So What Do We Call You???

My Nurse Practitioner colleagues will tell you that we hear “What do I call you?” a LOT during our day.  This is asked directly by our patients and much more indirectly by our physician peers, employers and coworkers. As I was beginning to write, I realized that to truly do this topic justice – it needed to be separated into 2 posts: One about how patients ask and the answers I use; and the second about how to address the issue with your colleagues and employers in a way that is respectful, yet firmly acknowledges what we, as Nurse Practitioners, bring to the healthcare table.   

Let’s start with patients.  I typically introduce myself when meeting  a new patient with “Hi. I’m Jaymey” either with or without, “I’m a Nurse Practitioner.”   Let me clarify, I just don’t feel old enough to be a Mrs. Anyone – a sentiment at which my birth certificate laughs heartily.  Even my kiddos’ friends referred to me as Miss Jaymey from the get-go. I am NOT a doctor or physician, so I am very clear about this with patients – I have a Masters of Nursing. (The title “Doctor” and who deserves to use and who doesn’t is a whole different post! I will get there eventually – I promise.)

More often than not, it is older patients, meeting me in the office for the first time, who jump right in with clarifying how to refer to me.  My response is simple, “Jaymey.” They struggle with that because for some reason referring to me by my first name doesn’t feel respectful enough.   This is where humor and levity serve me well.  I typically counter with “Well, you can call me Princess,” which both fortunately and unfortunately has only worked with 1 patient thus far.  That patient not only has a great sense of humor – but also a great MEMORY.   

How did I come up with “Princess”?  I mean I do have a child tiara at home but I NEVER, well almost never, wear it.  Early in my career I had the privilege of hearing the very articulate, savvy and wise Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC, FNAP (yes she actually has a doctorate among all those letters following her name, and is referred to as Dr. Fitzgerald).  She is an excellent speaker and advocate for our profession and if you haven’t had the opportunity to hear her speak, you really MUST. Anyway, I digress – she was explaining who she was to a patient and used the initials FNP – to which the patient responded “You’re an F’N-What?” Well, it was less than a half a beat before I thought to myself  “Hmmm, I’m and F’N-Princess” …HAH – if only!  No, I really don’t think I’m a princess but I do LOVE the humor in this.   https://www.fhea.com/facultydetail.aspx?id=1

Anyway, back to my story – most people laugh and we move on to the care at hand.  However, if someone requires more, I find it helpful to have some key points that can educate people without making them feel awkward or embarrassed for asking.  I easily explain that

  • I am an advanced practice nurse who works very similarly to a physician in our outpatient primary care clinic;
  • I assess, educate, diagnose illness and prescribe treatments (diagnosing and prescribing being the responsibilities that separate me out from my role as a Nurse)
  • I usually, and very honestly, add that I LOVE being a nurse and worked hard to be where I am today.  

Typically this cache of explanations is more than plenty and rarely do I have to empty my bag of tricks.

Knowing and feeling comfortable with myself and my strengths and weaknesses (oh yeah, I have more than my share of those) makes answering questions so much easier.  While I have encountered peers, both NP and MD/DO,  who feel an Us vs Them mentality – thankfully, this has been the exception for me, rather than the rule.  When I have encountered this type of thinking, it was an individual’s personal issues that were getting in the way.  

Occasionally not being a physician has served me well.  I have had 3 older female patients with memory issues, who, for some reason, disliked “going to the Doctor’s office.”  When they told me “I don’t like Doctors!” I quickly said, “Well then, it’s a good thing that I’m a Nurse Practitioner!” This response was met each time with smile or laugh and the tension from the patient being angry or uncomfortable was diffused – whew – I love that humor works so well in so many situations.

Physicians and Nurse Practitioners are NOT mutually exclusive. In fact, I would say that we have an amazing, symbiotic relationship that can enhance the care of patients across the continuum of healthcare.  In scientific terms we POTENTIATE each other.  That means when working together we make healthcare “more effective.” Physicians and Nurse Practitioners (along with Physicians Assistants) have differing levels of expertise and experience and we bring these together to improve patient outcomes.  NP’s work across all settings, both inpatient and outpatient, ER, surgery, mental health, women’s health, etc. We may be independent in primary care and some hospitalist based practices and interdependent in specialty offices like cardiology, neurology, surgery, orthopedics, etc.  In my (not so humble) opinion: In the BEST work environments our roles overlap and tend to be fluid.  

With a joyful and happy heart, I will continue to be just Jaymey, which is absolutely fine with me!

