[NPInfo] New grad dilemma

grbly876 at yahoo.com grbly876 at yahoo.com
Sat Aug 2 18:44:14 PDT 2008


I am a new FNP grad, actively interviewing. Hadn’t practiced clinically in 13 yrs until the recent rotations. Prior to that was in ICU/ER, a CCRN. Am now 50, finished PhD 5 years ago. Tuesday passed my boards, suddenly two agencies want an answer.
 
Need flexibility. Will be teaching in my nsg school, considering a career there, but can't teach NP courses without experience. Commitment is 1 class/week, other part of that day will be doing physicals for foster children. The rest of the week, have 4 options:
 
1. Nsg school above- clinicals in hospitals, sporadically 7 -14 weeks at a time, would make nsg school happy, pay isn't great. If commit to one/two of the others below, could end up working spurts of 7 days a week. 
 
2. NP-run nursing home agency 2 days/wk at one home; could be 3 days by adding 2 other homes. Pay ~ $41/hr in billable units- must see approx 16 people for 8 hrs of pay (behavioral health visits can be faster). If not enough acute problems, need to case find- bimonthly physicals etc. They want me to sign. Have shadowed, meeting administrator and DNS this week. Seems ok- pleasant, decent pay, mild pressure, geriatric experience. 
 
3. Famous retail clinic- interviewed this week, wanted me to sign then. $45/hr with 2-12 hr shifts, 1 weekend/mo. All grads must orient before Oct/flu season. Anticipate a good deal of down time, could work on student papers etc. Very seductive, good pay, low professional interaction. Wonder would I lose knowledge fresh from school that wasn’t in their scope.
 
4.  Specialty clinic in a famous pedi hospital. They need research background and interest in alternative medicine, I have both. Two APRNs, several MDs, seems stimulating. Interview in 10 days, unknown when would hear back. Pay grade for NPs here is $65-105,000 range. Would be inpatient/outpatient experience, but more demanding, no adults, no downtime.
 
Would appreciate your collective wisdom- what would be the best factors to consider for a first experience. How is future marketability once no longer new grad. Would working in a retail clinic be considered good experience for urgent/primary care later on?  How much longer should put nsg home and clinic off before I lose my edge? 
 
Thanks, 
Gail


      


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