Content That Psychcns Likes

Content That Psychcns Likes

Psychcns 11,264 Views

Joined Feb 10, '06. Psychcns is a Psych APRN. She has '30' year(s) of experience and specializes in 'Psychiatric Nursing'. Posts: 847 (42% Liked) Likes: 771

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  • Jul 18

    Quote from BostonFNP
    I tried one time to take a NP student for clinic from one of the more notorious online programs and after the first half-day I sent him home and cancelled the preceptorship because he had never had a provider level physical exam course and couldn't negotiate a basic H&P. I now only take students from two local schools I trust or students I know personally or professionally. We only hire NPs from one local program. I am not surprised larger companies are doing this.

    That being said, as a profession, we should crack down on this ourselves and not force the market to do it.
    Wow, that is a shame. He didn't even try to fake it? (kidding).

    Full head to toe exams as an FNP student saved me from listening to the biases introduced by other providers or the patient themselves. (i.e. "I have a history of diverticulitis and my belly hurts," or "They're just drug seeking."—in both cases I found something completely different. One was pancreatitis (the first) and the second was a perfed bowel.)

    FWIW, I went to an online school, but my excellence is on me and not specifically reflected on the school. I wholly feel that the practitioner gets out of their education what they put into it.

    And Boston is one of my forum crushes here, and I admire his opinion and expertise. But I have to say, it's too bad your first online FNP preceptee was your last.

    Having said that, however, what you impart does make sense. I guess I am an exception to the rule

  • Jul 17

    I'm probably older than all of you, and it's an issue I've been thinking I really want to spend all that time and money at this stage of my life.

    I start my 1st class next month

  • Jul 17

    Yikes thats low. The % of billing folks here are getting 80% now from what I hear, physicians 85%. I agree with you and prefer hourly for OP but will do productivity on an inpatient basis.

  • Jul 15

    There are some interesting parallels between the transition of for-profit nursing education and that of medical education.

    In 1910, Abraham Flexner published the Flexner Report which essentially defined what would become the modern medical education system. This document established recommendations for standardization of entry and curriculum. At the time, medical education was an unstandardized mess of mostly for-profit institutions.

    Flexner had this to say, "such exploitation of medical education is strangely inconsistent with the social aspects of medical practice...the medical profession is an organ differentiated by society for its highest purposes, not a business to be exploited".

    This philosophy holds true today. My understanding is that there are no for-profit degree granting allopathic medical programs in the US. This is because the Liaison Committee on Medical Education, the accrediting organization for medical schools, strictly says that schools should be non-profit. I think this reflects a value in the medical community and an understanding that medical education represents a social benefit that should not be profit driven or beholden to shareholders. I wish that our nursing accrediting bodies were as forward thinking.

  • Jul 12

    If your story is true, then no - you are not overreacting.

    Seek a lawyer's advice. Sexual harassment is fiendishly hard to prove. It's also a huge liability issue for business organizations and they all have mechanisms to address it. They have a vested interest in suppressing and discouraging complaints, though, so you need someone on your side that they can't control.

    The first priority is your safety. Has he threatened you or your job? If so, get out!
    Is it possible to transfer out from under his direct supervision?

    Have you told him to stop? That needs to be your first move. You need to say it directly and preferably with witnesses. If you don't, when you report him, he'll simply claim that he "misunderstood your signals" and didn't know his advances were unwelcome.

    Have you kept a journal of incidents or related them to anyone on or off the job? Has anyone else witnessed this behavior or been subjected to it themselves?

  • Jul 12

    What if closure is a myth? What if finding meaning and a deeper level of understanding about yourself and your nursing practice is the best you can hope for?

  • Jul 10

    Quote from Lisa.fnp
    If you really want to go the easy route become a PA or a Psychologist.
    As an RN and the mother of a fourth year clinical psychology Ph.D student who has been working her tail off for 8 years post-high school and still has several years to go before she has completed all of her requirements, I can say without reservation that there is nothing "easy" about becoming a psychologist.

