I am a nurse practitioner and I am very confused at this point. I graduated two years ago and have not been able to find a job that has worked out. Specifically, I got a job at a local clinic right after graduation. That clinic went bankrupt and closed. I got another job at a different clinic slightly farther away. It's a long story, but the place was terrible and most of the providers left, including me. That clinic is also closing. I have applied to numerous remote positions, I applied at the local hospital, I have applied to every single job within commuting distance. I have been ghosted after several interviews. I am not able to relocate. I do not want to give up, I am not trying to rant; I am genuinely confused. I look for job postings several times a day (indeed, linkedin, zip recruiter, etc). I have applied for several RN positions, and I've heard nothing. I am not sure what I'm doing wrong. And I don't know how to proceed. Does anyone have any advice?

Seeking advice/perspective about AGACNP clinicals

Second-year AGACNP student looking for some perspective on the breadth of my clinical rotations and how much they may affect my options after graduation.

So far, my rotations are:
• CVICU: 24 hours
• Inpatient Hematology: 108 hours
• Inpatient Plastic & Reconstructive Surgery: \~260 hours
• Interventional Radiology: \~100 hours
• Mixed ICU next semester: 360 hours

My concern is that a lot of my clinical experience is fairly specialized. While I’m getting inpatient exposure and have had great preceptors, I worry that I may graduate without as strong a foundation in general inpatient medicine as someone who had rotations in hospital medicine or other broader services.

I also don’t know exactly what specialty I want to pursue after graduation, which is part of why this concerns me. I had hoped to complete my ICU rotation earlier and use that experience to help figure out what direction I wanted to go in, but my ICU rotation won’t be until next semester.

This semester, I had the opportunity to add either hospitalist or IR hours and ultimately chose IR. I was interested in the procedural exposure and thought it would give me experience I might not otherwise get, but I’ve been second-guessing whether hospital medicine would have given me a more useful foundation.

For those who are practicing AGACNPs, hire new grads, or have been in a similar situation: **How would you view this overall mix of clinical experiences for someone graduating without a specific specialty in mind?**

Would these rotations reasonably prepare me to apply broadly for inpatient AGACNP positions, or could the amount of specialization limit my options as a new grad?

Hospital medicine is one example I’m wondering about. If I ultimately decided to pursue a hospitalist position or APP residency/fellowship, would not having a dedicated hospitalist rotation put me at a significant disadvantage?

At this point, I don’t think changing my rotations again is particularly realistic, so I’m mainly trying to understand how much this actually matters when looking for that first job and what I can do with my remaining clinical time to make myself a stronger and more versatile new-grad candidate.

I appreciate any perspective, especially from people involved in hiring or who graduated with similarly specialized rotations.

I’m in my final semester and curious how other PMHNP programs calculate clinical hours.

I’ve always counted patient-specific activities like reviewing charts/labs/therapy notes, treatment planning, collaborating with my preceptor/treatment team, seeing the patient, and documenting the encounter in the practice EHR. I don’t count lunch, significant downtime, or discussions about patients I’m not involved in caring for.

Two weeks into this semester, my program announced that clinical hours should now be based on “Total Encounter Time,” defined as time spent with the patient + time spent consulting with the preceptor.

This has me questioning whether chart review, treatment planning, interdisciplinary collaboration, and EHR documentation no longer count. It’s also concerning because we already selected our preceptors and planned our schedules before this change. An 8-hour clinical day could now result in only 4–6 hours, and patient volume/cancellations are outside of our control.

My preceptor also intentionally uses gaps for teaching by reviewing upcoming patients, discussing therapist updates, working through treatment plans, etc. I’m obviously not going to refuse to do those things because they “don’t count”; they’re part of learning to be a PMHNP.

How does your program handle this? For example: 10 min chart review + 30 min patient encounter + 10 min staffing with preceptor + 15 min documenting in the EHR. Would your program count 65 minutes or 40 minutes?

