Does anyone have this kind of setup currently? Got a job offer in another state where 50% of RVU earnings goes to supervising doc every 6 months. In my current role I receive 100%, which seems more reasonable as I am doing the work independently.

I can’t seem to wrap my head around the thought of splitting 50/50.

Thoughts?

Been doing research on what to suggest for infant patients. It seems from what I’m reading on professional resources that it’s successful. Roughly 92% success to prevent hospitalization. I haven’t read many significant side effects. I’m a relatively new clinician and I haven’t seen how successful it’s been in real life with my own patients. What have you all seen and experienced? Good for all or only for those are higher risk?

Does anyone have resources to learn about the different combined oral contraception options? I often find myself at a loss on which are better for certain complaints (break through bleeding, mood changes,etc) if I’m starting a new RX, I usually just start sprintec. Any advice, tips or tricks are appreciated

Hi All! I am an NP with 3 years experience in primary care, and as an RN I solely did community health/primary care and no work inpatient.

I am moving, and applying to new jobs. I mostly enjoy primary care and all applications/interviews so far are still in this setting. However I am considering applying for cardiology NP roles as well, as I am really invested in preventative care and interested in VADs and HF management. It appears to be at least 3-6 months training at the location I’m applying for, and includes both inpatient and outpatient work. I know it’s a steep learning curve but wondering if you think it would be unsafe/unwise to practice in this setting without inpatient experience or focused management of cardiac disease as an RN?

I have a baby in a sleep regression and naps are wildly unpredictable right now; any insight on a work from home job that I could like sign in to, and then sign out? I don’t even know if something like that exists but I figured I’d ask around!

Any NPs out there have two supervising physicians ? I am working with two physicians who manage their patients very differently. I had not heard of this setup before and was wondering if it is common.

Long story short, I was in and out of my local MedExpress a couple times, without a conclusive answer as to what was going on with me. I'd went back again but this time the nurse practitioner that saw me ordered an x-ray and saw I had a ton of pleural effusion around my lung. She referred me to the ER for a CT scan, and they found a mass in my chest. While I was in the hospital, she called me directly for an update and wanted to see how I was doing. I'm still waiting on the biopsy (looking like Hodgkin Lymphoma), but I would like to get her a gift basket as a thank you for very likely saving my life. Still trying to decide on when I actually want to give the basket, maybe after I get my diagnosis confirmed.

Does anyone here have some ideas on what I could include in a "thank you" gift basket? I figure I'd also call ahead to make sure it's ok with the office policies.

Edit: thank you everyone. I was able to leave feedback about my visit and called out her name multiple times. Hopefully that's helpful, and still plan to give some sort of small gift/card.

Hey all, I'm wondering if NPs here have experience or know about being "medical directors" or "healthcare administrators" for estheticians who want to provide more services like chemical peels, microneedling, etc? I love mine and she used to work at a very well respected dermatology office and she has great experience with the more medical grade procedures. She used to be able to perform then because she was under a supervising provider but she branched off and opened her own business/spa and is limited because she is not a nurse or provider, but rather has her AP (advanced esthetician) license. We have a great relationship and she asked if I would be her medical director so that she could order the peels and what not she wants to do because with her AP she's unable to and would need a provider to do that. I've heard of NPs being medical directors for things like this but wanted to know more of the ins and outs/how to protect myself if I do decide to collaborate with her, thank you in advance!

AACN ACNPC-AG Exam Score

I just past my boards but was curious what people commonly scored.

I was looking online but can’t find any data on what the average test taker scores. I know to pass it’s 101/150 questions plus the 25 that are not scored. I can also see the first time passing rate is around 80% in

Is anyone open to sharing their results? Also why does credentialing takes 3 months? Seems a little long.

My mom was fired from a hospital as an RN almost 10 years ago (reason was her being hard of hearing and not being able to hear the call bells consistently/adequately). She is now an NP and is worried the same hospital will deny her privileges there. Is this something to worry about?

