To Blog or Not to Blog–New NP on the Block
For the past days, and weeks actually, I have been attempting to formulate an appropriate method for expressing/discussing my professional progression. This is under the shadow of bloggers being fired from their jobs, and the yet to be seen, backlash of medical/nursing bloggers discussing patient interactions and scenarios.
My desire to discuss my professional niche stems from the fairly unique situation I have found myself in.
Five months ago I was hired as a Nurse Practitioner by a Level I trauma center in the middle part of the country. Although they mentioned that this was a new roll for the area I was hired into, and a fairly new role for the institution, they failed to mention that I was the first in-patient NP for adults hired by the hospital. The few other NPs that exist either work in the NICU or are outside employees. That clarification was made during my first week of work.
Here is the breakdown:
â€¢ I am employed by the hospital and have a nursing director who is my direct supervisor.
â€¢ I work mainly on an Ortho-Trauma medical/surgical floor and am being paid out of this floorâ€™s budget.
â€¢ This floor is mainly designated as the orthopaedic unit for the hospital and is transitioning from more of a routine ortho floor (ie: total joints, etc.) to a floor serving the ortho-trauma patient. The total joint surgeries have (mostly) been moved to another hospital in the health system.
â€¢ I am assigned to work with â€œonlyâ€ the patients designated as â€œortho/traumaâ€ patients.
â€¢ There are four ortho/trauma physicians who are part of an outside orthopaedic practice.
â€¢ These four ortho/trauma docs are my medical supervision.
â€¢ On month three of my employment the second NP for ortho/trauma began the orientation process.
â€¢ Currently we have no orientation documents, no approved job description, no collaborative agreement and no prescriptive agreement.
I am quite literally starting from scratch.
Last week I called my friend from school and expressed my complete and utter gratitude, for the ACNP program I graduated from (go Quakers!). I should be a recruiter for the nursing program at UPenn. More on this later.
The faculty from Penn would be shocked to follow this fairy tale (or nightmare—yet to be determined). I had no intention of being a trailblazer when I finished school. I wasnâ€™t even certain I would be using my NP license. Now, I am in the middle of dealing with lawyers, Michigan Public Health Code, and hospital administration on a level I never would have seen myself at. I was ready for a job working 12 hour shifts and enjoying my off days with a sunny day and a martini. Now I am considering my PhD because I am seeing the future of my career gaining momentum that I never believedâ€¦while enjoying my martinis.
My vision for this collection of thoughts? A journal of sorts documenting the progress of a very new Nurse Practitioner creating a role in a hospital that was not ready for a Nurse Practitioner, and definitely not prepared for me.
They didnâ€™t know what they were getting when they hired me.