Oldmahubbard

Oldmahubbard

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All Content by Oldmahubbard

  1. Unhappy and stressed as NP- seeking advice.

    It will depend to some degree on where you work, but generally you will be expected to see and independently manage 15-25 patients a day. In 15 years, I have had a few jobs. In private practice, it...
  2. Conflicted about NP Track

    These are 2 very different roles. It's in the nature of APRN education that we are limited by our license where we can practice. The roles are very specific, unlike PA's. I'm a PMHNP. I don't deliver...
  3. NP Career advice after staying home with kids

    Your degree is not that old, but I don't know the market where you live. Definitely volunteer if you can't find anything. You'll need the practice hours for your recert. Be willing to consider some...
  4. Advanced Pathophysiology

    As I recall. the exams were essay style. So it wasn't picking the right answer out of 4 choices. You had to really know the
  5. Horrifying cow experience. You've learned a lot in a year. I know you'll do well wherever you end
  6. Advanced Pathophysiology

    In my program, not too much different from
  7. so, outside of a TPAN type program, what is the point of these tests? For my patients in the community, why would I bother ordering these tests for anybody, when they can be thrown off by Motrin and...
  8. Is MSN informatics worth it?

    I would do more research. My sister started an online MSN informatics. She said the quality of it was terrible. She quit, although it was paid for by her employer. But she was only a year or two from...
  9. New PMHNP

    Know your state laws and figure out your own philosophy on controlled substances. It will evolve, but you have to start
  10. if such a large number of innocent everyday products can cause a false positive, are the tests reliable at
  11. Can nurses help uninsured patients ?

    Of course they can in theory, but if they work for an employer, their involvement will be limited by the setting. NP's generally limit their practice to medicine. They usually don't do what is thought...
  12. Unhappy and stressed as NP- seeking advice.

    I have been an NP for 15 years and love it, but I do feel the weight of the responsibility at times. Your post was actually reassuring to me, because I feel some NPs are overconfident and too casual...
  13. How NOT to Recruit an NP

    Interesting and good luck FullGlass with the job
  14. Strange prescribing practices

    So he is billing for managing all these diseases but really it's just a
  15. How Do You Build Your Client Base as an NP?

    I do some Assisted Living, psych. I let everyone know I am available for urgent issues, and that I can see pts weekly for a stretch if
  16. Strange prescribing practices

    Interesting. I ran into a situation after a pt was admitted to LTC. I ran the state narcotic report. The community NP had been seeing the pt monthly, since February, and only wrote Ativan 1 mg po tid,...
  17. Is Shortage in Nursing really a hoax?

    There has never been a shortage of RN's for the desirable jobs. And the undesirable jobs will always be in
  18. Does dating get easier as a male nurse in his 30s?

    Do not look for love at work. I am not saying it couldn't happen, but be very careful. You are a college educated male, and professionally employed. If you maintain your hygiene, don't forget teeth,...
  19. let go from job

    Many times there is something bigger in the picture that you don't know about. I got fired unjustly some 20 years ago after working at an agency for 5 years. The new supervisor simply took a personal...
  20. Innumeracy

    An NP I work with couldn't figure out that 150 pills dispensed in the community since February this year did not equal tid dosing. A BSN I work with could not figure out how to order 125 mg of a drug...
  21. Innumeracy

    TID dosing?
  22. New PMHNP

    It would be helpful to know what type of position you have accepted. The case mix is going to be somewhat different in private practice, as opposed to a Community Mental Health Center or inpatient....
  23. PMHNP Specialization

    One thing that working forensics taught me. I pay little attention to subjective symptoms. People are not reliable reporters. For example, I never ask about appetite. I check weights. Sleep? I ask the...
  24. PMHNP Specialization

    In forensics, you will encounter some of the most profoundly psychotic people you will ever see, plus some of the most tenacious behavior disorders imaginable, as well as some well above average,...
  25. Burnout: What would you do in my situation

    FNP might be more money or not, but it won't be weekends or holidays, apart from maybe call. Some FNP jobs are long hours, I understand. You will also have much more autonomy to say "no" when dealing...