreciated.