Psychcns 12,590 Views
Joined Feb 10, '06.
Psychcns is a Psych APRN.
She has '30' year(s) of experience and specializes in 'Psychiatric Nursing'.
Posts: 874 (43% Liked)
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
A CNS is an APRN with prescriptive authority in 36 states. My DEA calls me a mid-level practitioner. In many states CNS and NP are interchangeable.
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.
Is Kentucky independent practice. If not find out about barriers and cost of supervision/collaboration if you want to set up your own clinic.
OP- people say classes are fluff because they are not related to hard science,diagnoses, or prescribing. I think there are politics and requirements for schools to be accredited. Maybe ask your professors. I don't know how it gets decided what is included in a curriculum. i never felt inadequately prepared and i have learned the most from researching and consulting on difficult patients.
maybe you could look into,a geripsych or medpsych unit. I think psychiatry evolved from neurology so there is an overlap.
I have been told YouTube has skills videos. Also read up on time management strategies. Practice vitals and skills however you can.
When people say "bad fit" they want you to resign. Get your resume together and apply for part time jobs. Tell new place job is not a good fit because you need part time and they want full time. Don't say anything bad about employer. Labor lawyer or someone could help you extricate yourself on good terms. There are other jobs and you only need one. Maybe a minute clinic or urgent care to get back on track at part time.
This is a quote from OP above
. I was spoken to the other day for asking the woman who handles our referrals if there was someone local who handled bariatric surgery requests (something I've only had a patient request once) because I should have known the answer.
This is bullsh*t. Not only is it disrespectful to be told "you should have know the answer." It seems they are looking for a list of things to terminate you. How did it get to your boss that you asked The referral person a question about referrals.
Have you sent sent out resumes. Any prospects? You cannot thrive in a non-supportive environment like this.
Maybe and this might be bold: Have a meeting with the supervising md and the other relevants to negotiate how you can leave on good terms with at least one written reference. Maybe have a labor lawyer or similar assist. And I think after this you could see if you qualify for unemployment. Sounds awful.
or just have your coworker give you a reference.
One way to manage anxiety is with structure. Have a consistent approach for each patient- a template. Have your own decision trees of when to ask for help. Negotiate for a reduced patient load for the first few months. Find a mentor. Find support. Try to stay calm. Best wishes. You can do it!
@trauma. I have written three articles for allnurses. Waitning for inspiration for the next step! I want to be paid and have something regular. I also like literary magazines. I want to write about living as an expatriate and working as a locum tenens. How I took the plunge to do something different like this. The rewards and the obstacles. The shape of this I get bogged down. Thanks for your interest.
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