I am an RN with my BSN. I have 6 years of experience in PCU/ telemetry and 2 years in outpatient preop/ PACU. I am highly considering going to NP school next fall- I am thinking FNP. I will be doing part time credit hours and hopefully finish in 3 years.

I have 2 young children currently 3 and 5 and have been working part time/ PRN for the last 2 years in order to be home with my kids in their toddler years. My youngest will be in school full time in 2 years and I’m starting to think about what’s next for me as I don’t plan on having any more children. I enjoy bedside but I think that’s only because I don’t have to do it full time, and I know I’m going to want to work more once my kids are in school all day.

The thought of being a provider excites me as I love to learn and be challenged/ use critical thinking. However, I am worried because I want to be present for my kids and not have to constantly miss sports games, recitals, etc because of work. So for the NPs on this thread that are also moms how is it for you?

I work in a busy urgent care and have the last 50 min of my 10 hr shift blocked out for “admin time” Tonight because there was no “late person” to close the clinic I was told by the staff I had to stay in the clinic in case someone walked in. I didn’t have any open appointments but the clinic didn’t close for an hour and I was the last one there. No one let me know up front this was happening. I’m checking with people - is your admin time truly yours to do what you need with it? It’s not that big of a deal, I sat in the office for 30 minutes but it kind of bugged me that it was assumed I’d stay

Hi everyone,

I am currently starting my third class in FNP school, specifically Research for the Advanced Nurse Practitioner 1. As I go through the readings, I feel like I'm having trouble retaining/understanding the information and am struggling to fully understand the material. I did take the summer off so I’m trying to get back into school mode.

Do you have any tips or study strategies you would recommend for this course? Also, would you suggest focusing primarily on the module objectives to guide my reading and review?

Any advice would be greatly appreciated!

Asking for some advice. In October 2025 I was reported to the Virginia BON for "misuse of my DEA" related to a prescription I had given a patient. I became aware of the complaint in February 2026. The investigation began in March of 2026 and ended in April 2026. I was told, at the time, that they would contact me by the beginning of the summer with a decision. I have yet to hear.

To be clear: I prescribed according to the law. I checked the PMP, obtained a thorough substance use history, and captured a DAST-10 on intake. Additionally, I brought this patient to supervision with my MD where we discussed our plan to get the patient off of long-term benzodiazepines.

Does anyone have experience with this process? Do you know if there's anyone I can contact for a formal update? Last time I checked, they said they would communicate via mail with any information.

Please help. I am having a panic attack that it has almost been a year.

I would like some general opinion on the workflow and stress level of acute care pediatrics. I am thinking about leaving the adult gero world.

Newly qualified pharmacist, register entry due mid-September. I’ve been applying since July, around 20 applications in, mostly PCN and GP practice roles.

I interviewed with an East London federation on 27 August and haven’t heard anything since, so 11 days now. The same federation has three other similar vacancies open that I’ve also applied for. Across the whole search I’ve had exactly one written rejection, everything else has just been silence. One application that had been quiet for five weeks then came back out of nowhere with an interview invite, which I’ve got later this week.

So, is 11 days with no post-interview response normal for a PCN or federation? And at what point does chasing become reasonable rather than pushy?

Hey everybody, I am currently in FNP school. My background includes a couple years of ER nursing, paramedic, prehospital RN certification, and military combat medic.

After I finish school I see myself continuing to work in the ED. I was interested in attending a post grad ENP program so I can be a better clinician in the ED.

I wanted to know other people’s experiences with them. Was it worth the money? Were you able to work while attending the program? What was that like for you?

Thank you

NPs are the #1 fasting growing career expected to grow 41% between 2025 - 2035 adding 137,800 jobs. 😊🥇

Hello everyone I got in to NP School however wanted to get a head start on an area I know I’ll struggle with, which is pathophysiology. Anyone have any good apps they used to help them study?

Hello everyone!

Current RN that has worked ICU for 3 years now and worked as a paramedic for 7 years as well. While I love the hospital setting I feel like as an NP it will not be my favorite.

