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apocatastasis 9,633 Views

Joined: Feb 13, '08; Posts: 213 (59% Liked) ; Likes: 547
Specialty: 4 year(s) of experience in Psychiatry, ICU, ER

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  • Dec 8 '17

    I'm not entirely sure WHY whenever marijuana is mentioned, a certain segment of the population cries "patient safety." News flash: alcohol is legal and we're not all coming to work impaired. Stop using "patient safety" as a way to object to something that YOU don't like.

  • Jul 31 '17

    I'm not an ACNP, but I did go from an inner city ICU where all the patients had every major comorbidity in the book... to a suburban, high volume ER where the patients are overall much, much less sick.

    The ER nurses at my hospital, with a couple of exceptions (those being the nurses that also worked ICU and, to a lesser extent, those that have worked in major trauma center ERs) do not have the experience with hemodynamics and management of really sick patients that I had working in a CVICU/SICU. Many of my ER coworkers have between 3 and 10 years of experience and can't/don't titrate drips or coordinate ventilator readings and what's going on with the patient. On the other hand, they are still more proficient than I am with initial reception of STEMIs, strokes, and things I saw less of in ICU.

    You will learn things in ER that you won't in ICU and vice versa. I do think that having a strong background in respiratory, cardiovascular, neuro, and renal issues, which I feel you'd probably get more of in ICU that takes truly critical patients, is going to be really valuable experience if you're going to work in a critical care environment as a provider. If I were in the ICU as a patient, I don't think I would want an ACNP taking care of me that had never worked ICU before.

  • May 31 '17

    I'm a psych NP, employed in an outpatient community (=not high-paying) psychiatric setting, one year of experience, and make 6 figures..

    More than just a few of the psych NPs I know in private practice make between $200,000-$300,000 a year. At least one significantly out-earns both of her psychiatrist partners. I'm looking into starting a telepsychiatry practice, and factoring current reimbursements, no-show rates, etc., working 35-40 hours a week and earning in the $200s is definitely doable looking at the longer term if all goes well with the practice.

    Money isn't everything, but, since that's what we're talking about... it's all about how aggressively you market yourself, your business sense, and what kind of market, practice, and practice climate you're in.