Psychcns 13,623 Views
Joined Feb 10, '06.
Psychcns is a Psych APRN.
She has '30' year(s) of experience and specializes in 'Psychiatric Nursing'.
Posts: 878 (44% Liked)
I have been doing locums for the past few years as a Psych APRN. I am expected to assume a full pt load with minimal orientation and to be able to navigate the system to complete work.
I think a regular job in a collegial environment would be much more supportive. I think the first few months a new PMHNP should have a reduced workload to have time to consult and look things up though I suppose not everyone needs this.
i have to start asking for more.Last year I went from $60 to $75 just by saying "I want..." And when a previous gig wanted me back, I said. "I make $75" they said "We'll give you $78". I should have asked for more." I will next time. Thanks.
I worked in methadone maintenance as an RN a long time ago and there were always debates about the model. Clients found it stabilizes their addiction and their lives. Counseling was mandatory. Clients organized their lives around their dosing schedules with some driving many miles to be dosed between 6am and 9am when the clinic was open. A lot of axis 2 patients. Methadone seemed to have a psychological function as well as limitating craving for opiates. I learned a lot there.
I do locum tenens as a psych np, inpatient and outpatient. I graduated from a good program in 1994, have had really good supervision over the years, went to a lot of conferences, and now I read a lot. Outpatient can be draining but I do 30 minute visits and do as much therapy as I can. Inpatient is, in some ways, a more reasonable pace but it is challenging dealing with complex medication regimens and the legal system. I think psych is a great field.
Same with malpractice insurance company.
I suggest putting your resume together and be ready to send it out. I have been doing locum tenens for several years and it is so much easier to work in 8-12 weeks blocks of time and just do clinical work within a constrained time period.
I would not tell them you are thinking of leaving until you are ready to give notice. As someone said to me once, "they start treating you like you already left."
You could call a couple of locums companies to see what is available. I got an email this morning from locumtenens.com that they have "hundreds of psych np jobs" in four of the states I have licenses. I work mainly with Staffcare-I give them my availability, and they try to match me. I usually go back to the same places because it is less stressful for me.
i would reread everything Jules said, start planning your trip with your friend, and start looking for other options
I have considered Barton and Advanced Practice but Staff Care has always come through first.
Methadone uses a harm reduction model. It stabilizes the persons opiate addiction so they can develop coping skills. I worked in methadone for several years and I was always intrigued why people stayed on it. People organized their lives around getting their daily dose between 6am and9 am and there was mandatory individual and group counseling.
The unit will have rules and parameters for giving prns. Be kind and observe boundaries.
@ eat-pray - love. : i took several writing classes at Gotham writing workshop in New York. Some were in person and some were on-line. All excellent
@social media coach BSN -have not submitted at all for paid jobs. I wrote an article a few years ago for a travel nurse magazine and I do have a blog but I rarely update any more. I think my next step is to have a few pieces and start submitting. I need some direction on this. I am not sure exactly what to do.
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