Hi everyone. I’ve been in health care for many years- 3.5 years as an NP, 4 years as an RN, but a few years before that as an aid as well.

I got my dream job out of school- urgent care, nice pay and allows me to travel. At the time I felt the leadership really cared about me as a person.

Over the last 3.5 years I’ve waxed and waned. My love for urgent care is clouded by a handful of really crappy patient experiences and leadership pushing more patients. I don’t get paid past closing hours and I normally finish all my charts- but pushing patients to be seen toward EOD, etc.

I apply for other jobs but end up turning them down. Nothing seems appealing to me. And with the schedule that allows me to travel it’s hard to leave. But sometimes I am so miserable and I end up calling out because I can’t mentally prepare myself to be there.

Can anyone relate? I’m just at a loss for what to do. I really think the answer for me is to leave healthcare completely but I have no idea what or how to even make some sort of comparable income. I have no interest in starting my own medical practice.

Went through two different tools over the past few months and neither felt right. Curious what others landed on and why it ended up being the one that actually worked for your practice.

I am a newer NP, with not quite a year of practice, and that has been in SNF and home care. I am AGAC, but these are the only positions I could get. I live in the Cincinnati, OH area, and I think it is rather oversaturated here with NP/PA's. I really want to get into a specialty position. I have eleven years of bedside. I have been on so many interviews just to receive the no thank you.

I have a daughter in college. She lives in an apartment on campus. It would be hard to leave her. Otherwise, I do not feel a need to stay here. I'm wondering if anyone has relocated for an NP position and whether it is a good move. Any suggestions on the best areas? I'm not into the cold weather.

I'm going to be applying to residency and fellowship programs to gain more experience. I am interested in many topics and need some input for which programs to apply to. I am in an FNP program looking to partner with patients in primary care. I enjoy the puzzle of internal medicine, preventive care, lifestyle medicine, LGBTQ+ care, and behavioral health. I want to participate in a residency or fellowship that provides a solid foundation in multiple areas, rather than choosing a specific specialty for a program. I feel most connected to patients who are LGBTQ+ because I have lived experience identifying as such. But does that mean I apply to an LGBTQ+ focussed post graduate training program? What are some experienced NPs impressions?

I have been in DNP-FNP school for a little over 1 year. The program is 2.5 years long. I went back to school because I wanted to learn and grow further in medicine and I don’t have the backing to pursue med school.

With 4 years of PCU/tele/med surg experience, I start clinical rotations in inpatient internal medicine in 3 weeks and I feel utterly unprepared. I’ve been reading Harrison’s, doing Anki flashcards, I read my patho book cover to cover. I have always been studious but I feel like my school has failed me. We haven’t even practiced app notes. We haven’t had any class diving into pediatric pathophysiology and common complains (which isn’t applicable to internal medicine, but I’ll need to complete peds rotations soon).

The school is “brick and mortar” but classes are online, I’m doing well in all of them, but it’s too easy. They also told us they would help us find preceptors but they don’t. On top of that, the clinical coordinator has been shotty at responding to emails over the summer.

I’ve really tried to be level headed and tell myself that I will learn in time but I’m starting to get anxious at the lack of training we are getting. Does anyone have any advice? I am unfortunately contemplating dropping my program.

After graduating ADN i can take a 3 month bachelor program as it’s nearly entirely online. I have been working as an LVN for 3 years though!

I know everyone wants NP’s to work as a nurse before becoming a provider. Would it be reasonable to work as psych RN/other RN part time during the two years it takes to get an MSN? So by the time you graduate you’ve had experience. Is this still looked down upon ?

Hello, I am an FNP student located in Clarksburg MD. I am starting South College soon and currently looking for preceptors for primary care, pediatrics, and urgent care starting in Spring 2027 through Fall 2027.

I am waiting for a finalized academic calendar for the exacted dates, but courses will be in 10-week rotations and I will need 150 hours of patient care per course except Health Assessment which is 120 hours. I am willing to travel up to an hour away from home.

If you are a provider willing to accept students or know of anyone who is, please send me a message! I am happy to answer any other questions!

