Soliloquy

Do you own your own practice? I was wondering about that process and admittedly I haven't done adequate research to get credentialed with medicaid. Right now I'm credentialed through everyone except medicaid simply because my practice doesn't accept it but I would like to. It definitely gives more options for me if I do.

That's awesome! My current office doesn't really do Saturdays. Currently I work part time (21hrs) and I did ask for added hours: 1. for the consistency. Sometimes patients do ask when I'm available because they want to return and it can be harder to develop that relationship. 2. added exposure and experience for me. So I will be getting more hours in the next few weeks.

I like the volunteer idea as that Is a good way to generate business. I've never heard of MDsave.com. I'll look into it. Thank you

Thank you! I'm thinking about walking with my business cards and really putting myself out there to gain more business and just see how things go. My practice doesnt take Medicaid patients at this time but I'd be willing to as well. Doing my research.

I think you're doing just fine by setting clear boundaries. Helping out here and there is one thing but that's not your "job"/role and should not be the expectation.

I work in Primary Care Cdc vaccine and STDs guidelines Us taskforce app (AHRQ) Apea app Uptodate which gets all/most their drug guidelines from lexicomp ASCVD app Fp notebook for a quick and dirty for simple illnesses

I am a pretty new family nurse practitioner who works in a small Primary care practice. The goal is for me to see about 16 patients a day during my full 8hr days. The most I have seen is 14 patients. At this time I am building my client base so I receive many new patients looking to establish themselves with a provider. Often times with sick visits I will assess if a client is due for a physical and encourage them to make an appointment to discuss any further concerns, explaining that the yearly physical also allows me to refill any prescriptions they may need for the year. How did you build your client base as a new provider?

Thank you for this lovely post.

I am in my first clinical, about 7 weeks in. At the site I'm currently at(been there for 2 weeks) I was told that I still seem like a student and very "studenty". My preceptor wants me to seem more like a provider which, at this stage, I'm not really sure what that means or how to do it. My first question is this: what does it mean to seem "studenty"? My next question is: how much am I suppose to know or seem to know 7 weeks into my first clinical? I still research everything. I thought I was suppose to. :/

80-90k is an incredibly lowball offer for an NP. But maybe it's more accepted in areas where RNs are paid relatively less. In the east coast that is easy to make working PRN at some facilities with benefits included. To be honest, I haven't heard of any NPs who make that much EXCEPT online. Many of the new NPs I spoke to said that they were offered about 105 or somewhere in the 6 figure range as a start, even in states that had restrictive practice. I'm still a student and learning but I wouldn't want to work as a provider making that much knowing that my licensing cost and responsibilities are higher. That's stress.

Ok. Thank you. I agree, being a receptive and present provider is important. But I do feel there is a difference between being that and having the expectation that one is to continuously cater to your patient's every demand without being penalized for setting proper boundaries with a patient. But I see your point and I guess, yes, similar repercussions can happen to a provider for doing just that.

Honest question. My experience at the bedside, it seemed like hospitals always tried to shove down our throats the need to have a smiling, servitude style "Is there anything else I can do for you?" demeanor. In a more independent and authority role, do you find that you are also required and expected (I'm sure it can help) to have this demeanor as well?

That makes sense. There are online programs that offer lectures and find your preceptors but you have to find them and be accepted to them like every other program.

I needed this. Thank you :)

I'm prone to burn out! I did med surg, Neuro, surgical oncology, nicu, ortho... I think the best thing for me is finding a way to do different things and maintain control of my schedule. Keeps me away from the craziness all the time. So I'm trying to reduce the amount of time I spend in any one specialty. I've liked everything I've learned and understand the need to focus on one thing in the start but too much of a good thing....is too much. I also don't like the kind of adrenaline rush the hospital has to offer. Lol