The unexpected downside to being an NP
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- čas přidán 17. 02. 2022
- Y'all know I love this profession and think it's a great path to pursue. But there are some negatives that come with this job - with any job really. So in this video I share the top downsides that you need to consider before making any big career decisions.
These are the cons that you never really hear about.
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As an NP with 18 years of experience, I can tell you all of these things are true! I would also add, if you decide to work in a private practice, AVOID ones where the doctor's SPOUSE is the office manager! MDs love to do this, because it keeps all the money and control of the practice in their hands, and makes them "above reproach" since your HR director shares a bed with them! Have a problem with the MD? No recourse but to quit. Have a problem with the office manager? No recourse but to quit. I actually had one OM accuse me of having an affair with her husband because we got along so well - but you have to work closely in that environment! Just SAY NO if you find a job situation like this.
Wow! I’ve heard rumblings of things like this before. Office politics are so dramatic! Thank you for sharing and for your advice!
I am a FNP and have been for 27 years. I've done infertility, internal medicine, urgent care, palliative care, geriatrics, pharmaceutical research, gyn, student health and now do locums, it has been easy to find jobs. I've done locums only for 7 years and take every summer off. I like being independent. Currently, I'm deciding between 2 jobs offering $85 and $90 per hour. I've never had a problem with Physicians, they have all been respectful and available, with the exception of 2 or 3 in all that time, and, I hate to say it, but they were less confident and skilled and were probably threatened. When I left bedside nursing all those years ago, I had a shift in the stepdown unit where I had 13, yes, 13 patients that I was responsible for on an evening shift, but not all at the same time. It was like Grand Central station with all the coming and going from ICU, CCU to us, and us to and from the floors. I left and thought, "I will never step foot in a hospital again", and I didn't. I kept thinking of the amount of money it would take to make me. I kept going up and up. $200/hr? Nope, $300? Nope. I finally reached $350.hour. As obviously no one would pay me that, that was my last shift. It was a good choice for me
THIS IS SO ENCOURAGING!!! THANK YOU
Good for you! You were never meant to be a beside nurse---not in the way that hospitals have treated RNs in the last 30 or so years. Some bedside nurses love to boast about what a great job it is, but most know better. I watch the videos that some of them post on CZcams, and, in many cases, it is disheartening to see some of the attitudes and lies about what bedside nursing is really like. Lots of youngsters believe the lies and decide to go to nursing school...only to get frustrated and quit the profession less than a year or two later.
if you take pride in yourself and your work there is no way all that running up and down with 13 patients per shift would ever be satisfying for you. I'm happy for you that you made your way out of that mess. The only people who win in situations such as those are the greedy 'suits' who run the hospitals.
I was on the edge of burning out as a bedside nurse until I moved SoCal. I get breaks and if I don't on some day, I get compensated for it. I know this scenario is rare. I wish we all can stand up to the unfair treatment hospitals put us through. What does it take you think?
❤❤❤❤❤❤❤51 and heading back for NP. I needed to read this . Thank you🙏.
The down side….charts, charts, charts…. No freedom after work…charts waiting, no off weekends….charts waiting….it never ends. I want to work at Marshalls stocking shelves.
Charting is pretty bad.
@@BreeJuskowiak 💯
I applied for a cake decorating position at Sams
I’m considering a career change as a yoga instructor. Money is not worth it anymore. Charts are never ending!
I don’t want my freedom taken away
Thank you for being honest about some of the downsides of becoming an NP
There are an abundance of PMHNP jobs in Maine... a ton! I'm an FNP going to school to get my PMHNP certification. Mostly for job security.
nurses like you ruin psych nursing...people with mental health issues need someone who will advocate for them and care about them...treating people with mental health issues can be exhaustin...they don't need someone like you who's there for selfish reasons
FNP student. Love this. Thank you!
Thank you for this accurate depiction, great video! You are a very well-spoken individual.
Thank you kindly!
You have wonderful outstanding communication skills.
Awe, what a lovely thing to say! Thank you!
Love your home
Glad it was helpful!
Job options: this is why I chose a Dual Role ACNP/FNP program and I'm now board certified in both specialties. Much broader scope of practice. I thoroughly enjoy my role as a hospitalist NP
How long is the program?
@@XmXm999 3 years
@@kcoble70 I will aim to start the program with 1 year of RN experience then. With 3 year program, that’s 4-5 years of RN role.
