Dr.Naija_Glam

Thank you all for your responses!

I was promoted to a manager role a year ago I lead a team of nurse practitioners. In addition to managing the nurse practitioners I also manage a group of registered nurses. For more background I'm a nurse practioner and in addition to supervision I do some clinical tasks as well. Given the supervisor tasks that comes with my job, the clinical or patient care workload is smaller than the other nurse practioners. A problem that I have are a few team members who ask me to do tasks I delegate to them or ask me why don't I do it when I delegate tasks. This includes working holidays and weekends. This also includes taking on another person's tasks if they quit. I do help out as appropriate if someone calls out sick. When I interviewed for the job I was informed that working holidays or weekends wasn't required. My other job responsibilities were also discussed prior to starting and I follow that. Has anyone every dealt with employees asking you to do tasks delegated to them? Any advice on how to deal with this?

Thanks Neuro Guy, I didn't recall reading that in the statement. It's been a while since I looked through it!

Thanks ArmaniX. Sometimes I feel that the NP role has been broken down into too many specialties? I've been an NP for almost 8 years and it's crazy how I'm confused about this. Even the descriptions of the roles on the PNCB are very similar.

Thank you for your input Dizzy!

I'm an FNP who has primarily practiced in pediatric subspecialties both inpatient and outpatient. I currently work in a pediatric pulmonary clinic. I mainly see patients with asthma, allergies, and cystic fibrosis. Occasionally, I do have to admit kiddos to the hospital when their conditions worsen. Due to the concensus model and my passion for learning I have enrolled in an acute care pediatric post cert program. Prior to enrolling I discussed my preference for practicing in outpatient peds pulm with my program director. She advised me that given my current certification, getting certified as a PNP-AC would be best. I checked the PNCB website which also stated that PNP-ACs can work in outpatient specialty clinics. I was told by a few PNP-PC colleagues that PNP-ACs can only work inpatient settings or the ER. Although I've been advised by faculty, I'm kind of confused. Would I be able to continue practicing in my current role with a PNP-AC or should I change to PNP-PC? I thought PNP-PCs mainly do out patient primary care. I welcome your thoughts.

Sounds like the new nurse jitters. I can relate because it was hard for me to give report when I was a new nurse. After 2 months, you are still a fairly new nurse and still learning of course. It can seem intimidating when you're asked a question, but just know that the nurse wants more info. You spent the whole shift caring for the patient and I'm sure you know the patient. It's okay to read from you SBAR. You need to communicate the main thing about the patient. You're not telling their whole life story. Patient name Diagnosis (what the pt is admitted for) Treatment plan- Be brief, just the main idea Equipment (IV, Chest-tube, etc) Mental status Diet: Activity level Labs (significant or note worthy) Any changes in status Communicate responses to new meds or treatments

Hi flowingoan! It's a good idea to review asthma and cf. Also become familiar with spirometry and pulm meds. Will you be reviewing chest x-rays? If so, I'm sure your employer will have you shadow with someone who reviews them regularly.

Jules, based on your advice, I decided to ask for 10K more instead of 6K.......and my manager agreed!!!! I gave a thorough rationale as to why I deserved the raise. Thank you for your advice.

Thanks for your input Jules, I have NP friends, but we don't work in the same organization. We are open with our salaries. The NPs I do work with aren't very open in regards to salary unfortunately. I never considered being payed at a premium for weekend shifts. I am willing to stick around if they refuse, because the benefits are great and I like the 4 day a week schedule. I am on very good terms with my manager, so I figure things won't be to awkward. I'll keep you posted!

I've been at my current job for almost a year, and my yearly evaluation is coming up. I'm wanting to ask for a $6,000 dollar raise because I have had to take on a few duties that weren't discussed in my interview. I work in pediatric pulm, and have had to see patients in the weight management clinic. I also have been working one weekend day a month for the last 6 months and will continue to do so. Our department has been expanding, and the extra duties just came along with it. I'd like to add that I really like my job overall. I just feel that the extra duties warrant an increase in my salary, higher than the annual 2.5% raise that we receive. Has anyone ever asked for a raise? How did it go? I don't know anyone who has asked for a raise, or is willing to admit that they asked

It's good that you're thinking ahead. Be sure that you are aware of your current jobs policy on giving notice. Most jobs want 2 weeks, but some want 3 weeks or more. You need to know this anyway, so you can be sure when you let the potential new employer know when you can start. Never feel guilty about doing what's best for you. Always think what your employer would do....the employer would do whatever is in their best interest. The current job has hired new staff. If you can't train them, your manager or someone else will. Good luck on your interview :)

I chose my program because I would be awarded an MSN and DNP once completed. I also chose it because it was accredited. Thinking back on it, the program was costly, but I feel that it was well worth it. I just wanted to be done with school, and not worry about going back for another degree. I'm fairly young and will be in the work force for a long time.

Where I work, the time allotted for the visit is 1 hr. It usually doesn't take me that long since most pts are healthy. With paperwork included, it takes me about 20-30 minutes to do a DOT physical. If the pt has issues going on, it an take longer to get it done and it can take up to an hr.

I agree with Jules A. I know that the VA doesn't offer the highest salaries around, but I do know ones salary offer depends on years of experience, certifications, etc. I'm not sure which VA you applied to, or your specialty, but 100k sounds good for a start no matter the location. In the Midwest, my sister was offered and accepted 82k in a primary care clinic at the VA. She had about 6 months of NP experience prior to that.