IDNP

It sounds very low to me. I used to 35 -45 as an RN to do wound care

Hello fellow PMHNP's Looking for guidance, I am interested in pursuing private practice. I current work in mental health for a non for profit organization in an independent state. I am looking towards one day making my own hours, rules etc. Currently exploring a site. Pretty much every where here there is a certificate of need. What are the other steps I need to take and in which order. Please share pros and cons and dos and donts . What would you do differently. I am aware about malpractice . And credentialing process. I want I start slow. Thanks Jo,

That is definitely not sustainable!

We started offering telemedicine this week. TOday was my first day. I am a bit confused about billing. Some patients are unable to do video meeting. We are using zoom which is not the friendliest as it requires patient to download app. Is there a specific platform you use that is more effective? I did had a great show rate today. Defitinely helps.

Thank for sharing, How are psych NPs dealing with overly anxious patients with this covid crisis situation? I have found patients are very anxious, many asking for anxiety meds. People are panicking. those who are laid off and ordered to stay home are having even a harder time. Besides providing re-assurance and support. Thanks

sharing an article titled "unmasking the truth: CDC AND HOSPITAL ADMINISTRATION ARE ENDANGERING ALL OF US Full article: https://medium.com/@CynicalXennial/unmasking-the-truth-cdc-and-hospital-administrators-are-endangering-us-all-b601012f81be

I dont understand what a surgical mask is going to do when it has been said that this virus is airborne for 3 hours. Of course its better than nothing but absolutely irresponsible of hospitals, government. this 1st world country we call the US is a shame.

Hello fellow Nurse Practitioners working in addiction medicine, Our clinic is interested in offering MAT services. We have behavioral health providers and I have obtained my DATA waiver, . I am looking for insights and feedback from others who have worked in MAT. I have familiarize myself with the Samhsa site and have the MAT book and pocket guide. I am more specifically looking to hear how other providers are running their MAT practice. 1) What is your criteria/conditions to accept patients into your MAT program? besides opioid dependence and desire to quit using obviously. For instances, if they have poly substances abuse disorder and want to continue using other substances? alcohol, lsd or other substances. 2) What is your process for inductions? what medications do you have/use on site for withdrawal symptoms and to send patients home? 3)Which form of buprenorphine do you prefer to use, pill, sublingual, or other? and why? 4) How often do you see your MAT patients the first week and there after for maintenance? 5) do you also treat their co-morbid mental health conditions? 6) how often do you drug screen? Any dos and don'ts thanks I appreciate all your feedback.

I believe part of the problem is being compared to the medical practitioners and how many patients they see when psych is totally different.

Hello All, I am a fairly new to PMHNP practice, working for an organization who is fairly knowledge deficit to the area of behavioral health. I am looking to get some insights on how others run their psych practice. How many patients do you see a day? How are your appointments scheduled. At present we schedule follow ups on 30 minutes slots and 60 minutes for new patients. No show rate is high I would say 30%. How do you compensate for the high no show rate for mental health patients? . I am feeling pressure from administration about productivity etc. It's not my fault sometimes patients do not show up. Double booking is concerning because sometimes ALL patients show up. Thank you,

I'll let you know this week. Ive also applied to other contract jobs that are posted. I've been a bit nervous to open myself to fill my week with only those kinds of jobs but maybe that's what I should do. I have to get out of current situation. Thanks for all your advice and support!

I started this job this year!!!!. I didn't know the commute was going to be so bad. But you are right. Many variables thought. I'm not open to working in any other areas . Just want to work in psych. There's only so many opennings. I'm going to take your advised. I hope it doesn't backfire!!!!

There's an extreme shortage of psych nps. And nps of any sort. Which is why pay should be better, you would think. I think they just don't know. They allow nps to work in psych with collaboration. That's the state next door where job offer is. My state allows nps to work in psych to treat within their scope of training that's why I refer anything complicated beyond depression, anxiety adhd, and uncomplicated bipolar. I do not treat with injectables etc. Once I complete the post masters certificate then that will change. So my strategy is I am going to tell them that the truth. All other job offers I've had the lowest had been in the 95 range as contract so 53 with benefits pretty low. Just risk not getting the job then if they are not willing to pay more .and then I could be stuck where I'm at which is worse when you add all the other variables. I'm soon to be a psych pt myself if I Stay working there. í ½í¸„

So I had requested to shadow one of the providers to see what there day is like prior to considering taking a job. I spent a day with a PA. Seemed ok to me. They have 2 medical assistance. She said her usual census is 10-14 a day. There's a lot of no shows some times. The PA works for a psychiatrist who has a contract with them. They have not been able to obtain a providers on their own apparently. Not many people want to go to this location because it's rural. I happen to live in another rural two 20 miles away. But most providers live an hour + away. I would be their first employed NP. They had their HR person look at pay grades. If she went by online info. The crap online d doesnt help.

Jules trust me I don't want to do the profession a disservice not . When they call they t old me the pay grade for someone withbenefits 3 years exp is what I stated. They also have never hired an NP . All their providers have been PAs. They said they will have to convert the position to an NP position. Also I'm trying to leave my current job at a hospital for various reasons asap. It's over an hour away. My days are very long due to this . I got a 5 year. I'm. Alone. Live in the country. I'm tired. Quality of life crappy . This job would be the opposite way and no traffic. More flexibility. I will negotiate rate next week. Even considering just working several days for benefits and working the other days at various other locations where I can work as a contractor under my own terms. Like the part time. My biggest consideration for this is location and that they are NHSC site. So I can apply for loan forgiveness. But after reading a blog about that. Not very promising. There are so many nurses who apply to it yearly and never get it.