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jensfbay 3,749 Views

Joined Oct 19, '06. Posts: 63 (5% Liked) Likes: 5

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  • Jun 19

    Check your areas Office of Aging (AAA) program or Department of Health (DOH) for rules and regulations on long term care (LTC) facilities. They regulate homes where groups of unrelated persons may live together. PA medical assistance (MA) will pay operators of Long Term care facilites to care for persons who are unable to live alone and meet MA criteria. As an Ombudsman in my County, I visited all LTC facilities in an area assigned to make sure resident's rights maintained, so am familiar with PA regs...many states are similar due to medical assistance having both federal and state funding.

    In PA there are 3 levels:
    1. Skilled Nursing Facilities (SNF).
    2. Personal Care Homes (PCH).
    3. Domicilary Care Homes (DCH).

    SNF you are probably familar with. Highlighting PA regs.

    Personal Care Homes:
    1. Don't need skilled medical attention on 24hr basis.
    2. Clients problems: Limits on ADL's such as eating, bathing, grooming, or cognition
    making it impossible for elderly to live on their own.
    3. They may receive medical treatment or Homecare services: SN, PT, OT etc. from an outside provider.
    4. Need to be licensed and inspected by Dept. of Welfare.
    5. No federal regs of these homes.
    6. Most assisted living facilities fall under this category, ? limit on # beds.

    Domiciliary Care Homes
    1. Don't need skilled medical attention on 24hr basis.
    2. No major impairment of ADL's
    3. Residents receive room and board and some Limited help in ADL's like dressing, getting in and out of bed, laundry.
    4. Limited to three beds.
    5. Residents must be mobile or semi-mobile adults with no relatives or persons willing to are for them, have difficulties in some ADL's, difficulties in personal or social adjustment or difficulties resulting from disability.
    6. Dom homes are certified by AAA who perform inspections--not licensed.

    National Eldercare Locator
    800-677-1116 (nationwide)

    Eldercare Locator offers toll-free assistance in identifying community resources for seniors and their families. This is a public service of the Administration on Aging. It is administered by the National Association of Area Agencies on Aging and the National Association of State Units on Aging. Established in 1991, the service links you with information and referral networks of state and local area agencies on aging.

    Anyone can call the Eldercare Locator on the toll-free number, 1-800-677-1116, Monday through Friday, 9 a.m. to 8 p.m., (EST).

    Please have the following information ready:

    1. County and City Name, or Zip Code.
    2. Brief description of the problem

    Check out: Because We Care: A Guide for People Who Care
    An online resource guide for the growing number of Americans who are caring for an older family member, adult child with disabilities, or older friend. This Guide provides information and a range of suggestions to make caregiving easier and more successful--whether you are the caregiver or the person who ensures that your family member or friend receives the best possible care from others.

  • Jun 19

    I know this response is late but I thought I would share some information that might help someone else who wants to start their own nursing business.

    You question at the end of the post "Should I go back after my BSN to get a masters or a bachelor's in business and start from there?" my answer would be no don't go back for your masters, at least not yet. You can always work on your masters later, but if you want to start a nursing business get started now learning all you can about business. You can do this by checking out the Small Business Assoication website or joining the National Nurses in Business Association or Nurse Entrepreneur Network. All three places have excellent resouces you can tap into now to get you started on your business journey.
    Here's their website addresses:

    Hope this helps
    Tina L.

  • Jun 19

    My company provides

    -patient advocacy services for disabled individuals (ensure that all of the orders and treatment plans are carried out...this individuals typically have unlicensed caregivers assisting them, so we supervise)
    -childcare health consulting services (we work with daycares and admin, protocol development and implementation, also work with special needs kiddos)
    -Individual and group wellness mentorship/coaching (helping individuals minimize their pharmacological regimen, assist with lifestyle changes, etc...all in collaboration with the prescribing healthcare provider)
    -corporate wellness (as above, but on a much larger scale)

    Many of these services are provided within the community and the home, it is not however "traditional" home care.

    This is just basic information on what I do, but hopefully it helps.

    If you need anything else, just "search" for me and you'll be sure to find me.


