umbdude MSN, APRN

Psych/Mental Health

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All Content by umbdude

  1. umbdude

    Need Psych Nurse perspective

    umbdude replied to dizzycarrot's topic in Psychiatric

    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...
  2. umbdude

    Queen's Medical Center

    umbdude replied to DruidRN's topic in General Nursing

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

    For-Profit, Nonselective NP Schools are Hurting Our Reputation and Credibility

    umbdude replied to DNPgrad2022's topic in Nurse Practitioners, NP

    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...
  4. umbdude

    For-Profit, Nonselective NP Schools are Hurting Our Reputation and Credibility

    umbdude replied to DNPgrad2022's topic in Nurse Practitioners, NP

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

    FNP to PMHNP--Is it Better?

    umbdude replied to raycna's topic in Nurse Practitioners, NP

    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...
  6. umbdude

    New grad PMHNP benefits and salary advice

    umbdude replied to PMHNPinWV's topic in Nurse Practitioners, NP

    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,...
  7. umbdude

    Realistic group/provider split?

    umbdude replied to DrCOVID's topic in Psychiatric

    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...
  8. umbdude

    E prescribing

    umbdude replied to MK Amodemo's topic in Nurse Practitioners, NP

    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
  9. umbdude

    Calculate base with percent collections help

    umbdude replied to mforte7's topic in Nurse Practitioners, NP

    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...
  10. umbdude

    Four Patients Per Hour And Time Based Billing

    umbdude replied to SaturnNP's topic in Nurse Practitioners, NP

    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...
  11. umbdude

    PMHNP's with ketamine experience??

    umbdude replied to caleyannwek's topic in Psychiatric

    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...
  12. umbdude

    Burn out in psychiatry

    umbdude replied to rr0416's topic in Nurse Practitioners, NP

    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....
  13. umbdude

    Wilkes University - BEWARE!

    umbdude replied to jennifer2021's topic in Student Nurse Practitioner

    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
  14. umbdude

    Can you search anyone in the controlled substance monitoring database?

    umbdude replied to Nveez's topic in Nurse Practitioners, NP

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

    Can you search anyone in the controlled substance monitoring database?

    umbdude replied to Nveez's topic in Nurse Practitioners, NP

    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
  16. umbdude

    Can you search anyone in the controlled substance monitoring database?

    umbdude replied to Nveez's topic in Nurse Practitioners, NP

    Highly unethical and a HIPAA
  17. umbdude

    Low NP Salary for VA

    umbdude replied to NP_12345's topic in Advanced Practice

    Don't have much knowledge about this but I would just consider the benefits since the VA supposedly have superior benefits (vacation, low healthcare premium etc.) compared to other
  18. umbdude

    PMHNP , telepsych for American based companies, while traveling abroad

    umbdude replied to ChrissyBee's topic in Nurse Practitioners, NP

    If you're a permanent resident of Montana and only visiting VA couple months a year, and you're exclusively seeing patients in Montana while you're physically in VA, my belief is that you do not need...
  19. umbdude

    Psychiatric Nurse Practitioner Salary and Lifestyle?

    umbdude replied to jmille00's topic in Advanced Practice

    Not sure about my panel size but anywhere between 8-14 patients a day at one job and the other I'm just starting so fewer. I provide 1-hour intake and 30-min follow ups. Outpatient setting isn't...
  20. umbdude

    Psychiatric Nurse Practitioner Salary and Lifestyle?

    umbdude replied to jmille00's topic in Advanced Practice

    I've found ziprecruiter to be more accurate in my area (northeast). Actual comp depends on where you work (outpatient could be FQHC or private practice), psychiatry experience, and negotiation....
  21. umbdude

    PMHNP private practice

    umbdude replied to IDNP's topic in Nurse Practitioners, NP

    Join FB small business group. A lot of good
  22. umbdude

    PMHNP-BC, a UWorld Equivalent?

    umbdude replied to Wake88's topic in Student Nurse Practitioner

    Most PMHNP review courses have test banks that you can purchase or subscribe to. Board vitals provides good rationales but very expensive (~$300 for 6 months) and doesn't really match ANCC question...
  23. umbdude

    PMHNP-BC, a UWorld Equivalent?

    umbdude replied to Wake88's topic in Student Nurse Practitioner

    You'll be starting your PMHNP program or starting to prep for ANCC board? If you haven't started your PMHNP program, it's way too early to study for the boards. If you're going to a decent...
  24. umbdude

    PMHNP-BC, a UWorld Equivalent?

    umbdude replied to Wake88's topic in Student Nurse Practitioner

    There isn't a UWorld-equivalent. The ANCC board exam is nothing like the NCLEX and there isn't any good exam prep. The ANCC question bank (the one with ~100 questions) is the closest to the...
  25. umbdude

    Psych telehealth with supervision or training?

    umbdude replied to sfrn94114's topic in Advanced Practice

    Ultimately you would need to speak with these companies individually to ask about supervision and training. In my experience, the large, fully-remote, telepsych companies that popped up during covid...