CuriousConundrum

CuriousConundrum

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All Content by CuriousConundrum

  1. 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 and have since before COVID, and I can do whatever...
  2. NPs, Please share the reasons you left your old job/specialty?

    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 model of sick care and treating "stable" patients who ...
  3. 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 my application details and weighed in on where the...
  4. 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 with a good subset of those refractory to standar...
  5. 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 job and four side gigs bending around my schedule. ...
  6. Bladder Scan Practice

    Do you own your own?
  7. 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 behaving.
  8. 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 the living you dream of. I would get a dif...
  9. 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 someone wants to pay me extra to fill out a form, gre...
  10. 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 declaring that we were not attending to patients from outs...
  11. 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 anywhere without a release. I do mind putti...
  12. 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 it's even more of a problem. On anothe...
  13. Executive positions

    Absolutely anyone can be hired as an executive or administrator.
  14. 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 a lot of resources. You only need repetition. O...
  15. Are more letters after your name better or ridiculous?

    I only list the initial I'm legally obligated to list with professional signatures, APRN. There are a number of diplomas and certifications available in healthcare, and most of us don't know what most of them are. If you feel you need to explain th...
  16. PMHNP question

    It will take some getting used to. You may ask that your first two weeks of patients are so have 20 minute gaps between appts so you can get used to the charting and stopping people from talking too much so you can complete your interview. Take the...
  17. Advocating for the Integrity of the ARNP

    Please don't displace your unfulfilled desires to other nurses. Wouldn't you believe NPs would be consulted upon to design a residency?
  18. Advocating for the Integrity of the ARNP

    I'm definitely aware of the difference and have long castigated the vapid and shallow nature of both RN and NP training. I don't think a residency is a solution. As we see, nurses don't generally do a good job of designing clinical education. I don't...
  19. Advocating for the Integrity of the ARNP

    If NP programs are needing their graduates to be residents it sort of defeats the role of the NP. If you want to electively engage in a residency, DNP or anything else that blows your skirt up then have at it. PAs have elective residencies. Even the ...
  20. Advocating for the Integrity of the ARNP

    Require a graduate admission's exam and GPA minimum > 3.0. State boards disapprove and customers avoid online schools that don't have a university building kids can walk into and take classes in. Removing "nursing theory" and "community health" ...
  21. IR NP

    I would think anything radiology would be the the field any NP is the least prepared to operate in.
  22. Need advice - what are PMHNPs looking for in a new job?

    Remote, from home work, with as much hand holding (I.e. doing nothing administrative or communication) outside of direct F2F patient care with maximum reimbursement. 😄
  23. PMHNP Split questions

    Who gets the other 10%?
  24. No idea what to do.

    All parties are generally duty bound to investigate. The behavior, as you describe, warranted seclusion, and as you say you had a lawful order to do so. If that's all true, you're fine. Quitting immediately could have board-related neglect issues, ...
  25. Dissociative Identity Disorder

    Despite being in the DSM, it's not universally agreed upon as being "real," and it's not so much the role to sway a psychiatrist as it is to observe and report. In 10 years, I've had exactly one patient that I suspected had it in the way media portr...