RN623

I now have a year in practice in a busy community health center. I still have days where I don't feel I know all the answers. Thankfully those days are much fewer than when I started a year ago. I remember comparing myself at 3 then 6 then 9 month intervals. I could and can still see my progress. I had to tell myself that I'm doing my best and I know what my resources are if I am unsure of something. Don't give up. I would guess that nearly every new NP has felt the way you do.

At my NHSC approved site my pay is not based on NHSC repayment. My initial offer was in the 80k rage but I was able to negotiate a bit higher. My company used the repayment through NHSC as an incentive but they also didn't guarantee I would receive it either. I'm in the Pacific Northwest.

Again thank you for your responses. I am not a fan of PC-ness. I guess this brings up the subtext of this conversation...patient satisfaction. Now I'm not saying the patient doesn't deserve respect and appropriate care but I don't think patient satisfaction deserves as much attention/emphasis as it does. I'd love to hear others thoughts on this subtopic.

I appreciate the feedback. As a newer FNP I am realizing more and more how important the presentation, in addition to the content, really is. Thank you for the responses.

So I had a performance evaluation. Apparently I've had some complaints from patients about being too direct. I get the impression that certain patients don't like being told to diet and exercise and take the necessary Meds. Now I know you can't please everyone but I was wondering if anyone else has had an issue like this and if so what did you do about it

In my opinion it doesn't matter the school you went to. I'm fairly certain this topic has been addressed already somewhere in the forum. You could search for more info...I went to school in one state and took my first job out of that state. My experience is the employer wants to make sure you can do your job. Part of that means passing your boards and becoming licensed wherever you want to practice. So long as you meet the requirements to test and receive licensure then you should be fine.

I'm fortunate to get admin time. 4 hrs per month. Better than nothing but I could really use more like some if the other responders. Oh well. It is what it is. I work primary care in an FHQC so they are multiple complaints and often complicated. I usually spend 2 hrs a night getting caught up on my charting and never really feel like I'm all that caught up. There is always some lab value or test result to respond to.

My experience with drug reps is 50/50. Half are nice and are doing a decent job while the other half are overly pushy. I've been to drug rep dinners and actually learned some good information and I've been to dinners where I wanted to scream from the over zealous peddling of wares that made me not even want to consider the drug. My point...there's good and bad to drug reps but at the end of the day they're just trying to do their job.

I'm a recent new grad NP. Currently working in an under served population area in primary care. I see many patients with multiple comorbidities. I feel I am having trouble developing appropriate differential diagnoses for my patients complaints and symptoms. Particularly when the pt isn't presenting with run of the mill DM, HTN, or COPD etc. I'm wondering if others have felt the same after graduation when they were on their own. And if so what did you do to overcome this or am I being too hard on myself? I want to be right and ensure patients get the best care. Any thoughts would be appreciated.

I agree with BlueDevilRN. Honesty and integrity are essential in this profession. I feel for the OP but regardless of circumstance, ethics were violated and as such the deserved punishment was the result. There would be no code of ethics if cheating an dishonesty were never a problem to begin with. To those who say appeal the decision or get a lawyer I say reconsider this idea. We are free to make our choices and must live with the consequences whether we like them or not.

You are a competitive candidate. I had a similar background when I applied to the DNP program at the university if Utah. I will graduate May 2013. Good luck.

I am just wondering if anyone who is now a CRNA or SRNA thought about becoming a FNP and why you decided to do CRNA (other than the money)? I am at that point in my career when I need to decide. I have my BSN, I work in an ICU and have the necessary experience to apply. I really love critical care and the challenges it presents. Any suggestions or thoughts would be greatly appreciated. Thank you.