    Kevin Ross, RN, BSN

  • Jun 18

    Hi All- So happy I came across this site. Have been sitting here now for about 3 hours researching rn-coding and the more I read (I've read ALL of your comments) and am just about convinced to do this. I have been a traveler for about 15 years and want to work from home, but need full time work. You all have been sooooooo helpful-thank you all so much. By the way, the books needed for the 1 week course by "RN-Coder" are much cheaper from Barnes and Noble than or AMAPress .com from rn-code site-save ~$50 and s&h free, to your door! Hope this helps. Only 14 more msgs to go-thanks.

  • Jun 18

    What was your personal path to becoming an NP? Is there anything you would have done differently?

  • Jun 18

    I really appreciate your input! Taking notes...

  • Jun 18

    Great thread OP. I am also doing my clinical in my PMHNP program currently. I also want to start my own business. I was looking at starting a Telepsych business that will be able to treat individuals in various NP friendly states. I am just in the planning stages of my business endeavours. I wish you best of luck in your endeavours.

  • Jun 18

    Here is some information I found about Simmons from my research:

    The only states not approved are North Carolina, Tennessee, New York, and Delaware- but they are actively working with these states to gain state board approval.

    The campus-based program has a 100% pass rate on the certification exam, this year is the first year they have offered the online program so no pass rate from that yet given, although the courses are taught by some of the same professors who teach the in-person courses.

    Set up is the same as Georgetown University (they utilize the same online program for their school with the weekly courses live online, and the pre-recorded lectures and videos to watch on your own time)
    18 months full time, 14wk terms with 2-3 wk break between each term, ONE campus visit required for skills assessment. 24mo part time, everything else the same as full time.

    Admission Requirements:

    The Nursing@Simmons application requires applicants to have or submit the following:
    Bachelor's degree from a U.S. Department of Education and NLNAC or CCNE- accredited institution.
    Current U.S. Registered Nurse (R.N.) license, and have successfully completed ("C" or better) a three-credit course in statistics.
    Current resume.
    One- to two-page personal statement that describes your academic interests, your relevant clinical experience, and your reasons for pursuing a Master of Science in Nursing.
    Transcript(s) of your academic record (see below).
    Three letters of recommendation from:
    A clinical supervisor or nurse manager who has direct knowledge of your work in the clinical setting.
    A professor, faculty member, or academic advisor who can provide a meaningful assessment of your academic record.
    A practicing clinical nursing professional who has served as a mentor.
    The Test of English as a Foreign Language (TOEFL), if your native language is not English. The School of Nursing and Health Sciences TOEFL code is 3761.
    The General Test of the Graduate Record Examination (GRE) is not required, but if you feel GRE scores will strengthen your application, please contact an Admissions Counselor at 855-461-SIMM (855-461-7466).
    Sealed official academic transcripts must be received by mail from all postsecondary institutions you have attended, even if a degree was not obtained, including community colleges.
    Applicants who studied outside of the United States must have completed the equivalent of a U.S. bachelor's degree. All coursework from non-U.S. institutions must be evaluated by World Education Services.
    Please have official transcripts and other official application materials mailed to:
    Nursing@Simmons 8201 Corporate Drive, Suite 900 Landover, MD 20785

    Nursing@Simmons tuition is $1,198 per credit hour for students starting in the 2013-2014 academic year (July 2013-June 2014). Students will complete a total of 48 credit hours. A moderate increase in tuition should be expected each academic year. Tuition includes simulations, assessments, technology platform licensing and support. Tuition does not include the cost of books and a $100 student fee per term.

    I will say they have been so far the NICEST admissions reps, not overly pushy, and very thorough with helping me get all my information incorrectly. I applied to Georgetown first, and they too were nice, but since submitting my app, I can't seem to get anyone to reply to me and I still do not have a decision yet. The University of Cincinnati is not good about getting back to you via phone but do usually get a response within 2-3 days to my questions. Of the three I"m honestly now more impressed with Simmons than any of the others, so I'm hoping in the next couple of weeks to get an acceptance. I really wanted GU, but Simmons is almost $30K cheaper for the same type of set up.

    Hope this helps some others with their lists of schools they want to go to! =)


    Staff Update

    If interested in what others have to say about West Coast University please take a look at our Simmons College School of Nursing | Peer Reviews.

