Oldmahubbard

Oldmahubbard

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All Content by Oldmahubbard

  1. Why do some practices prefer PAs to NPs?

    Medicare reimbursement is better for
  2. I had multiple experiences of being eaten and bullied prior to becoming an NP. That was, in fact, a large part of my
  3. Some NP roles lend themselves more easily to DE than others. Psych? No. Not without extensive RN experience. You will be incompetent, but you'll probably still be able to get a
  4. How do you deal with someone trying to get you fired?

    I agree with previous posters. Years ago, I went through a similar situation, and foolishly hung on, trying harder to make someone like me. It blew up in my face. Find another job, any other job, even...
  5. Interesting day for a PMHNP

    After many years of inpatient work, I took a job as a consultant in various LTC facilities in the area. One of the places was an Assisted Living program where many of the residents are chronically...
  6. As I worked as an an RN, over a period of years, Psych repeatedly spoke my name. Over and over. I had a calling. Some days, still
  7. Part time Mental Health NP Program while working full time

    There are people who don't make enough to make the degree, and the added responsibility, pay off. Some don't like the productivity expectations, ie 3 patients an hour, to make a living. Many get tired...
  8. Life from the other side (I left nursing.)

    I would have quit nursing many times over the years if there had been any other reasonable way to make a living, which there was not. And I tried. Thankfully, NP is no where near as
  9. Part time Mental Health NP Program while working full time

    I did it back in the dark ages, when you had to physically attend classes. It was a long drive. A lot of the time, it was one class a semester, plus one in the summer. Some semesters I took 2 of the...
  10. I Must Be Missing Something

    There can be huge differences between different agencies in the same town. HH can be decent, but I eventually had to leave because of the politics. Worth your while to try elsewhere, and I wouldn't...
  11. Something about poop rolling downhill, the buck stops with you, and being a patient advocate. Fall
  12. This is the best post ever on All
  13. NP job paid by dictation notes not by hour

    Jobs that pay by the patient, not by the hour, can actually work out in your favor. My experience
  14. NP job paid by dictation notes not by hour

    Your pay would probably average out to 50 dollars an hour, quite low if no benefits are
  15. Workplace Sayings

    The Q
  16. NP job paid by dictation notes not by hour

    Sounds very, very low. 30 dollars for an intake that may take you close to an hour? 20 dollars for a visit that may be complex and take you a half an hour?
  17. NP considering leaving practice

    It would be very hard to make anything in LTC if you are a consultant, only seeing maybe 5 patients by referral here, then drive 20 or 30 miles, see another 5 patients, rinse and repeat. I am part of...
  18. Workplace Sayings

    (Forensic hospital) New admit who claims to "hear voices", then goes in day room and plays cards all night, winning repeatedly, is said to exhibit "PQM". Poor quality
  19. Imagine you are on a financial budget of 1200 dollars a month. Not a generous amount, no matter how you slice it. There is zero room for any luxuries. And no matter how hard you squeeze, the last 10...
  20. NP considering leaving practice

    It is painful to realize that Medicare reimburses NPs 85% of the MD rate, and other insurances follow suit. Yet somehow, on average, NPs typically get 50% of an MD salary, at the very most, if we are...
  21. Problems with nursing profession and why I want to quit

    Yep, the Med-Surg ward in the hospital was not for me either. Nursing was also a second career just to pay the bills, and not a calling in any way. Then I found my calling within it. I pursued the...
  22. NP considering leaving practice

    I cut my teeth in a Community Mental Health Center. I could write a book about what I saw there in 4 years. Yes, they are famous for poor staffing, and many patients are really looking for disability...
  23. Nursing Instructor Anger Management

    None of this surprises me. It is really awful and totally
  24. Undecided between Nursing :(

    This was 20 years ago. Not very much lower, all things considered, and I made up most of the difference by working a few hours on Saturday and never had to work evenings, nights or the whole weekend....
  25. Undecided between Nursing :(

    It might not take that long to get into public health. I had just less than a year of acute care under my belt. And I knew acute care was not for me, as