Latest Comments by TigerBlood01

TigerBlood01 3,223 Views

Joined: Oct 9, '09; Posts: 32 (34% Liked) ; Likes: 27

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    Can anyone tell me how long it took to get your Florida NP license by endorsement from another state? Thanks and Happy Nurse Practitioner week!

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    If anymore people tell me about a "nursing shortage", I have some swamp land in Florida to sell to them.

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    TriciaJ likes this.

    If this nurse has no boundaries discussing these personal issues with co-workers, I am concerned that this may occur with patients as well. Some persons with a history of abuse (especially sexual) have difficulty setting boundaries with others an an adult. Their boundaries were violated in horrific ways during their childhood and victims never learned healthy boundaries with others . In some cases, abused children grow up becoming predators or abusers themselves. This gives them a sense of control or power over their past abuse.

    This employee needs therapy or counseling NOW. He has no boundaries with ANYONE. Keep a close eye on vulnerable patients just in case. This needs to be addressed by the NM immediately.

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    Sorry. Forgot to add. I found an NP position without a third party involved. WINNING!!!!

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    Update: I stayed there for 2 days. The agency tried to convince me to be patient and give them time to learn what the role of an NP is. I showed them in writing what our scope of practice is and set professional boundaries with staff. They are not interested and want to put me in a bad position with my license which could affect patient care in an adverse way. Of course, they tried to say I was breaking the contract which is not true. The company had a hidden agenda which was not revealed in the interview. I never received a written job description which was promised to me. I have learned and decided these third party agencies or recruiters have no interests in helping nurses or nurse practitioners with finding a good fit in employment opportunities. We are just warm bodies to fit a slot for their financial gain. I do not care about burning a bridge with this agency. They started the fire and burned themselves. I am not working for agencies anymore. I view them as parasites and nurses/nurse practitioners are their hosts. I plan to cut off my own food supply to them in the future.

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    @xtxrn, I think Charlie Sheen is a genius

    Staying away from ALL agencies in the future, especially the ones advertising govt positions. They've made enough money off nurse's hard work and the troops bloodshed. I'm voting with my feet.

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    tae26 likes this.

    All Job Seekers,

    I want to warn everyone about shady agencies taking advantage of nurses and nurse practitioners looking for a job in this tough economy. These agencies post deceptive ads with jobs that never exist. They use the "bait and switch" technique get awarded lucrative government contracts from the military and government. This same thing happened to IT professional and engineers a while ago. I guess the scam has moved to healthcare since IT is not as profitable anymore.

    I have learned about these businesses the hard way and want to spare others the losses they will experience dealing with these shady agencies and companies. I experienced lost job opportunities because I turned other offers thinking I had a solid job offer. They give you an employment contract to make it look convincing. Some of the positions are out of state. The health care recruiter will lead you on and ask you about your house search and act concerned. However, the entire time they know you are not really moving there. They do not care that you spent countless hours looking for a place to live or losing money after you have to break a lease. They lie and tell you are starting a position around such and such date. They know most people need to give at least a two week's notice at their present job. These agencies don't care that you are unemployed after you resigned for a position that is non-existent. They lie about what your "future employer" says about your experience and credentials. The recruiters will tell you "I'll handle everything." and "You won't interview with the military." We do our interviews in the company." It is all LIES.

    You will see many heath care agencies advertising government contractor positions for nurses, nurse practitioners, and other health care providers on the internet. I am sure there are ethical health care recruiters and agencies in this business. However, the ones that are involved with government contracting bids seems to be the worst and shadiest. I have heard some horror stories...

    If you are a new graduate nurse or NP, please be extra cautious applying at these health care agencies that advertise government contractor positions. Nurses and nurse practitioners are just being used to compete for lucrative government contracts with the promise of a job that never materializes after we are told we have one. What do the nurses and nurse practitioners jobs get after the contract is awarded to them? Nothing. What do the patients who are supposed to receive the health services get? Nothing. What do the agencies get? Lucrative government contracts worth millions. The military and federal government are being played by these agencies with these contracts. The health care professionals and patients are caught in the middle of a dirty business caused by these "healthcare agencies. "

    This is how these agencies do the the "Bait and Switch" to win government contracts and screw everyone involved. ....

    The federal government awards lucrative government contracts to civilian health care agencies for health care services to take care of our military and veterans. There is a great demand for these services especially with the high rate of PTSD/TBI and traumatic injuries our troops are receive serving in combat. The agencies advertise various positions seeking nurses and nurse practitioners to care for our troops and veterans. The positions are advertised as government contractor positions at Army, Navy, Air Force, and Marine Corps hospitals, clinics, and bases all over the world. Many positions are at VA Hospitals taking care of disabled and homeless veterans. As nurses, we are caring and compassionate people. We think others feel the same way about our troops who risk their lives for our country. This is why we chose this profession. We REALLY care about people and want to help our troops. I found out the ugly truth about these agencies. These agencies are merely profiting from the troops injuries and misfortune.