@@XmXm999 keep in mind that you need at least 1 year of critical care or ER experience to get accepted into the program. So if you may have to work as an RN for a bit longer as most hospitals won't place you in those roles as a new RN
@@kcoble70 I’m starting an ER position :) good to hear thank you
I’d like to be more optimistic and while there are lots of challenges with RN to NP transition and finding the right job, at the end of the day , if you are really motivated- you can master the interview and find the job that’s well compensated and fits well you life style !
Agree!!
Greetings, I am a PMHNP Student. Thank you for sharing.
Thank you!!
You're welcome!
This video needs to be shown to everyone before they are allowed to apply to NP school! Awesome job thank you so much for making this video. I say people should shadow shadow shadow also before NP school or even nursing school. I love that some high schools around where I live have high school shadowing opportunities with healthcare providers - such a great thing!
Yes! Informed decision making is the only way to do it!
Well said, coming from a nurse 👏
Very true. I find myself fraternizing with my old bedside nursing friends than NPs because you don't have many in any institution.
Thank you So much. I am starting NP school this fall and having second thoughts if i should proceed. I don't want to be stress. My kids are young / elementary school. I am comfortable but would like to be a NP. I don't want to regret it.
So many things to weigh. It’s hard. Best wishes!!
I have a five year old. Started NP school when she was 2.5. Graduated when she was 4.5. She soon turned five and I got a job (starting soon). Honestly looking back I would wait but I have a wild family schedule...my husband works very odd hours...I plan my schedule around his. I have daycare and also nannies for when he's working (which is nearly all the time so basically any day I work). I think for some families it works great. For me personally it was easier to schedule RN shifts with my PRN job according to my own family's needs. As a NP in my new role I will have much less flexibility. Thankfully my kiddo will start kindergarten in about 5 months and then we can drop the daycare costs and just pay nannies on evenings the days I work.
I don't want to defer you from your own dream/desires/priorities! Looking back I think for me personally, waiting until she was 12ish would have been better. But there is no turning back now, I'm vested and want to put all my hard work to use!
I am also a AGACNP so there are not as many "9-5" jobs as say there are for FNP's - jobs that are 9-5 without early mornings/late evenings/overnights/weekends and work easier with school/daycare jobs.
the lone APP scenario is real, missing your crew of nurse buddies, cutting-up and having a good laugh like you said the "buffer" of nurse colleagues and shared work load
It’s a definite down side. Things are less jovial in the doctor world
Good video
I used to live in Miami and It's oversaturated with NP's. I had one client who's fiance couldn't find a job for yr as an NP.
😢
💯. The job market in Miami is horrible. I'm dual certified with 6 years of experience and having a hard time.
@@lazarogafas7399 Wow! Have you tried applying out of state?
@carebear6650 I mean, I have a job now working as a family NP. However, if I lose this job, I'm screwed. I initially moved to Orlando when I first became an NP to get experience. My son and wife have a life here with school and work. Leaving or moving to another state wouldn't be a solution for me.
This was so informative. Why don't they tell you this stuff in NP school?
The very jaded side of me says because it would cost them money. Gotta be able to sell your services.
@@BreeJuskowiakit’s not the jaded side of you, that’s the correct answer. The source of problems in both NP and nursing school is the schools themselves and their outdated curriculums
I rarely leave comments, but you hit the nail on the head. I'm dual certified as Family and Psych NP, and the job market where I live in Miami is horrendous. I actually have my own practice, which is another topic for discussion as I have been trying to get into big insurance panels for years without success. Big insurance block and limit NPs into getting inside. I'm having to do a cash practice due to this instead of taking insurance as other providers do like MDs. I'm completely autonomous as an NP, and maybe insurances don't like that. I know many of them want a medical director to be an MD. However, that increases overhead tremendously. It's just depressing the whole situation. I recently graduated PMHNP, and most about 80 percent of classmates are working as RN and have never worked as NP.
Guess you will have to move from South Beach? :/
I’m trying to go to Np school. This is useful info. I want to have my own practice in a state that allows it and have a med spa then I make my own job! Until I’ll just find something… also I see some people use their RN license instead of the NP one if they don’t like their job 🤔
Thats such a beautiful house..
Awe, thanks so much!