Hello, I asked on my state NP group and noone answered. NPs doing locum tenems work - do you refile your CDS and DEA for each new position? I don’t want to lose either if I don’t work for a few weeks. Ideally I don’t want my home address for public information posted. Thanks!

Has anyone participated in a VA Residency? If so, where was it, what did you like best, worst, how was the pay, and anything you can add that would benefit the discussion. Thank you!

Anyone work for any of these big companies? are they terrible to work for? will you lose your license lol? idk if i feel comfortable prescribing testosterone so i probably wouldn’t want to do that but GLP-1s are fine. i do that in my current primary care role although it’s strictly for people who are obese and/or diabetic really thinking about a applying to one just to be able to ask questions but would love to talk to someone with experience

Hi everyone! I’m starting a new position as a primary care provider with the VA. While I have 16 years of nursing experience, I’m aware that transitioning to an NP role in primary care brings unique challenges, especially within the VA system.

For those who have worked as NPs at the VA or in a similar primary care setting, I’d appreciate any advice you can offer. Specifically, I’m interested in:

•Common challenges for new NPs in the VA system and strategies for overcoming them.
•Key resources or tools you’ve found helpful for patient management within the VA.
•Tips for building rapport and trust with veteran patients.
•Strategies for staying organized and efficient with VA documentation and charting.

Thank you in advance for any guidance you can share!

Anyone negotiate unpaid time off in your contract? I think I may get a new job and just go .8 FTE or 1.0FTE if they let me do 4 10s. but either way I need more time off. idc if it’s unpaid. either .8 or 1.0 FTE i still want some paid time off, current job isn’t so bad. I accrue about 14hrs the 1st of every month, started accruing as soon as i was hired. I get 3 CME days per calendar year, and they don’t make it difficult at all to use. and i get 1 “personal holiday” per calendar year. this is not working for me lol. my partner and i want to take vacations. nothing crazy just like 1 week here and there, but i have to plan so far out in advance because i only get less than 2 days off per month. i was really sick a few weeks ago so i caved and actually took a day off which i never do lol because i don’t want to “waste” my PTO lol but i needed it. anyway i’m thinking about asking in my one year review for a few weeks of unpaid time off. i enjoy the place but i may apply to other places. i don’t use any benefits as far as insurance, all of that is through my partners employer. I may go part time at a new place or this place idk. either way idk if employers part time would give me unpaid time off for vacations lol. i’m literally talking about like 1 week every 3-4 months on average. i don’t have kids, barely have bills because i worked through school so i wouldn’t have much debt. no car payment. we save a ton. i want to actually enjoy my life while i’m young and able. feels like i can’t. i’m finally getting a tooth removed in a few weeks so that’s another 1-2 days of PTO lol. i like my job but it sucks i can’t take time off. i mean i basically get 21 days of PTO per year plus the 3 CME days and a personal holiday but it’s all accrued so they basically want me to NOT take anytime off for 6 months then i can barely take a week off every few months. idk i might be forced to just work part time so annoying

Hey team!

We get a lot of questions about selecting a program, what its like to be an NP, how to balance school and work, etc. Because of that, we have a repeating thread every two weeks.

​

ALL questions pertaining to anything pre-licensure need to go in this thread. You may also have good luck using the search function to see if your question has been asked before.

I’m so close to finishing school and after consulting this forum on what a good transition for someone with my background I’ve concluded I want to go IR.

Does anyone have any advice on how to break into that department ?

Hey all,

Are any of you guys working in a university setting and contributing to research in someway or another?

A friend of mine told me an about a possible job opportunity at a large university hospital system in their ED, she has been there since we graduated. I was curious, if any of you work in this setting and have done research in some capacity. I’ve always been interested in the research side of medicine and think it would be very cool to practice and contribute to on-going research, just not sure if that’s more of an MD thing primarily. Thanks!

So I recently had a meeting with my bosses after being recruited to work elsewhere. That position is not going to work out, but we got to have a good discussion on changes that would help with my satisfaction in the office.