    When you apply for these positions, the bait and switch game begins. One common ploy is the recruiter will state that the contract for the position you want is going to expire soon. Usually, the expiration date is around the end of the fiscal year. They encourage you to apply for the position even if a couple months remain on the contract. They reassure you that if another company wins the competitive bid, you will be hired by them. They sound convincing when they lie to you. They inform you that company who won the bid usually does not have a candidate and time to do a lengthy hiring and credentialing process. They explain they will send your package and credentials to the new company who was awarded the contract. You never hear from them again.

    After no further contact from the company that was awarded the contract if they lose, you begin to realize there really is NO job offer. The original agency used your credentials/qualifications to present when they made a bid on a contract. Whether they win or lose., the candidate is no longer useful. If the agency gets the contract award, f two things happen: they advertise the same position again and hire someone for less money OR they do not hire anyone at all. The agencies don't care either way. If they win, they get tons of money. If they lose, the agency moves on to bid on another contract and plays the bait and switch game again.

    My health care recruiter highly discouraged me from speaking to the hospital where I was supposed to work. Now, I know why. He wants to be the "middle man" so we can't compare notes. I really wonder if they ever REALLY talked to the facility I was supposed to start in my new "position."

    My suggestion is that the military and government hospitals stop using agencies for these health care positions. Cut out the middle man. We are health care professionals and deserve to be scammed when we look for jobs. The military and veterans suffer as well. Many military members and veterans have chronic health issues from the wars in Iraq and Afghanistan. The agencies have no real motivation to provide the services they need. I just can't believe it sometimes that are people that do this. They really must have no conscience....

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    I suggested this to the doctor. She did not want me to sit in. I had a long discussion with my agency about several issues like professional boundaries with staff. They are calling the company to sort things out. I am just let down because this is my first job as an NP. It is not what I expected. I was told it was a supportive environment and they work well as a team. I have not witnessed this and did not feel warm and fuzzies from some of the staff. An example is getting the door slammed in your face after you politely introduce yourself as the psych NP to the nurse who screams that she does not have time to talk to you is a HUGE red flag for me. It seems like a place where I do not want to work, lol. Maybe it is a blessing in disguise so I can be released from the contract if they really don't want me there

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    I'm going through that now...I can tell it's territorial thing since I am the only NP

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    resilientnurse likes this.

    Hello Everyone,

    I started my new job as a Psych NP at an outpatient clinic and do not think it is a good place to work. This is my first Psych NP job and a locus tenems position. During the interview, they made it sound great and told me the psychiatrists were very supportive. That should have been my first clue when the doctor did not talk to me during the interview. I accepted this position because I could not find any full-time positions in my area due to a saturation of new grads and too few positions available.

    I am the first NP they have had at this clinic and it serves a large population of low income and chronic mentally ill patients. I love the patients but not the administration. For example, I gave the directors copies of my scope of practice, ect. and educated them about the role of a Psych NP. On my first of orientation, they had me orient with the RN who takes vital signs and takes off the doctor's orders, ect. The RN is a new graduate and this is her first psychiatric nurse position. I could tell she was getting easily overwhelmed with her duties and was still learning herself. It turned out that I was training her entire day instead I showed her how to give injections and was teaching her about medications. I talked to the directors and suggested that I orient with the doctors since I will be doing medication checks and evals. This is a very busy and fast-paced clinic. They give you 10 minutes to do a med check and an hour for an eval. The place is run by psychologists and I feel they do not appreciate the nursing profession's contributions to patient care.

    Later that day, the clinical director ( a social worker) approached me and said that it would be a good idea if I "helped" the nurse and worked as the Psych NP during my work days. I told her that it was not a good idea since I am a new Psych NP and still learning myself. Also, I told her that they were asking me to do two roles and this is not what they hired me for or told me in the interview. Throughout the day of my orientation, the new nurse kept asking me to do things like give injections and take off the doctor's orders. At one point, she called and complained to the director that since I have an RN license, she felt that I should be helping her. when I'm not busy. I told the director that this is an unreasonable request since I will be busy doing 10 minute med checks and i hour evals throughout the day. I put my foot down and refused.

    On my second day of orientation, I was supposed to shadow the psychiatrist. I went to her office and she was rather rude. She stated that no one told her I was supposed to shadow her and she was concerned about the patient's confidentiality and did not think it was a good idea. This is the psychiatrist who I have a collaborative agreement with and I am supposed to be seeing her patients. There are two other psychiatrists there and they want me to see their patients but I do not have a collaborative agreement with them. I insisted to the director that this is necessary for legal reasons. So far, I have not seen anything in writing.

