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noyesno MSN, APRN, NP

Family Medicine
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noyesno has 11 years experience as a MSN, APRN, NP and specializes in Family Medicine.

Worked nine years in the hospital (medical/surgical/trauma unit and float pool) before becoming a NP

I also have a Bachelors of Science in Food Science Human Nutrition (Dietetics). 

I really just want to go to yoga school and teach yoga. 

 

noyesno's Latest Activity

  1. noyesno

    Is it normal to hate my job this much?

    I'm a maniac. It has helped me tremendously as a NP though.
  2. noyesno

    Is it normal to hate my job this much?

    The short answer is yes. Bedside is rough. Especially, the first year. It gets a little better as time goes on but not by much, in my experience. I stuck it out for 9 miserable years because I wanted to be a good NP. If I didn't want to be a NP, I would not have suffered through it and done something else. I did like the patient interactions, the learning, and my coworkers. The no lunch breaks, the constant micromanagement, and insane workload definitely took a toll on my mental and physical health. If you don't want to be a NP, get out sooner rather than later. Save yourself some misery.
  3. Quote

     

    Get an UptoDate subscription. I've logged 335 hours on the app, haha.

    I also spend hours listening to primary care/medicine podcasts. Some of my favorites: Cardio Nerds, JAMA Clinical Reviews, Conversations with Dr. Bauchner, The Curb Siders, Real Life Pharmacology, Primary Care Update, Anals on Call, The Primary Care Podcast, AFP, medgeeks, Physician Assistant Exam Review.

    I also subscribe to Medmastery, an online review for doctors. It is pretty helpful.

     

    Did you also look at Amboss as well and their new online mobile diagnostic algorithms, differential diagnoses, and emergency evals? 
    If so can you compare and contrast the two services? Im not sure I can afford both, and would like to pick the best one. 

    1. noyesno

      noyesno, MSN, APRN, NP

      I have not looked into Amboss but I will now! Thanks for sharing that. Yay, I'm excited. 

  4. noyesno

    Is being an FNP worth it?

    Totally true. My experience also. I do feel more respected as an NP than I did as a bedside nurse. That's not saying much though.
  5. noyesno

    BEDSIDE...run, don't walk!

    I did 8.5 years in Med/Surg and it was horrible. I learned a lot and knew I wanted to be a NP so I kept at it despite the tachycardia from anxiety, sleepless nights before shifts, sleepless nights after shifts, no lunch breaks, physical demands, short staffing, hostile work environment, etc. Needless to say, it took a toll on my physical and mental health. 10 months ago, I started working as a NP and I do have to say all the time I spent in Med/Surg hell has benefited me in my current role. I'm good with patients. I know how to problem solve. I'm resourceful. I know a lot of doctors (helpful for referrals). I'm familiar with most treatments, procedures, diagnostic tests, and surgeries. I know how to deescalate angry patients. Would I do it again? I'm not sure. It took a lot out of me. I should probably be in therapy. Wish there was an easier way to get to where I wanted to be. I would have taken it.
  6. noyesno

    Is being an FNP worth it?

    I'm a new FNP. I did not feel ready when I secured my first NP job (family practice) and I still don't (10 months in). I just do the best I can to look everything up and learn as I go. I work with a rather challenging population who cannot get into specialists easily (state insurance) so I have to almost serve as a stand in specialist for so many conditions until they can see someone more qualified. Get an UptoDate subscription. I've logged 335 hours on the app, haha. I also spend hours listening to primary care/medicine podcasts. Some of my favorites: Cardio Nerds, JAMA Clinical Reviews, Conversations with Dr. Bauchner, The Curb Siders, Real Life Pharmacology, Primary Care Update, Anals on Call, The Primary Care Podcast, AFP, medgeeks, Physician Assistant Exam Review. I also subscribe to Medmastery, an online review for doctors. It is pretty helpful. I think becoming a FNP is worth it. Higher level of respect. Not as stressful at hospital nursing. The pay is better. Higher level of responsibility but I think that is what makes it rewarding. I wouldn't worry about listening to all those apps and studying UptoDate right now because you are probably so busy with work and school. When you start working, learn as you go.
  7. noyesno

    Complaints of Complaining

    This happened at my hospital when we were applying for magnet. They sent the more vocal peeps to mandatory counseling to help improve their "attitudes". I really wasn't a vocal one but I got sent. The complaint that got me was explaining to my charge nurse and unit secretary that I was just threatened by a patient's family member on the phone. The family member was angry because I wouldn't give information over the phone without a HIPAA password. She said she was going to come down to the hospital and "straighten me out". I told the charge nurse and unit secretary about it because I wanted them to be aware that there was a potentially violent person coming to the hospital to harm me. Ask them to have security round on our floor. I had this conversation behind the nurses' station and was not talking loudly. A case manager overheard the conversation and told on me to my manager.
  8. noyesno

    NP

    I'm a newish NP. Started my first job in October 2019. I work in family practice. Better pay and better quality of life than hospital RN (did that for 9 years). No regrets here.
  9. noyesno

    Am I a coward for going on FMLA due to COVID?

    YOU ARE NOT A COWARD. Drop the guilt. I'd do the same thing. You are high risk.
  10. noyesno

    Quality of Online NP Programs and Providers

    That's exactly what happened! I know, it killed me. The doctor I work for is literally the sweetest individual I have ever met. She just let it ride.
  11. noyesno

    Quality of Online NP Programs and Providers

    I'm a new FNP and worked 9 years in med/surg as a nurse before becoming a NP. My bedside experience is proving to be so helpful as I transition into the FNP role. There is a NP student at the office in which I work. She has 1 year of nursing experience at a nursing home and now works as a rehab liaison. She asked the doctor I work with how to give an IM injection. She also has UpToDate access and rattled off information to the doctor I work with in an attempt to educate said doctor. This bothers me on so many levels.
  12. Just wanted to say: I am very happy I went for it. I just started my first NP job a few weeks ago and I can confidently say: it was 100% worth all the blood, sweat, and tears. I did land a sweet gig with two of the most wonderful doctors so that helps a lot. I did work 8.5 years in med/surg and while it probably led me to be kind of depressed and hate my life (because it sucked), I see smooth sailing, in my future, because it made me well-seasoned and taught me so much. It also allowed me to get this job and many job offers before graduation. Not bragging just want to encourage people to put in the hard work because it does pay off.
  13. Sounds very similar to my experience with "go live". I had 6 patients on the first day, had to give blood, discharge a few patients, etc. My employer contracted some "superusers" from a company that was familiar with the new EMR but not from the EMR company itself. They were not nurses and did not know how to answer the majority of my questions. What the heck. Ugh.
  14. Wow, I'm glad to hear it's done differently elsewhere. Thanks for your replies, everyone. Makes me feel less crazy for being outraged.
  15. When your hospital rolled out a new electronic medical record (EMR), did they overstaff (or at least adequately staff) to help with the transition? I recently had the pleasure of working short-staffed during the first few days of a new EMR roll out. It was beyond dangerous: critical orders were missed and not one staff nurse received a lunch break. Just curious how other hospitals handle it. There has got to be a better, more seamless, way.
  16. noyesno

    Bad idea to quit after 6m as a new grad for DNP school?

    IMO: having bedside experience is crucial to being a good NP. I have worked 8+ years in the hospital and will be starting my first NP job in a few weeks. I cannot imagine launching my career as a NP without that bedside foundation. However: you gotta go what cha gotta do. I get it. Try to find a part-time nursing gig. Bedside or in an office.