Float RN is absolutely right...I am a FNP in a primary care clinic. I've been out of school for one year. You will get faster, I am slower than most but I don't care. Be patient, the first 6 months out of being a NP are 1000x harder than becoming a RN. I use epocrates on my iphone and love it, the premium package. It will give you everything you need. Never forget Dr. Google for unusual s/s, icd9 codes etc...Your best friend is in your pocket - a smart phone. Trust your gut instincts and practice safely! I worked as a self employed NP in 9 nursing homes/AL for my first year- it's a great setting to start a NP career. You have TIME!!!!