HAL_APRN19

IcTex and Umbdude- Thank you both for taking the time to reply. I truly appreciate the information you shared with me. I actually ended up declining the addiction position due to conflicting information being given to me. Fortunately, another opportunity came up and I've accepted a medical provider position for a psych hospital. I have the opportunity to expand to the addiction unit within the facility later on if I was interested; so I think there is a lot of potential for growth. I'm excited and anxious about my first NP due to the challenges I will face in caring for these patients. But as IcTex mentioned, these patients often do not have access to healthcare once discharged, so I feel I can contribute greatly in my role as a primary care provider for them while they're inpatient with us. Wish me luck! ? Again, thank you everyone for contributing!

Thank you for your insight! I also have outpatient psych background; which is probably what makes me attractive to companies who have reached out and are actively considering me. What makes me hesitant is (what I feel) the potential for blurred lines within scope of practice to exist in these type of settings. I'm told I would act in a primary care provider capacity due to mental health patients suffering from comorbid diseases; however, wouldn't a PHMNP be better suited for these? Maybe it's my nerves working on me... I welcome all opportunities, I just don't want to practice out of my scope (if I'm making any sense). LOL Again, thank you for your reply!

Hello everyone- I am a new grad AGNP (Primary Care) and being considered for a position in an addiction medicine clinic. The physician is very welcoming of new grad NPs as he's had great experience and success with them. As most know, new grad NP positions are scarce, and I would honestly love the opportunity to begin my NP career. However, I'm just not sure whether this type of position would be better suited for a PMHNP vs an AGNP. The MD I spoke with is passionate about his patients and utilizes the MAT model. He seemed very supportive of his providers and truly enjoy teaching this specialty. Thoughts? I would appreciate any information from current NPs working in this role. Thank you for your time!

I'm glad everything worked out to your favor and you've achieved your goal. I hope to be able to do the same thing for myself one day. However, unlike you, I don't have the luxury to have chosen my preceptors prior to matriculating, nor have the option to choose a casual work place. I planned ahead and considered carefully prior to beginning an NP program, unfortunately, it didn't work out for me the way I had hope. Thank you for taking the time reply.

Hello everyone. I have 2 issues that I want to vent about and want advice. I'm sure this has been a topic that's been brought up multiple times on here...but I am so frustrated with finding preceptors. I currently live in SC, but I attend an online NP program in PA. I am to begin my clinicals in the Fall of 2018 and have had NO luck in finding anyone here. All the facilities in my state have a contract with local colleges and are only willing to precept those students. I've looked in nearby states with no luck. The one preceptor I did find 2 hours away are only available on Wednesdays and Thursdays...which I was so grateful for but then... I have a GREAT government job and my work hours coincide with clinical hours. I've tried talking to my boss about possibly being off those 2 days my potential preceptors are available...however, I obviously can't be off those 2 days every week for the next 6 months. I'm at a crossroad where I have to choose between the two. My job or my career progression. IT IS SO FRUSTRATING. I am willing to drive anywhere just so I can complete this degree. But it's looking like I might have to drop out instead, because I also really need my current job. To those who've graduated, how did you all manage this? I guess at this point, I am just seeking to hear about your experiences and what you've done in my situation. Thanks for reading this.

I wrote my comments to individuals I replied to.

Thanks RNicholask. How long ago did you apply? Have you heard back from them? Every time my email alerts a new email, I'm freaking out. Unfortunately for me, I FEEL I'm about to get rejected.

Congrats Dumplins! How long ago did you apply? How soon did you hear about your acceptance?

Thanks RNicholask. How long ago did you apply? Have you heard back from them? Every time my email alerts a new email, I'm freaking out. Unfortunately for me, I FEEL I'm about to get rejected. Dumplins: How long ago did you apply? How long did you wait to hear from Simmons?

Hello everyone. I just completed my Simmons application this past week. After reading everyone's stats on here that applied and accepted and I AM FEELING SO BUMMED. I don't even come close. However, when I spoke to my Admin Rep and after telling her my background, grades etc, she felt confident about me. I just feel so ANXIOUS and the waiting game is nerve wracking. I'm trying to be positive but as each day passes, I am getting more and more discouraged. My background is the ICU for about 7 months (I had to leave because my husband is in the military and we had to move). Took me over a year to finally land a job in the Tele and I currently work part-time. I'm so stressed out and I'm going through "coulda, woulda, shouldas"... I pray I am given a chance.

What are the protocols for safely administering chemo in an outpatient clinic? I believe my company is violating JHACO regulations but I don't want to be a whistle blower. We don't use PPE's during mixing or administration of chemo to patients. We also have people who mix chemos who are not certified to do so, but due to being short staffed, they are being utilized. I'm concerned but in a dilemma because this is my job and I don't want to leave my patients. There are no formal education relating to safely administration of chemo nor protocols. I would just like to know if this is standard in outpatient clinics. Thanks.

Hello oncallgal! Thanks for the info and it's tempting but my hubby works in Oahu so I'm stuck here! Great to hear from you!

Hi PaRN12! Thanks! I don't think I can message you yet cause I haven't posted enough on herr. I can give you my email and we can communicate that way if that's ok. :) I would REALLY appreciate any advice & suggestions you can give. My email is [email protected]. Hope to hear from you. Thanks again!

Hi tmartin83. Thanks for the info. I was told there weren't accepting anymore volunteers at Tripler... I've been applying to MSA positions and NO ONE is calling either. I have veterans preference too. So frustrating!!!! To PaRN12: Congrats on your job offer!!! :) I've applied to nursing homes/AL too. NOTHING. It must be ME these companies don't like. Lol. I knew coming here I wasn't going to land a hospital job and to be honest, I just want to work as an RN so I can maintain my skills, but no one is calling. I'm working on my BSN now and I graduate in August. I'm hoping that changes my luck. Hailmoy1: If you do move here, I trully wish you the best. I don't want to discourage you at all from moving here, that's not my intention. I just don't want you to put all your eggs in one basket only to be hit with the lack of jobs out here. VERY FRUSTRATING!!!

Hello. I'm in Oahu and I've been here for about 2 1/2 months. (started applying for jobs 7 months before we actually moved here) I have about 7 months of ICU experience and NO ONE IS CALLING BACK from the hundreds of applications I've sent in. I have BLS, ACLS, Critical Care course and EKG certifications. My husband is in the military and therefore I had no choice but to move here. I'm thinking about going back to the mainland because there is NOTHING here for me. You have to have at the minimum 12 months... But most prefer 2 years and unfortunately companies can do whatever they want and raise standards because this island is saturated with RN's. Both experienced and inexperienced! There's even a waiting line to volunteer if you can believe it. I refuse to work as a CNA because that's NOT what I busted my butt off for in nursing school. There's nothing wrong with the CNA profession, however working in the title and paygrade of a CNA but working like an RN is not something I'm interested in. I have another friend who's like me and left her job to come out here only to find out 1 year later, no one wants to hire her. So... If you can help it, please don't move here. I'm not trying to be negative, but really, there is NO jobs out here unless you're an experienced RN or you know someone in the company who's going to help you get a job. That's my advice for you... Good luck to you!