    I went to computer training to learn their charting system and the IT person kept training me on the nursing portion. I asked him to show me where I am supposed to chart the psych evals and medication reviews. He said that I did not need to learn this because I was a nurse and not a doctor. Grrr.....

    I do not have a good feeling about this position and want to quit. I've already found another position where I think I will have more support and collaboration with the psychiatrist. Every time I ask questions, they say they are busy and have patients to see. I understand this but I need to learn the charting and the routine at the clinic. The new place where I got hired has two nurse practitioners and the doctor understands our role and scope of practice. The doctors and other staff at the clinic where I am working now seem resistant to teaching and having a psych NP for some reason. They keep trying to put me in the RN position or want me to do both RN/NP roles. It is crazy....

    The problem is the agency expects me to be there for a set amount of weeks since they paid for my DEA number. It was a verbal agreement and I do not have anything in writing. The contract states they want a 30 day notice but I do not think I will be able to tolerate this work environment until I start my other job. I need some advice and was wondering if you ever had these type of experiences. How did you handle it? Thanks!

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    Muddamia (I like your name by the way

    Congratulations on your move and new position!!!!!
    I wish you the best. You sound like an adventurous person and I respect that.
    Since my last posting, I have been offered a couple positions. I guess the economy is improving around here. That's a good sign.
    However, there must be something in the air because I'm packing up and heading out west. Cali is calling. I guess I''ll always be a gypsy at heart

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    Hi Everyone,

    Passed my ANCC exam and finally received my NP license.

    Accepted an offer to work on an inpatient unit. Does any experienced NPs have any advice or suggestions for a new Psych NP like myself ? I'm excited and nervous at the same time since this is a new role for me. Thanks!

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    I've lived in over half the states in the U.S. and have traveled extensively my entire life. I believe that SE Michigan has one of the worst economies in the U.S. I know many people with degrees that lost their jobs and can't sell their homes because they are "upside down". They just walked away from their mortage loans and homes. College graduates are leaving the state to find jobs including graduate nurses. Several nurses I work with want to retire but need to work because their husbands got laid off due to company downsizing or the company closed down.

    I agree with people that the weather and scenery is nice in the spring, summer, and fall in Michigan. However, I am not focusing on the weather or scenery in Michigan when I give suggestions about researching the economy before someone moves here. Those things do not pay the bills.

    Detroit has been and is still dying is because it was a one industry city focused on the Big 3 in the automobile industry for many years. The state of surrounding suburbs was and still is directly dependent upon the health of that industry. When the industry is prospering so is the host city like Detroit, and surrounding towns/suburbs. In Detroit’s case, it overly relied upon the automotive industry, the Big 3 economically. The difficulties of the Big 3 caused tens of thousands of job loss in Detroit and adjoining cities.

    Even with the recovering domestic automotive industry, jobs in Detroit and the suburbs still remain bleak. The reason is the automotive industry that once located facilities and facilitated jobs in MI are moving to lesser unionized cities down south such as Tennessee and Alabama.

    People in more affluent neighborhoods around Detroit sometimes lose sight of the daily struggle that the blue collar workers and lower income folks are going through to survive in lesser affluent neighborhoods. The majority of these folks are my patients and I see it everyday. Many do not have jobs and no health insurance. Even the hospital where my husband works is laying people off because this is the majority of their clientele and the hospital needs to cut costs to survive.

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    Hi TravelGtr,

    Yes, I am a fellow gator Thanks for sharing your experiences. I think the flexibility and autonomy of being an independent contractor will be truly liberating. As yourself, I will be able to set my own hours and fees. I was worried that I would not have a lot of job security doing this compared to being an employee. However, I am seeing that my services are in demand and do not think that lack of job security will be a problem.

    Thank you for the advice regarding the taxes. I was planning on seeing an accountant and tax attorney to cover all of my bases. I definitely do not want to be audited or owe money to Uncle Sam.

    I have a couple questions about the billing aspect. How do you do the billing? Is there a program that you use or recommend to keep track of your billing, submit claims, ect.?

    Also, did you apply for a Medicare Provider Number? If so, how long did it take you to get it and how were you reimbursed while it was being processed? I heard it takes 3-4 months to get it. Does this mean you do not get paid until you have an actual number?

    I apologize for all the questions. I wish that they had offered a class about billing, reimbursement, and the other business aspects of being a nurse practitioner in my graduate program. How did you learn about the business principles of being an independent contractor?

    Thanks and it is inspiring to hear about other nurse practitioners like yourself that have started their own business and doing it successfully!

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    I was wondering if any nurse practitioners could give some advice and tell me the pros/cons of being an Independent Contractor ? I've been offered a position but have some reservations about it since they do not offer benefits, PTO, retirement, ect. Also, would I have to get my own malpractice insurance and pay for my own DEA number? Thanks for any advice you can offer a newbie NP