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First Year NP

Getting Into the Groove

Published December 19, 2013 2:32 PM by Katrin Moskowitz

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!


I got to see my first rad of a ruptured diaphragm on a cat (of course) and it was pretty obvious what was wrong. It was a very nice cat, belonging to a wonderful woman who has been a long time client at the clinic so I was very sad to see it but at the same time it was fascinating. She decided not to take her beloved Jasmine to the surgeon for an attempt at repair and allowed her to die with dignity instead at our facility which was probably the right thing to do. But I agree, xrays are usually murky things to decipher!

PS. Yes, I do read your blog and like it very much! :-)

Cynthia, Feline Vet Tech January 25, 2014 8:45 PM
Bantam CT

Check out learningradiology.com

it's free and has helped me quite

a bit. There's is also an assoc book

With the site.

Frank Knabe, PAS2 January 3, 2014 9:00 PM
Chandler AZ

Good idea! I took their in person review. Maybe use my come towards something online%0d%0a

Katrin Moskowitz January 1, 2014 12:28 AM

I am also a first year NP! I started in October and I am also looking for a good course on X-ray interpretation. Fitzgerald has one online I am looking into purchasing that.

Ayo Odior, Family Practice - FNP December 26, 2013 9:23 PM
Chicago IL

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