  • Jun 18

    Georgetown looks at much more than an applicant's GPA. Through conversations with my admissions advisor I learned that some applicants with a 4.0 have been refused and applicants with a 3.2 have been accepted (these are the exceptions to the GPA requirements).

    They truly look at the whole person, not eliminate or accept based on any strict set of rules. For instance, if your GPA is great, but you don't have a lot of experience you may be rejected. On the other hand, if your GPA is on the low side but you have a long history of volunteer work, you may be accepted in spite of your less than fabulous GPA.

    Completing the application process is a monumental feat in itself. You have to do the standard things like write an essay, submit your transcripts and get letters of recommendation, but you also have to submit a video of yourself speaking into the camera telling G-town the reasons you want to attend, what experience(s) shaped your career, etc. It was the most intimidating aspect of the process for me (and I understand most people struggle with it). After an entire day of me sitting in front of my webcam, taping, discarding, retaping, and finally getting a 4 minute video that was barely acceptable (to me), I attached the file to my application. This completed my application; I heard in less than two weeks that I was accepted!

    I couldn't be more thrilled with this choice. I applied to two other schools (one ivy, one top tier) and was accepted at both--they were both distant second choices to Georgetown.

    Georgetown's method of educational delivery is unique and will probably become the gold-standard for all other on-line programs. Schools that can afford to use this real-time, quasi-classroom, 'Skype' format approach will certainly try to emulate and imitate Georgetown's model. It truly is the best of both worlds--students enjoy the atmosphere, relationships with other students and professors, and the immediate feedback of a traditional classroom, along with the convenience online programs offer in terms of avoiding daily commutes to school and possibly moving to the geographic location of a university.

    If you think Georgetown is a good choice, don't eliminate that possibility because you believe your GPA isn't strong enough, or you wonder about other aspects of your application. Put your best effort into your application and cross your fingers.

    Best of luck. Private message me if you have detailed questions; I'm happy to help!

  • Jun 18

    Hey everyone! There isn't much available on a review of the Georgetown online FNP program, so I figured I would write one! I'm currently almost done with my first year in the program and working on my clinical hours.

    Application process:
    1. Live recorded interview in the 2GU format (this is new, I had to do a personal statement video which was pretty nerve wracking!) Be clear as to why you want to be an FNP, why you want to go to Georgetown specifically, and what plans you have in your career.
    2. You do need to have a competitive resume to get in. I had a 3.4 GPA, volunteered, worked as an RN for 2+ years in acute care, helped several projects at work, was part of committees, etc. They have a lot of applications & a relatively low acceptance rate - make sure you stand out!
    3. You also need all your transcripts, 1-2 page personal statement, and 3 letters of recommendation.
    4. The application process itself is pretty quick. I was notified by email a few weeks following my application submission.

    Now that you're in...
    1. You have the option of going part time or full time. I started out full time but had to work full time throughout the program (12 hour day shift at a hospital), so I had to drop to part time in my first semester. That said, remember that Georgetown's part-time program is the equivalent of full time work at other schools! I definitely feel busy all the time. The time difference is pretty negligible (18 vs. 24 months).
    2. The program is amazing! Thus far I've only had one professor that was anything less than incredible. The classes are very challenging and do require a lot of time management skills. The classes are all live webcam and call-in and are 2 - 2.5 hours in length.
    3. They have two On Campus Intensives that require you to go out to the campus. I've been to one thus far and it was wonderful! They fall after your advanced health assessment and FNP 2 courses.

    Please let me know if you have any other questions!

  • Jun 18

    Nessa, have you started an NP program elsewhere? If not, maybe you should still consider Georgetown. Yes, the tuition is expensive, but you should look at this as a business decision. First, their program is 18 months full-time, or 24 months part-time--significantly shorter than other schools. This means you finish a year sooner than you would had you attended a different school. If you don't plan to work or if you'll cut back your hours drastically to attend grad school, that time is shortened, thus losing less income until you graduate. This also means you begin working as an NP that much sooner--making significantly more than you do as an RN.

