Riburn3 BSN, MSN, APRN, NP

Internal Medicine

Member

All Content by Riburn3

  1. Riburn3

    ACNP Compensation

    That's a rough offer. I've said this in other threads but it's important to know the volume they expect you to see, the services/skills you will be doing, and what the reimbursement rates are in your...
  2. Riburn3

    New NP grad, passed boards, now what?!

    If you go to a school with a large number of students from all over the country it might not be feasible to do this since requirements are different in each state. My university had lots of students...
  3. Strange question. You could ask if any NP's wish they had been pharmacists too. I'm sure we all have a job we wish we could do other than our current profession, but I can't imagine too many NP's...
  4. I agree. Some of my best friends are still working as RN's and have no desire to become NP's. It personally took me a long time and a lot of reflection before I decided it was for me. Sometimes it...
  5. Riburn3

    NP Salaries/Location/Specialties

    Updating mine since I've changed jobs since I got my FNP in 2014. Specialty: FNP (also finishing my AGACNP) working in an outpatient CHF/Valve clinic attached to a large hospital. I also round for an...
  6. I would try your hat in other clinical areas. All it takes is one or two bad clinical sites to sour you when the reality is there are several other places that aren't heavily focused on volume with...
  7. I would love to know where three 12 hour shifts per week equates to $120k a year. That's over $60 an hour. Gotta be California. Pay like that for nurses is the exception rather than the rule, and...
  8. Riburn3

    Palliative Care NP job

    I have done some palliative care visits and it's pretty easy work. If you're already doing SNF/LTAC, then you likely have some patients that have been on palliative care, and for the most part...
  9. Riburn3

    Do nurse practioners round with doctors?

    In the inpatient setting it's more common. More specifically, if you are employed by the facility proper, you will commonly round with the physicians as they come in since you likely have seen the...
  10. Drug reps can be good sources of information, and certain companies require them to get extensive education about their product, so often they know a lot more about it than you. As other's have said,...
  11. Riburn3

    Becoming an FNP after graduating as an AGNP?

    Just go for a post masters cert in FNP. I first got my FNP and am now completing my post masters AGACNP. In most programs it is only 3-4 semesters more of largely clinical work, and in your case...
  12. Riburn3

    Doctor's negative view of NP / Psych NP

    In the year in a half I have been practicing as an NP, I am yet to meet a physician that has such a negative view on NP's. Most in my experience love us because we are cash cows for what we cost. If...
  13. Riburn3

    New grad ER FNP salary expectations

    In my part of Texas, companies like TeamHealth are contracted to run the local ER's (which are very busy) and they pay very well. Two of my friends got hired in the ER's they worked in as RN's, and...
  14. Riburn3

    NPs working in Texas

    I live in Texas, but literally on the opposite end of the state (I'm closer to California than Houston), however, my classmates that graduated with me had no trouble finding work in the Houston area,...
  15. Riburn3

    Too many NPs?

    OP, it entirely depends on your market. Do you know of lot's of NP's (especially new grads) in your market struggling to find work, and when they do find it, it isn't very good? That's where I would...
  16. Riburn3

    Just "NP"

    On my business cards I will list all my credentials MSN, APRN, FNP-C, CCRN, but on things like my lab coats (which I never wear) or when I sign something it'll say: my name, FNP-C or
  17. As I went through the exam I would mark on my scratch paper they give you whether I thought I was 100% correct, 50% correct, or guessing. By the end there were 87 notches on my scratch paper that I...
  18. Hi everyone sorry for an incoming text wall, but I feel like I'm in a rough spot. I've been an NP for a little over a year and working for an internal medicine practice that I have generally enjoyed....
  19. Riburn3

    Ethical dilemma, what would you do?

    Thanks for all the great advice. Just an update, I got the new job and when I informed my current employer he begged me to stay on to manage his nursing/rehab facilities for him. I'm going to work...
  20. How many direct entry programs are there versus traditional? There are none in my part of the country and just about every school in my region requires experience before attending. Doing a...
  21. I agree with you completely. I work for a physician and defer to him regularly. He has been my mentor throughout this journey and am thankful for him. My comments apply strictly to primary care,...
  22. Ouch, this is pretty ignorant. It doesn't take into account that most APRN's have years and thousands of hours as caregivers. It also doesn't factor in like Boston said, that time and again research...
  23. Riburn3

    Nurse in room for hemorrhoid checks?

    I always have a witness present if it's going to involve private areas or I know the patient has a history of making accusations with other providers. Even then, this doesn't prevent accusations from...
  24. I just tell patients we are a different type of provider with our background founded in nursing, and that from a patient perspective you are likely to notice little
  25. Riburn3

    NP pay, does RN experience matter?

    Typically it doesn't matter, although some larger institutions will count all previous medical experience into calculating your pay. I know this is an anecdote, but many of the nurses I graduated...