Riburn3 BSN, MSN, APRN, NP

Internal Medicine

Member

All Content by Riburn3

  1. Riburn3

    Finding a NP preceptor

    Riburn3 replied to Mike Austin's topic in Student Nurse Practitioner

    The OBGYN rotation was my hardest to secure. A month before I was about to start my rotation, the FNP I was going to be with switched from a community women's health practice to nephrology. Talk...
  2. Riburn3

    New NP-Negotiating a Salary

    Riburn3 replied to PhillyFNP's topic in Nurse Practitioners, NP

    I'm a new grad (in Texas as well) and walked into a contract for almost $110k (initial offer was $90k) with full benefits and a bonus plan that could very well double the salary. I work for a private...
  3. Riburn3

    New NP-Negotiating a Salary

    Riburn3 replied to PhillyFNP's topic in Nurse Practitioners, NP

    This is a package that I consider pretty solid. All the benefits push it higher, plus the extra income potential is nice. I'm all about contract that create productivity incentives. It's win win...
  4. Riburn3

    New NP-Negotiating a Salary

    Riburn3 replied to PhillyFNP's topic in Nurse Practitioners, NP

    Even if a new grad in a primary care practice only averages 10 patients a day for a year, they're still going to rake in over a quarter of a million dollars, and that's assuming they never perform a...
  5. Riburn3

    New NP-Negotiating a Salary

    Riburn3 replied to PhillyFNP's topic in Nurse Practitioners, NP

    That's a shame. I sure am glad I don't live in your area. Even in Texas where it's very physician driven, the market is such that they have to pay us well. I totally understand if you're in an...
  6. Riburn3

    How soon is too soon for a prep class?

    Riburn3 replied to jwhite491's topic in Student Nurse Practitioner

    Sure thing good
  7. Riburn3

    New NP-Negotiating a Salary

    Riburn3 replied to PhillyFNP's topic in Nurse Practitioners, NP

    If you have classmates that you know are receiving better offers, or know other NP's in the area doing better, use that to justify your increased pay. If they say it's because you're "new" ask if that...
  8. Riburn3

    New NP-Negotiating a Salary

    Riburn3 replied to PhillyFNP's topic in Nurse Practitioners, NP

    Texas. It shouldn't really matter where you live though. If you're going into a busy practice where you're going to be expected to see around 20 patient a day, you're going to be pulling in over...
  9. Riburn3

    "FNPs can do anything"

    Riburn3 replied to Jules A's topic in Student Nurse Practitioner

    This statement applies to just about every provider discipline. An OBGYN can't perform brain surgery, nor will you see the brain surgeon roll into the delivery room. My boss (an IM physician) isn't...
  10. Riburn3

    How soon is too soon for a prep class?

    Riburn3 replied to jwhite491's topic in Student Nurse Practitioner

    With the AANP you can apply up to 6 months before you graduate and test before you graduate. They only require that you complete all clinical course work before you test. It's basically the honor...
  11. Riburn3

    From an MD no less!!

    Riburn3 replied to delawaremalenurse's topic in Nurse Practitioners, NP

    That's a great anecdote about a physician in a galaxy far far away, but it doesn't speak to medical practice today. The reality is anyone, MD or garbage man that decides to change disciplines and...
  12. Riburn3

    How soon is too soon for a prep class?

    Riburn3 replied to jwhite491's topic in Student Nurse Practitioner

    Here is an article I wrote for this site about passing the AANP when I passed late last year.
  13. Riburn3

    How soon is too soon for a prep class?

    Riburn3 replied to jwhite491's topic in Student Nurse Practitioner

    This is an awesome question. It's a shame they don't allow this in the main NP forum where you would get a lot more responses since that's your target audience. Going in October will probably be...
  14. Riburn3

    What kind of NP are you and what is your work setting?

    Riburn3 replied to amberusky's topic in Nurse Practitioners, NP

    I'm an FNP and run my own satellite clinic for an Internal Medicine practice. I spend the first 6 hours of my day seeing patients, then the last two hours rounding at inpatient rehab facilities. No...
  15. Riburn3

    New NP-Negotiating a Salary

    Riburn3 replied to PhillyFNP's topic in Nurse Practitioners, NP

    So true. When I graduated, a close friend of mine was going to accept a job with one of his preceptors despite it being one of the worst offers I have ever heard of. He tried justifying it by saying...
  16. Riburn3

    From an MD no less!!

    Riburn3 replied to delawaremalenurse's topic in Nurse Practitioners, NP

    @automotiveRN- You're again describing a specialization within the field. We have them too. A coworker that is an ACNP works for a large hospital in my city where he rounds as a hospitalist,...
  17. Riburn3

    What job do you do?

    Riburn3 replied to Futurenurse98's topic in Student Nurse Practitioner

    I work as an FNP in a large internal medicine practice. I run my own small clinic where it is just myself and a couple of MA's where I see anywhere from 5-25 patients a day. I operate as a PCP and...
  18. Riburn3

    Employment Agreement

    Riburn3 replied to CANYRN's topic in Nurse Practitioners, NP

    This. A clause forcing you to pay that kind of money for them firing you is ridiculous. They could make a mint just on hiring and firing. More common contract clauses in my area prevent you from...
  19. Riburn3

    From an MD no less!!

    Riburn3 replied to delawaremalenurse's topic in Nurse Practitioners, NP

    This is a bad example because it just highlights different specialties of care, and it is true of MD's themselves. If that patient you described is seen by an MD in a family practice or internal med...
  20. Riburn3

    New NP-Negotiating a Salary

    Riburn3 replied to PhillyFNP's topic in Nurse Practitioners, NP

    As the previous poster said, if you can get a feel for your area do it. If not, aim for 100k as a starting point (unless they offer higher), and always always always inquire about incentive bonuses....
  21. Riburn3

    Can an APRN practice as an RN

    Riburn3 replied to Infofreak411's topic in Advanced Practice

    You are absolutely allowed to work as an RN even if you are an APRN, however, depending on your jurisdiction you can be held to a higher standard of care. For example, something happens to a patient...
  22. Riburn3

    New NP & DEA #

    Riburn3 replied to Palliative Care, DNP's topic in Student Nurse Practitioner

    Great question. Absolutely apply for jobs as you get closer to graduating. I was offered a few positions during my last year of school, and most of my class had something lined up by graduation. As...
  23. Riburn3

    Is it worth it?

    Riburn3 replied to Anna_TomicalRN's topic in Nurse Practitioners, NP

    If it's something you want to do, it's worth it no matter your age. The other NP I work with didn't go back to school until she was 45 and had just as much RN experience as you. She tells me her...
  24. Riburn3

    First NP Job and unhappy...What to do?

    Riburn3 replied to TCUgirl15's topic in Nurse Practitioners, NP

    You're absolutely not alone. I was fortunate that my first job out of school (my current job), was in a clinic that I did a huge chunk of my school rotations in, so I already was familiar with the...
  25. Riburn3

    Misdiagnosis

    Riburn3 replied to orangepink's topic in Nurse Practitioners, NP

    When you're expected to see patients in 20 minute or less window, you're going to miss a few things. In an outpatient clinical setting, everyone is thinking "horses" not "zebras". If you're like me...