chulada77

Even when I rounded for acute patients, as a NP, my need for functional pockets is low. I need a pen, stethoscope and my iPad to do orders. I don’t need flushes and syringes etc that I carried as a RN. I wear fashion scrubs now, one back pocket and maybe a breast pocket- that’s all I need.

I rounded in the hospital on 30 patients, did new ER consults, bedside PEG declotting or placement confirmations. Determined endoscopy needs and booked ORs for it. Orders for scans, meds, other consultation referrals if needed…basically whatever . Ordered paracentesis and did fluid analysis

I wear scrubs and my counterpart wears business casual. I get a little more dirty than she does as I m good with suturing etc so I can see how our styles of practicing dictate our attire.

I worked specialty as an FNP in the hospital but all Hospitalist type NPs were AGNP. But answer is yes you can but in certain areas only

When a patient such as a new insulin patient is scheduled and you are feeling unprepared or uncomfortable then say something to your coworkers, ask for a second set of eyes during the appt. I did it all the time, if I had a patient I was unsure about I d tell my doctor to double back on the pstient(hospital setting) because I was unsure of what I was seeing. It didn’t decrease my credibility and I think they appreciate the candidness. Over time you ll need that 2nd set of eyes less and less but they ll know when you ask that it’s valid. keep plugging away. It gets easier.

I worked GI as an NP for the past year doing acute hospital rounds. I actually learned a ton and enjoyed the liver and pancreas patients. I didn’t leave GI because of the specialty as I m rather fond of it but moreso because I was working hellacious hours. GI is a fabulous specialty and I think it has been misconstrued oftentimes as it’s only thought of for colonoscopies which is only a small subset of the total.

When you feel discouraged is when you need to dig your heels in and put all your TRY into the task. If you have to walk away from the schooling/class/job then you will always know that you gave max effort and did your best. Most of the time we aren t giving max effort due to negative thoughts .

Stop- are you kidding?! YES it is essential to see the patient in pre op….safety safety safety. Your facility will not pass any type of inspection if you start cutting the big safety corners. I could give you 100 examples and reasons why but I ll stop here

I can’t foresee continuing to be an NP and Loathing the work this much. I usually give myself 6months to stabilize at a job before determining “like” or “dislike” -7months at this and although I m a fast as heck, itS not conducive to life.

I think getting away practitioning all together is my wisest option

9hr days, 30 + patients and Also incoming new consults due to Emergency call

Texas

It’s difficult to negotiate pay after a contract is already initiated and when the NP market is so saturated. The RN market for cath lab just seems more secure and flexible .

So I am running my tail off, 10 min lunch, 10k steps daily...I was never told how many patients daily and my docs rotate every Monday so some are more helpful then others w consults and follow ups. I have told them I am worn, so I m getting 2x 1/2 days off during a 12 day stretch. making Cath lab look appealing!

I'm currently working my first year as FNP doing GI rounds. I see approximately 30-40 follow up inpatients daily and then new Consults. 8-5 Mon-Fri and every other vs every 3rd weekend rounding too (12 days straight is a norm for me). Overtime is a norm but my salary at 93k. I am beyond tired and the hours vs pay is silly ($42 hourly after overtime is figured). I'm seriously debating a Cath lab RN training that’s been offered. I feel like there is better pay, and marketability in it. Any thoughts?

You could get reprimanded etc but that is more likely if its a felony assault charge. A simple assault, misdemeanor charge will probably result in a hand-slap. Of course your history/priors etc will come into play.

Your employer should be ashamed of themselves for that type of training! Go to a hospital that gives a healthy, long onboarding for new grads. Some hospitals onboard a new grad for up to 6 months. It is at least easier to apply for another job when you are currently working....

Well I see "NP" in your title so I guess that you are including yourself in the "unsafe" category. So negative.

It’s not only a horrible idea but not fair for a new grad(not even a “true “ grad) to know how to deal with this level of chaos. As an experienced nurse we come w tricks of the trade, insight and our past experience to get us thru crisis esp when our hospitals are not protecting staff properly.

It’s a blessing that an acute position esp the ER has not hired you. Right now is not the time for a green nurse to enter into a volatile setting like the ER or ICU. I m ER (trauma background) but working in pacu and I m a bit apprehensive about going into the ER because I m aware any contact risk will go WAY up. Start easy......be smart about what u choose.

I m refusing to be absorbed into the hospital (from a surgery center) . I ll let them fire me-don’t care. They didn’t want to tell us who is suspected covid and said we are not allowed to wear even regular masks unless we are right at bedside with a contact precaution patient. It’s ridiculous so I m OUT. No PPE-this nurse is staying home.

I m PACU for the hospital and an Np student so when all the surgeries were cancelled my hospital said we would all be absorbed on other units. They are refusing to mark the patients that are Suspected covid, probably because they can’t and won’t provide PPE. I have opted to take no pay days and instead doing telemedicine for my NP clinical site.

Very informative!! Thank u!

Regardless of your newness or any other circumstantial factors, it is unacceptable to ever be demeaned or treated unprofessionally. i d quit but I d surely not leave without having VERY strong words with the MD.

So I imagine it’s based on a ranking system thus you want to be as competitive as possible. Me personally, I have dual bachelors from UNiversity of Texas and University of Colorado. My thinking was they want someone that will complete and has shown success. Shine as bright as you can-that’s the name of the game!!