Fnpatlast

New update! I want to thank you all for your words of encouragement as I transition into the NP role. My eyes welled up with tears as I read NP2015 message above. You really touched my heart with your kind words and promising to pray for me. I will be starting a new position very soon as an NP where I will be given the proper orientation and support I will need. This is not a primary care position but an area I can consider my "comfort zone" having worked there as an RN for several years before going to grad school. My experience in primary care was tough, grueling, but will be useful throughout my NP career. I am looking forward for a rewarding, yet less stressful work environment in my new role.

I want to thank you all for your responses to my post. I want to provide a brief update. I'm 3 months into the difficult job. I have wanted to work so close to home for over 10 years! This is my first NP job and it is the hardest job anyone can have in primary care. I'm expected to see 20-30 patients a day. I'm currently seeing about 20. What gets me is the way I get yelled at when I make mistakes. My superiors are very disrectful. They say things like-you can be sued for that or that is malpractice. I feel so awful for not knowing as much as they do. It is a physician run practice and there's a lot of animosity towards NPs. I'm currently interviewing at other places. I will travel if I have to. I can even go back to work as an RN. Please keep me in your prayers. I can't wait to submit my resignation letter.

If he is considering a new grad physician to join his practice, would he ask him to shadow with him for 2 months before hiring him? No, he won't. You are not below him and neither are the NPs or PAs he's hired in the past. His perception of NP role is wrong.

Speak up and do not let physicians belittle you. They think NPs are nurses that they can order around. You are an independent licensed provider. They will question your plan, meds, notes etc. Look them in the face and defend yourself. Rubbish. I am in it already and can only go higher from here.

Congratulations on passing the ANCC too. Now you are double certified. The ANCC exam was no joke I can attest to that. I've never taken the AANP and I don't intend too. I think most employers prefer ANCC because you get the BC at the end of your name. What area are you looking to work?

Congratulations on passing the AANP. You asked a very interesting question. The question was actually answered by one of my faculty instructors while in school. She said there's no penalty in taking both board exams. There's no communication between the two exams. If you pass both, you have a better chance of being hired?-I didn't agree with her on this one. I passed the ANCC in March but signed up for only 1 exam. I knew I wanted BC after my name. I also knew that I would pass-gut feeling. I had a job offer yet I did not sign up for AANP. I say take the AANC for the fun of it and come back to tell me how it went.

With my current schedule above, I can drop my son off to school in the morning and help with homework later in the day.

I'm a new FNP working in primary care. Schedule: Mon-fri, 2 days in a week: 11-7, the other 3 days: 9-5. I also work 1 Saturday/month 1/2 day(will work 1/2 day any day of the week on the day I work the Saturday). I'm hoping for a 4 day, 10 hour shift with no weekend coverage.

Don't accept the job. That salary is way too low. Keep looking.

Congratulations Kmkm. I passed the ANCC back in March. I sat at the computer for about 5 minutes holding my breath and waiting to see either pass/fail on the screen. Finally I walked out the testing area and the proctor handed me a piece of paper with a smile on his face saying congratulations you passed! I was overjoyed.

Don't be disheartened. Start studying all over again. I passed ANCC first try in March. I took online Fitzgerald. The course helped me with test taking strategies and what to expect on the exam. Case scenarios were presented for the most part of the exam. You need to know skin rashes well and drug of choice. You need to know how to treat htn, dm, lipid disorders. What needs an urgent referral? Leik helped me focus on the other basics I should know before taking the exam. Lastly, I reviewed my bates book-the newest edition has more upto date information in a table format differentiating and comparing different diseases. Good luck. Pray.

Thanks brainstorming RN, I will look up the resources you provided. I do have another Lange book for primary care which I'm using for reference. The more resources I have the better.

True talk. Time is precious, once lost can never be recovered. I'm doing the hard job close to home and I feel very much alive. I used to do the long commute for the easy job and was always very bored wondering what else is out there.

Thanks for taking the time to provide these tips. It all ties in well with what I learned in school and quite applicable to my current patient population. My collaborating is currently on vacation. I hope she'll be more supportive when she returns. In the meantime I'll do my home work and gather as much resources on my fingertips. I agree browsing through uptodate is very time consuming when you have other patients waiting. But I do use it as a reference. Currently I see about 6 patients/day. They allotted 1 hour for each patient until I get used to the computer system. This is the time for me to do my own research. I'm determined to stay at this clinic and excel in primary care.

Thanks Dranger, I look this up as well. Thanks for your help.