@@BreeJuskowiak I'm currently taking primary care 1 and while its SO MUCH fun learning about the treatment aspect, as we are now putting all the things we've learned in patho, pharm, health assessment and differential diagnoses, here...I just don't have enough time to study....at least to the amount I want to...and In some areas I am just breezing through...and I don't want that for myself, as all this information will be useful to me one day...i see it as a disservice to myself and the patients ill see...but after 2-3 days of work and 3 days of clinicals...i only have 2-3 hours each night and one full day to study...I'm starting to feel so fatigued...and I feel at the age of 31 I'm missing out on so many things in life....any advice will do...sorry that just took a turn into the abyss real quick! lol. its information overload...and I'm an ace student....but I don't feel that way during clinicals...
Can a family nurse practitioner work in both primary and acute care settings?
Technically no. You are trained and certified one or the other. Based on the LACE consensus model. Having said that, I’ve talked to enough FNPs who are working in acute roles to be realistic. In critical access areas: Midwest, remote, small hospitals there is such a lack of providers they’ll take and train whoever they can get. Do I think it’s right or ideal, no. But that’s reality.
@@BreeJuskowiakretired NP here. I disagree. FNPs can work in any setting. Of course you can additionally certify in any specialty you are interested in. I never had any trouble getting jobs. Got along well with doctors and other NPs and nurses.
Is it a job with a lot of responsibility? Of course. If you want someone to make all your decisions for you, stay at the bedside and take orders.
Based on the LACE concensus model which has been adopted by many state BON this is no longer true. My state is one of those. FNPs are no longer working in the hospital (unless they are fast track in the ED).
gcuaprn.enpnetwork.com/nurse-practitioner-news/87571--important-changes-to-licensure-for-fnps-working-in-acute-care-
Now, there was a position statement from our BON in 2015 stating that FNPs currently working in acute roles can essentially be "grandfathered in." s3.amazonaws.com/enp-network-assets/production/attachments/52431/original/FNPs_acute_BON.pdf?2015
However what I have seen in reality is that most hospital systems force them to go back for a post cert. In our region, you can't even apply for an inpatient role with FNP. So for a new grad (in Ga. at least) it is not wise to assume that you can work inpatient with a FNP certification. From what I hear from clients all over the US this does not hold true in the midwest or critical access areas.
NPs are still nurses BTW
NP can work as RN so NP has the all the Rn jobs available as well
Not necessarily true. Many places won’t hire NPs as bedside if they have been out of this profession too long. Ex. During covid I could not get several different agencies to hire me as bedside locums since no bedside for about 4 years.
Don’t judge the book by its cover. Mindlessly thinking that nurses can upgrade their status as a doctor with NP title and earn greater income might be just an illusion.
This is not an accurate video at all. Much of the information in it is simply false and derogatory regarding the profession. Go find a working professional in the field who knows what they are talking about. As far as this NP? She has been an NP for five years, in one site, in an acute care setting. With experience she will learn there is a really, really big world out there for FNPs. Further, she practices in GA - one of the most restrictive states in the country so she has very limited knowledge of the vast opportunities there are for NPs in all specialties. Finally, the salary/pay scale for NPs has never been better and if travel is your wish, as a travel NP you will earn a very high salary, far more than our RN colleagues. Again, please don't consider to the opinion of a fairly new grad who practices in one state out of the entire country with the highest number of unnecessarily restrictive practice regulations. As an NP grad of over 30 years in an autonomous state, my life has never been better, I love my profession, and I am so glad I made the choices I made.
Hey Joslin, thx for feeling comfortable enough to present an opposing view, I appreciate the conversation and balance. I do want to respond to a few comments however to clarify. Yes I work in a very restrictive region, which I talk about openly in all my content. I also talk with ~ 40 NP clients from around the country a year in regards to career trajectory and interview/job attainment many of whom are FNPs. I review many jobs with pay and work structure insight so I know a fair amount about different ways of practicing and different pay scales from across the US. I also have worked in more than one place as an NP. I also am very active on ~ 10 different NP sites/forums and am in touch with many schools/students. All that to show how I keep current with national trends. So I believe I represent the majority in my statements regarding autonomy and pay. Also - this video was recorded during a time in which RNs were making 150/hr even in restricted Ga. I see about 40 NP contracts a year so I know what the going rate is in many different regions. My insight into national average for NP salaries is not limited in any way. Not many people have direct views of 40 NP contracts a year. Lastly, I hope you didn’t gloss over the portion of the video where I state how much I value and love this profession and was hesitant to even record it, because unlike many in our profession I still see it as a wonderful career path. Being that I was getting a lot of requests for this type of content I felt it relevant to discuss the cons. Nothing in life is all good, but informed decision making sets up realistic expectations.