One thing I brought up is that they expect me to have the same RVUs and performance as a physician. Quality should be the same, yes. But I am seeing more than the MDs. And I am offering to schedule their follow ups onto me if it helps with access to the physicians. One thing we decided on was giving me some admin time which was never allowed, maybe splitting my time at a sister office closer to my house, and more opportunities for me to meet with the other regional NPs as I am the only NP in an office of physicians.

My question here is- what are some things that you like in your practice that seems to help with your satisfaction? Whether it be them building in admin time, do you take new patients or only see established? Have you ever asked to change something in your work environment that has worked out really well? I guess I am asking because I’m not used to being asked what I want and it being something I can actually change haha.

Hi,

I am a new grad Acute Care NP who accepted my first NP job a few weeks ago. I had to move state post-graduation due to family reasons. So I had zero professional connections locally. I wanted to post some job hunting tips that have helped me to launch my first job as new grad completely new to the area.

First, apply as many jobs as you can

Look through major healthcare systems and job portals such as Indeed. And apply as many as you can.

Second, talk to the recruiters.

If one recruiter calls you for phone screening regarding one job, ask him/her if he/she knows any other new grad friendly jobs in the system that he/she works. Most recruiters are willing to help. In addition, they also have wonderful insight if some positions that "requires experience" on the website are actually open to new grads. Also, ask if you could be considered for one more than one position at the same time. Most larger systems are happy to consider you for multiple positions at the same time while some smaller facilities will only consider you for one job at a time.

Third, you may lose the job to someone with experience or someone without experience but has better connection with the hiring team, but you can still get a job! Just stay positive and hang in there :)

I was interviewed for Position A at a hospital. After several rounds of interviews, the hiring team called me said they would give Position A to their student who they created the position for. However, they invited me to interview for Position B in a sister department before they started calling people in for Position B. Thus, I was offered Position B fortunately.

Hope these help!

Hello, after graduation 3.5 years ago, I continued working as a RN since it paid much more than the NP positions I was offered. However, I finally received a specialty role offer and am now looking ahead to next October's renewal. I did not work as NP during the last 3.5/4 years, but this role is full time and more so I will easily meet the 1000 hrs required for work. The CME's are what I am concerned about at this time.

Would I be able to log any of my CE's earned as a RN toward this upcoming NP renewal? Sure, lots of them clearly don't apply but some like drug diversion, human trafficking, etc are still applicable toward APN role. I obtained a transcript of these CE's earned during my RN role from my employer and it is missing the accrediting organization info that the AANP requires.

The AANP stated in my email request that they cannot approve or disapprove any CE's at this time... leaving me wondering why someone would potentially wait until after their renewal application was submitted to then be told "sorry these won't cut it"...

I am likely going to get the Fitzgerald package and do a bunch of CE's on there, but since I have 57 hours of CE via nursing, I wanted to try and apply some of these, but I've run into some walls along the way.

Any idea?

Hi! I am one week away from taking the ANCC and my anxiety is KILLING me! I NEED to pass this exam! I went to University of Miami where I feel they prepared me well., I went through the Live Barkley Course and then went through all 347 pages of the review book again on my own. I also bought the Sarah Michelle Crash Course and I am doing that. I also got the Uworld questions and and practicing. I am scoring in the high 60's, and some 70-80's. I fear it is not enough. I also have been studying every day but just don't feel prepared... I guess you never do?! I have waves of confidence and then nervousness/anxiety. To anybody who has taken the ANCC, thoughts?!?!? How did you study and how do you compare it to the study tools? Ugh at this point it's too late to change my test date - just reaching out for words of encouragement and maybe some people to share their experiences that will ease my anxiety. Thanks!

I'd love to hear about people's experience working for hims/hers. What are the pros, cons? How did you land the job? Which states were you licensed in, etc....

