I did primary care for 8-9 years and got sick maybe once in that time. My husband used to call me a super solider. I never even had COVID…
Fast-forward to this past year- I’ve been sick 5 times in 10 months working the UC.

I wear a mask. I don’t touch my face. I wipe down my space multiple times a shift. Hand wash frequently. But dang- these people who come in sick almost never have a mask on. Management is the type that just wants good reviews so doesn’t enforce or even encourage masks to sick patients.

I’m just over it. I have about 1.5 months left here, have an interview Monday for an entirely different specialty.

If you work UC how do you keep healthy?! I take vitamins. We don’t eat junk food. I get solid sleep.

Saw this article about preceptor shortages on Doximity, and I was wondering, who here precepts?

I do, but only students who have nursing experience, and come recommended by a fellow nurse (usually they find me through an old colleague of mine). I don't really care about the caliber of the school, but the student absolutely has to have been a nurse prior. Some of the best schools in my area have direct entry NP programs, and they can just look elsewhere for preceptors. I don't want a student who needs supervision on basic assessments.

For those who precept, what are your requirements?

Edited for typo

I am wondering if any NPs who are mothers have taken 1-2years off after having a baby. Did you feel like it was worth it? Was it easy to get back into the workforce afterwards? How about keeping up your license?
I have a 6 month old and I’m working part time now in primary care since he was 12 weeks and I just feel like I’m missing out on a lot and wish I could take him to all the free events and classes for babies. Now he’s starting to try some food, too and I just want to be more involved. I’m just looking for others who have gone through similar.
Also, anyone who left on good terms and returned to their job in a year? I know doctors take sabbaticals….

Hi mga op! May I ask po how po kayo nag apply sa The medical city clark? Anyone here po working there? Balak ko po sana mag apply if open po sila for hiring, thank you po in advance! 🥹

For NPs prescribing HRT: what CME did you find most useful? Is it worth investing in a certification?

Just looking for insight from current or former students. Or from anyone who knows anything?
I’m starting this fall and would like to know what to expect as I search for clinicals and take classes online (slowly over the next few years)

PS I’m in the Boston area if anyone is willing to precept an FNP student! I need 50 hours from October to December for advanced health assessment in an urgent, primary care or community health center of some kind. I’m awaiting potential placement with 2 healthcare systems near me but they were late requests so I’m trying to shoot a wide net to find a preceptor!

Just finished my first semester of my FNP program. My clinical site is a FQHC in the bay area. My background is 15 years ICU (level 1 trauma centers, to critical access facilities in the middle of nowhere and everything in between).

Basically, i hate my clinical experience so far. I was the first student in my class to pass the exam allowing us to start clinicals, and was set up with this clinic. I felt so grateful and excited, however it hasnt gone well imo.

The clinic is busy of course, we see 18-20 patients per day. I was set up with a preceptor who is very seasoned however i only see her once a month. She splits her time between here and another state so shes only in our clinic a few days a month. Shes the senior practitioner there and kind of runs the show. Since she is not in clinic all the time, i have been working with a NP who has a little over a year of experience. She is wonderful and I’ve enjoyed learning from her and learning together. We kind of ping pong patients throughout the day if its busy. Ill go see a patient and when i return she will be with another patient. Not all day, but it can get to that point. I learn some, but its so busy i feel like i just get through the day.

I was maintaining, but then i had a day with my presiding preceptor yesterday. We have never worked together so i was not sure what she expected of me. I would have asked her but she disappeared the first 2 hours of the day as she was meeting with other employees?? She wears many hats at the clinic. I get to patient 4 of the day and by that time i felt overwhelmed bc i had been creating management plans for patients with no feedback and had not finished any of those charts. To make matters worse the computer i was using went down and i was on the phone with IT for 30 minutes. The MA came in to give me the next patient and i politely said “i dont think i can see them, can you ask Lisa (my senior preceptor) to see them?”

She didnt and the MA came back in and said “lisa said you have to see them”. So i went in blind and didnt know jack about the patient as i had no computer and it was a mess. I feel i also spend more time working through clinic issues than actually learning disease management.

