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  • Learning the System as a Corrections NP

    I have been a new NP officially for 2 months, and while I find working in corrections very rewarding, of course, where would I be if there were not challenges? Working with the generic formulary (comparable to the Wal-Mart, Target's list) has been very helpful in continuity of care. Education is huge, and I enjoy doing it -- most of these ...
    Posted to New NP (Weblog) on March 16, 2010
  • Tough Job Market for New Grad NPs

    I'm not going to lie to you, it's a tough market for new grads this year. I don't take any pleasure in telling you this, so please don't shoot the messenger. Why are new grads having a tougher time finding work? It's a combination of several factors that are creating the perfect storm. One is that many experienced NPs are either losing their ...
    Posted to NP Career Coach (Weblog) on March 11, 2010
  • Reversing Course

    I have been increasingly frustrated with my position and the company I work for. I was hired as a part-time PNP, but I have been unable to build a practice due to inconsistency in my hours and the days I work. There has been a lot of pressure to increase my numbers, but the company isn't doing their part to support me in this. One example: They ...
    Posted to New NP (Weblog) on March 1, 2010
  • Settling Into the Corrections Setting

    I have been at my new job for a month, and things are going very well. No big surprises, I have a lot to learn! I feel my program prepared me adequately, but I feel I need a refresher now that I am in the thick of things and making the decisions. I live in my epocrates program, and I surround myself with books -- pocket versions and textbooks to ...
    Posted to New NP (Weblog) on February 15, 2010
  • Letting Go of Paper

    Letting go of paper has been hard. Really hard. In our office we are implementing EMR, and although there are features of it that I absolutely love - like sending prescriptions electronically instead of having to write them - there are things that have been hard for me. I was thinking about why letting go of the chart has been so stressful. I ...
    Posted to New NP (Weblog) on February 9, 2010
  • Armchair Quarterback

    So, what is a new nurse practitioner to do, when she doesn't always agree with her collaborating physician? Several times now, this has happened after consulting with him on patient issues that I am not sure how to manage. Most recently was a 9-month-old with resistant otitis media. This child, a new patient to me, has failed three courses of ...
    Posted to New NP (Weblog) on February 1, 2010
  • Dealing With Death of a Patient

    I guess it was inevitable. One of my patients died. Considering the comorbidities that most of my patients have, actually I'm surprised that I didn't encounter a patient death sooner. Nonetheless, the news came like someone throwing water in my face. I had seen her just 2 weeks prior. She had some serious diagnoses, but seemed relatively stable ...
    Posted to New NP (Weblog) on January 28, 2010
  • Are You Job Hunting?

    In addition to a full line of in-person job fairs, did you know that ADVANCE also offers virtual job fairs? Employers in the eastern region will gather on Jan. 26, the central/mountain job fair takes place Jan. 27, and the Pacific region virtual job fair will be held Jan. 28. Virtual job fairs offer many of the same features as in-person job ...
    Posted to ADVANCE Voice: NP (Weblog) on January 20, 2010
  • Staying in the Fight

    Maybe it's just me but, I feel as if I am constantly fighting for something -- fighting for an equitable salary, fighting for efficient working conditions, fighting for a little respect as a provider, fighting to shake the RN role, fighting barriers that have a stranglehold on uninsured patients, fighting for permission to prescribe controlled ...
    Posted to New NP (Weblog) on January 18, 2010
  • First Day at New NP Position

    Normal 0 0 1 218 1244 Villanova University 10 2 1527 10.260 0 0 0 My first day of my new career was very positive. The staff was very warm and welcoming. I heard many times they were glad I was here to assist with the workload of my collaborating physician. ...
    Posted to New NP (Weblog) on January 8, 2010
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