What they DON'T tell you in RN/NP School | Nocturnal Nurse Practitioner | HP NP
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- Опубліковано 12 вер 2024
- What they DON'T tell you in RN/NP School | Nocturnal Nurse Practitioner.
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I felt this part of the health care world needs to be told. It gets hard and ugly sometimes. I know RNs who went out into the workforce not knowing what to expect who quickly quit and changed their career. I do not want this to be you. Know it gets busy, hard, overwhelming, exhausting at times; but push through and remember why you choose this career!!
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Girl yes! I'm a new NP waiting on credentialing, so in the meantime I am still working at my RN job as a House Supervisor. I literally had one of those crazy nights last Friday. So as soon as I enter my office, my work phone is going crazy. I have an upset nurse, an inappropriate patient on a unit who I take to and stay with during CT (then I end up assisting the nurse by being 1:1 with him so she can pass meds and assess other pts) but in the meantime, I have other units that I have not rounded on that are having issues as well. Units that are SHORT staffed by 2 nurses, working with weaker nurses (that have been nurses a long time and should be strong) is frustrating because I feel like I have to micromanage them to try to prevent any problems, Super sick patients, dementia patients not staying in bed, OD patients that are climbing the walls (police/security called), a 2 HOUR code blue, only to return to check on the original patient who has declined significantly in my absence (the doctor nor I received a call). So the patient ends up in ICU as well. We are admitting like crazy and our on call staff nurse doesn't answer the phone so we are holding patients in the ER for a few hours until dayshift arrives....The night continued like that.
When it is time to get off, I have staff complaining needing more help, I am shifting house staff around to help, the next ER shift coming on call me about a critical patient enroute via ems and they are short staffed to start and they have 4 other critical patients in the ER already, helicopters not flying due to weather...so I help them for 2 hours after my shift is suppose to end.
So no it definitely isn't pretty all of the time, but we as nurses need to be prepared as you can. Take additional classes to increase your knowledge base (even if the employer isn't paying). You are doing this for you and your future patients. So HP NP yes we have those nights. I hope your next two are better. I work this Thursday night...so let's pray it will be a good night for us both!!! -Shauna
You are doing G.d’s work - people at their most vulnerable and you are there - it’s a beautiful thing. Very few people can do your job - hats off to you...
Thank you for your honesty.
I love your honesty here. It helps so much to work with a supportive team. Working as an RN- when I've got those crazy days, I need a team that I can laugh a little with them :)
thanks for your honesty
Thanks for being so honest, I'm still contemplating on taking a hospitalist job
I’m with u girl! I’m on phones tonight taking Nurse calls. I literally had 3 patients in atrial fib w/ RVR in the 140-150’s that I had to manage over the phone at the same time (cuz pager and phones don’t stop)! This was just a portion of the approximate 80-90 calls I took tonight 🤪
I just started my first NP position in hospital medicine and I’m struggling everyday… it’s so hard and it doesn’t seem like I’m catching on to it 😑
how are you doing now? I’m hoping everything is working out! 💕🙏🏾
I like it
What do you think about Psychiatric Nurse Practitioner? This is the only NP I'm interested in becoming and will be working in psych as a new grad.
Golden Ma I’m actually thinking about going back and getting my post master in psych.. psych NPs on high demand right now.. one of my good friend is PMHNP and she loves it. And pays well!!
@@NPHPlife oh yes. Even though its high demanding and pays well, for a person who's empatheic and haven't learned to separate themselves from clients and work (like me), it can be very taxing mentally but I couldn't see myself doing anything else with a career. Good luck!
Oh, with that being said.. you definitely need to figure out how you will be able to manage that while working in health care, that’s the one reason I couldn’t and will not work with kids. I knew that going in, which helped. I recommend you working hard or figure out ways to be able to separate yourself .. anywhere you work in health care. but especially with psych they tell you the deepest, painful things you couldn’t even imagine then going through that you as a provider will have to sit and listen, diagnose and treat. And move on to the 10 patient your seeing that day, with out it getting you off tract mentally.
@@NPHPlife Yes ma'am. I work there as a CNA and it will amaze you what a patient, who can't sleep, will tell you at 2 AM in the morning but sadly the Psych NP we had talked to them maybe 10-15 minutes and only did medicine management 😪. To be 100% truthful the nurses and CNAs were the most therapeutic. Hopefully there aren't many like that Psych NP.
You are amazing and honest