Riburn3 BSN, MSN, APRN, NP

Internal Medicine

Member

All Content by Riburn3

  1. Riburn3

    FNP in In-Patient Settings

    Riburn3 replied to TeachEm's topic in Advanced Practice

    So this is really going to depend in where you live and company policy. FNP's in some states get away with inpatient hospital work because their state laws are vague and there is high demand. Where I...
  2. Riburn3

    working alone as a new grad

    Riburn3 replied to travelRN555's topic in Nurse Practitioners, NP

    And most decent MD's with experience working with new grad NP's already know this and don't usually throw their new NP's to the wolves. They're aware we don't get a lengthy residency akin to...
  3. Riburn3

    Nurse Practitioner Overtime Pay

    Riburn3 replied to JRay813's topic in Nurse Practitioners, NP

    Renegotiate if you can swing it. If your contract was specific about the number of hours expected of you on a weekly basis, you already have a pretty simple solution. If they don't want to...
  4. Riburn3

    working alone as a new grad

    Riburn3 replied to travelRN555's topic in Nurse Practitioners, NP

    Totally think this is more unique to psych. I work in a hospital with an inpatient psych unit, and the NP's that work there all basically started after graduation without any sort of orientation or...
  5. Riburn3

    working alone as a new grad

    Riburn3 replied to travelRN555's topic in Nurse Practitioners, NP

    In my first position I was expected to work alone, but got to work for 3 months with the physician hiring me in the same clinic before I was put into another clinic on my own. I felt absolutely...
  6. Riburn3

    new grad NP contract negotiation

    Riburn3 replied to travelRN555's topic in Nurse Practitioners, NP

    Good for
  7. Riburn3

    Excellent Employment Prospects for Nurse Practitioners

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

    I get where you are coming from Jules but you're also probably in the top 1% of earners in our field. Pretty much anyone in any field that is at the top of their game is going to take a cut if they...
  8. Riburn3

    The NP who can't function in the role

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

    I agree. School also doesn't really teach you the business aspect of healthcare, and physicians certainly aren't any better about telling you what you're bringing to the table. The only time they...
  9. Riburn3

    Will there be a huge turf war between PA and NP?

    Riburn3 replied to nurse2bnoob101's topic in Nurse Practitioners, NP

    Perfect post Boston. I don't think there's a single person in healthcare that would argue against the importance of interdisciplinary collaboration. Unfortunately, "physician collaboration" or...
  10. Riburn3

    Will there be a huge turf war between PA and NP?

    Riburn3 replied to nurse2bnoob101's topic in Nurse Practitioners, NP

    As long as the data backs them up like it does us, more power to them. I would imagine it might be a tougher uphill climb since the position is more closely aligned with physicians, and their title...
  11. Riburn3

    NP pay mid-career

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

    Texas is a huge area and it varies a lot. I graduated in 2014 so I'm not quite "mid-career", but I do live in Texas and know salaries for some of the fields you asked about. My first job paid about...
  12. Riburn3

    Seeking Advice: Direct Entry Blues

    Riburn3 replied to mk989's topic in Nurse Practitioners, NP

    Sometimes it takes a little fire under your bum to get you moving and motivated. I'm happy for you! When I first started working as a baby RN in critical care, my preceptor told me I didn't seem...
  13. Riburn3

    The NP who can't function in the role

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

    OP, You're describing an NP I worked in my first job at a fast paced internal medicine practice. She had 10 years experience and was lucky to see 12 or 13 patients in a day. For every 1 patient she...
  14. Riburn3

    ER NP Salary

    Riburn3 replied to wildfl0wer6's topic in Advanced Practice

    I'm not an ER NP, but my company also employs ER NP's and this is what they make. Salary - $191,520 ($95/hr, 12 hour shifts, 14 shifts a month) Bonus - Yes, quarterly. Based on individual and group...
  15. Riburn3

    new grad NP contract negotiation

    Riburn3 replied to travelRN555's topic in Nurse Practitioners, NP

    Ding, ding, ding!!! We have a winner!!!!!! I really think they were lazy, took one of their full-time contracts, and just adjusted the hours. Even then though, saying 20-40 hours on your contract is...
  16. Riburn3

    If you could live/work anywhere

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

    I work in both a free practice state (New Mexico) and a pretty restrictive state (Texas), and even though I enjoy free practice more, I've been blessed by having great physicians to work with, so the...
  17. Riburn3

    Will there be a huge turf war between PA and NP?

    Riburn3 replied to nurse2bnoob101's topic in Nurse Practitioners, NP

    I think there is room for both in the market and Juan made some excellent points. I also think state laws will play a huge role going forward and a lot will depend on how PA's position themselves and...
  18. Riburn3

    Excellent Employment Prospects for Nurse Practitioners

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

    People complaining about oversupply are working in areas with too many NP's. It's very simple. My slice of West Texas and New Mexico is in full blown desperation mode for good NP's. If you read...
  19. Riburn3

    There has to be more besides indeed.com for NP job searches??!

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

    State and local organizations. Hospital and clinic websites. Monster. Indeed. I live in Texas and the state NP organization is always emailing job info. The AANP does the same as
  20. Riburn3

    new grad NP contract negotiation

    Riburn3 replied to travelRN555's topic in Nurse Practitioners, NP

    Haha also #9! I get they don't want you poaching patients, but if you leave, the patient is a consumer with free will and can follow you wherever. Basically just don't put up a sign in the clinic...
  21. Riburn3

    Are NPs expected to be happy and cheerful?

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

    As other's have said, patients are also consumers, they often have a choice in where they receive their healthcare, so it's prudent to be nice. That said, what is actually wrong with being happy and...
  22. Riburn3

    Novice Providers & Mortality

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

    Interesting article. The takeaway is that real experience is king. I'm not sure what a residency program for NP's would do since this article is discussing full fledged physicians already done with...
  23. Riburn3

    NPs working in Specialty Areas

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

    Depends on your state and job role. I have both my FNP and AGACNP and the overlap between the two is pretty epic. Even board questions had some similarity, and both require knowledge of each...
  24. Riburn3

    When to start applying for first NP job?

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

    A lot of NP's that land jobs prior to graduating do so because they already have a good network (usually due to their nursing experience), or have been offered to stay on at a clinical site. An...
  25. Riburn3

    Any advantages to being a male np?

    Riburn3 replied to nurse2bnoob101's topic in Nurse Practitioners, NP

    I work in the Southwest with a large Hispanic population, and I've found older folks here seem to prefer being seen by a man as opposed to a woman. I worked in an office when I just started...