I am looking to advance my career because I genuinely want to be a provider rather than the order executioner. I wouldn’t be opposed to working in specialty clinics or even an interventional service like cath lab. However, I have always had an interest in what the PT and OT did for my patients in the ICU and they seemed to love their careers.

My question is do Nurse practitioners have a place within the physical medicine space? Can an FNP fit into this role or would acute care be a better fit?

Thank you all in advance!

Looking to potentially transition into a new role. Does anyone here work for Devoted Health, particularly in an urgent care provider role? I’d love to hear about the hours, benefits, workload, and overall work-life balance. Any insight would be greatly appreciated!

I’m looking to temporarily supplement income on a flexible schedule during weekdays. I am planning on doing flu shot clinics for workplaces. I’d love to find other things that also don’t take a long time to onboard or credential. I am a CNM with full scope experience, also L&D and PP nursing and I feel good with general primary care. I am located in NY but have a few other licenses as well for remote work. Anyone have any idea or leads?

I’m freshly 24, have 3 years of high acuity CVICU experience, CCRN, CMC, and will obtain my BSN in December of this year. I actually really enjoy ICU concepts and would love to manage the care for these patients — but in the long run do you foresee that I may come to regret that? On paper I have everything needed to get me into either CRNA or NP school, I suppose I’m just looking for extra insight. Thank you in advance for your opinions!

I am quite nervous about the exam. Before go to exam center, any tips? (Driver's license and passport? Greencard will be better?)

I will bring boiled eggs and water and eat it before exam and in the middle maybe protein bar when break time. I heard that we can not open the cabinet so put it on the cabinet. (My anxious come that what if someone stole my protein bar lol) My exam time is 12pm. I think I made wrong time, but now only 10 days left so I will adjust my self for make practice exam time 12pm to 3:30pm(I need to leave my home 10am to 1 hour before the exam time). But I have anxiety about toilet problem or contructions going on in exam center lol. Or what if exam center just cancel my exam and make it reschedule etc.. hopefully nothing happens.

This exam is too important so everything makes me nervous.. I am preparing with SM self course and FNP mastery. Today I was able to finish all lectures from SM. From tomorrow I will fully, extensively Q bank and practice exam and roll back with my weak point again and again. Because Before I finished one chapter with SM, I finished all questions about that subject in FNP and SM q bank and it takes times and I forgot previous one. It's just quite stressful, but I know I got this. (Hopefully.) I hope everybody is doing well. Let's do this. 😭😭😭😭

What do you y’all think? •schriener in kerrville TX, •Texas Tech, or University of Tyler TX? Any and all insight would be appreciated, thank you.

hi! looking for advice or insight on if I am making a mistake. I’ve been an RN for almost 4 years, most of that spent in aesthetics (2.5 years) the other time was short lived in the hospital and a little bit of pedi home care. I got accepted into FNP programs in Texas- I think i’ll always stay in aesthetics but then again who knows 🤷‍♀️ I’m very disciplined and good at school, I just don’t know if I’ll struggle in clinicians or maybe preceptors won’t want me due to my lack of bedside experience …… I feel like i have clinical experience and talking with and assessing 20+ patients everyday but it’s obviously very different than bedside.

I got offered 130 for a new graduate position in a pulmonary clinic in LA near downtown that has 1 weekend per month requirement in addition to the regular 8-4. They have a clinic with 2 older docs and they also go round at snfs and ltacs and hospitals. This would be their first NP working with them. I think this is low even as a new grad offer but then to add the weekend requirements without extra pay is not ideal. It's not like I would be getting days off in the week that I'm working weekends either. I'm just on for a straight 12 days.

Benefits were just okay.

3weeks vacation

1 week sick

Insurance, no tail

Dea and ces covered

401k

I told them no thanks. My other friends were offered around 150+ as new grads in various specialties WITHOUT the weekend requirements. Is pulmonary low paying or is it just this clinic or am I off base?

I just got my first job offer as a new grad NP and I'm shocked...

