xenogenetic

No matter if you form a PLLC, you will be sued personally. You cannot abdicate personal liability in Healthcare as a practitioner. This is why a lot of OBGYNs have their spouse hold title to all family assets. Maximum professional liability insurance is the best protection you will be able to obtain.

No, you do not need a business license. If you decided to put your name on a sign outside your office soliciting business then you will need to sign up for a business license (register for a "trade name") with the town/city you are in. The city will then send you a form every year asking you to list all your assets (I.e. desk, computer, etc) within that business location and then tax you on it. As a psych APRN I have a sign (Joe Public, APRN) on my office suite and have a business license for medical marijuana certifications and pay about $37 per year just for a desk, some chairs and couple tables. You can also form an LLC for liability purposes but if you have a sign outside you would still have to file a business license with town/city using your LLC name.

I certify patients for medical marijuana in CT. I certify that it "might" help the patient and recommend non-combustible forms and start at no/ low THC high CBD products. I advise that it medical marijuana is always only a viable option as a 3rd line treatment after psychotherapy and conventional psychotropic medications. There is a harm reduction component aspect as well, similar to that of suboxone and opioids, where patients are going to use it anyway so might as well be clean product.

This is a big trend. The term to describe it is "integrated care."

I use CM&F. Much cheaper than NSO.

One employment strategy to consider is to work multiple part time jobs to total full time hours so that you can cull the best of both worlds of pay versus benefits. Try to find a part-time government job (either state or federal) at the minimum hours level that qualifies you for their benefits. Then, for the remaining hours, fill out your 40hrs/week work within the private sector at a higher (sometimes *much* higher...I am talking double) rate. For example, I work in inpatient psych for my state job, and also work for a private non-profit outpatient clinic. I make $46/hr (W-2, full benefits) at my state job in inpatient psych and $100/hr (1099, independent contractor) at my clinic job (which includes me prescribing Suboxone). I would like to offer some of my pearls of experiential wisdom: 1.) People discount the value of good health insurance until they need it, which sometimes is too late. And the devil is in the details with health insurance, particularly in the key number called "aggregate medical expense," which is the dollar amount cap on medical services that your health insurance will cover you per year. Lets say you or your spouse/child has a heart attack that damages too much cardiac muscle and now the only way can live is if you have an LVAD or heart transplant that costs $2.6 million dollars in total medical cost (weeks of hospital ICU stays, transplant, etc.). Well, some insurance coverage will only cover up to 1 million dollars in yearly aggregate medical expense, the other 1.6 million falls on you to figure out how to pay for (via cashing your retirement savings, lien/selling your home, selling your left kidney on Ebay Brazil, etc.). I think this is one of the most overlooked ticking financial time bombs out there, people who have healthcare coverage who are actually under insured when they actually examine what they are purchasing for health insurance. 2.) Don't let employers bamboozle you into thinking Health Savings Accounts (HSA) are a favor they are doing for you in terms of health insurance. Many will tout that they are the bomb-diggity employer for offering it, when in reality the second you hear "HSA" you should realize that they are ALWAYS tied to a high deductible (approximately at least $1,300 or more) health insurance plan. State and Federal health jobs insurance offerings always have health insurance options ($0 deductible, unlimited aggregate yearly health benefit amount) that beat having to go with a high deductible health insurance plan. 3.) Knowing what others are making in the workforce can help you to boost your lifetime income. Often we tend to settle for a lower income or worse compensation package simply because we are not aware of what our potential value is on the open market. Sometimes there are other providers who might have even less skill or years of experience out there that are earning more $ than you simply because they were proactive and kept their eyes and ears open to where more lucrative opportunities were available. Within this point, I want to add that it is imperative to learn and be comfortable with being able to compare what it means to be paid as a W-2 employee versus a 1099 independent contractor. I hear so many immediately being turned off to 1099 employment because they don't want the hassle of accounting for their own taxes, which winds up causing them to leave so much $ on the table with regards to potential earnings...especially if they are unwilling to mix and match and have multiple part-time jobs that equate to a significant pay difference. At the very least, set up an Indeed automatic alert account and monitor what market rates are for your niche. For the more aspiring, cold call/direct mail your resume to employers and network with recruiters about permanent/part-time/locums opportunities. 4.) Ride the current hot employment wave. Sometimes you can earn much more $ by taking only a couple of courses or obtaining a certification. The current opioid crisis and robotics surgery movement are two examples. This point touches upon the topic of awareness that I made above, know what's in demand and see if you can possibly tailor your skillset with a possible minor expenditure of time and effort that could equate in a major increase in lifetime earnings.

I would agree with above advice to find inpatient experience of at least a year before or during psych np school. Since 80% of np grads will find themselves in outpatient settings, if you have a comfort level with and experience in inpatient psych then you will have a big edge, careerwise, gaining inpatient employment. Usually doctors cut their teeth in inpatient settings and then train in outpatient as outpt is lower acuity and "easier." You will be able to see many more different presentations of illnesses and med regimens in inpatient in comparison to outpt.

With the current health insurance market turmoil of gov't administrations trying to privatize medicaid and probably medicare, at 41 I am planning on the worst and not expecting to retire at 65 due to refusing to pay a fortune for quality healthcare.

It can be administered in any setting, technically. But it's unlikely to be administered in the home unless the family is super hands on, no pun intended. Definitely regularly used in the ER, not sure on a general floor of a hospital, but definitely on the psych floor or crisis unit. Not sure if via IV in the ICU since I have never worked ICU. I know there is something called "ICU psychosis" but am not sure what they use to treat that condition.

Sometimes the long acting can be administered in the home by a visiting nurse. But long acting can also be given to stable patient that is about to be discharged off an inpatient psych unit, too. I have never seen a short acting admin'ed in an ambulatory clinic because they usually don't have a way to restrain patients and the short acting is generally only used for stat PRN orders for agitation.

Have to pencil out the numbers. Many times the reason employers offer the 1099 route is because it's in their favor, financially, instead of yours. If it is a 1099 setup then be sure hold them, as much as you can, up to the tax rule that the independent contractor dictates the hours and not the employer. Being able to make your own hours should be one of the perks of a 1099 job that you should not overlook.

By the way, I would buy your own as well since you don't know the terms of the policy. Getting your own is not that expensive....probably not more than a couple hundred dollars.

I believe weight loss is a huge field. Having a niche, boutique, cash only weight loss (perhaps concierge) practice would be a highly profitable business, in my opinion.

Some tax write offs phase out once you make a certain amount of $. Certain real estate write offs totally phase out once you hit $155k, for example. Be sure to you take a circumspect look at your total tax picture, or at least ask your accountant to on your behalf, and then plan accordingly.

What Jules said + just remember that you have all the leverage here and don't let them lowball you. Might be too late now, but I would have couched it as I would *reluctantly* do the on-call in exchange for you getting the number you want. Also have to factor in the possibility that "interim" is a relative word...factor in the "terrorized at night" (love how you put that) possibly being a prolonged time period...or get start and end dates in writing. Nonetheless, get the rate agreed upon in writing no matter what to avoid "he said, she said."