newnp31

I need some serious advice on my current job position. I am a new graduate FNP. I have been at my current job for about 5 months. When I interviewed for the job, I was told the position entitled seeing 15 patients max a day, this included hospital rounding with the MD, rehab patients/ and sometimes office patients. I was also told in the interview process that the hours were somewhat flexible ( I have two small children so this was a bonus for me) that I could round on my patients and take call/chart at office or home. This is not the case since day one. Literally day one I saw patients by myself. I see on average 20 patients in the hospital ( I round with the MD but I do all the charting and take all hospital calls, including ED admissions throughout the day. I then have to round on my rehab patients which is usually around 10-15 patients a day. If we get a new hospital admission during the day ( which we always get at least 1-3) I have to go back to the hospital at the end of the day to see them and dictate the h& p. This is a long process for a new NP, looking at the chart, going over medications and dictating. So needless to say I am usually at the hospital until 630-7 at night everynight. I get to the hospital at 730 am so I can go over patients labs etc. This was not expressed to me in interview either that I would have to stay at office just in case we got hospital admissions and for me to go back to the hospital. I also take call one night a week from the hospital ( which I am usually up all night taking calls) as well as one weekend a month which includes Friday -Monday morning call and having to round at the hospital on those on call weekends and chart etc... I AM ALWAYS WORKING!!! If I had been told all of this before then I would say suck it up but I am seeing 30 patients a day.working 12 hrs a day 5 days a week and taking call. I feel that I am working so warped speed that I am going to make a mistake and put my license at risk. I do like the MD, he is a good teacher and very kind, I have tried telling him I am overwhelmed and this is not what I was told, however it hasnt changed. ... I really want to stick it out for a yr but I am literally sick all the time from the amount of hours and stress. Any advice. Would it ruin me if I left bc of this, is this normal and I should just put my big girl pants on and deal with it? Any advice is much appreciated.

I live in Florida and graduated in May as a FNP. I had a two job offers about two months before I graduated. Norm salary here is about 80k, I live in a small beach town. Jobs are pretty good here.

Today I took the AANP FNP exam for the first time and passed. I used this site daily for encouragement and tips so I thought I would post my experiences and feedback. I studied for appx 5 weeks about 3 hrs a day 5 days a week. I purchased the Barkley CD's and workbook and Lieks book . I also purchased APEA one month access qbank. I found this to be the most helpful with reviewing questions and rationales. It really helped me remember some of the more obscure facts. I completed all the questions in the back of Lieks book. I also purchased several practice exams including the AANP practice exam. I scored a 74% on that and the majority of my practice exams were in the 70's. I did purchase 3 of the DRT Barkley exams and I failed all 3 of them with mid 60s, this was a huge blow to my self esteem and I wish that I had never purchased those. I actually think I spent way too much money on taking practice exams but oh well. All in all the qbank practice questions and Lieks questions were more than enough. I would recommend taking the AANP practice exam since there were a couple questions on my exam that were very similar to those on that practice exam. Now for the exam. Everyone's exam is different so what I got might not be what is on your exam. Some of the topics that I remember being on the exam included croup, vaccination contraindications, medication contraindications, lipid panel and management, atypical pneumonias, cellulitis, PVD, Drawer test/acl, fundus height on ob patient, SLE, arthritis, testicular torsion, back pain and management , there were lots on medications and management. I thought the test was very straight forward and not out to trick you in anyway. I thought it was easier than my practice exams and questions since some of those are more tricky. I am so glad that is over. Now I can relax for a couple weeks and then start my new job =) .