Should I quit if the job doesn't fit??

[RoadRN]

I am miserable at my first FNP job. I've been there 3 months and have absolutely no support, the PA is a jerk and basically wants nothing to do with me, the office manager is a controlling biotch, and there's an MA who is also a total jerk. The problem is is that I work with Medicare patients and there are very few providers that take Medicare (I'm in family practice) in the small town that I live in. I feel like I have an obligation to stick it out for them, no matter how much I hate it (I am the only provider on the family care side, the other providers work on the urgent care side). I'm so torn. Should I stay and suck it up, worry about making mistakes, not having anyone to turn to? Or should I go somewhere else and risk the chance that I might end up in a job that's even worse?? I feel like I haven't even given it much of a chance. Some days I just wish I still worked at my old job as ICU RN

[PG2018]

You have no obligation to Medicare enrollees. Tell the PA to eat a ****.

[sailornurse]

As a new graduate NP you need to be in the supportive environment. Have you looked for any other positions? is the office manager cramming your schedule with these train wrecks on 20 different medications? Are you trying to manage patients that should be followed by three or four different specialists ?

[OCRN3]

I would quit after I had another job on hand. There is nothing wrong with quitting something you don't like! It's your quality of life!!!

[bebbercorn]

I'm generally of the mindset to not quit before a year, however, I recently had the experience of "trying to stick it out...wouldn't want to look like a job hopper!" I realized that I became more miserable, my family felt it, and it made me question if I still loved my specialty. The answer is yes, but I'm moving on from my facility. If they cannot be supportive or at least professional, you are actually doing a disservice to your patients by staying and supporting it. This attitude rubs off, believe it or not!

[RoadRN]

Thank you so much for the feedback. I definitely don't want to look like a job hopper, but the attitudes, lack of support, and not to mention my frayed nerves, have all taken its toll and it's time to move on. I have applied at another facility and I'm waiting to hear back from them. The nice thing is, if I get the job, I'll be working with nurses again, which I sorely miss! I just wanted to pick your brains and see what your thoughts were, I knew I could count on you. I will check back here and let you know how it all ends í ½í¸Š

[Jules A, MSN]

As a new graduate NP you need to be in the supportive environment.

But why? Why shouldn't we come out of school prepared to practice independently to the full scope of our license? Although a supportive environment would be ideal I don't think it should be expected. I have concerns the unreasonable expectations of extended orientations for new NPs hurts our credibility with physicians who expect us to be ready to practice. We have one, not even new just new to our specialty, who calls the physician before ordering a multi vitamin its embarrassing.

To the OP please reconsider accepting poor wages or working conditions due to an obligation to your patients. Very few men or physicians fall into this codependent trap. Make your requirements known before you start a new job and handle your business like what it is, a business.

[SadNP]

Amen, brother.

[lifelearningrn, BSN, RN]

But why? Why shouldn't we come out of school prepared to practice independently to the full scope of our license? Although a supportive environment would be ideal I don't think it should be expected. I have concerns the unreasonable expectations of extended orientations for new NPs hurts our credibility with physicians who expect us to be ready to practice. We have one, not even new just new to our specialty, who calls the physician before ordering a multi vitamin its embarrassing.

To the OP please reconsider accepting poor wages or working conditions due to an obligation to your patients. Very few men or physicians fall into this codependent trap. Make your requirements known before you start a new job and handle your business like what it is, a business.

Doctors don't graduate and go straight into independent practice without orientation... why shouldn't an NP go straight in without support??

[pwetmore]

to me...Life is too short to be miserable. Mean girls...are everywhere esp. in a small setting. Been there done that.

[BCgradnurse, MSN, RN, NP]

Why wouldn't a new grad in any profession want to work in a supportive environment? None of us graduate from school as experts, and it's no shame to admit that. OP, if it's not a good fit, then look elsewhere. But it's also ok to stand up for yourself and tell your nasty co-workers that their behavior is not acceptable. Something tells me they're miserable there and they take it out on the newbie. Or they could just be jerks.

You have no obligation to stay because of the patients. It's not your responsibility to ensure that care is available. That belongs to the higher ups. If they're not committed to running a clinic that is conducive to good practice, that ain't on you.

[Guest343211]

Yes, like at least a good three years or more of FT+ residency, among other graduate education/licensure requirements and supervision--and they can push those weekly hours up to 80/wk, and some specialties opt to do more, b/c they want to be sure they get as many opportunities to be up-to-speed and competent as possible. Just saying. Don't hate on me now.