rlopez

Hi, I just wanted to say thank you for responding to this post I submitted a year and a half ago. I did end up quitting the job working for the derm Dr. Glad that part of my life is over. It was a terrible experience but I learned a lot about myself and will never work for someone like that again. I work at a Chicago hospital now as a float RN and really enjoy it. I finished my FNP degree and am now looking for a job. Thanks again!

This is a new thing for the school where the student and preceptor complete an electronic log of goals and examples to meet the objective. I am not sure if I am filling it out correctly and an unsure of other goals I could use. Any suggestions? Thanks! [TABLE=width: 1200] [TR] [TD=colspan: 4]I. Student Learning Outcomes[/TD] [/TR] [TR] [TD]Course Outcomes[/TD] [TD]Student-Identified Practicum Goals to Meet Course Outcomes [/TD] [TD]Plan to Meet Student-Identified Practicum Goals[/TD] [TD]Narrative Description of Attainment of Student-Identified Goals[/TD] [/TR] [TR] [TD]Demonstrate diagnostic reasoning that will assist in health promotion and illness management of common health problems in primary care through case study presentation. (PO 1)[/TD] [TD]Student will use evidence based readings, and course reading assignments to complete plans of care.[/TD] [TD]Complete course readings, and peer reviewed articles to develop plans of care. [/TD] [TD][/TD] [/TR] [TR] [TD]Plan for healthcare delivery in an evidence-based manner to support high-quality and cost-effective care and decision-making. (PO 1, 9, 11)[/TD] [TD]Student will deliver care in a way that addresses the patient's healthcare needs.[/TD] [TD] Complete thorough patient assessments and identify patient health care needs, and educate patient on how to prevent/manage disease processes.[/TD] [TD][/TD] [/TR] [TR] [TD][/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Create weekly S-O-A-P documentation on a clinical patient, demonstrating increased mastery each week. (PO 1, 3)[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Create a plan of care which integrates pharmacological, complementary, and non-pharmacological therapies for management of common health problems. (PO 1)[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Utilize established standards and guidelines for management of common pediatric, gynecology, internal medicine, and behavioral conditions in primary care. (1, 11)[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Engage in sequential application of selected advanced skills/procedures. (PO 1)[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Demonstrate advanced skills/procedures for quality outcomes pertinent to patient care. (PO 1, 2)[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Perform selected advanced skills/procedures appropriate to student competence and provider scope of practice. (1)[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Conduct a systematic and accurate assessment of a client's total health status, utilizing appropriate interviewing and data collection techniques. (PO 1, 2, 5, 11)[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD]Reflect on personal and professional growth toward achieving competence as a family nurse practitioner. (PO 5, 7)[/TD] [TD][/TD] [TD][/TD] [TD][/TD] [/TR] [TR] [TD=colspan: 4, align: center] [/TD] [/TR] [/TABLE] [TABLE=width: 1200] [TR] [TD]II. Signature Section(Week 1) [/TD] [/TR] [TR] [TD]Submitted by Student: [/TD] [/TR] [TR] [TD]Preceptor Signature: [/TD] [/TR] [TR] [TD]Approved by Faculty: [/TD] [/TR] [TR] [TD][/TD] [/TR] [TR] [TD]II. Verification at Conclusion of Practicum (Week 8)[/TD] [/TR] [TR] [TD]Submitted by Student: [/TD] [/TR] [TR] [TD]Preceptor Signature: [/TD] [/TR] [TR] [TD]Approved by Faculty: [/TD] [/TR] [TR] [TD][/TD] [/TR] [/TABLE]

Thank you

Thanks for responding. I was thinking a clinic for NP. I like to continuously grow and learn but I want to like the people I work with. It seems like its hard to know what a job will be like until you actually start which is really frustrating. I reached out to some nurses who work in research and they were very supportive. It was helpful to talk about what positions I would be able to do with my work history.

Hi, I am very frustrated right now because I am struggling with what I should do. I have been a nurse since 2011 and I initially took a job working for an oral surgeon. I traveled to 5 locations didnt make very much and wasnt compensated for gas or miles (8months total). I then worked on a med surg/ortho floor (1.5years total). I liked the floor and I liked the people. I did not like driving 40 minutes in good weather and 1.5 in snow. I then went to another hospital very close to me where I was on neuro tele they had promised 4-5 patients but every shift was 7-8patients and it didnt seem safe (3months total). I took a job as a dermatology nurse and I now work for a Dr who is very demeaning, rude, selfish and who will constantly reschedule/change patients appointments. It is exhausting working for her and the department has "talked" to her about the issues but no changes. When I worked ortho I decided to start NP school. I have 14 months left and I am so burnt out and frustrated Im starting to think that all the problems may be self induced and I am contemplating quitting nursing all together. I thought about transferring again but I am terrified that I will be in the same situation. I am so confused. Meanwhile I am working 50+ hours a week and getting yelled at like I am a 5 year old for not being able to read her mind. I have almost been at this job for 6months and we have already gone through 2 front desk staff because of her. I have driven her to work, she texts me constantly, she will last minute have me change her whole schedule, the list goes on.... Part of me would like to stay because I do like dermatology and I thought it would be exciting to do derm as an NP; the other part just wants to break down and cry like I did this morning. I have also considered going to a career counselor. Maybe I am just not made to be a nurse? I dont know. Does anyone have any suggestions?

Thank you for the advice! That is very helpful!

Hello! I worked as a waitress all through school, and there is an anesthesiologist that comes in all the time and has given me an opportunity to work as a nurse for his office. He mainly does mouth reconstruction like sinus surgeries, bone grafts, etc. I haven't been looking to intensely because I have been studying for boards and am planning on taking my test in two weeks. This opportunity just kind of popped up. I have had two interviews, and I spoke with his HR, and we are supposed to have a discussion about compensation. I dont know if I should say yes, and if so I don't know what I should be expecting for a salary. I guess I am worried that I will get stuck, and wont be able to be hired at a hospital or any other nursing areas if this isnt what I want to stick with. At the same time it is a nursing opportunity with great benefits, and I don't know when I will get another. Any thoughts?