Barnstormin' PMHNP 9,424 Views
Joined Mar 8, '12.
Posts: 355 (66% Liked)
Save yourself some money and cancel the ANCC. You don't need both certifications.
He's like a puppet cartoon character for the show in an effort to bolster its ratings. Sad!
I haven't seen The Family Feud since the 70's....
And who exactly is it that is "shaming" you?
No one on this internet site (or any other) is "real" enough to me to cause me any distress. I'm human and can get irritated just like anyone else, but I don't ever feel bullied in situations where I can simply log off.
Be sure to check the hiring situation for NPs with no experience. In my neck of the woods, it's not very good. Experience as a counselor is not relevant to the medical skill set needed to safely and effectively manage medications.
I have no legal background so this is just my opinion but I'm not sure why you feel they are still your patients or the practice has a legal obligation to send them your way. What would you like the BON to do? My understanding is that they are not your patients they are your former practice's patients and although its amazing that you have moved on and are running your own practice don't expect them to fill your docket. Your patients who are interested in continuing care with you will will find you and better to let them come to their own conclusion about the helpfulness or not of the previous practice in that process. Sounds like you should also make sure you are listed on google.
I think 5 years of quality nursing experience is more than enough. I can't speak for other specialties, but nursing experience for the NICU is a must and (thankfully) virtually all schools recognize this and require a few years experience. I had 6 prior to becoming a NNP working at a tertiary center on a unit that promoted strong nurses. It made me a much better clinician coming out of the gate and the role transition wasn't as difficult as I thought it would be (ironically my anecdotal experience has been that NICU nurses who have 15+ years experience have a harder time transitioning to a provider way of thinking).
@jules - surprised you said this. Saddened too. Many of my family members have NPs/PAs as their PCP. I provide (now thanks to CMS) primary care to dialysis pts. Many preferred me over the doc as they say I "talk their language." I have to say that the physicians in my practice are excellent and provide great care. However, as we all get pushed to do more and more in less time, I foresee a time when NPs will be just as stressed as MDs. I worked 15 hours yesterday and 12 hours today and unfortunately this is becoming the norm..
Jules - I've been an APRN for over 10 1/2 years. I had 14 years total nursing experience before that; 12 as an RN and 2 as an LPN. (Nursing is a second career, military was the first and not in nursing)
Our practice does have 8 APRNs now where we had 4 when I got hired. Our APRNs (who I have a hand in employing) are first rate. We range in age from 26 to 62, get along very well, work as a team and generally get the job done very well. We are valued in our practice and frequently thanked. (I got two Thanksgiving texts from the two docs I work with most often thanking me for all I do to care for our patients and for working so hard).
Our younger APRNs do have other goals: starting a family, several have kids at home, two are childless, two of us have adult kids. Yet, we all get along well.
All of us have similar work ethics and as we all work independently of each other, we are only in contact via phone/text.
Maybe its the environment you are working in?
I couldn't do the questions on my phone and drink my cocoa.
I'm of a mindset that some elements of life suck and there's just no fixing that. I don't think "support" is necessarily warranted. I
Although its too long to hold my attention, the questions aren't bad. I was anticipating a female driven, whiney expectation that our workplaces be nurturing. The short version is I find being a NP far more stressful than I ever could have imagined but I absolutely love it and don't really expect support. What I have found most valuable is the work relationships, many I consider friends who I get together with regularly, that I have fostered over my nursing career with all disciplines. My best jobs have been the result of inside contacts.
You'll have to be more specific with what the role entails. As a PMHNP, are you going to be doing neuropsychological evaluations and recommending psychotropic medications? Then, that's within your scope regardless of whether this is in an ICU or not.
You mentioned that the fellows in your Neurotrauma ICU have Neurology and Psychiatry backgrounds. You'll have to be more specific about what fellowships these guys are under. I've never come across a Neurocritical Care fellowship that admits fellows from a Psychiatry residency. Most programs do admit applicants from broad medicine backgrounds (IM, Neurology, Anesthesiology) but never Psychiatry. The neurointensivist role requires broad knowledge of critical care concepts of sedation, mechanical ventilation, hemodynamics, line placements, etc that a Psychiatry residency graduate would not transition well into.
BON's are typically not specific about what roles various kinds of NP's can do. There are some that are starting to delineate the differences, however, so you'll have to check with your state. In the absence of BON regulation, the default is national standards. I've sat in an ACNP national task force to define the ACNP role and the push is for NP's who train in acute care perform acute care roles. Experience as an RN in acute or critical care is not a substitute for the appropriate NP training. That's at least what the national certifying body is pushing for.
There are legal repercussions of practicing outside the scope based on state and national standards.
Run, run, run, run!! Why do nurses and NP's feel they have to put up with this? You are not receiving the respect that is due you. Don't tolerate it. I am lucky because I am in a position where the physicians who I work with respect me and often protect me from others who do not. Yes, it is not good practice to leave before 6 months have gone by. So you need to do some reflection and decide if you can stick it out. Don't sacrifice your mental health for this. There are other jobs out there! Do some research and find a place where you will be valued and treated well. You don't have to put up with anything less. By the way it starts with the orientation, if you get an unorganized mess of an orientation, that is a big red flag that you are in the wrong place. Don't sell yourself short, there is a good job out there waiting for you!
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