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Soon to be NP. Nervous.

anh06005 specializes in Cardiac, Home Health, Primary Care.

I graduate in just a few weeks with my FNP. Not sure yet where I'll wind up but I am feeling very nervous about the change in role (RN to NP).

I know this is normal and all but just wondering if any other soon to be's feel the same, any tips from experienced NP's, etc.

I've seen plenty of threads about exams but not many about the actual role change. Thanks!!

BostonFNP, APRN

Specializes in Adult Internal Medicine.

The role change is a little more drastic than the role change between student RN and RN.

Remember it's ok to ask for support/help.

It's okay to over-refer if needed. Read the referral notes and start to understand the diagnosis and treatment.

If you think about ordering something, do it.

Schedule close follow ups.

Remember at the end of the day the most important job is discerning normal from abnormal.

Sent from my iPhone.

It's a big change! My best advice is to keep reading. Go over your notes from school or from your review course. I still listen to the review cds in my car. I also keep journals in my bathroom. Seek out a first job that offers you support. You will have a lot of questions, so don't be afraid to ask them. I totally agree with BostonFNP's recommendations.

BCgradnurse, MSN, RN, NP

Specializes in allergy and asthma, urgent care.

I would be concerned if you weren't nervous. I remember feeling like a total imposter when I graduated. It took a while to gain confidence in myself. When job hunting, look for a supportive environment where you will have adequate orientation and ongoing support. Don't be afraid to ask questions.

I think you're right on track......

anh06005, MSN, APRN, NP

Specializes in Cardiac, Home Health, Primary Care.

One of my concerns is about over ordering tests or referring for a stupid reason. But, yes, it is better to send them than not and I know experience helps cut down on that!!

And one of the criteria for where I want to work is to have experienced people around me. I don't want to be in a rural clinic by myself as a newbie :|

STILL THE NERVES. I just started feeling comfortable as a RN not too awfully long ago and now I'll be back at square one lol.

BostonFNP, APRN

Specializes in Adult Internal Medicine.

One of my concerns is about over ordering tests or referring for a stupid reason. But, yes, it is better to send them than not and I know experience helps cut down on that!!

And one of the criteria for where I want to work is to have experienced people around me. I don't want to be in a rural clinic by myself as a newbie :|

STILL THE NERVES. I just started feeling comfortable as a RN not too awfully long ago and now I'll be back at square one lol.

Ordering too many tests is not an issue. Better to order and get negatives to confirm than miss. You will quickly adjust.

You absolutely need support. Other NPs is a huge plus.

Sent from my iPhone.

I will mirror the previous posts. I would much rather a new NP be nervous than overconfident. In my opinion the most important aspect in a new position is a good orientation and mentor-ship with your supervising MD or an experienced peer. Ask questions and read as much as you can. You may want to consider using some of your CME money for a subscription to a clinical resource like uptodate. I did not take a review class when I graduated but took one last year for CME hours. I found that it was a great clinical practice review.

As the other posters have mentioned, don't be afraid to refer and order tests when needed.

anh06005, MSN, APRN, NP

Specializes in Cardiac, Home Health, Primary Care.

Well I bought Holliers review cd's and was thinking is sell them as soon as I passed the exam but yall bring up good points. Maybe I'll keep them a while!

Already learned something!!

BostonFNP, APRN

Specializes in Adult Internal Medicine.

Invest in UpToDate before you graduate with two year sub then have your new employer pay for it.

Sent from my iPhone.

I'm right there with you anh06005 I feel the same way.

traumaRUs, MSN, APRN, CNS

Specializes in Nephrology, Cardiology, ER, ICU.

Audio digest is a great resource and source of CME. Look for a practice where you click with one or more if the other APRNS or PAs. I was fortunate to get a great job right out of school but it was in a specialty practice where I knew nothing! I was fortunate to have a great orientation and to this day, over 8 yrs later, we are a close knit group and we frequently bounce stuff off of each other.

ghillbert, MSN, NP

Specializes in CTICU.

Join your local NP group also for networking and mentoring!

anh06005, MSN, APRN, NP

Specializes in Cardiac, Home Health, Primary Care.

I'm right there with you anh06005 I feel the same way.

I knew there were others!! I'm not the most social person unless I'm in the nurse role so I don't small talk with many of my classmates.

I'm a few weeks on a new Lexapro prescription from the nerves and stress and may ask for propranolol for test day lol.

I'm usually someone who can take stress pretty well. Really I am. I think it's that this is my ultimate goal in my career and I don't know what job I will have yet (and I'm a HUGE planner....so not being able to PLAN really gets to me)....so figure I'll give the Lexapro a year or two lol.

i also have Holliers review cd's and scheduled a course in December. have u taken your boards yet? just wondering if I am wasting my time with the review course after listening to the cd's. if you have taken it, did Hollier's material help?

Jackie

honeykrown, MSN, NP

Specializes in family practice.

Anh06005, I feel the same way. I am a new NP just 5weeks in my position. What everyone said here is so true, I still feel like I don't know anything and I second guess myself a lot. Right now I have very supportive coworkers and bosses.

One of my supervisor said the most dangerous provider is one who does not ask and feel they know all. So take this into practice. It is better to ask than not ask at all. I have another NP who we are close and I ask questions all the time. If we both don't know we ask the MD.

Our company lost UTD and micromedex and I find myself using medscape a lot (it's free and they divide the sections easily). Not as informative as UTD but good for easy read up.

All the best to you and know that you are prepared for this. Everyone I meet said you will learn a lot in your first year than you did in school. So that first year may be the roughest

Follow your gut instinct when it comes to diagnoses and ruling out the abnormal. Your a nurse first and let that be your foundation. Order what is necessary and prescribe what the patient needs. If ever in doubt seek out a differential. There is nothing wrong with consulting with your MD.

Oh and congratulations on this huge accomplishment! I hope to be in your shoes in three years!

anh06005, MSN, APRN, NP

Specializes in Cardiac, Home Health, Primary Care.

i also have Holliers review cd's and scheduled a course in December. have u taken your boards yet? just wondering if I am wasting my time with the review course after listening to the cd's. if you have taken it, did Hollier's material help?

Jackie

I haven't taken them yet!! I hope too before Christmas so I can relax. I graduate in 3 weeks and hope to take boards the week after since I've already applied.

I've stalked these boards a lot and everyone seems to think Hollier helps. I do know that I'm making a lot more connections with her help. I'm on my 2nd listen with the CD's and plan to focus on those and Leik's book these last few weeks.

Hope we all pass!!!

anh06005, MSN, APRN, NP

Specializes in Cardiac, Home Health, Primary Care.

Anh06005, I feel the same way. I am a new NP just 5weeks in my position. What everyone said here is so true, I still feel like I don't know anything and I second guess myself a lot. Right now I have very supportive coworkers and bosses.

One of my supervisor said the most dangerous provider is one who does not ask and feel they know all. So take this into practice. It is better to ask than not ask at all. I have another NP who we are close and I ask questions all the time. If we both don't know we ask the MD.

Our company lost UTD and micromedex and I find myself using medscape a lot (it's free and they divide the sections easily). Not as informative as UTD but good for easy read up.

All the best to you and know that you are prepared for this. Everyone I meet said you will learn a lot in your first year than you did in school. So that first year may be the roughest

I've heard the first year is roughest too. I know it was when I graduated and became a RN so I figure NP will be the same. I think it's that I'll have more responsibility and make a lot more calls!! And I won't accept a position where I'm not working with someone experienced lol. I won't feel safe doing that

Do you recommend new NPs do a fellowship after NP school to ease transition into a provider role?

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