Oldmahubbard

Oldmahubbard

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All Content by Oldmahubbard

  1. Help save my career

    I am also sorry about this. However psych is not the way to go. The diagnostic differentials are even tougher, and half of what patients tell you isn't remotely true. Before becoming a Psych NP, I...
  2. What's next after correctional nursing?

    I am retired from the Corrections environment but I find people tend to respect me because of this background. It takes a lot to get me
  3. Patients who "cheat" and drive home

    I find it implausible that a person knows how to use an endoscope, but not a stick shift. Also, I applaud the 50 y/o lady taking responsibility for the world's overpopulation by getting an IUD. Or was...
  4. For new or prospective Psych NPs

    Ok, people, I was just wrong in that situation. Even though fairly experienced. I knew what bipolar disorder really was, and the kid ( age almost) 18 didn't meet criteria. I think the real problem was...
  5. Straight from BSN to NP and maturity

    I caution anyone considering Psych NP without fairly extensive RN experience in the field. In psych the diagnosis will often not be clear. It isn't like other areas of medicine where there are well...
  6. SOCIAL ettique of using "Dr." on invitation

    The NP doctoral degree is in no way comparable to an MD or PhD, in my opinion, and I would be embarrassed to use it socially. My opinion
  7. Do you wear open toed shoes as an NP?

    I don't, because I have old lady feet. Also, I am in LTC. Otherwise I would have no issue with it. There must be hundreds more relevant issues for NPs, most of whom do not work in an acute setting....
  8. PMHNP and Health Coach?

    You don't want to pass out pills all day, and I don't blame you. It is not terribly thrilling work, and most of the patients do not get better. Unfortunately, that is what PMHNPs are basically paid to...
  9. FNP practice

    By the time you factor in the financial value of hours you will put into school, plus the loans, you may not make very much more. It depends a lot on your local market. If you could shadow a local NP...
  10. Quit my job

    I would like to know more about the million dollar fines, and loss of license over minor issues for these totally innocent people.....not my experience, and sounds a lot like an urban legend. The...
  11. I hate to agree that the programs are nowhere near as rigorous as they need to be. When I did my program, much of the work involved was the 2 hour drive, one way, to attend a class. I know, the dark...
  12. I hated being an RN, although I did it for 13 years out of sheer necessity. Overall, have been much happier as an NP. As an RN, I was regularly blamed for a whole bunch of just stupid nonsense. Some...
  13. The pain scale has been harmful

    I am a Psych NP, worked as an RN back in the dark ages. But I vividly recall asking about pain, back in the day and some patients would absolutely deny it. But 5 minutes later, they would be talking...
  14. New NP: Nervous, need resources and advice!

    All those years ago when I did my NP, there were ample standard references, ie treatment protocols, for all the major conditions usually seen in primary care. I picked the top 10, and essentially...
  15. Why do some practices prefer PAs to NPs?

    Thanks, I was
  16. How much do NPs in the Southeast really make?

    Just sad. Obviously there is a glut. And I understand some people cannot
  17. NP job paid by dictation notes not by hour

    In this business, you do have to prove yourself. For the amount of money involved, I can understand it. You have to show you can do the job efficiently. I have known more than one person who could...
  18. Advice for an older RN going back for FNP

    It's a shame that there are so many part-time/no benefit teaching jobs now. Probably because the teaching field is that
  19. The NP who can't function in the role

    I can't speak about other specialties, but psych is not better reimbursed than primary care. From my experience, the usual expectation is at least 20 patients a day. Psych has traditionally paid by...
  20. I have heard of this a few times over the last 20 years. People who graduate with their NP degree, and never have the confidence to function in the role. Right now I know of two people, an NP and a PA...
  21. Part time Mental Health NP Program while working full time

    Right, and this can be an enormous
  22. Yep, a ton of crazy nurses out there and many become supervisors.
  23. In my case, nursing was a second career, and I knew I didn't want to work in a hospital very long. Way too much stress. I managed it for almost a year, then jumped to home health. For several years,...