Getting Into the Groove
The last month has been a whirlwind. Each and every shift
has provided me the opportunity to put my didactic lessons into play.
Delegating has made my life easier and knowing what everyone in the office can
and cannot do is immensely helpful.
The patient population has been good. Most patients are
receptive and willing to listen to what you have to say. That is not to say
that there are not those who you know will be non-compliant with your plan of
care (and those who will tell you that outright).
In this setting we are afforded the ability to see patients
for a recheck or call them on the phone for follow up and it is always
reassuring to hear that patients are feeling better. There is definite
appreciation to hear your practitioner's voice on the phone telling you that
your labs are negative or positive or just saying "How are you feeling!" My
preceptor in primary care made it a point to talk to her patients and return
phone calls and I know that this was part of why patients loved her and felt
connected with her as a practitioner.
While my transition has been going smoothly there are still
areas that need continual development. My greatest challenge right now is x-ray
interpretation. Granted, if there are obvious fractures I feel great and
confident, however chest x-rays are still my downfall. They all seem to look
the same. I am in search of a good website or book that will help me see the
normal norms compared to mildly abnormal and then obvious abnormals. If you
have one, please comment!
Procedures come and go on a daily basis. I have completed my
first major I&D and although not my favorite compared to suturing, it is
oddly satisfying to clear them all out of their purulence.
The largest thing that I have had to get used to is the fact
that I have so many days off! Years of working 68 hours a week, while going to
school full time was something that I was used to. Now that I only work 7 days
out of my 14 day template, it is odd to actually have days off to do things.
I have started thinking about returning to school for my
DNP. There have been a lot of discussions in regards to the transition and the
requirement of NPs to receive their DNP. For me, it was always a desire to
continue on; the question remained as to when I would go back.
My school offered a direct entry into their DNP program for
current students but I felt I wanted to get a little time under my belt before
I jumped in. Plus I was starting to resent writing papers and reading books so
I needed an educational hiatus. Next fall however, I feel that I am destined to
get back to school. My husband always joked that I would become an MD but I
know that a doctorate prepared NP will be the life for me!