PMHNP Man

PMHNP Man MSN, APRN, NP

Psychiatry

Hi. It's me.

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All Content by PMHNP Man

  1. Congratulations! Let us know what you decide to do.
  2. Hey, just to confirm, are you saying there was a brief period of no bonus incentives, but now the incentives are back on the table?
  3. I've been waiting since June 2018. Regarding special pay, I confirmed today there are very few special incentive pays for FY20, and those mostly relate to the medical corps. I was just told there are no nurse corps incentives other than loan repaymen...
  4. DMAT Disaster Teams

    Google around for your state's DMAT, e.g. Florida DMAT or something. I found onr day by happenstance that my state's DMAT CNO worked in the same clinic I do. This person said "we'd love to have you" and gave a cursory overview of recruitment, but it'...
  5. Why are FNP paid less than Psychiatric NP?

    I think FNPs come running ready to take any "advanced" job they get and become saddled with low pay regardless of what billing is collecting off of them. In pysch, we are fewer and number and more likely to be reimbursed closer to what is billed som...
  6. Will you get your DNP

    Your resolve is admirable although you do present a fallacy of logic. Your patients's care, clinically, will be no greater based on current curricular models with a DNP as there is no added value in the courses offered. Your depth and breadth of stud...
  7. Will you get your DNP

    As I reflect more on this topic, I maintain my immediate thought. "I don't care anything about a DNP." And I don't. I think the entire premise of the degree is vapid. Having said that, there are some things to consider. The opportunity cost is too gr...
  8. Will you get your DNP

  9. Obligatory anecdote: I currently work in an environment in which all the psych staff tend to spend more time with patients engaged in "supportive counseling" or other therapeutic dialogue. Despite being at the cusp of burn out, I really don't wish to...
  10. Psychiatry question - Must I provide Therapy too?

    Hence their current dilemma, lol. In a 40 hour work week only 29.5 hours has to be clinical.
  11. Psychiatry question - Must I provide Therapy too?

    I actually feel like the load is rather light, quantitatively. Our max is 12/day if they're all med checks. I used to schedule that over a 3-4 hour window, but more rapid work was heavily incentived and lucrative. I miss that dearly. I document rapi...
  12. Psychiatry question - Must I provide Therapy too?

    Yeah, it's an odd place. I do a lot of what I'd code 99214 in any other setting, but here they're fixated on the number of diagnoses you treat at each visit and don't like any referen to diagnoses you didn't address die to the quality metrics. I don...
  13. Psychiatry question - Must I provide Therapy too?

    30 minutes on the med checks with a 99213 typically. Yeah, it's the desired outcome of each visit with the the therapeutic dialogue and psychoed it's a doable deal. In a revenue generating capacity is favor it, but then in that instance I'd rather do...
  14. Psychiatry question - Must I provide Therapy too?

    Yeah, I was in public safety myself and have had those same thoughts, but it's not really practical. On a side note, I read something about CISD making trauma worse later down the road. The theory was in sitting around thinking and talking about it y...
  15. Psychiatry question - Must I provide Therapy too?

    In theory, yes. However, you'd probably have to work independently and accept, exclusively, only cash or insurances that reimburse PMHNPs for psychotherapy. Additionally, you'd want to engage in your own training and certifications, e.g. EMDR, ACT, C...
  16. Psychiatry question - Must I provide Therapy too?

    Yeah, I'm with the VA. They're very med heavy and very therapy light. Fortunately, the therapy is mostly evidence based and not supportive nonsense that leaves people in counseling for years, yet it is a very rigid, formalized referral process. Prev...
  17. $200,000 salary as a RN, it's true

    Did he show you a remuneration statement to confirm this? Many years ago I read about cops in LA making well over $100k/ year which they should. Sounds great especially for cops in my area. But a decent house may cause $1.5M there so that 100k isn't...
  18. NP still working as a bedside nurse on the side...

    How do I unsubscribe from this thread? I don't want anymore emails about it.
  19. AMEDD Direct Commission Course and BOLC - Army Stuff

    I mean exactly that. Of all the hundreds of clinicians that get military loan repayment successfully, why didn't you? What happened? Walk us through your case.
  20. AMEDD Direct Commission Course and BOLC - Army Stuff

    This begs the questions; what happened to you? What made your case different?
  21. PNP first assist?

    You could maybe work for a pediatric surgeon and utilize a dual set of skills, but likely you might find yourself split between FA and PNP careers. Which pays more? The answer is there. ?
  22. Military Nursing?

    Get in with the university ROTC program and major in nursing. All of your problems will be solved. Also, anticipate an eight year service commitment. You could have any plausible combination of active/reserve/guard/inactive reserve.
  23. Side gig/business while NP??

    Are you talking about being a life coach? Sure, why not do it.
  24. Army FY 2019

    I can speak a little to that and have encountered two different news stories of experienced surgeons commissioning as lieutenant colonel. Rad, eh? So physicians and dentists will commission at minimum as a captain. They get the four years credited to...
  25. Army FY 2019

    Just making dialogue here ? I was talking recently with a CRNA on another social media platform who direct commissioned to a captain in the army reserve. The person had a cumulative seven years of RN+CRNA experience. I saw supporting evidence as we...