umbdude

I wouldn't judge it based on one experience at one facility. I went into nursing specifically to work in psych. My psych rotation during my BSN was not good, but I already worked in an inpatient psych unit at a research hospital, so I knew that's the specialty for me. Other nurses not interacting with patients doesn't mean you have to do the same. Being awkward and not knowing what to say is not unusual for people new to the field. It's a skill that can be developed over time. Try to think about whether being a psych NP is really what you want to do. If it is, get a little work experience as a psych RN then proceed.

It doesn't hurt to apply, and you can always apply to different positions within the same hospital.

sadly this is not an exaggeration...heard this crap too many times and irritates the heck out of me. Most of them want the cheapest, easiest, most convenient program so they can continue working full-time (often not even in the same specialty) and never have to set foot into a class.

"DIY" education. Unfortunately, these days that is the norm rather than exception.

FNPs can specialize too (e.g. neuro, derm, onco, cards). When I had my shoulder surgery, my follow up appointments with my ortho NP were at least 20-30+ minutes. Also, many PMHNP jobs don't offer 30 min follow ups. Plenty of PMHNPs are required to see 20-30 patients per day. And as another poster pointed out, even 30-min follow ups with psych patients back to back can be draining. Ability to work remotely is not a guaranteed and most employers now require at least hybrid. Furthermore, although there are a lot of PMHNP jobs out there, most of them these days are junk and/or 1099 basis (I.e. zero benefits, income not guaranteed). I would seriously research your area first.

This job sounds pretty terrible (seriously, no pay raise?). Are there a lot of PMHNP jobs in your area? Are you able and willing to move? The southern region has the lowest pay, fewest opportunities, and most restrictive statues for PMHNPs. PMHNPs are paid more than FNPs (usually a lot more), so your pay should not be based on a new-grad FNP's pay. My suggestion is to interview as many places as possible to get an idea of what people will pay and have several offers in hand to negotiate. Talk with your professors and other local PMHNPs to see what's an appropriate salary.

Never heard of this but not surprised. The field is getting flooded with new grads and when practices know they can replace us quickly, they'll do what profit them most. 50/50 split is terrible if it's 1099 with zero benefit. If I were your wife I would start looking elsewhere. Good luck.

There are quite a few of those. One practice I worked at used practice fusion (separate from their EMR). Other ones I've heard of are office ally, MD toolbox, DrFirst etc.

So your total compensation is base salary and % of collection? If that's the case, it would be: $100k + (0.2*$500k) = $100k + $100k = $200k $500k total reimbursed is very high. How did you come up with that estimate?

I work for and interviewed a number of NP-owned practices. They're not much better. Hence I started my own. There's a ton of work and financial risks that come with starting a practice, then the op expenses pile up as it grows. These aren't shared by employees or 1099s. So unless the employee or contractor is bringing in their own full panel from day 1, I wouldn't compensate them much more than market rate.

I don't see how administering and monitoring ketamine and esketamine tx are in PMHNP's wheelhouse. I absolutely would not feel comfortable being the one monitoring patients undergoing this type of anesthetic unless I have some years of doing cardiac resuscitations. For this reason, the ketamine clinics I see that are owned by non-physicians are owned by CRNAs. I had seen several jobs posted by ketamine clinics doing these "monitoring," and they were hiring ACNP. Where I see PMHNPs come into play is doing screening, referring, and following up to assess efficacy. I would be cautious and thoroughly learn the protocols when deciding whether it is an appropriate role for PMHNP.

I hear ya. Love the specialty (I've been a PMHNP for 2+ years), but the constant back-to-back patient interactions can be pretty tiring. I do find part-time tolerable, but full time work would not. I think there are options...teaching, insurance companies, and perhaps pharma (either sales or medical science liaison). If financially feasible, you can even try something else totally outside of the field.

I'm glad OP is speaking out in details. It's important to point out what these schools are like. Essentially, these programs are handing out degrees without providing any added educational value.

Having access doesn't mean you have permission to search anyone you want. You need consent permission to view an individual's private medical record.

I don't know about legality, but certainly should never view someone's medical record without consent unless you're caring for that person as a provider. Again, most likely HIPAA violation.