Oldmahubbard

Oldmahubbard

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All Content by Oldmahubbard

  1. What is working in addictions nursing like?

    Addiction is a life shattering disease that can happen to anyone. That being said, it takes a certain kind of person to work in the field. Your coursework should cover dealing with the difficulties...
  2. Prescribing Far Off Label

    In psych, we do prescribe off label at times, ie there are no FDA approved treatments for borderline personality disorder. But this is way out there, and if there is ever a complaint, you will have...
  3. Policy and Procedures

    I will never forget working in Home Care 20 years ago. We did a huge number of clean dressing changes in people's homes. The trouble started when every nurse had a different idea of what constitutes a...
  4. Second Thoughts on leaving Bedside for NP role

    I doubt anyone is satisfied with crappy pay, but if they can't move, they may be stuck with it, until something better comes along. Personally, I can't see how any NP who can actually do the job, and...
  5. Resignation, What To Do With Accrued PTO??

    But the money would still be taxed as a bonus, even if paid out over 10 checks. And it would still be taxed as ordinary income at the end of the
  6. Second Thoughts on leaving Bedside for NP role

    In broad terms, most of the NP's are know are quite satisfied with their jobs. Even those with relatively low pay. Becoming an NP has never been a guarantee of a significant raise, depending on your...
  7. On the other hand, it is reassuring that there is not a line of 100 people wanting the OP's job. The bottom apparently isn't going to drop out
  8. Well run clinic are the key words! We had a 25% no show rate no matter what we
  9. Depressed in Nursing School

    Nobody likes clinical. And almost nobody likes their first job or two. Then you find something. Get some help with your
  10. consultant

    To get a consultant position, one generally needs to be considered an expert in the field. The top educational credential, and lengthy years of experience. In my case, it required an MSN and 15 years...
  11. Having worked in private practice, and understanding the economics, I would not apply for this job. No one could possibly pay me competitively with good benefits, while I see the 1.5 patients an hour...
  12. I'm out - headed for the "dark side"

    I am really glad for you. It sounds like maybe you live in the boondocks, or the facility was in the boondocks. I currently do 60% of my work from home. I would take a pay cut to do it all from home,...
  13. I work for a large national company. Their advertised salary for NPs (of all stripes) is about 95k. They probably don't get that many applicants. As soon as you prove you can carry a reasonable work...
  14. Resignation, What To Do With Accrued PTO??

    I do not have a CPA, but I know people who do. From what I have observed, if you don't handle your own money and you don't do your own taxes, before long, you are completely out of touch. I know more...
  15. How Much Junk do you Keep?

    I don't keep any old textbooks or handouts at
  16. Average Pass Rate in ADN program

    When I went, those who made it through A and P had a 80-90% success
  17. Can I Change Specialities After Becoming a CRNA?

    My advice is not to start CRNA thinking you can always change specialities if you don't like it. The different APRN specialities are not that interchangeable. You would be starting almost from...
  18. Resignation, What To Do With Accrued PTO??

    For whatever reason, the withholding rate on supplements and bonuses is higher, but the actual tax rate at the end of the year is the same. I think most people would be astounded by what they would...
  19. I don't think this will have much impact. Sadly, NP programs are not that
  20. Medically necessary care

    As my mother used to say, I hope this is the worst thing that ever happens to this guy in prison. And you will soon see much
  21. Quit being an NP

    At only 10 months, I don't think you gave yourself enough time to develop confidence in being the diagnostician. It still could work out. But if not, then grace. We all need it at some time or...
  22. Any Pmhnps here? I have a couple of questions?

    I could not comment on the job market. I do greatly fear low quality graduates flooding the market. I went to a private brick and mortar school with a good reputation, and if I had only met their...
  23. RN's are you happy with your career, why or why not?

    Nurse practitioner. The only thing in common is the 5 letter word in the title. Otherwise, completely different world and for that, I am truly thankful every day of my
  24. Thoughts on doctors and management styles

    I don't think at all that you are wanting your hand held. You would like a little more contact with the boss, and it isn't going to happen. He just isn't into it. He is busy and doesn't want to be...
  25. Nurses 'Eat their Young?'

    Not at all a myth, very true in my experience. If you get in with bullies, my suggestion is to not be at all intimidated and leave as soon as you can. One tip I do have. Never accept any vague...