I have a rather unique situation that I think will be rather enlightening for some. I have delayed sleep phase syndrome which is a Godsend for my RN nursing career because I actually want to work nights, and staffing loves me for it.
I am the type of person who is "hardwired" to be more alert during the night. I do not have insomnia or any other sleep issue than that my natural circadian rhythm is essentially opposite that of others. I naturally sleep all day and I am most alert at night. For me to try to function on a day schedule is analogous to an average person trying to stay awake during night shift.
I am most interested in psychiatric nursing and I was wondering what regions of the United States are more apt to use Psychiatric NP's for ER, and acute psych care. Because of my sleeping disorder, I could not "survive" working a typical 8-4ish clinical outpatient psych job. I have seen that Psych NPs are utilized more fully in the Pacific Northwest, including Alaska, and it just so happens that before I even looked into Psych NP as a path for me that I was already interested in moving there. Washington or Alaska are the top two states to which I plan to move (still debating that one).
So, would I be nearly unemployable in the context of needing full time employment once I graduate from an PMHNP program?
I have heard mixed stories, from some people telling me that the only opportunities available are clinical outpatient. Others have said that I would be great because a group of physicians or NP practice might be willing to modify their practice to accommodate me since I would actually be saving them from being on call for nights. Plus I may be an asset because I would allow more flexible meeting times for those of our patients who would need evening meetings due to constraints such as work during the day or shift work.
I was hoping someone could share how often, for example a psych NP would be utilized on-call for ER scenarios overnight (in a larger urban setting of course), and if that would be frequent enough to warrant full time-like hours.
Does anyone know of any special inpatient psychiatric facilities that require 24-hour psych NP's? That would likely be the best fit for me.
I know this question must sound odd; circadian rhythm disorders are fascinating and poorly understood by the public at large. I am hoping there would be some physicians or NP's who would be thrilled to hire an NP for nights only to take over the on-call duties and emergencies. I am all for inpatient psych if possible.
I also do realize that in certain states, a Psych NP may practice independently and be able to make a living with evening to night hours only (e.g. after work hours for med management might be easier for a patient to fit into their schedule).
I'm curious to hear everyone's perspectives on this. Thank you for your time.