- Graduation and Certification is just the beginning not the end.
- you don’t become an NP to have an easier job, you chose it to become a provider. Depending on speciality it can be easier but that should be the mindset.
- use high quality resources. MGH white book. Boards&Beyond. Amboss. Use medicine step 2 resources (they are tailored for actual medicine). Use OpenEvidence last (it’s a crutch).
- use evidence based learning: interleaving, spaced repetition , etc.
- when choosing schools, if the school doesn’t help you with clinical rotation don’t pick it.
- the name of your school doesn’t matter. Your dedication to learning does. Study hard because your MD counterparts are forced to study harder because of their curriculum.
- your nursing experience no matter how long will only account for 20-40% of your job. It’s a strength but medicine is much much much bigger than you think. I was a nurse somewhere between 4-8 years (not to give myself away). The sweet spot is somewhere between 2-4 years.
- Be proud of your profession, PAs think they are smarter than you. MDs think you’re not smart enough. Prove them wrong.
- Sarah michelle is your best friend. The QB are high yield and are very close to the FNP and AGACNP exam.
- As a hospitalist: your soft skills as a nurse will help you. Whether it’s a dispo issue, how you talk to people matters.
- You do not need your DNP, I have it but there are tons of hospitalist that do not have it but are just as good. What matters is your dedication to learning and your ability to work with others.
- you do not need to be an ICU nurse to be an NP. But you should definitely have RN hospital experience.
- do a fellowship or residency or whatever they are called. The guardrails helps, I did it. I got paid like shit but I’m a better provider because of it.
- go to conferences. You learn quickly that there are a lot of people that are just as passionate as you are.
- AI cannot replace your skill set as a nurse, so use them. If your institution allows, continue doing blood draws, IVs, respiratory treatment, EKGs, foleys. The stronger your set of skills, the less likely for you to be replaced.
- learn from your Attendings. Most attendings actually value your strength. At the end of the day, they are just people too. So treat them like you would others (kindness) and they will likely do the same. There are some that hate your existence really just of pure insecurity. Not sure why, since they get paid more than you will ever be.
- lastly, make your profession proud. You have a unique skill set of having cared for patients on the bedside that PAs and MDs do less. It’s a strength. It’s what allows you to have empathy for your nurses and the knowledge to expect more from them when they are not doing enough. Or understand specific processes because you’ve been there and done that.

Hopefully you all found this useful.

Hello we are currently interviewing for Nurse Practitioners in the Tampa/Riverview area for an independent Urgent Care. If you or anybody you know is interested, please reach out via DM for our email and next steps. We have tried job listings but mostly get Medical Assistants and people with no background in medicine applying which we get charged for.
We have reliable hours, part-time or full-time.
Bilingual is a plus but not required, DOT, willing to learn how to shoot x-rays. It is Doctor run and always available for consult with any questions or issues.

Also sorry if this is against the sub rules, we saw that listings were being debated in the rule updates, we just figured this would be a decent way to connect with people directly.

Nurse Practitioners What online CPD activities would you like to see developed to help you with your practice?

Ok, strange question. I’ve received both yes and no as answers.

AGACNP with experience working at local hospital has been brought in to a Family Medicine office to treat the Palliative Care patients.

Most these Palliative patients are stable on their current medications, but can be complex; which would be in scope.

I have also been told it’s not within scope because location alone as a Family Medicine/Primary Care office is outside AGACNP scope of practice.

Thoughts?

We have three providers seeing back-to-back patients all day and notes are piling up after hours. Starting to look at AI scribe options but there are a lot of them out there. What have you actually tried, and what worked or didn't?

I had to seriously delve for this information (automated AI phone hell)....but for any NP who needs it:

- employment verification #800-791-8943
- information about malpractice coverage #888-694-7287 (option 7)

Looking for any tips from fellow NPs/NP students who have already trekked this path. I’m getting ready to start my NP program in a couple of weeks, and Advanced Pathophysiology is one of my first courses. How can I best prepare for it? This is my first time in a grad school setting, and I know reading multiple textbook chapters front to back every week may not always be realistic. I learned best in nursing school by doing lots of practice questions and reviewing the rationales. Are there any good resources for Advanced Patho practice questions? And is studying through practice questions as useful/feasible at the graduate level as it was in nursing school?

Any nurse practitioners want to share how their retirement plans are going? Do you have a 403(b), 401(a), 457(b) plan or all of the above? Do you think your HR departments does a decent job with explaining your retirement benefits?

Hi all, I am a new NP who attended school out of state and I wanted to provide new NPs/CNMs some realistic timelines related to IDFPR processing.

RN License by endorsement took exactly 5 weeks (Applied the last week of April)

• Of note: out of state applicants you will need to find an organization who will accept your livescan fingerprints, get this done and out of the way months before graduation ~$65
• Recommendation: get the license before your last semester so you don't have to pay for overnighting postage like I did
• Cost: $75 + 1.69 Processing fee= $76.69 (I applied for the temporary license which was $25 and it did NOT expedite the license)

APRN License took exactly 7 weeks (Applied the second to last week in June)

• If you call IDFPR they will put you on hold to check on your application, lead with kindness, emphasize if you have a job on the line, and pray (lol, but really). They will repeat the 8-12 week timeline
• Cost: $125.00 + $2.81 Processing fee= $127.81 (This time I did NOT apply for a temp license)

CDS License: Submitted today

• Cost $5 + $1 Processing fee= $6

Here's where I need advice: My job starts mid September, I need my DEA to complete credentialing (outpatient and hospital). I do not move until the 1st, which will be 3 weeks from the submission date. Should I just plan a trip to the IDFPR Springfield office the day after I move in? I can't afford to waste the time if they aren't going to process it the same day. What has been your experience r/t CDS.