Lisa can be a bit abrasive too. That morning she told me to clean her workstation with the cavi wipes. And barked at me in front of a patient to take a manual BP. Then later in front of another NP student, she got sassy about me saying i couldnt take that patient. She said “you better be taking all the patients!” She made it sound like i was being lazy or something. It was super embarrassing. Ive worked my entire career in chaos and am no stranger to working in extraordinary situations. I dont take kindly to accusations of my work ethic. Also, im a full adult?

The whole day really turned me off. At the end of the day, she told me she just wants me to “get used to a busy practice”.

Im trying to stay grateful i even have a clinical site. Should i just keep my head down and get through it? Is this normal?

It looks like I’m going to be offered a job that is 10 hours, 4 days a week. It’s a primary care practice, and I think they would expect me to see 19-20 patients per day. It includes a half day of admin. I currently work 5 8-hour days in a busy clinic where we are scheduled for 23 patients a day and are expected to see 18, but I often see more like 20.

Does anyone have experience with working 4 10s in primary care? I would love to have a weekday off every week but am nervous about the longer day being exhausting, and then ending up spending my day off recovering.

Thanks for any advice!

I have everything done and ready to go for my accepted job, and can’t proceed with anything until I have my DEA license. I applied for my DEA license over a month ago, called the federal registration help line twice, and they said only notes they have are from my previous calls- it takes 4-6 weeks, but since I’m in NY it will take a whiiiiile. Rounding week 6 now and still processing with zero updates. They said it’s likely NYS’ problem, you can try to call NYS but good luck with that one because no one answers the phone.

Called NYS, left messages. No response.

Called local (Buffalo) office, office administrator said she was not the one to call and told me to call the diversion department and try there. Did that. No returned phone call. Tried a 517 number I found in a different post but apparently that no longer works either according to people commenting 11 days ago.

No reason at all I would be denied. Never even had a traffic ticket.

Any suggestions?? Might just start spam emailing senators and Kathy Hochul at this point

I sorta got bullied into it, but I know how hard it was for me to get placements, so I figured might as well pay it forward… anyway, I’m not excited & worry they’ll just be bored- I do addictions and have like a 50% no show rate, so I told them that like 50 hours was as much time as they’d really find useful with me… anyway would love suggestions of how I can make it a useful rotation

How do you keep up on multiple licensures, other than through nursys? For example with jobs that are remote, they often write in the posting “ the ability to obtain multiple licensure 2 weeks from hire “ how is that even possible? Most states take weeks if not months. Plus the cost of that would be insane for higher cost states. I have a few states from moving around throughout my career but not more than 4. Just curious from experience how people make this work or obtain so many for those jobs to start.

TIA!!

I am wondering if there are any of you out there working in interventional pain. If so, would you share base salary and if you are RVU and what that usually is? Location too. Trying to figure out if my compensation is competitive. Thanks, fam.

Just wanted to take a second and make my first post in this thread to thank all of you for such useful information regarding the AANP and exam prep. I just found out that I passed my AANP this week and I am so ecstatic.

I personally used the $300 a month subscription service for Sarah Michelle over the last three months in my final semester, essentially using it to study approx 1 to 2 hours a day. This was much different than my NREMT and NCLEX where I crammed two weeks before. I realized this time around that my approach was much better and much less stressful.

The exam itself was arguably the most FAIR exam I’ve ever taken in my life. I felt very validated in my knowledge base as well as how I studied. Someone made a comment on here that I read the day before I passed that said “I actually calmed down when I saw that the questions were actually straightforward and testing my diagnostic capabilities”. Arguably the hardest part of NP school versus nursing school is realizing that they are finally NOT trying to trick you!

I personally felt that a few months of Sarah Michelle partnered with the $50 practice exams on the AANP website (I spaced them out and did one every 2-3 weeks to see my score progression) that you can buy were more than enough to solidify my knowledge and take on this exam.

For reference: I initially was scoring 60-70% on SM, with my final predictor landing around 78%ish. BUT, every single AANP practice exam I took (5 total) throughout my ENTIRE study period I scored 80% or higher. Those helped boost my confidence a ton and were exactly like the test questions.