This is more so for private practice for controlled meds e-prescribe tools costs more and I don’t plan to use them that often. Is there a limitation on how many RXs you can prescribe?

Hello! I have a potential job offer to work alongside a chiropractor, massage therapists, and a nutrition consultant. Basically, I would be providing primary care that is patient driven and open to complementary and alternative medical practices. Does anyone in this forum practice in a chiropractic office? What has been your experience? Thanks in advance for your feedback!

I work in long-term care, and I’ve been an NP for about two months now so I’m very new. When I was being trained a little over a month ago, my Preceptor and I ordered temporary fingersticks on a patient whose glucose came back at 40 on their BMP, the patient admittedly wasn’t eating very much(she was refusing to), was very ill, etc. but we wanted to show that we were performing an intervention for a glucose that low. Especially because the state was closely watching my building at the time. We also ordered a glucagon emergency kit, bedtime snack, etc. The unit manager, who is almost as new to the role as I was to my role at the time, visibly didn’t love the finger stick orders, but said nothing. An hour later, she comes back and states that the orders have been canceled and discontinued, and that the attending physician for that patient wants us to run all orders by him first. She said this nicely and reassured us that she wasn’t trying to be rude. I immediately texted the physician and explained the rationale behind the order, and asked if he had a better alternative I could consider, and he didn’t answer. I knew deep down, that the nurses didn’t want to do finger sticks, and the attending didn’t want to be called about low results if the patient wasn’t eating. then I learned a couple of weeks later from the DON, ADON & other unit managers that this attending physician and this nurse have an intimate relationship(the attending is 60s and has a girlfriend that he lives with, so him and this 30 year old nurse are essentially having an affair). She has been known to sometimes overstep, and watch this physician’s patients like a hawk, reporting any new order made on his patients by another provider to him. Okay, whatever. None of my business. My preceptor reported her to the DON for the finger stick thing, and she was reprimanded.

Today, I have a nurse come up to me, telling me that this unit manager, who is not on duty today and was NOT in the building, asked her to tell me to see a new admission for that same physician, because he wouldn’t be able to make it in tonight. This physician has my phone number, and I text him almost every day. Very confused and annoyed that I couldn’t be directly contacted that it is instead of coming from a nurse, who was told by another nurse. A couple of hours later, a different unit manager asks me if I know the best way to get in touch with this physician, as she sometimes needs him to put in orders at night (I don’t take call so I can’t and won’t put in orders after hours). Another staff member overhears this, discourages me from giving out this physician’s phone number, and says “you should maybe text [insert unit manager’s name whom is sleeping with that doctor] for orders”.

The DON has been made aware of both instances. She definitely finds it “gross”, she’s definitely reprimanded her in the past, but otherwise hasn’t put a huge stop to this behavior.

What do you all think? I informed my boss (I’m a contracted NP), and she basically advised me to duck my head and stated that she doesn’t want the nurses to have a vendetta against me. I’m really annoyed with a RN essentially getting to act as a provider just because she sleeps with the attending?

I'm currently halfway through my PNP-PC program, and my goal is to work in DBP. Any recommendations on what path to take to get there? I've tried looking for job listings in this field to see what to look for, but most of the listings are for pediatricians. I also would like to complete a fellowship/residency in the field because I feel like it would be beneficial. I'm thinking about completing a psych NP certificate as well in order to be better suited for the behavioral portion.

Is anyone here working in the DBP field? If so, can you share what you do and how you got there? Any tips as far as helpful CEUs or classes?

Sorry for the repost; my first post got buried :(

Hi, friends! I was wondering if any of you are from Minnesota, specifically Duluth area, and happen to want to share what you were initially offered for a new position as a family NP/what are you getting paid now. I recently received an offer in the 90k for a 0.8 position as a new grad with 7 years RN experience. I'm hoping to counter offer, but not sure where to start! Any insight would be helpful! Thank you! :)

Just out of curiousity, How long into your jobs do you ask for a raise? For reference I work for a retail clinic that is a few years old.