amc248

Thank you for your comments. I really appreciate it. I'm hoping that things continue to improve. I will take your advice.

Thanks. It's nice to see my feelings are validated by someone. We work 8 hour shifts. It's actually more like 10, but I only see patients from 8-4. I'm definitely going to try to put my foot down. Thanks Yeah, you're right. I mean if I quit I would make sure I have something else lined up. It's impossible to know what another job might be like. It's nice to know that I have something to fall back on.

You're confused? Nurse practitioner school isn't a factory that spits out providers that are 100% ready to practice independently. Thanks for your supportive comment LOL. Just what I needed.

Hi! I'm looking for some advice from this community. I graduated in May 2020 from a MSN FNP program. I have 7 years of nursing experience. Most of this was intermediate hospital care- Tele. I was in charge of a very busy telemetry unit. I was a go-to person on the unit, and I loved my job. It was hard to leave my coworkers during this pandemic. I started my first NP job 2 months ago. It's a private endocrinology practice. Upon graduation, I felt that primary care is where I wanted to work, but when the opportunity came to work in endocrinology, I was really excited for the challenge. Unfortunately, I am having a very difficult time. I work with 3 physicians, 2 other NPs, 2 PAs. My first week was overwhelming as expected. I started learning the EMR which is brand new to me. I rotated between the NPs and PAs. Mainly observing for 2 weeks. On my 3rd week, I had my own patients (like 4 per day). This has steadily increased each week. Now I am seeing between 16-17 patients per day in my 8th week. Next week, I will begin seeing 20-25 per day. There has been no clear orientation process. I have been going early to start my notes and essentially look up all my patients so that im as prepared as possible. I just feel very scared. Im studying as much as I can, but I am feeling very discouraged. I have received very little feedback from any of the physicians, and they are signing all my notes. My education was great. As a FNP, I feel my education was well rounded and comprehensive. However, I certainly have so much to learn. I do not feel proficient in managing these chronic conditions "on my own". The physicians and NPs are approachable when I have questions, but I just feel like I have been thrown to the wolves. It feels unfair to me and more importantly to these patients. I need more time for education and management of these conditions. Next week, I am expected to see a patient for a brand new insulin pump start. I have observed one of these so far. My first exposure to an insulin pump was when I started this job. I have learned a lot about the insulin settings, but I honestly don't understand much of it. I feel stupid seeing these patients who have been on insulin pumps for years, and I can barely decipher the pump download let alone make insulin pump setting changes. Last week, I expressed my concern to the office manager who then spoke with 2 of the physicians. They agreed that going from 16 patients one week to 25 the next is too much, and my schedule was adjusted to seeing 20-22 patients. I am remarkably overwhelmed and anxious. The other advanced practice providers are nice enough and approachable also, but I just feel like this is crazy. I tried asking if this is the typical process, and they said yes. They don't seem to have much sympathy for me LOL. Side note, they also hired a brand new PA one month before me. His "orientation" has been similar. He seems overwhelmed also, but I haven't been able to ask him directly how he feels about things. Thank you for reading. I'm just searching for some help. I don't know what to do at this point. I want to quit so badly, but I don't want to be a quitter either. I just feel like this is insane. My mental health is suffering as I have always taken pride in my work. I want to provide good care. Thank you again.

Update! Got the good pop up! :)

Hey guys I just graduated in May with my BSN. I waited until a week before the nclex to start studying. I really don't know if I should've studied earlier, or not at all. My mom is a nurse, and she kept telling me not to study. I graduated magna cum laude. I know it doesn't make that much of a difference, but it is somewhat comforting to me, here are my kaplan scores. Diagnostic: 65% QT 1: 56% QT 2: 62.7% QT 3: 52% QT 4: 57.3% QT 7: 60.4% Readiness: 61.1% I also did about 100 more Qbank questions in my weak areas, but I didn't do QT 5 or 6. I'm really having a lot of anxiety about this test. It's too late to reschedule, and I promised myself that I wouldn't study any more tonight. Does anyone have any advice? My family is so proud because I did so well in school, but I don't want to let them down and I'm almost on the verge of a breakdown. One minute I'm trying to be confident, and the next minute I'm losing my mind.

I graduated in May, magna cum laude, with my BSN. My mom is a nurse, and she basically told me not to study. Now I'm four days away, and I'm finally reviewing labs and doing practice questions with kaplan. I did the kaplan review course back in May. My diagnostic was a 65%, but then my readiness went down to 61.1%. Odd. Anyways, I'm freaking out. I don't know if I should be or not. I'm just afraid that I'll be the unlucky one who gets all the select all that apply and random off the wall questions. I probably shouldve studied more, and prior to the week before, but I can't go back in time now. I dont know. I guess I just need some advice and thoughts from anyone who is willing to share. Thanks alot. - Ashley