    I did the math for my own situation and it made economic sense to pay the additional $40,000 for the reasons I just gave. Here's the 'back of the napkin' analysis: State school tuition over 24 months: $40,000, plus loss of RN income over same period $140,000 equals 'loss' of $180,000. Georgetown tuition $75,000 plus loss of income over 18 months $105,000 equals exactly the same figure of $180,000. The difference is, I'll graduate from Georgetown six months (or more) sooner than I would at my state school, thus allowing me to work as an NP that much sooner. NPs in my area are starting at about $100K/ year. I'll recoup the difference in tuition in those first six months of employment.

  • Jun 18

    Hi, I am a new RN/BSN in my age 50's.

    I would like to be a psych nurse practitioner.

    Because of my age, I hope to get into a psych np program as soon as possible.

    But it's difficult for me to find a psych np program which does not require years of RN experience.

    Can anybody please help me find one?

    Thank you in advance.

  • Jun 18

    Advanced Nurse Practitioner roles exist as a result of years of experience. Thus the "advanced practice" title.

    How would you manage to become an advanced practice anything without the basics?

    If you're hoping to gain college credit because of your life experience, well.....dream on.

  • Jun 18

    I just want to tell you I am in a similar situation also. I am in 40's with only about 2 years very part time RN experience (not psych, but school nursing). I've taken the last 2 years off to help care for parent and prior to RN school was a SAHM for 10+ years! However, my interest in psych is strong and frankly I don't see myself doing anything else. I feel that when you know what you want and it is the right fit for you, a path will appear. I hope you find your way and please keep posting!!

  • Jun 18

    I am writing this in honesty because I feel like everyone considering becoming a PMHNP should be aware:

    I am a PMHNP and graduated Fall 2012. I would like to know where PMHNP are earning 80% of what a psychiatrist earns??? I can tell you in my area of the country, that is not happening. Furthermore, it took me 4 months to find a job after passing my ANCC exam. I started about $80,000 and so did the rest of my classmates, including those who moved to take jobs all over the country. Some states have higher salaries but this correlates to the cost of living. What if you cannot find a job for a few months after graduation? Will you be happy accepting $70,000-80,000 a year, while relocating to get that? Many new grad NPs have problems finding employment. There is definitely an oversaturation of PMHNP in many areas of the country. Also, foreign residents are jumping at the chance to match in psychiatry because this specialty is one that foreign residents can be confident of getting into the US( I am not even going to get started on this issue). Even in the independent states, I think a psychiatrist must supervise a PMHNP for certain reimbursement. Unfortunately, a PMHNP cannot replace a psychiatrist.

    That being said, I know 2 PMHNPs who make six figures but they did not make this until they had over 5 years of experience. Their job also requires massive on-call. These same NPs had a good relationship with a psychiatrist who helped advocate for their salary. The average salary for a PMHNP is $95,000 a year and this includes locum rates. Yes, some make higher but most make lower and this average comes from jobs that do not include benefits. Locum rates are good for Psych NP, but I still have children at home and cannot be bounced around.

    I plan on returning for my DNP/FNP and I wish that I had gone the FNP route in the first place. A FNP can fit themselves into many roles. Some states still allow FNP to replace PMHNP. I had several FNPs tell me this but I did not listen to them. Reimbursement by Medicaid/Medicare is generally no higher for FNP versus PMHNP. FNP can see more patients a day than PMHNP, and bring a practice more money. Many people will never seek mental health treatment, but all people will have to see a medical provider. Some of the best places for FNP are pain management and dermatology. FNPs in these areas do make six figures.

    I love psych, and if you really want to be a PMHNP I do not want to discourage. If you go FNP you could always go back for PMHNP and be very marketable. I do believe everyone that is considering this area of specialization needs to have a realistic view of what the job market is like. Severe oversaturation has occurred in my area. The wild rumor of riches as a PMHNP are not true. If you are willing to relocate, you probably will find a job. Schools also want to promote their programs, most are not honest concerning the job market or salary. Please be aware that searches on indeed also include locum and recruiters where a job may not exist or an employer may have hired several recruiters to market for the same job.

    I am a graduate of a great school with an excellent reputation and network. I had to take loans because I was not in a financial position to do otherwise. I have 15 years of psychiatric nursing experience, and my hourly wage as a RN was high. I had to go PRN during school, and my PRN rate was even higher. After my loan payment, I make no more money that I did as a staff RN. This was a severe let down after all of the hard work I put in to get my MSN.