Mookiepsychnp 1,087 Views
Joined Jul 18, '10.
Posts: 35 (20% Liked)
Right now psych is hot. Supply v. Demand. Southern US. Start 150k. Everybody and their cousin wants ED. I used to work ED as a RN. Never saw the appeal. I liked urgent care better - more realistic, existential life problems that all clinicians should understand and be able to treat.
I definitely have my own no matter what the company provides. They may decide to settle a case, which would have my name attached even if innocent. I always feel better safe than sorry.
I have been a Family Nurse Practitioner for almost ten years now, and have been working with a plastic/cosmetic surgery group. My training as an FNP did not prepare me for this role as there were no surgical rotations in my program. I had previous OR experience as an RN and was fortunate that one of the surgeons were willing to hire and train me as a new NP for their practice. Yes, there definitely was a learning curve in the first year or two but I think your success depends on the willingness of your physician to train you in your given field.
I see a dermatologist who is an FNP, yet there isn’t a Board Certified Dermatologic Nurse Practitioner, and I couldn't be happier with the care I receive. I have another colleague who works with an interventional radiology group, and from my understanding there is no certification for that specialty either, yet she provides excellent care. Most typical family nurse practitioner programs offer little to no training in most of the specialties that NPs work in, yet they all have positive patient outcomes. I can go on and on.
IMO IF the psychiatrist you will be working with will provide you the necessary training and not throw you out there on your own right away, I say go for it. A lot of the knowledge you will obtain will be from on the job training. Depending on your state if you will be collaborating with your physician, I am almost 100% certain that the physician will not put their license at risk by allowing you to practice without supervision until they are certain you are comfortable and competent to provide excellent and safe care for your patients.
In my years working with a variety of other medical professionals, I have found that PAs don't seem to have this issue among their profession. From my understanding, their training encompasses all aspects of medicine plus they are required to do rotations through most specialties. Yes, PAs have specialty certifications they can obtain however they don’t have "turf wars" between specialties as most Nurse Practitioners do. If there is a board certification in your speciality I absolutely encourage you to go for it. IMO as advanced practice nurses we are doing ourselves a disservice by having these "turf wars" between specialties, by telling each other "we cant do this or that." I understand the training for the FNP may be limited in its scope, however this may signal a change on how all nurse practitioners are trained/educated. As healthcare changes we also have to change and work together as a profession.
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