Oldmahubbard

Oldmahubbard

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All Content by Oldmahubbard

  1. Why did you become a NP?

    I became an NP because I had a burning desire to treat acute mental illness. While I utilize non-pharmacologic therapies every day, and I love my social workers and psychologists, there are some...
  2. Reasons nurses get fired

    Let's not forget, when a new MD shows up for the first day on a job, he is she is presumed to be basically competent. Other MD's automatically respect him or her. Staff follow suit. It isn't like that...
  3. Starting own NP practice

    Great.
  4. I had a job years ago that was 28 hours a week to break into a field. 3 8's and a 4. I didn't need benefits. It was close to
  5. Reasons nurses get fired

    People got fired for: having oral sex with another employee in their car, in the large parking lot. After hours, not on company time. an RN on a psych ward was found to be reading a novel in the...
  6. Bizarre Behavior by RN Employee

    It's not an infection control issue. If a spare bed were available in the clinic, clean as a whistle, he would also not be free to lie there during the course of an ordinary work day. He apparently...
  7. Messed up and the end of career path.

    Cautionary tale. You have an MSN, and the only nursing job you can find is part-time. There are markets that are obviously very
  8. Scope of Practice

    When the NP role first started some 50 years ago, we were limited to a very narrow and strict, simple set of protocols. The supervising physician usually had to be almost in the next room, while we...
  9. Scope of Practice

    It will not affect me in all probability, but it is still very, very concerning. Like some of the posts here that say "why can't I do PMHNP school full time while I work full time, and take care of my...
  10. Starting own NP practice

    The last I knew, in NY, BCBS will not reimburse NP's without a collaborator. Something like 50% of the population has
  11. PMHNP Time Management advice

    I want to add, a ton of self preparation will be necessary, and some of the patients will be really sick. Even dangerous. Even in states that require a physician collaborator or supervisor, you still...
  12. Reasons nurses get fired

    Bucking the trend, being an outlier of any kind, becoming politically unpopular, refusing to do some unethical thing management wants you to do. A few examples. I have the patient who complained about...
  13. Nursing school Clinicals

    I did clinical back in medieval times, but we didn't bother the nurses if we could possibly help it. We understood we were to work very hard to answer our own questions, and make the material our own....
  14. Scope of Practice

    Performing the procedure with the physician right there, guiding you along, is a completely different animal. The zoo vs the farm. My question is, what is the point, and even more importantly- who...
  15. Nursing school Clinicals

    Good Lord, there is so much ridiculous toxicity and bullying in
  16. Messed up and the end of career path.

    I think working 12 days in a row is too much for anyone. And you seem depressed. I am not aware of the job market specific for nurse educators, but I would expect it to be tough, because the positions...
  17. I would do it well in advance, and be sure the CEU's qualify in your state. Do not wait a year. I would send everything in early, as well, in case there is a
  18. PMHNP Time Management advice

    Please, please, please do not attempt to do this program full time while you work full time and care for little children. The last thing we need is more slapdash psych providers. I worked full time in...
  19. Scope of Practice

    If there were ever a complaint, or a bad outcome, the FNP would be in an awful position if such procedures were not part of their formal training. Which I am sure they are
  20. Who Did NOT Do a Year of Med Surg?

    I lasted about 8 months with the Med Surg, hating most of it, as I had anticipated. This was many years ago, and I then got into Home Health, which was not as intense as it is now. From there, I did...
  21. When to change name (marriage)?

    As an RN, name change is not really a big deal. As an NP, a much bigger deal. Don't do it now. Sorry for your
  22. Nursing school Clinicals

    I agree, your questioning the nurse was probably interpreted as looking for the easy way. And the reaction to it was way overblown. What saddens me is that this would happen in no other
  23. Quitting an assignment

    I simply can't learn my way around. I have been there a year, but only twice a month. The facility is all on one floor, consisting of cheapie mobile home units cobbled together. I walk in and first...
  24. Quitting an assignment

    Tee hee, I am an NP psych consultant and I go to a bunch of different facilities. This place only twice monthly. I realize I have been dreading it, mostly because of the very confusing layout, and I...
  25. When can I begin using the BSN credential?

    Immediately. The diploma is in hand, correct? RN, BSN,