surprise, all of my licenses arrived the Friday before my projected start date
of November 11. Here is an updated timeline of all of my paperwork endeavors:
09/24 Passed school's comprehensive
exam and officially graduated
09/25 Passed boards
10/11 Submitted Ct license
application and hospital credentialing packet
10/30 Received Ct APRN license,
applied for Ct Controlled Drug License and NPI number
11/2 Approved for Ct Controlled Drug
License, Applied for DEA license
11/7 NPI number received
11/8 DEA license received in mail
Unfortunately, I was informed that
my employer had not received back my malpractice certificate. Therefore I would
not be able to start on Monday. I was assured that it would be "soon", but no
definitive date could be given.
To say that I was disappointed was a
true understatement. I had to take a different approach and just believe that
it would all happen when it was the right time. The call to start came Tuesday
afternoon while I was busying myself with household tasks. I was to report to
human resources in the morning and start my official journey.
Day 1: I spent
my morning taking care of the business portion of employment. I received my
badge, filled out my direct deposit forms and then went on for some computer
training. Lastly I met the vice president of the hospital to talk about my new
membership as part of the medical staff. I then headed over to my group's
administrative office and completed fire and OSHA training.
After lunch I was able to head over
to the urgent care clinic and meet the staff and tour the facility. The staff
was very warm and welcoming and my primary preceptor was eager to show me the
ways of the computer system.
Day 2: "Time to
see some patients" is the greeting I received when I walked into the door
Thursday morning. I was ready, or was I? I started nice and slow. The hardest
part for me was navigating a new computer system. I am technically savvy, but I
felt clumsy and unorganized in my charting.
My mind also was stuck in clinical
mode. I felt the need to report back on each patient that I saw. My preceptor
reminded me "you are the practitioner now." Oh yeah! I am! It all really did
not sink in until I had to handwrite out a prescription, with my name and my
signature. "That's right, I am allowed to do this now!"
It has been difficult to shift my
mindset and understand my new role, and I am sure that overtime this will
improve and hopefully with it will come a bit more confidence. Later in the
afternoon I was also able to meet the other new provider who is a new graduate physician
assistant. I knew that we would be orienting together and I was selfishly glad
that I would have someone to talk to during this time who knew and could relate
to the difficulties I was having.
Day 3: More
computer training. Very helpful to become familiar with the program that will
help you through the busy times! In the afternoon I spent more time at urgent
care meeting new practitioners, a drug rep and receiving my official schedule.
I have a set date of independence of Christmas Day. What a present that will
be! Trying to learn the lay of the land, one patient at a time, but also tying
in all of this to find that inner NP that is waiting to burst out of her seams!