  • Jul 8

    Thanks so much for your validation! I did speak to the director and she assured me that I was not being transferred, rather that was an option available to new nurses. She also advised that the night shift had no actual preceptors, unlike days and explained her decision to place me there. She registered me for a class on the charting system and suggested I just shadow for a month. I think this is a communication issue between leadership and nights and there is no set orientation protocol in place. This unit apparently hasn't hired a new graduate recently. Also, each nurse has 11 very acute patients so not a lot of time. If anyone has a suggestion or a reasonable idea of how orientation typically progresses, I would appreciate the feedback. It looks like I am going to have to create my own process as I get assigned different staff every shift...I just need to know what is reasonable to expect in terms of responsibility. I told the nurse I worked with last night that I would take 3 patients and that he would have to administer meds with me watching. He was way cooler and really did help a lot.

  • Jul 6

    Yes I am finally done. It was a long haul and I can finally say:

    I am Barnstormin' PMHNP-BC

    I have a great job waiting for me that I negotiated an awesome salary for

    I have no intention of ever going for a DNP/Phd

    Best. Day. EVER.

  • Jul 2

    I've found in my many years of psych nursing that management knows what management wants to know. Management is satisfied with the results your team is providing so they have no inclination to delve into who accomplishes what. I'm sorry, but until you get new management that wants to be involved and improve services, you probably won't get much interest from above in improving anybody's work ethic.

  • Jul 1

    For the entirety of the shifts, 5 RNs/LPNs and approximately 10 CNAs (rough estimate) and I do plan to meet with each person individually and/or in groups. I will also be attending their reports/meetings and work on improving the flow of information between management, staff nurses and CNAs.

    I'm very much a "transformational" type leader. I want to educate and enroll everyone in the changes that may need to be made and why. I want their valuable feedback about what is currently working for them and what they feel ISN'T working. Then I can go from there. I'm not about reinventing the wheel. If it isn't broken, we don't fix it. I'm about eliminating unnecessary and cumbersome redundancy and inefficient processes in order to allow nurses to focus more effectively on patient care and thus improve patient and staff satisfaction.

    I'll be getting my Clinical Nurse Liaison salary, plus mileage (since I will have to be on campus daily and it's 140 miles round trip each day ) plus a yet unknown "stipend" for my help in this particular area. I don't know if I'll be getting paid enough quite yet but we will soon see. I start on the 5th.

  • Jun 27

    Quote from EstrellaAzul
    So basically, being a good worker but having falling victim to life's circumstances makes me "non rehirable" for positions I would be 100X better at than most people that apply to them.
    I was expecting a more positive reply from a nursing forum. SMH. Everything I have seen. All the laziness, all the underqualification that is hired, yet I am "non rehirable" because I fall into the wrong hands.
    Under the circumstances, I would simply say you had some health issues that are now under control.Never lie, and try to avoid bad talking a previous employer. See if it is possible to get leters of reference. They are very helpful.

  • Jun 24

    I would also recommend arranging for some help with the child care end of things. You might be able to find coverage for 100% of your private practice patients, but maybe not. You might feel best in the long run if you plan to see a few of those patients (a couple of hours per week?). Pre-arranging some help with the baby care would probably make that possible.

    That's the burden of solo practice.

  • Jun 22

    you can't argue with goobers, and that's Fox's demographic. Let 'em cluck & coo to themselves, the next story they'll post is about how they can't find Doctors who speak engrish, and another one will be about how wonderful it is to de-fund colleges.. People who support & agree with Fox's "fair" reporting are really bad at connecting the dots.

  • Jun 20

    I am not an NP, but used to have a job as a CNS where I interacted with medical supply companies, infant formula companies, etc. all the time. I required them to call ahead and schedule a semi-appointment with me. For them to expect me to drop everything and spend 15-30 minutes with them at the drop of a hat was not reasonable of them -- and I told them so. They should at least call me the day before, give me an estimated time of arrival, and ask if I would have time to meet with them. They soon learned that if they just dropped in with no warning ... I would smile and politely tell them that I had a meeting to go to ... and if they wanted to meet with me, they should call ahead and get on my schedule.

    Hiding, etc. is not professional. Addressing them directly and asking them to treat you like a professional and be respectful of your time teaches them and establishes a professional foundation for your relationship.