CuriousConundrum

CuriousConundrum

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All Content by CuriousConundrum

  1. Psych NPs that Quit Psych

    There won't be many here, but what would you do? What have you done? How many of you would leave mental health if you could maintain the same lifestyle? I have peers that wouldn't openly answer...
  2. Public safety personnel focused psych practice?

    Addressing the #2 and #4, you're right. It is more socially acceptable, but still not completely. I think that perception is even more regionally dependent. The psychological usually testing...
  3. Prescribing stimulants?

    The stimulant drive and everyone suddenly having ADHD now is one of the reasons, about 30% really, of why I no longer enjoy my career. Also, therapists, who don't know anything about anything, are...
  4. Bombshell Article by Bloomberg Businessweek

    I agree with
  5. FNP transition to health/fitness

    Yes! I've been doing that for a few years, but since I began working from home before anyone ever heard of COVID, my motivation to do any other work has lapsed. I love being here, alone, as I write...
  6. Until Instagram slipped me a nurse coach ad, I had never heard of a nurse coach, and I've never met anyone soliciting a nurse coach. Frankly, I've only met one person who had a life coach, and I...
  7. FNP transition to health/fitness

    I'm in psych with similar thoughts. I'm not "stuck" to psych at all. I've spent the last year and a half learning about lifestyle medicine, nutrition, fitness training, and functional medicine (all...
  8. Public safety personnel focused psych practice?

    Having followed a similar path, we know that meds can be limiting to certain career paths as can the diagnoses. Talking is not necessarily a therapy and anyone can talk. Evidenced based...
  9. When to use FNP when not in that role

    Just combine them and say APRN or something and move on. No one knows what the FNP means, and no one really cares that you (or any of us) has a master's
  10. standing orders after provider left practice

    Illegal? Probably not. Inadvisable, surely. Whoever gave their orders is still licensed, and you could follow them until doom's day. The license is the crux here, and the organizational policies...
  11. RN pay more than new grad NP pay

    Ironically, I make quite a bit less in psychiatry than I did ten years ago. The only reason I still do the job is because I can do it from home. This really outweighs anything
  12. what makes a perfect job for you? please share

    Autonomy. Flexibility. Compensation. Status within the organization. I don't really want to interact with management officials or support staff unnecessarily with a preference to work from home...
  13. Check out American College of Lifestyle Medicine. If you can segue a specialty change after this then cool. There is a faction of us, like you, who are gravely disenchanted with the traditional...
  14. VA NP Grade Determination?

    I had to describe, in detail, various perceived dimension of nursing practice and how I met those to come in as a NP III-5 or nurse III or whatever it was. A committee then reviewed those answers and...
  15. ACNP in Psych Hospital?

    How many patients in the psych hospital are admitted for "acute anxiety/depression?" I rounded on psych hospitals for many years, and the overwhelming majority of patients were seriously mentally ill...
  16. PMHNP Opportunity

    Ten years ago, I could literally call (because I often did) random organizations and get a PMHNP job, get emailed credentialing documents to sign, and start working. At one time, I had a full-time...
  17. Bladder Scan Practice

    Do you own your
  18. pay rate

    I used to make about 2800/semester to supervise NP clinical rotations. I honestly didn't do a thing but go to their training site once and ask if they were showing up and
  19. NP to physician... is it possible?

    It sounds like you'd be ceasing your perceived low income for many years, followed by some very deep debt or other obligations (military, USPHS, etc.), and then at about 55 years, you may start making...
  20. Odd Work Letter Request by Patient

    The "going the extra mile" has nothing to do with reimbursement equity. Altruism has noting to do with compensation. Reimbursement is entirely a product of decision complexity and procedure. If...
  21. Psych NP working remote in Mexico

    There are some limitations, yes. I had a contract for several years with a group that rounded on inpatient units. About three months before I resigned, we were given an attestation to sign...
  22. Odd Work Letter Request by Patient

    I disagree. You wouldn't be telling them what to do with the note. That's on them. I just tell them I'll include that documentation, and they disseminate it however they choose. We won't send it...
  23. Odd Work Letter Request by Patient

    I thought ATCs had to be examined by AMEs (aviation medical examiners) as pilots do. This would be something to kick back to them. For the pilots, ADHD is a 100% no go. Frankly, I think for ATCs...
  24. Executive positions

    Absolutely anyone can be hired as an executive or
  25. Resources for Psych NP students

    Read the Stahl book from cover to cover. Stahl's Essential Psychopharmacology: Neuroscientific Basis and Practical Applications 4th Edition Then supplement based on that. You don't necessarily need...