Psychcns 16,226 Views
Joined: Feb 10, '06;
Posts: 883 (44% Liked)
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30 year(s) of experience
I would take the H and P job. You would be working as an NP and keeping your pension and other benefits. It sounds like you could also keep the one day per week job for more experience.
Loud noisy staff bother me too. The other day I had this happen and I found that I could play spa music with earplug headphones on my iPhone and it helped a lot and I got my charting done. I considered getting a white noise machine or wear some kind of noise cancelling headphones, industrial type like they wear for shooting guns target practice or the Bose headphones. I can usually block things out but some voices or other sounds bother me.
What about specialty clinics that are
More likely to only see adults
I.e. Cardiology, diabetes. Also, there must be general adult-geriatric clinics.
12 hour shift sound awful. I work as a APRN and when I'm inpatient I work with a lot of staff nurses. I don't think it's as task driven as MedSurg. And depending on the unit there is interdisciplinary collaboration, and nurses opinions and observations are valuable. If you are thinking of being a psych NP, inpatient psychiatric experience would be very helpful. You would learn a lot about diagnoses and management of patients and medications all of which would be very helpful for you as a psych NP.
If you are willing to move how about locums to permanent positions. Or get a recruiter.
As a Psych NP in Massachusetts, you can do the things you give as examples. I worked in MA for several years. You are required to have a collaborative agreement. Required collaboration is minimal but it is still required. You might want to look over the Nurse Practice Act. New Hampshire has independent practice.
Same with malpractice insurance company.
Try calling some locum tenens companies. You might be able to find short assignments or you may be able to fly home on weekends. They would pay hotel and travel-well maybe not every weekend but at beginning and end of assignment.
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 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
She could also list how long you have been seeing her, how often, that you work on relapse prevention issues to help maintain sobriety. She could also describe your current mental status. I.e. That your thoughts are logical and goal directed, that your thinking is reality based free of delusions, that your insight and judgement are good
i think it is hard for anyone to predict the future.
Is Kentucky independent practice. If not find out about barriers and cost of supervision/collaboration if you want to set up your own clinic.
maybe you could look into,a geripsych or medpsych unit. I think psychiatry evolved from neurology so there is an overlap.
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.
-if we are "physician extenders"we have to report to medical staff
-if we are regulated by Nursing, people say we could report to nursing
-if we are midlevels, and a lot of us don't like being called this, we are in the middle of nursing and medicine
-I like being called a provider...as long as it is a good job
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