Revenue streams? Psych np?

  1. I was curious to get someone's take. I'm an emergency nurse practitioner which I don't particularly love the job. I have done a few months of primary care which was more something I felt like I was good at. I want to be able to make some money on the side, however it seems to be difficult. I had looked for tele Health positions which seem to be primarily psychiatric.

    Are there any psych NP is out there that do this and is it worthwhile and any recommendations for an online psych NP post-master's certificate? The possible flexibility of these position seems very attractive to me. Is the juice worth the squeeze?
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    About ncaru01

    Joined: Jul '08; Posts: 54; Likes: 15

    8 Comments

  3. by   InquisitiveAPN
    Telemedicine can be exceptionally lucrative and makes most sense for psych because we don't actually examine patients in the stereotypical sense. We also don't need tools, exam rooms, and endless overhead a medical practice requires. You can also work from anywhere at any reasonable time. If you find a job where you seldom prescribe anything you're even better off! Psychiatric evaluations and consultations are the way to go.
  4. by   ncaru01
    My friend that does it says it is way harder than hospital work though. I don't know if its worth getting thr psych degree. I think it takes a year roughly 30k
  5. by   InquisitiveAPN
    Quote from ncaru01
    My friend that does it says it is way harder than hospital work though. I don't know if its worth getting thr psych degree. I think it takes a year roughly 30k
    What do you mean? Telemedicine is more difficult than inpatient rounding? Or NP is harder than RN.
  6. by   ncaru01
    She has had 2 inpatient positions and a few telemed np positions and claims she works 4 times as hard doing telemedicine as a psych NP.
  7. by   Jules A
    Quote from ncaru01
    She has had 2 inpatient positions and a few telemed np positions and claims she works 4 times as hard doing telemedicine as a psych NP.
    I haven't found it to be 4xs as hard but it is challenging, and usually lower rates because they are selling you in your PJs at home. My concern was increased liability due the multiple scenarios where you can miss something on screen that might be obvious in person.
  8. by   Spadeforce
    Quote from Jules A
    I haven't found it to be 4xs as hard but it is challenging, and usually lower rates because they are selling you in your PJs at home. My concern was increased liability due the multiple scenarios where you can miss something on screen that might be obvious in person.
    I can only imagine how bad my productivity would be at home with starcraft installed on the computer lol
  9. by   Oldmahubbard
    The phrase "revenue stream" conjures up passive income, ie owning an apartment building. Telepsychiatry is a very, very long way from that. It will be all the work of seeing patients in a private office, except you can probably click "off" should patients become inappropriate or even abusive.

    I also think there are a ton of clues that might only be observed in person. From an ethical perspective, collateral information should usually be sought, and the time involved is generally not included in your reimbursement.

    Many patients over the years have told me they did not feel "evaluated" by the "doctor on the television."

    All that being said, you could probably earn an average living doing it, but I would not call it a "revenue stream".
  10. by   ncaru01
    I think you're reading to much into the vocab. It just means income. Money for service. It's not passive income. There are disadvantages and advantages. You have a minor issue and cant see a provider for 5 months vs today, today might prevent sometging significant developing and being noticed months later

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