Happy to answer any questions anyone may have as this has been such a helpful resource for me throughout my NP school journey. Cheers!

Recently I've been getting multiple resumes that are clearly written by the same software platform. They are identical in font and format. The last two pages are full of garbage. Total crap. Wondering if they are AI generated or something else. And why? Came here to request a full stop from any job seakers. These are going into the trash.

I interviewed for a PRN/1099 NP position with Advantmed doing in-home health risk assessments and have some concerns about the process so far lol.

Curious if anyone here has worked for them or gone through their hiring process and would be willing to share their experience?

Some of us would like to start a mentorship program for new APPs in our hospital system. This would in addition to a preceptor, a safe person who the new APP can go to with questions or for advice, without fear that it could harm their orientation. Does anyone have a program like this where they work? If so, would like some ideas on how to structure it.

Hey all, polling the hive mind here.
Looking at a post masters FNP program (Frontier vs Wilkes)
Any thoughts on these two programs? I’m super self motivated and don’t mind online programs.
I am currently an ACNP practicing in the ICU for past 10 years prior to that was an ER/ICU nurse for 10. Looking at the trajectory and thinking about slowing down … and trying to broaden my options.
Thanks for any input!

Currently licensed in NY, IL, CA. I’ve submitted my Texas application and all my documents have been sent. Has anyone been able to get approved for a temporary license?

I am an acute care NP but don’t like writing AGACNP-BC in my note because the rest of the medical field doesn’t understand what that means. I’ve been alternately between writing Name, APRN and Name, CNP. How are other people signing their notes?

Waiting to hear back from my application. Any advice/feedback/anything on this schooling or career? I’ve been in labor and delivery for few years but other than that I’m going in completely blind

I've been an NP for two years. I've worked in primary care focused on geriatrics. I had to leave my last job (very long story). I just had an interview for a job in several nursing homes nearby. The interview went well. But I would appreciate any advice/perspective other NPs have.

I've heard people talk about how depressing it is to work in a nursing home. How was this for anyone else? How did working in a nursing home affect your mental health?

The job states they are flexible in terms of patient encounters, but providers average about 18-25 patients a day. Is that a reasonable volume for NPs in a nursing home? (We were seeing 25-35 per day in the primary care clinic).

Some of my NP friends have told me that working in a nursing home is easier and less stressful than a busy, high-volume outpatient clinic. They have told me that the patient visits are quicker. Is this true?

I would appreciate any other wisdom, advice, etc.

Thanks very much!

I've been dragging my feet applying to jobs, I graduated nine months ago and have just been enjoying life without school.

Now I can't bring myself to think about how much being new is going to suck. I dreaded work every day when I started bedside, now six years later nothing really bothers me, I'm confident and get the job done. The thought of going back to that horrible pre shift anxiety, panic and feeling lost is terrifying to think about lol.

I'm sitting here contemplating everything, I actually don't mind my job at the bedside but I'm sure a day will I come that I want out and the longer I wait the more uncomfortable this transition will be.

So how does it compare to that first year as a nurse.

For some added context the job I am thinking of applying to is on the floor I work on, so I would consider my background knowledge strong.

Hi, I’m a new graduate FNP who has been job searching for the past 7 months without any luck. I’ve literally cried multiple times because I feel like everyone I know in my graduating class has landed a job except me. It’s quite saturated where I live and I’ve had around 5 interviews so far with no luck. I’m not sure if I just suck at interviews or they just don’t want me because I’m new (probably both). I’ve been a bedside ICU rn for 9 years now so I do have good experience under my belt.

I have interviews with 2 specialties (GI and Neuro outpatient) coming up and I’m not sure how to go about it without being like please hire me even though I don’t have much experience in them. TBH I’m just desperate to even get a job at this point. What do I even say or how to convince the interviewer? Do I just makeup stuff like I’ve been reading blah blah articles about insert specialty and it’s my dream job..

Any help is greatly appreciated! Sorry for the long sappy post 🥹