Oldmahubbard

Oldmahubbard

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All Content by Oldmahubbard

  1. My nursing program is horrible!

    Oldmahubbard replied to StraightOuttaNursingSchool's topic in General Students

    The quality of my psych NP program was highly questionable. I have written about it before. Our department head believed mainly in Freud. That is too sad for words, but it ended up being the best...

  2. Changing Culture

    Oldmahubbard replied to ggutier49's topic in Nurse Practitioners, NP

    I have always questioned the legality of these arrangements. Any reasonable person would. But it is accepted for a very good political reason. Get your experience, don't rock the boat, and get out....

  3. Collaborative Physician Issues

    Oldmahubbard replied to nbtw's topic in Advanced Practice

    A poor collaborator can be a nightmarish situation for an APRN. Unfortunately there are probably more bad ones than good ones. The onus is also on the APRN to ensure that state regulations are being...

  4. Salary Offer is Too Low but Wants the Job

    Oldmahubbard replied to Nurse Beth's topic in Career Advice Column

    In any case, it will be a pay cut. Get used to that idea. If it is a state psych facility, there may be benefits to make up some of the difference. Benefits negotiated will depend on how many people...

  5. New Grad NP Liability Insurance?

    Oldmahubbard replied to mangopeach's topic in Nurse Practitioners, NP

    Are you in a state requiring any type of supervision? Sounds too good to be

  6. How do Prescriptive Authority Agreements work in Texas?

    Oldmahubbard replied to Naturally Brilliant's topic in Nurse Practitioners, NP

    I am in NY, which used to require similar nonsense. The answer was that the employer was supposed to arrange the q 3 month chart reviews, which did not have to be in person in NY. But yes, a physician...

  7. New Grad NP Liability Insurance?

    Oldmahubbard replied to mangopeach's topic in Nurse Practitioners, NP

    I any case the employer should be paying for it. I would be worried about the 200 dollar

  8. Changing Culture

    Oldmahubbard replied to ggutier49's topic in Nurse Practitioners, NP

    There's a good reason why the NP's are not billing in the hospital. The physicians are right there and can bill at a higher rate. My suggestion is to learn as much as you can, and take this job for...

  9. Low Salary @ the VA as NP

    Oldmahubbard replied to BermudaTriangle's topic in Nurse Practitioners, NP

    My government job maxed out at 90k for NPs. They couldn't attract people, so they did some fancy footwork and got a 20k geographic differential, but it isn't permanent. It has to be voted in every...

  10. Feeling terrible about mistake

    Oldmahubbard replied to Forever a New Nurse's topic in Critical Care

    I am not in your speciality but I am thinking of

  11. Quitting job after only 8 months

    Oldmahubbard replied to Alexxoxox's topic in General Nursing

    As I love to say, 2 weeks later they'll be talking about something

  12. Quitting job after only 8 months

    Oldmahubbard replied to Alexxoxox's topic in General Nursing

    Could be some of those older folks have forgotten about the numerous short term jobs they had decades ago. Memory has a way of being conveniently

  13. Low Salary @ the VA as NP

    Oldmahubbard replied to BermudaTriangle's topic in Nurse Practitioners, NP

    I left my super low pay government NP job after everything fell into place for me to do so. There was a lot to consider, and I am much older than you. The state health insurance, especially the family...

  14. Quitting job after only 8 months

    Oldmahubbard replied to Alexxoxox's topic in General Nursing

    Maybe some of the "older" folks may have been through a hard time or two in their lives and are less prone to judge? I am older and I would tell nobody to drive an hour to work unless there were no...

  15. Does anyone here actually like nursing?

    Oldmahubbard replied to Sumdaymurse's topic in General Nursing

    I ran into a bunch of toxicity as an RN, but being an NP has been

  16. New Grad NP salary Texas

    Oldmahubbard replied to AlcRoc's topic in Nurse Practitioners, NP

    My advice, skip FNP, just do the psych. The FNP won't impress a

  17. Will you get your DNP

    Oldmahubbard replied to DannyBoy8's topic in Advanced Practice

    No, the curriculum is utter crap. I am old enough that I won't ever need it

  18. Cry me a river...?

    Oldmahubbard replied to Jedrnurse's topic in General Nursing

    I am a Psych NP. I have occasionally gotten tearful with a patient in empathy. For the loss of a child, as an example. Patients that lost relatives on 9/11/01. I have also been in grossly toxic work...

  19. NP Fellowship experience

    Oldmahubbard replied to NPfellow123's topic in Nurse Practitioners, NP

    I am a Psych NP, very familiar with Psych Forensic Fellowships for physicians at my facility over a period of more than a decade. I was quite unimpressed. These folks were total neophytes, and were...

  20. I should continue with the nursing program or change my degree?

    Oldmahubbard replied to Joanna369's topic in General Students

    I'll provide an opposing view. You are correct that nursing theory especially, and most care plans are an enormous load of poop. I didn't expect to like hospital nursing and I didn't. I was able to...

  21. Nursing student and overhead costs

    Oldmahubbard replied to pi.student's topic in General Students

    I went to an ADN many moons ago. Nobody I knew worked 40 hours, and took 4 classes, which was the definition of full time in those days, and succeeded. Not saying it's impossible. On the other hand, I...

  22. What state should I move to now the Washington State legislature is trying to force me to work seven days a week? (HB 1155)

    Oldmahubbard replied to Capp's topic in General Nursing

    Just to play the devil's advocate, or maybe I'm feeding a troll, but I came into nursing before 12 hour shifts. And yes, to support myself, I ended up working 7 days a week for many years, although...

  23. RNs and up - Do you really use all of the "gen-ed" course material on the job?

    Oldmahubbard replied to RomaniGypsy's topic in General Nursing

    A significant percentage of people with schizophrenia/bipolar disorder will die by suicide, substance abuse or simple self neglect. We don't have a whole course in it. Should there be? What we did in...

  24. RNs and up - Do you really use all of the "gen-ed" course material on the job?

    Oldmahubbard replied to RomaniGypsy's topic in General Nursing

    In the big picture, it's quite a small number of the people who die. Per statistics. Sepsis is almost always accompanied by underlying disease that makes them vulnerable. My point is we seem to...

  25. RNs and up - Do you really use all of the "gen-ed" course material on the job?

    Oldmahubbard replied to RomaniGypsy's topic in General Nursing

    We did petri dishes for various conditions, came back a week later. I learned that even thoroughly washed hands are still very germy. Almost as germy as the doorknob. I don't say there is zero point...