Cheers – Jaymey

 

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My beginnings as a Nurse

Hi, I am so excited to meet you!  My name is Jaymey and I am a Nurse Practitioner in the gorgeous state of Oregon.  I have been on this journey as a Nurse since 1995 and NP since 2008.  My work is both exhilarating and exhausting – sometimes at the exact same time.  How is that possible? I continually ask myself that same question.  So here, on this blog, I am going to explore what it is we do in healthcare, what draws us (me) to this type of career, what makes it “high-5 / fist-bump” worthy on some days and “tail between your legs / did I do enough” on others.  I certainly don’t have the answers but I am ready to start on this new journey of exploration.

Why do people choose healthcare as a profession? Gosh, there are so many answers to this question, each as individual as the person you ask. For me, it started with practicality – job security and making sure I could always support myself and family along with what has always felt like a short attention span and need to change up what I am doing to stay interested.  Often, I find that my initial reasons are not nearly as altruistic as those of my peers.   The most frequent drive for going into medicine of any kind is “To help others”.   What can I say, my reasons were enough to get me started and the caring for and helping others ended up being the huge bonus that I discovered along the way.

I was a lackluster student in college when studying for a major in Communications.  (Hmmmm, because I love to talk is probably not the best way to pick a major.)  After a few years of struggling in school and discovering who I was away from the very small town I grew up in, I met my husband, Tom, and came to the “OMG, what were you thinking” realization that Communications was not my dream but Nursing might be.  Tom has supported my crazy notion enough to sign up for Anatomy & Physiology and Chemistry 101 with me – not because he had ANY interest in these subjects at all, but because he loved me and wanted me to succeed.  Who could not fall in love with that guy?!

What a relief that upon taking my first serious science classes towards a Bachelors of Science in Nursing – I took to this like a duck to water (boring analogy, but very apt all the same).  I’m not sure who was more excited about me settling in and finding my place – Tom or me.  He was relieved because he didn’t have to take anymore of those heavy science classes to support his flighty girlfriend and me because it felt RIGHT, just RIGHT!  This ignited an interest in learning that I hadn’t felt before and I adored!

So how does falling in love with your path change things???  Well, I did NOT miraculously become a straight A student – but I do remember very distinctly calling my Mom one Sunday afternoon in tears.  She was worried and asked what was wrong – I said “Nothing! I just opened my mail from the school and found out I made the Dean’s List. I had no idea I could do that!”  To which she replied – “Oh honey, that is GREAT! … But why are you opening your mail on Sunday?” Well, what can I say – I was expecting a BILL – not that I had made the Dean’s List.  This change in my grades simply reflected my interest in my subject matter and the outcome of these classes – my ability to become a Nurse someday.

I found some fabulous classmates who helped form a study group that saw us through the next 4 vigorous years of our nursing school.  Without those wonderful women, their love, support and faith, my schooling would have been daunting.  So much to learn and so much riding on it!  While I admit that Nursing Theory has always been a bit of a challenge to my enthusiasm, even THAT could not make me change course.  I found what I was meant to do!  With every class and every clinical rotation I was pulled deeper and deeper into love with the career I was on a path to create.

I am very fortunate to have an amazing step-sister who is a retired kick-a$$ Nurse Practitioner.  She was in one of the first PA (physician assistant)/NP (nurse practitioner) cohorts through UC Davis which created a unique perspective on the difference and similarities between these 2 career paths.    I had the privilege to shadow my sister for a week during my nursing school days while she was working as a Primary Care Nurse Practitioner, and I knew – absolutely KNEW – that NP was what I was meant to do!  She is a beautiful role model and I wish that each and everyone of us find that person that both motivates and inspires you.  (I’m hoping someday that she will agree to do a guest post on carrying both the NP and PA license and how each served her differently at times throughout her interesting career.)

Well, I made it through the 4 year degree program and received by Bachelors of Science in Nursing.  At the time it was recommended to have a minimum of 2 years of clinical experience prior to applying to a Nurse Practitioner Program.  (There have been and will continue to be a LOT of debate about this recommendation – and that, I’m sure, will be addressed in a different post.)  Having a “plan” I decided to get the much needed experience and enter true adulthood by getting a J-O-B and starting to payback my student loans – oh the AGONY of debt but the JOY of a new career.  As luck would have it – I graduated amidst one of the few Nursing job shortages of the 20th century.  This is the career that ensured job security and no one knew if they’d have a job after graduation…what?!  As often happens when the future is not certain one becomes creative.  Hence, my journey to become a nurse practitioner became much more circuitous than I would have wished for – but it turned out to be oh so perfect in the end.

Thanks for joining me as I think back about the beginnings of my career and start to tackle some of the issues that affected by travels along the way. I hope to see you again!

Cheers – Jaymey

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