Oldmahubbard

Oldmahubbard

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All Content by Oldmahubbard

  1. PMHNP Additional Certifications and Education

    My opinion- the value of the DNP will depend on your age. Young people (under 40) will eventually need it to remain competitive. I am not doing it personally, as there is no financial incentive at my...
  2. How Long To Get A Consult?

    Sad, but nothing new, and we have allowed it by our policies in this country. I work as a Psych NP in LTC for a national company, who handles all the billing, and pays me even before reimbursement...
  3. New Grad Can't Find Niche

    Back in my day, 1990 or so, my class was told to work at least a year in a hospital. To me, it sounded like horrible hard time. But many of my classmates were strangely excited about it. They even...
  4. Updates from the LTC world

    Let's see, yesterday I learned that medical marijuana has arrived at my local SNF. Apart from any other considerations, my first thought was that no one will want the zoloft I offer, if they can get...
  5. NP contract? salary with no holiday pay?

    Excellent and thanks for the
  6. NP contract? salary with no holiday pay?

    Hard to say. If they are offering 125k in a market that usually pays 100k.... Again, the market. What are your other
  7. NP contract? salary with no holiday pay?

    Total of 8 paid days off, and zero holidays. Only 5 days of vacation a year. Remarkably low. If the salary is high enough to compensate, you might consider it. Again, I don't know what the job market...
  8. NP contract? salary with no holiday pay?

    You are being paid by the hour, with apparently no PTO benefit.The use of the word "salary" here is possibly not accurate. It sounds like the employer is unusually cheap. I have never heard of money...
  9. Why did you leave your most recent job?

    Definitely do not list the job, and I hope you learned something from this. You could be there 6 years, not 6 weeks, and if someone decided they didn't like you, the same thing could happen. Never...
  10. Lawsuit.. Discovery phase.

    An inmate I discharged from a forensic hospital committed suicide about 10 months later in prison. It had nothing to do with me, but I was called in for a deposition. 75 people were named in the...
  11. Happy New Grad NP in Rural Primary Care Clinic

    It sounds great, do they need an experienced Psych NP? Just kidding. The area you describe seems far from my idea of a truly "rural" area. My only complaint would be lack of gourmet restaurants, but I...
  12. Employee Complaint

    The main thing that drove me to become an NP was this type of nonsense. It is least 98% better, mostly because when you have NP after your name, there is some respect. I agree it is unlikely this will...
  13. I don't start anyone on 2 drugs. No. I can't think of a situation when it is a good
  14. MSW to PMHNP?? AT A CROSSROAD AT AGE 41

    All Psych NPs don't make a lot more than school social workers. It might be a good idea to check out the local job market for psych NPs. I wouldn't recommend going to school full time for 6 years and...
  15. Employee Complaint

    I have such people to thank for my NP career! OK, been there, done that. Your question obviously pushed her buttons. And phlebotomists are not allowed to draw off PICC lines anywhere I ever worked....
  16. FNP Oversaturation

    Clearly, we have set the bar too low, largely due to the ease of attending online programs, regardless of their quality. The profession is sadly going the way of teachers and lawyers. Way, way too...
  17. Pro Life Beliefs and Nursing

    Most of our ethical issues are on the opposite side of the life spectrum. As a nurse, you will be required to participate in futile care, that is painful for the patient, and an enormous waste of...
  18. Benefits over passion?

    Definitely crunch numbers. I left a state position almost 2 years ago. People could not believe I was leaving. To be fair, I was there long enough to take the health insurance with me, and the...
  19. Loss of all personal freedom.

    Sounds like a
  20. Pro Life Beliefs and Nursing

    In nursing school, almost 30 year ago now, a classmate brought up a similar issue. The instructor's response was "don't take that type of
  21. Benefits over passion?

    Passion comes and goes. You think you have a passion for the OR, but you have no way of knowing if it would last. I would take the job with the best overall compensation, including
  22. Be not weary in well doing, for in due season you shall reap, if you faint not. Apostle
  23. Loss of all personal freedom.

    Penalizing smokers, vs giving non-smokers a discount, is all semantics. When you are talking about money, people respond very strongly, and irrationally, to the words "penalty" or "fine". The word...
  24. Just random questions

    No matter how much experience or education we have, we will encounter presentations we want to bounce off others. I have a couple of experienced NP friends I talk to. I am in an independent state, and...
  25. Loss of all personal freedom.

    At the large state facility where I used to work, there was no place to smoke on the premises, and no one to count and take the keys if a nurse wanted to leave the facility during the shift. There was...