Oldmahubbard

I thought my experience in opening a practice psychiatric practice (with an MD) a few years ago might be helpful. Can a PMHNP make a reasonable income in private practice? Potentially, but there is a definite learning curve. Here are a few thoug...

I'm just so curious why for years people have said there is so much money, money, money to be made as a PMHNP and you don't need any, or very prior little experience. And if that is all the case, how the field is not completely over-saturated by now,...

8 classes took you 4 months, while working full time. Thanks for posting this garbage on the Internet.

If you have had some type of verifiable adverse effect of a flu vaccine, and can never get another one, which happened to an acquaintance, I am sorry. Your nursing career is over.

NY is independent practice, but don't think you'll have your own PMNP practice without paying a psychiatrist to collaborate if you want to bill insurance. True all over the country. Many of the psychiatrists I have known are a total shame to the prof...

Not to the State, but to the organization. She is an FNP who comes to work in tight black jeans, lace tee shirt and stilettos. She is 29 years old, virtually no RN experience, and thinks she knows psychiatry. She is going to d/c various antipsychoti...

I am just sorry to hear this. I am sorry that anybody thinks the DNP degree is meaningful. I am sorry that a new NP has been placed in the role you describe. Fight it.

I am in mental health, but I know what the PCPs do. You talk to the nurse, you review the chart, you see the pt, however briefly. You can bill even if you don't write an order. No need to document the 12 cranial nerves, strip the body naked for a f...

I think they are expecting much too much from you as an FNP, considering your education and clinical experience, which was probably not inpatient. I know you have been through a lot. Stick up for yourself.

I am about to make a complaint against a grossly over confident FNP who prescribes psychiatric drugs. Her knowledge level is the 20 minutes they had in FNP school. She just prescribed Risperdal Consta for absolutely no reason. The patient had never t...

Good luck. I have been falsely accused of various things, but not drugs. It takes a very long time to live it down. Apparently somebody hates you. Figure out why.

Unfortunately very, very desperate people, including nurses, will divert anything you can ever think of. Including all types of very random substances. People have found thousands of ingenious ways to abuse various things, which is why you show ID to...

OK, 10 students to one clinical instructor. And a student would never have a "preceptor" where I come from. Form what I hear, students are taking almost the entire assignment, so the RN can sit behind the desk, feet up, doing his or her nails? So how...

Call me a cynic, but the odds that she really has IC are vanishly low. She is a victim of some type of sexual or bathroom abuse. Some type of abuse or perversion in the home is greatly more likely by a factor of 1000x than IC. However, once some phys...

I'm embarrassed. Almost all of my clinical was shadowing, until I started doing mental health. Then I was alone with a patient. I can't imagine a clinical scenario in training where a student could possibly provide the actual care for multiple patie...

Very good for you. In my area, nurses eating their young was very extreme 30 years ago. Nothing remotely like the clinical experiences described here would ever have happened. My first "nurse manager" looked at me very disdainfully when I inquired a...

At least in my state, we couldn't work a minute before such a contract was in place. This is a very major error in the education of NP's , meanwhile we have this nursing theory or philosophy nonsense. They have you by the proverbial short hairs, beca...

Your MSN usually doesn't mean anything until you are a prescriber who can bill and you prove it by your productivity. I am sorry that you didn't know this. Way too many people going for meaningless MSN's. Especially in Psych. I sincerely hope you are...

Maybe for every person who resents the intrusion, there is another whose life is saved. Unfortunately from what I have read, there is no real way to tell the difference. I was surprised recently to learn that the RN director at one of the programs wh...

Sarcasm?

I am glad people are getting all this great experience in their RN programs. Mine was 30 years ago. I know clinical times have lengthened greatly. Ours were literally about 4 hours a week. First a pre-conference, then a post conference. You were wit...

I have never understood these NP jobs where the MD has his or her head in the door for a minute or less, and you somehow bill as though the pt was really seen. I would not be comfortable with this scenario.

Very low pay, if you can even get a job

I worked full time throughout most of my program and only took one or two classes a semester. My school was located 100 miles from my house. Yes I drove there. I could see that the MSN curriculum at my brick and mortar school would not adequately pre...

I am glad that student RN's have much more responsibility now. They get more clinical practice. But it does cost more. NP students typically mostly shadow. The student is then responsible for the huge jump from school to actual practice. So we have s...