InquisitiveAPN
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...still waiting on medical waiver.
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What will you be doing during those 800 hours? Not denigrating, I'm curious.
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I actually saw a DOD study that mentioned most MST claims come from the navy with again the majority of those in ship underway. The problem with MST is that someone can come in decades later and complain about it, and it reads dividends in benefits -male or female. PTSD is generally left to specialty teams to diagnose so they're gifted with more time and materials to cull the less legitimate complaints.
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Nobody in psych has support staff. No one and psych is the largest specialty service encompassing about five other programs. However, there are completely NP-led primary care teams.
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CNS isn't a broad program. It's a poorly defined program. Contemplate that. In the OP's post, there's nothing that any RN with volition can do. The only wake to shake the benefits loose are to get a prescriber's certification and work as a clinician of some sort. In which, just become a NP.
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I found the VA to be full of friendly and helpful staff. There is absolutely no provider support so the mundane stuff you'd normally toss to other staff don't exist to do your bidding. This was the biggest change for me because I never did anything at all but speak with patients and prescribe meds. C&P exams are very thorough, and many vets throw out this ridiculous sense of entitlement and threats to call politicians, etc. I very much like VA practice, but in C&P you're going to get soooo much malingering for pecuniary gain. No one really cares about though. Just do what you're paid to do, nothing less and if you wish nothing more and you'll be fine.
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How long will boards take? Six months or less. And the residencies start at a certain time of year. What is your other PharmD cohort doing? Yes, you could be a psych specialized pharmacist. Idk if the PharmD will qualify or not. I started as a III with a M.S. As a RN, Nurse II, I'd imagine you'd probably make about 50-55k. If they hire you as a new nurse to them, it may not bode well if they know you want to immediately slip over to pharmacy. Frankly, I'd wait.
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When you're vested in a retirement system you can leave and not lose the employers match to your contributions.
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So fully investigate FERS and the TSP before you jump. Those are the retirement plans along with Social Security and whatever you do on your own. The older persons idea of work 20 years and get paid for life isn't anywhere close to accurate. I will say I'm happy with the retirement options, and the Federal BCBS insurance is pretty nice. GEHA is good as well but I find less providers in my area.
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According to the staff nurses at the VA, it's not a lot different. Things move very slowly. Everything is done by committee. I haven't been in hospitals in a few years, but there's lots of safety and TJC stuff. -mostly older male patients. At my level, everything is very slow with very few patients each day, but I don't do anything inpatient. RNs seem to have all kinds of options for non clinical work. You could probably make an entire career and see patients for only the first three to five years.
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IDK if they're TJC or not. I think TJC and CARF are hogwash, but that's beside the point. I've never heard of a certified food handler in my life, lol. And yes I've been around the block and have the scars to show for it. I know about servsafe but cooks and such don't have to be individually certified. In my land, felons are often working in commercial kitchens, lol. Of course, not so much in the hospitals or nursing homes.
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Everyone I speak to says that.