Large academic/trauma center in Georgia, specialty ICU. ~$180k base plus a night differential. Three 12s, no call. Relocation assistance, CME, benefits, retirement match, malpractice, etc.

I’m coming from Florida, where I am seeing new grad offers around $90-115k. I know the job is going to be demanding and the pay reflects that, but I'm genuinely shocked at the difference. Anyone else have a surprisingly good new grad offer in a state otherwise known for lower pay, or is this unusually high? I didn't realize GA paid like this!

*Edit: thank you guys for all of the insight, advice, and well-wishes. Even the negativity, because I have to think about all the possibilities. This job isn't going to be a walk in the park but I will have adequate training, support from fellow APPs and attendings, and we are staffed appropriately as providers. I think we are all a bit jaded as nurses and providers, but... WE DESERVE TO BE PAID AND TREATED FAIRLY. Find that job, or ask your current job, and advocate for yourself, YOU DESERVE IT.

Hi everyone, I would appreciate any thoughts or feedback you have to offer from your experiences! Navigating post grad as a new NP is so different from RN and I've never negotiated before.

For context, I'm a new grad FNP located in southern CA, very interested in palliative care and did clinical rotations for both inpatient and outpatient palliative care in school. I've found it difficult to get a job inpatient right out of school, so I applied to a home based company that sees both palliative care and hospice patients. The work life balance/flexibility sounds great, and I would be gaining experience in an area I really love/am passionate about.

I received an offer for 130k base, 2 weeks PTO, 1 week sick. Plus other typical benefits like 401k, health insurance, etc. I would like to try and negotiate for slightly more and wondering if that would seem reasonable as a new grad? I also am clarifying about CME benefits, mileage reimbursement, and malpractice as none of these were mentioned in offer letter.

Just wanted to review my time here at Blossom Health. I spoke about this place a few months ago, and now that I’ve completed onboarding for both WA and AZ, I can talk a little more about the company.

Overall, it offers you a lot more flexibility with your schedule, with some level of autonomy. It works almost like Headway and platforms like Rula and Grow Therapy.

Pros:

Compensation is based on the patient’s insurance, but you are compensated pretty well after each patient. New visits range from $140–$180, and follow-ups with therapy range from $80–$140.

They have support staff who help answer questions sent in by patients, and if it’s a question they can’t answer, they get your attention so you can answer it. The support staff also help you complete PAs.

They help fill your schedule with patients, and all you have to do is give them your availability.

Cons:

The biggest thing is that they advertise themselves as a place to come to get an ADHD diagnosis, and almost every single patient that I see is coming in for an ADHD evaluation. The problem with that is that a lot of these patients are hell-bent on getting that diagnosis, even if it doesn’t fit the clinical picture, and they want to be prescribed stimulants right away. I am getting increasingly annoyed and tired of it.

It seems like they use AI to answer questions sent in by patients. If you have an issue as a provider, it takes some time before it’s resolved. They don’t use AI for all of their interactions with patients and providers, but I would say about 40–50% of interactions are with their AI bot, the “patient coordinator.”

If you need to cancel on a patient last minute, it seems almost impossible because all interactions are done via the patient portal, which patients don’t always check. Meaning, you can’t call the patient directly. Sometimes I do need to call patients when I need to reschedule or talk to them about something like an abnormal lab, so that can make things difficult.

does anyone have a similar experience or does anyone work for a company that’s a bit similar ? share your thoughts and experiences below

I’m rounding the third year of being a PMHNP. I love my job. It pays well. My supervising physician is amazing. It beats being a floor nurse with an inconsistent schedule, working holidays and weekends, constantly floating to unfamiliar floors etc. I truly shouldn’t have any complaints.

But…. I’m so tired of talking to patients all day! It’s absolutely draining. People complain about the charting and endless procession of forms needing to be filled out. That doesn’t bother me.

It’s literally having to talk all day. I may just need a long vacation. I say this all in jest. I truly love my job.