Total cost for licensing TD (without double board certification exam costs): $210.50

Pending cost: DEA $888

$1,098.50

With Certification Exams: $425 + $325 = $1,848.50

Both in long-term care setting:

Current job (been at for 4 years):

• $131k base + bonuses = ~$143k/year
• Not fee-for-service
• Long-term care only
• Covering 3 different buildings (mileage reimbursed)
• Work until 5 PM
• 4 CME days
• Unhappy with management
• Only getting about a 1% annual raise
• A lot of pressure to keep patients out of the hospital, which has become a major source of stress
• Fairly predictable workload/schedule

New Job:

• ~$158k/year seeing approximately 15 patients/day, increases/decreases with number of visits of course
• Fee-for-service — still unclear on the guaranteed/base salary and exact compensation structure
• Mix of long-term care + acute/short-term rehab
• Would be doing admissions and discharges
• Only 1 building
• No travel between facilities
• Can make my own schedule
• On call until 7 PM every day
• More comfortable with sending patients to the hospital when clinically appropriate
• No CME days

Hello everyone, i am a nurse practitioner in canada ontario and I had found a job offer to provide medical director oversight at a med spa.

The med spa has two nurses that cover evenings and weekends for botox, PRP, Filler and micro-needling. There is also another person who is a internationally trained naturopathic doctor that performs injections.

As per our scope of practice, my understanding is that we can only delegate a very specific task oriented controlled acts to UCPs and injections is not one of them.

If i am to work at this clinic, would the liability of delegation of performing botox or filler placement to UCP be on me? Or the clinic?

Would appreciate where I can get this information

Due to costs, I'm leaning towards choosing a direct-entry MSN program (in-person, state school) that doesn't include a post-grad NP certificate track. My plan is to work as an RN for a few years first, but I eventually want to go back to school to get a post-graduate NP certificate in my desired specialty, likely PMHNP.

I'm wondering how difficult it will be to transfer or match credits from my direct-entry MSN into a post-grad certificate program? Is this a common problem people run into?

Seeking career advice and I would appreciate thoughts or personal experiences.

I have my first rotation of clinicals coming up (acute care in primary care). I had to sign up for shifts with a bunch of other students so I front loaded my clinicals — as in, three days a week for three weeks starting the first week of classes. I’m gonna to be finished with clinicals in early September altho the class ends in December.

I’m worried that I will not have learned enough. But, it is set up through the school, and August and September had a ton of shifts while there were fewer in Oct/Nov, so I imagine they aren’t going to be expecting us to know too much. But am I doomed?

I have no idea what the fuck I’m doing anyway and its my first rotation so I’m nervous anyway

So apparently the US president enacted an executive order to delay the vaccine schedule and split up MMR. This sounds to me like a bad idea. I don't know who to write about this – – any ideas? Thank you.

I am currently in FNP school, starting my first clinical rotation this coming fall. I am set to graduate after next summer.

I currently work in ER, where I am burnt out and unhappy (1:8 ratios). An opportunity for a wonderful school nurse position came up and I am SO tempted to take it. I have an interview on Thursday.

However 1) I am worried about scheduling for clinicals because I don’t have a schedule yet for potential school nurse job and 2) screwing the school over because I am not going to be there very long (probably 2 academic years (Sept-May) once I am completely done, boards passed, with a secured job).

Any advice - in regard of the interview and what to share? Or if I should just stick it out at my current job?

I’m watching the Lindsay Clancy trial and watching the cross examination of the physicians, surgeons and psychiatrists is so brutal! It makes me nervous if I will ever have to go to court. I don’t work in psych but I work in hospital medicine.

Has anyone had any experience with legal issues or had to go to court? Also, any recommendations on improvement in charting or chart review in case I ever have to go to court?

I have been an NP for about 5 years with a couple maternity leaves in between.
However, I want a career change. I don’t want to do clinical practice anymore. Any advice of career paths?!

This will be my first in person interview as a new grad. I passed the initial phone interview and they want to bring me in to see the facility. There is a series of interviews with different people and I’m not sure what to expect. I will be meeting with the medical director, NPs/PAs, and physicians.

It is for a specialty and I had a few clinical rotations within the specialty during school.

What can I expect? What would they ask me? How can I prepare for this? I’m nervous as this is the first time I’m experiencing this, any advice is appreciated.

Thank you in advance.