Latest Comments by Mookiepsychnp

Mookiepsychnp 1,522 Views

Joined Jul 18, '10. Posts: 35 (20% Liked) Likes: 11

Sorted By Last Comment (Max 500)
  • 0

    @riskmanager Thank you so much for this information! I'm sure many others will benefit from it as well.

  • 0

    Quote from PsychGuy
    Hey, that sounds nice. It's really scenic up there, right? I was very fortunate actually. I was even more fortunate in that I'm essentially in a solo practice. I'm the only guy there besides the office staff and adult therapists.
    Yes it's scenic if you enjoy viewing tons of snow! I'm trying to get away from the cold lol. My plan is to relocate down south in the next 5 years or so, but I have a feeling opportunities will not be as plentiful as they were for you. Do you see children and adults?

  • 0

    Quote from RiskManager
    I trust that you realize that having your own insurance has no bearing to what settlement decision is made by your employer's insurance. So if your employer's insurance decides to settle a case and you are reported to the NPDB, your own insurance has nothing to do with this. By the same token, if your own individual policy does not have a 'consent to settle' clause in it, your own individual policy may very well decide to settle a case regardless of your wishes.
    Yes my policy does have a consent to settle clause, however I was unaware it had no bearing on my employer. What protection do you have if you are named with a group of people and you may have had contact with the patient but did not directly contribute to their bad outcome but you are named with others and they settle?

  • 0

    If you truly enjoy and love psych I would go for that first. You could always return back for your FNP. Based on some of the postings here, some parts of Florida appear to be very saturated with FNPs, however being bilingual is definitely an asset. Georgia may be a better option as a psych NP and as PsychGuy pointed out nationally the need is greater for psych NPs at this time. Something to consider if you decide to expand your focus beyond those two states.

  • 1
    JustMe54 likes this.

    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.

  • 0

    @dumplins I see this as well. Even when recruiter's send me things for NYC it's usually no more than $135k. I did receive an email for Upstate NY for $150k! No thanks! lol

  • 1
    ICUman likes this.

    Quote from PsychGuy
    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.
    Everybody in their cousin wants psych now too! lol Every NP student I know (NorthEast) is going back to school for psych NP. Don't know how much longer we will be considered hot. Pay is definitely geographic. Everyone is not going to earn $150K or even close. I'm not that far from NYC and they are not being offered that. You were very fortunate.

  • 0

    I'm salaried and most NPs in my area are salaried unless they work per diem or contract work. However any on-call or other duties would require additional compensation. Three CEU/CME days, $1100-1500 for CME, 4-5 weeks vacation and payment for license/DEA/prescriptive is typical.

  • 0

    [ATTACH]20158[/ATTACH]
    I have been seriously considering FNU for their DNP, however I am having some concerns about their national accreditation. Has anyone else heard of the reevaluation of recognition status of ACEN?

  • 0

    Attachment 20157

    I have been considering their DNP but have concerns over their national accreditation. They are accredited by ACEN which appears to at risk for loss of recognition.

  • 0

    Alexb45 Correct me if wrong, but there isn't a specialty certification for cardiology or dermatology so if you as an FNP who are trained as generalist works in either, you are not out of scope of practice. Psychiatry is a specialty that requires extensive training and knowledge in the field and you are board certified for psychiatry only. I don't know what state you are from but where I live the majority of employers would never offer non psych certified a position so it's a mute issue here. If your malpractice insurance is willing to fight a lawsuit for you practicing out of your scope I'm amazed but I know I have to practice within my scope and will not put my license at risk. I'm surprised this was not covered by most NP programs that a topic like this even exists.

  • 3

    Quote from alexb45
    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.
    This issue really has absolutely nothing to do with "turf wars" but it is all about scope of practice and malpractice. If you are a FNP you are still practicing within your scope of practice if a cardiologist or dermatologist decides to give you advanced training and you decide to work in that specialty. If you however decide to take a position working with a psychiatrist and treating mental health disorders as a FNP you are practicing outside your scope of practice which leaves you vulnerable for lawsuits. I am certified as an Adult psych np and I had a private practice try to convince me to see children stating that the psychiatrist could supervise me and I could take CMEs in child psychiatry. Well I contacted my malpractice provider and they informed me that if I practice outside of my scope which is adults only, they would not represent me if I were to find myself involved in a lawsuit. Providers need to recognize that even if an organization or physician tells you it is alright for you to provide services that you may not be sure falls within your scope of practice, it is your responsibility to find out if you are really protected. I'm sure when we start seeing posts about people being caught up working outside their scope because such and such said it was alright or they prefer that specialty, this will become less of an issue. As the NP field grows so will the lawsuits!

  • 0

    Congratulations!! Your state is fast! I passed my boards on May 28th but in New Jersey they say it takes at least 2 months to receive your license!!!

  • 0

    Chaoticdreams33 I also took it last night and it did give me some things to focus my studies on. My test is adult so some of the kiddie questions, I just went with gut instinct..lol.
    Megank5183 I haven't applied for any jobs yet but I think it really just depends on your area how the job market is. You can do searches on indeed to see what the job openings in your area look like.

  • 0

    Chaoticdreams33 I sent you a PM and the Barkley DRTs are finally available.


close