puravidaLV, BSN 6,675 Views
Joined Feb 8, '10 - from 'Portland, or'.
Posts: 405 (25% Liked)
This is an old topic but someone reads this and thinks on a psych unit you can force a patient to take a shower you need to look at not only operating procedures, legal status of patient (hold or voluntary), have a PHYSICIANS ORDER because otherwise you just might have assaulted the pt.
The Merritt Hawkins report is based on salaries paid in order to recruit psychiatrists. The BLS numbers are based on reports from employers of what they are actually paying. In addition, I am providing a link to the Veterans Affairs payscale, which is now quite good as they are working to match private sector pay.
Annual Pay Ranges for Physicians and Dentists of the Veterans Health Administration (VHA)
Aggressive dementia patient attacks you...ten minutes later no memory. Can't press charges, cant put hands on, and get nothing from management. So a) fight back with the probability of getting sued b) run and sit in a janitor closet c) tell doctor/management of pt aggression which furthers pt away from placement d/t charting pt is violent.... combo blocker of b and c. Run and don't do anything because otherwise the pt will be here for another six to seven months.
Well if it wasn't for "contract nurses" (troubled nursing) most psych facilities wouldn't have nurses working the floors. I worked with one person who headed the state program for the nurses c/ substance abuse problems and let me tell you that list was pretty expansive for the number in the state that had an RN lic. and most were DUI. I got into psych b/c i blew my back out in critical care and a friend brought me in.
But #1 place to check....psych facilities.
Hey, sometimes you win, sometimes you lose, and sometimes you pick your battles. I have had experiences with a manager on a psychiatric unit that would come in and micro-manage within 5 minutes of entering the doors and have no report, no rapport with the patients, and basically been a milieu-killing machine. Multiple times the manager has stood in the middle of code situations like a lost puppy, has tried to do interventions which were not warranted and which led patients ending up on the floor...take a deeeeeeeeep breath and just remember that manger probably has no memory of it even occurring.
I am free of charge....I do charge for free basically. I don't get paid to do it. I have 7 patients. I haven't figured out how to piss off management enough yet to stop getting the assignment.
Well nothing like going back to school and redoing Calculus, Organic chem, physics, studying for the MCAT, doing eight more years of school and residency followed by crippling student loans.
Both parents are physicians, I was premed in 97 and one summer I went home and told dad that was my choice of degrees (was going to do biology or liberal arts (yea its possible). My dad asked me to come to his office, opened a check, told me he billed 700$ for services that cost him around 200$ in supplies and rest time, he got around 15$ for a two hours. He and my mom talked me out of it. Sadly I took it as no healthcare for me...till I figured out nursing 13 years later. There are more positives in the world of NP. I am probably one person that goes against the grain when it comes to autonomy (against it for the most part), but NP gives you much more flexibility when it comes to relocating and practicing. You can always be a nurse on the floor.
A PA will never have autonomy and when the doctor is having a bad day....well your not getting paid. You can't float around state to state if you want to move c/o a provider being attached to.
MD/DO you still have to go through credentialing which can take six months each state. Its never easy starting over.
Nursing...well you want to go somewhere...apply online go get a floor job till you find something in the NP world then go back at it.
Yep, wouldn't have waited till my thirties thought. I think of all the cool JDM race parts, club nights, places i could have done 13 week contracts in/at/around, that 250cc ninja would have been a hyabusa, student loands would be long paid off, NP school done, heck i might even had been able to continue living in palo alto with no house payment.
Both my parents talked me out of going to medical school (both doctors and screwed by HMO), I have a business degree (B.S) which is basically useless (Finance & accounting are the only two that matter the rest pretty much are summer camp don't learn anything classes, I've been in management and that sucks, and other well I have an awesome collection of name tags from fast food places which just helps me each year now for holloween.
If your working psych the likelihood of you getting a raise is near zero to none in the private sector. Most are stuck on the west (US) around 30-35$/hr which comes out to be 70k/yr for inpatient and yes its really easy if your able to put up c/ a lot. OT available or moonlighting is easy since most psych facilities never have enough staff. Yet, dealing c/ personalities on both side of the nursing station takes a toll on you. I'd rather never be a charge nurse again and sit in the medication room giving out hydroxyzine for 30 more years.
Going NP can be anywhere from 90k/yr to 160k/yr (yes) and all you have to see is 15-45 minutes depending on each case, hate the idea of 9-5 m/f since I've never worked it, but I have a family now and to be honest I'm not getting younger. My days of being a bouncer are over and coming to a close. NP provides me longevity in a field of nursing I never planned on being in. Pick your battles, ect ect ect, or even better to quote Young Guns "We work for a provider as regulators. We regulate any prescriptions off this property - we're damn good too! Our provider has got a soft spot for runaways, dareless, vagrant types. But you can't be any geek off the street, gotta be handy with the prescription pad , if you know what I mean, earn your keep."
Welcome to HESI/ATI you catch the mistakes and they never fix them. I'm fairly certain there are still errors in the ATI books stating smoking is a healthy option for pregnant men.
And even after that including purchasing power, California's adjusted wage is still higher than Florida's. Also, I call BS on that average wage for Florida.
Just say no. No explanation needed.
no but I mistake doctors for phlebotomists.
Are you a new nurse? because this is reading like "I just graduated how hard is the nclex?". Most the programs have gpa requirements, some require the GRE, some don't, and some do masters while others give you opportunity to fail out and make you go DNP. Pick something that works for you.
post your questions b/c some others might have the same questions.
EKU student (took a break d/t family and a move, but back in)
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