Azureshunter

Inputs are greatly appreciated. How to deal with a toxic work environment? - I worked at a hospital where coworkers appear to be nice and supportive at your face, however I realized lately they have been talking about me behind my back for a while. Anytime there is a disagreement between coworkers, it gets accelerated straight to the administration. I am talking about very tiny things which they could have discussed in person instead. -The other thing is that they like to constantly reminding me that I am the "nurse" and they are the "doctor". - On top of this, there are certain computer stations in the hospital are "reserved" for specific doctors. One time I was told to leave this particular computer because this desk/computer is "his office". Granted it is actually the hospital computer and he didn't pay a penny for it. - At the beginning, I thought this is solely my experience. Over time, I have heard from other nurses/APPs with similar complaints. I even heard from a doctor who is emphasized with us that this place has a "bad culture". Have you guys ever in the similar situation? What is the best way to handle these situations?

I am due to renew my ANCC certification. They mentioned on their website- "At least 51% of your continuing education hours must be related to your certification specialty". I am certified as Adult Gerontology Primary Care NP, but I have been practicing in palliative care field. Therefore, most of my CEs are in palliative care. Any of your guys know anything about the CEs requirement for renewal?

PMHNP

Thank you so much everyone! These information are so helpful. I am so glad I asked here. Previously I was told by other NPs that it is possible to get trained to be a PMHNP without schooling, now I see the legal aspects of it.

Does anyone know if an ANP can work as a psychiatric NP outpatient with collaboration physician? I am in State of Virginia.

Thank you so much for the information! This reminds me that the long term care society also has something similar.

What setting do you work? What resources do you have? I think anything would help.

That's good to know! Are you doing it PRN as well? What is a typical day like for palliative/hospice NP?How long does it take to chart per patient?

I recently offered a PRN/part time hospice nurse practitioner job. They offered $50/hr for consultation calls and home assessment fee $200 per patient. Do you think this is fair for NPs with little under one year experience? I have no experience in hospice as a NP.

Thank you so much for all the information NRSKarenRN! I have seen some of the Carolyn's Youtube videos, they are really informative. Will check out her articles on Medscape too. Thanks for all the links!

How much dose psychiatric mental health nurse practitioner makes at health safety net clinics such as community health centers, free clinics and charitable clinics?

Outpatient clinic and long term care facilities

Does anyone know any free or paid educational courses in medical billing/coding for NPs?

FullGlass, Thank you so much for the great tips! I google jobs in sleep medicine, but there aren't many in my area that hiring a NP at the moment. I definitely will keep my eyes open for future job openings. It sounds like a great specialty to try!

I am curious what specialty of NP are you all currently working in? I am currently working for a private practice seeing patients at a Nursing home/Rehab center. It's flexible and I can chart from home. The downside is you have to do a lot of care coordination (e.g. talking to families/MD, goals of care discussion, etc.) and sometimes it can be draining.

Thank you everyone for the ideas!

FullGlass, I am also an AGNP. I worked >40hrs, 3weeks PTO, 1 week CME, total comp $90K. I am curious what state you are working right now? I am at VA.

traumaRUs, I am thinking a job that is flexible, no on calls, or working overtime and I get to go home on time.

I am currently working at a nursing home as a NP and trying to expand my career horizons . My NP friends are working at the physician offices and retail pharmacies are complaints of lots of stress. What are the low stress nurse practitioner jobs?

You can only transfer 6 credits to GWU graduate program.

Thanks Cardiac-RN! It is good to hear from other people and knowing it is possible to switch. I have contacted my advisor, she said it is not possible now because the space are already filled up for FNP, but I can re-apply next semester. Keep fingers crossed.

I think it all comes down to individual's perspective. We all have to do adult, peds, psych,... for our BSN. Doesn't mean all of us going to work in all of those areas. If the FNP gives me the most opportunities, then it is going to be my ultimate choice.

Thanks for the input! Like you said, the first few semesters are the same for all MSN specialties. You definitely give me hope :)

Not for FNP program, only ANP program to end March. Not sure if you can apply for ANP and switch later to FNP.

I applied to GWU too! Haven't heard from them.