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Hating my first Nurse Practitioner job. I graduated as an FNP a few months ago. I had completed an externship with an urgent care and I loved it. Later after becoming licensed I applied with the company and was offered a job at a different building which is about an hour away from me. Now that I have started I have noticed that at the site I'm currently at it is horrible. There are days that we see 70+ patients in a 12 hour shift with only 1 provider. Also another thing I strongly dislike is we get no lunch and usually have to stay late/come in early to get caught up on charting. When I interviewed I was told that there were quarterly bonuses. However, the NPs that trained me said they have never received bonuses because of satisfaction scores or the budget being over. One told me she got a score of an 8 out of 10 once and was denied a bonus for this. Another issue that I have noticed is my boss is not a provider or a nurse. I like her but I feel like she has no idea what my job consists of as a provider and it makes communication hard at times. Last I wasn't told about all the mandatory meetings that seem to constantly pop up on short notice. We have the ability to Skype most of these but still I'm not paid because I'm salaried. Counting all the hours I work some weeks I made almost the same as I made as a nurse and at least as an RN I could get over time. My question is am I being absurd not liking this job? Should I tough it out for a year and then try to find another job or just start looking now? I feel like if I dislike this job this bad a few months in it's not gonna get better, but I would like some advice.

I passed my AANP almost 5 weeks ago. Everything that was requested has been submitted. However my license remains in processing . After reaching out to the Tennessee board of nursing, they have told me that the national boards have not sent a confirmation email. However, on the AANP side they are showing they have now sent 3 at my request and have receipt numbers. I have sent all of this to the BON but they still state they have not received anything. At this point I'm not sure what to do, but I would really like my license finalized so I can start working. Any suggestions?

So I had a nursing home patient that fell, the fall was unwitnessed. The patient was face down, and complaining of head and shoulder pain. The patient had obvious hit her head and stated she smacked it on the floor when she fell. This patient is also on several blood thinners. I was unable to reach a provider, and I sent the patient to the ER. Long story short the DON popped an attitude and stated we had to have a provider order to send the pt out. I thought this would fall under a nursing judgement. I work in Tennessee so I'm not even sure what the actually law is on this since I couldn't find any specifics. But I have worked in longterm care 15 years and this has never been an Issue till today. Could anyone tell me the laws or scope of practice regarding this?

From my personal experience of working in long-term care it seems to now be becoming a dumping ground for all sorts of patients. The nursing home where I work I normally have between 26-32 patients depending on census, and for these patients its me and 1.5 cna's on a good night. Some nights its just me and 1 cna. Out of my patients I have several tube feedings, everyone is now vital signs q 6 hours and respiratory assessments q 6 hours since covid started. Also there are times that I have to help my cna transfer or move patients. Oh did I mention the 11 diabetics I currently have 3 of which are very fragile, and the 88 narcotic cards I'm responsible for. And now we are being told that administration no longer has time to help us with admissions and it is our responsibility. Long-term care is very demanding and the burn out happens quickly if you are in a bad place, I have done this 10 years and have worked at good places, sadly most places eventually turn bad, when there is a shift in leadership. My best advice is to give it a try, but be aware even on night shift you will work your butt off unless you luck up and get a gravy supervisor job.

There may already be similar post regarding this subject and if so I am sorry, I just rarely post on here. I have worked as an LPN in long-term for the whole decade of my nursing career and for the majority of it I have enjoyed it. However, in the last few months my job has literally about ran me to death, I feel like some shifts it is non stop, most of the time I have 30 or more residents so my 1st medpass normally takes around 4 hours. After that I spend several hours charting just to start another medpass, some shifts it is so bad I work through my lunch break and just snack. Besides the stress of work, I am also in my last semester of LPN to RN transition, but I feel work is making me so tired that I can't even focus on school on my days off from work. So my question is, how is private duty nursing? I have had several friends tell me they love it. I guess my biggest fear is not knowing what to expect, I'm just not sure how I would handle going from 30 patients to taking care of just one at a time. Has anyone reading this post made the transition from long-term care to private duty nursing? If so what is your advice? Any tips or suggestions? Thanks David