What Type of Setting Do You Work In?

  1. 0 Hi, I hope no one minds that I am not a nurse practitioner. I am just very interested and I thought this is the place to find you

    Where do you work? Doc's Office, ED, clinic? I wonder how everyone likes their current position? Have you been able to choose your ideal setting? How's the job market?


    My fear (in becoming an NP) is that I can no longer do bedside nursing (due to the added liability). And I wonder if I could find a good fit elsewhere. I need to know what opportunities are out there!

    Thanks all!
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  3. Visit  GinaCat profile page

    About GinaCat

    GinaCat has '1' year(s) of experience and specializes in 'Telemetry'. From 'New Jersey'; Joined Aug '10; Posts: 55; Likes: 29.

    15 Comments so far...

  4. Visit  zenman profile page
    0
    I think we've already had a thread like this before.
  5. Visit  GinaCat profile page
    0
    i looked through the first several pages w/ no finds. i will look further. thanks.
  6. Visit  forthebirds profile page
    0
    I'm not an NP either, but I am interested in pursuing my masters. Below is one thread that may give some information, though it only answers a few of your questions. It would still be good to hear from others if they are so inclined. There is definitely a lot of info, but maybe not as concise as what you are looking for.

    http://allnurses.com/advanced-practi...np-712118.html
  7. Visit  traumaRUs profile page
    1
    I work in dialysis clinics and hospitals. I travel extensively.
    forthebirds likes this.
  8. Visit  Psychcns profile page
    0
    I do locums and like working in different settings. I think I like outpatient clinic the best. My next assignment is inpatient and I look forward to the change. I did work in a doctors office for a while and this particular place was very disorganized. I worked several years in management and I have a good sense of how systems work and When i do locums i try to fit in and help things run smoothly. I love clinical work and I can focus on this doing locums and stay away from system problems.
  9. Visit  forthebirds profile page
    0
    For both traumaRUs and PsychCNS, do you feel your training has helped/hindered in anyway? I think I saw you both followed the CNS path. In the end, do you feel it matters? Sorry for the ignorance, just when I think I understand the differences/similarities of CNS or NP... Well, I realize I'm missing something! I know the state you are practicing in can have a significant impact too.

    PsychCNS, I really like the idea of locum tenens. Seems like a great way to do the work you enjoy without the system issues you reference. How long were you practicing before you decided to work independently?

    Thanks!
  10. Visit  Psychcns profile page
    1
    Quote from forthebirds
    For both traumaRUs and PsychCNS, do you feel your training has helped/hindered in anyway? I think I saw you both followed the CNS path. In the end, do you feel it matters? Sorry for the ignorance, just when I think I understand the differences/similarities of CNS or NP... Well, I realize I'm missing something! I know the state you are practicing in can have a significant impact too.

    PsychCNS, I really like the idea of locum tenens. Seems like a great way to do the work you enjoy without the system issues you reference. How long were you practicing before you decided to work independently?

    Thanks!
    I had 5 years prescribing experience before I started locums. I used to like the system issues and trying to make things better as a manager and eventually gave up trying but I have empathy for people in these roles and try to support them. I think my training and experience helps me in my jobs now. But expectations can be different place-to-place so it is also important to know a facility's culture. I liked the cns role but this was all there was for psych in 1994. The psych NP has pushed us aside since 1999. We are grandfathered for now-our credential has been retired.. The psych NP degree is more versatile now..I liked my training because I learned a lot about therapy (as well as meds) and people aren't learning this so much now.
    CNS can prescribe in 36 states, NP in all 50. Probably more role preparation in CNS. But not for psych. Psych is not offering CNS anymore.
    forthebirds likes this.
  11. Visit  BCgradnurse profile page
    1
    I work in an outpatient private specialty practice. I enjoy what I do, and I like developing expertise in a specific area. I like having regular hours, and having weekends and holidays off. I started off in primary care and got some great experience, which helped me determine what type of specialty I would prefer.
    forthebirds likes this.
  12. Visit  forthebirds profile page
    0
    Quote from BCgradnurse
    I work in an outpatient private specialty practice. I enjoy what I do, and I like developing expertise in a specific area. I like having regular hours, and having weekends and holidays off. I started off in primary care and got some great experience, which helped me determine what type of specialty I would prefer.
    Thanks BC! Did you do adult or FNP?
  13. Visit  forthebirds profile page
    0
    Quote from Psychcns
    I had 5 years prescribing experience before I started locums. I used to like the system issues and trying to make things better as a manager and eventually gave up trying but I have empathy for people in these roles and try to support them. I think my training and experience helps me in my jobs now. But expectations can be different place-to-place so it is also important to know a facility's culture. I liked the cns role but this was all there was for psych in 1994. The psych NP has pushed us aside since 1999. We are grandfathered for now-our credential has been retired.. The psych NP degree is more versatile now..I liked my training because I learned a lot about therapy (as well as meds) and people aren't learning this so much now.
    CNS can prescribe in 36 states, NP in all 50. Probably more role preparation in CNS. But not for psych. Psych is not offering CNS anymore.
    Thanks for the great info. Really helps to know how others have forged their path.
  14. Visit  zoidberg profile page
    0
    psychcns,
    i am accepted to nursing school, and waiting to hear back from PA school. Psych is my primary interest.(im aware of the learning curve of a psych PA...). Correct me if i am wrong, but is seems most psych PA's and NP's simply do short medication management appt's now. How bad is it? any room for psychotherapy left in the system? How much psychotherapy training is there in PMHNP programs? What kinds of jobs are out there for people who want more then the outpatient med-check life? I know inpatient can be tough, but does it give more room for appropriate treatment?
  15. Visit  Psychcns profile page
    1
    Quote from benm93
    psychcns,
    i am accepted to nursing school, and waiting to hear back from PA school. Psych is my primary interest.(im aware of the learning curve of a psych PA...). Correct me if i am wrong, but is seems most psych PA's and NP's simply do short medication management appt's now. How bad is it? any room for psychotherapy left in the system? How much psychotherapy training is there in PMHNP programs? What kinds of jobs are out there for people who want more then the outpatient med-check life? I know inpatient can be tough, but does it give more room for appropriate treatment?
    Look at a school's curriculum and if possible talk to graduates. Some schools value psychotherapy more than others. I learned how to do psychotherapy years before I went to graduate school-on the job-with at least 3 hours of 1:1 supervision per week. This was before the biological revolution and Prozac and the second generation antipsychotics. All you had was theory. My grad school was therapy and theory oriented. Many now are mostly biological though therapy is in your scope of practice as a psych np and you could always find your own supervision.
    Now it appears outpatient is mostly med management. I don't mind it because I don't work 52 weeks per year. I think it is very intense- you are treating psychological pain in 15 to 30 minute med visits and it is hard to do this all day.
    The VA has more varying roles. I have a friend who leads 4 groups per week, does crisis one day and outpatient clinic one day. And therapy with meds two days per week
    How much therapy you do inpatient depends on the facility- a short length of stay- not so much. Though you can make a difference with brief therapy. My next job is an 8 week assignment in an inpt facility in corrections.
    Private practice could be a way to do a combination of meds and therapy.
    PA psych is fairly new I think. And I think your scope depends on your supervising physician. I heard of a state hospital that uses all psych PA's.
    Psych is great. You just need to be able to process or at least reflect on patients and you do some therapy with med management. 30 min visits are better than 15 minutes..one hour with meds is possible in private practice or some places like the VA
    forthebirds likes this.


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