Oldmahubbard

Oldmahubbard

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All Content by Oldmahubbard

  1. Most Pressing Issues in Nursing Today

    Oldmahubbard replied to pmcgrady's topic in General Nursing

    The pressing issues of nursing today are staffing, or lack thereof, and educational preparation. Get rid of the nursing theory at all levels and give us some

  2. Excellent Employment Prospects for Nurse Practitioners

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

    I can appreciate optimism about the NP career, and mine eventually went very well, although it took quite awhile. However, I know people who are still drowning in debt, and working 60 hours a week, 15...

  3. If you could live/work anywhere

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

    If you work in a full practice authority state, I am pretty sure you'll want to stay away from the BS that goes with supervision. When people think of NY, they invariably think of NYC, and very high...

  4. BYOB at work?

    Oldmahubbard replied to Kayauhs's topic in General Nursing

    At the LTC facilities where I consult, the majority of the residents have an order for 1 or 2 alcoholic beverages "daily, prn." This is meant to accommodate families bringing in a special meal on...

  5. Med school to NP

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

    Keep in mind there are some NPs who are very happy with their careers, but quite a few who are not. Take a look at some of the threads here. The most common complaint is pay so low that after paying a...

  6. Med school to NP

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

    This is painful and my heart goes out to you. I did my Psych NP the old fashioned way, ie one or two courses a semester, while working as an RN. Nursing certainly has it's own problems with bullying,...

  7. Parents will kick me out if I don't drop my nursing dreams...

    Oldmahubbard replied to Guest1031502's topic in General Students

    Only the OP knows how serious her parents are about not wanting her to go into nursing. If they are serious about totally cutting her off, it will be a rough road. However, others have done it. I am...

  8. To become a psychiatric NP are the courses the same as medical NP?

    Oldmahubbard replied to NightNurse714's topic in Psychiatric

    There is some overlap, quite a bit of overlap actually, between the courses for the different programs, but the Psych NP program has coursework that is specific, as it should

  9. Jobless FNP

    Oldmahubbard replied to Nicola301975's topic in Nurse Practitioners, NP

    Getting started can be very, very rough. I was told at one interview, after I graduated, that the NP market was "flooded" in the area. Yep, some 15 years ago. I would have taken anything, anything at...

  10. Whats your favorite part of nursing?

    Oldmahubbard replied to Grobyc82's topic in General Nursing

    The times where my education and experience makes a big difference in patient treatment, care and overall outcome. This might happen a half a dozen times a year, but it is very rewarding. The times...

  11. Stress level: RN vs. NP

    Oldmahubbard replied to NEMurse95's topic in Nurse Practitioners, NP

    No doubt it depends on your specific job, and what you personally find stressful. For me, I find being an NP so much less stressful, that the comparison with any previous RN job I ever had is...

  12. Dx of Bipolar

    Oldmahubbard replied to nurse_girlie's topic in Nurses Recovery

    Keep in mind, it is wrong to diagnose "bipolar disorder" in an actively substance abusing patient. But this happens fairly often, because some clinicians in mental health don't adhere to diagnostic...

  13. Novice Providers & Mortality

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

    My opinion only, the IMG and other less selective programs, are lower quality candidates on multiple levels. I worked as an NP a few years ago with an American IMG. A superficially nice lady, but...

  14. Stress level: RN vs. NP

    Oldmahubbard replied to NEMurse95's topic in Nurse Practitioners, NP

    If you are required to see 20 or more patients a day, I hope you are being quite well paid. Because the practice is getting more than 300 grand for your services. Back in the day, when I did my ANP...

  15. Thinking about getting a gun for safety

    Oldmahubbard replied to MotoRN34's topic in Home Health

    Yep, pretty unlikely your employer would support you carrying a weapon. If you don't have extensive experience and training, statistical odds are that it would be used against

  16. Depressed and Disappointed in Myself

    Oldmahubbard replied to Samx3's topic in First Year After Licensure

    In a way, I am glad to see these posts. Back in the day, "orientation" consisted of a week long deal where you saw videos, and read pamphlets about hand-washing, and patient confidentiality. Then you...

  17. Stress level: RN vs. NP

    Oldmahubbard replied to NEMurse95's topic in Nurse Practitioners, NP

    Sad. So how many patients an average

  18. MSN w/ forensic focus..is it worth it?

    Oldmahubbard replied to owenshn's topic in Forensic

    Interesting work. You will see things the average person does not. I managed a caseload of up to 25 patients. and had 99% of the same responsibilities as the psychiatrists. 25 patients, but not all of...

  19. Novice Providers & Mortality

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

    This is great, but it costs money. Time is money, without question. If the supervisor or mentor resents the role for any reason, it won't be of much help. I was also fortunate to have a couple of...

  20. Transferring Medicaid from one state to another

    Oldmahubbard replied to iggywench's topic in School

    As many barriers as possible to keep people from accessing care, yep, there is my political rant for the day. Medicaid is not transferable between states, largely because states have so many different...

  21. About to graduate or new graduates who are waiting to take boards

    Oldmahubbard replied to Fnp9090's topic in Student Nurse Practitioner

    No, they did not. I would do the exact same thing again, with zero qualms. It was not unethical in any way. This is an "at-will" state. I can be let go from a job at any time without a reason, or the...

  22. Novice Providers & Mortality

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

    Even where states require novice NP supervision or collaboration, in practice the oversight and mentor-ship is typically very superficial. It cannot be compared to medical residency and fellowship...

  23. Critical thinking development

    Oldmahubbard replied to chipper_RN's topic in First Year After Licensure

    Now you know, whenever trouble arises, a set of vitals is needed. There will be many times when it won't help, but it rules out a bunch of

  24. PMHNP & LCPC Advice Needed

    Oldmahubbard replied to sdeymonaz's topic in Psychiatric

    No one will care about your LCPC. You won't be able to bill differently, or more than a PMHNP. Depending on the program, it probably will not even give you much of anything in real concrete, clinical...

  25. RN Treating LPNs as Beneath Them

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

    Many times, without closing examining a name tag, I don't even know who is an LPN or RN. Sadly, as long as there has been civilization, there have been hierarchies. And some people trying to build...