umbdude MSN, APRN

Psych/Mental Health

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All Content by umbdude

  1. umbdude

    PMHNP Fee-for-Service in Washington State

    True but I would assume that they would all be in the same ball park. I know the reimbursement rates for 2 different companies in my area and the rates are almost exactly the same. Anyway, I should be able to get those numbers from my company. 9...
  2. umbdude

    NP Schedule

    Yes, a lot of places have flexible scheduling. 3 days are probably less common, but 4 10's are very common.
  3. umbdude

    Schedule II Meds

    Prescribers can be investigated and have their licenses revoked or worse if they prescribe inappropriately outside usual standard of care. If a patient misuses, abuses, or diverts stimulants and for whatever reason the prescriptions are traced back t...
  4. umbdude

    Initial DEA licensure- time for processing

    DEA was fast...I think it was maybe 1 week or 2 at most
  5. umbdude

    Scary Paranoid Thought

    We e-prescribe for all meds. If someone's doing that, they're committing the crime and it's their problem. There are call logs to trace, and video cameras in the pharmacy. It's also incredibly unlikely. Once you start working you'll be too busy to wo...
  6. umbdude

    Scary Paranoid Thought

    Many states have e-prescribing requirements meaning that you cannot prescribe controlled substances with paper scripts (people also can't just 'call it in'). Rather, it must be done via 2-factor authentication. You can also check prescription dr...
  7. umbdude

    NP/PMHNP Work Culture

    I'm not sure what you're trying to say. That I'm helping a pharmacist make a transition to psychiatric nursing?
  8. umbdude

    NP/PMHNP Work Culture

    I'm a PMHNP. Like another poster said, this specialty is the fastest growing specialty so who knows what the job market will be like in 6 years. In the current job market, it's not hard to find a job, but it is not easy to find a good job (there are ...
  9. umbdude

    NP/PMHNP Work Culture

    You really don't know? A friend of mine graduated from pharmacy school in around 2000-2001. The pharmacy job market back then (and prior) was like PMHNPs a few years ago. She got multiple high-paying job offers within 15-mile radius with sign-on...
  10. umbdude

    HOW MUCH malpractice insurance?

    $1m/$3m is typical.
  11. umbdude

    Experience for PMHNP

    ICU nursing has close to nothing to do with PMHNP and it's one of the least relevant to psych nursing. I wouldn't worry about not having ICU experience.
  12. umbdude

    Experience for PMHNP

    Only you can answer whether it's worthwhile. My only thought is that if you have a strong interest in working with folks with mental illnesses, the cost/benefits make sense, and you're willing and able to live and breath psychiatry for years dow...
  13. umbdude

    Secured a job on LinkedIn

    It's just one of the means to staying connected and potentially leading to an opportunity. I did get a job (not nursing) indirectly through LinkedIn years ago when I reconnected with a coworker/classmate I had met when I was in high school. He ...
  14. umbdude

    Total Number of Nurse Practitioners Hits 325,000

    I call this DIY NP education. The program literally hands student a list of readings, set up a chatroom for online discussion board, and refers folks to watch Youtube videos. There's close to zero investment on the school's part and that's the reason...
  15. umbdude

    Total Number of Nurse Practitioners Hits 325,000

    There are quite a few people out there doing exactly this - wanting to break into PMHNP (from ICU, ER, FNP, or whatever) imagining that they no longer have to work in person. Never had any interest in psychiatry.
  16. umbdude

    Total Number of Nurse Practitioners Hits 325,000

    I don't think it's a total non-factor. Mental health is suited for telehealth but not necessarily 100% of the time and not for all patient populations. Also, there're a lot of uncertainties around what's going to happen after covid emergency is lifte...
  17. umbdude

    What is your take home pay as Nurse Practitioner?

    That's good to know. thanks
  18. umbdude

    What is your take home pay as Nurse Practitioner?

    If your average 1-year 1099 salary is $180k. What's your "after tax" earning over 1 year? How many weeks do you take off?
  19. umbdude

    Are you ACTUALLY supervised???

    My supervising MD doesn't read my chart. She has no time for that. I talk to her once a week to go over complex cases since the clinic pays for all of it. Other practices have fewer supervision, group supervision, or have experienced NPs doing the su...
  20. umbdude

    Is doing therapy as a psych NP realistic?

    The minimum requirement is 16 minutes and E/M must be based on MDM. I think if your appts are booked as 20-min and you're billing a lot of add-on, there's an increased risk of audit (from what I've heard). Honestly my experience is that 4 minute...
  21. umbdude

    Is doing therapy as a psych NP realistic?

    Where I worked we don't do add-on because the appts are booked for 15-min (though realistically we spend 20 min). It's done that way because there's a huge need for psych prescriber and there's a large in-house behavioral health therapist group. If P...
  22. umbdude

    Total Number of Nurse Practitioners Hits 325,000

    ANCC data- the number of ANCC-certified psych APRNs (includes CNS and phased out adult/ped PMHNPs) rose by ~68% in 4 years. Number of candidates taking the ANCC-PMHNP exam grew from 1,497 in 2016 to 4,114 in 2020 (4,377 in 2019). It'd be i...
  23. umbdude

    Total Number of Nurse Practitioners Hits 325,000

    My comment really wasn't directed at you. What state are you in? I'm packing my bags. ?
  24. umbdude

    Looking for PMHNP preceptor in Maryland

    Try Maryland NP association. Also, your school needs to put in more effort than you in finding a preceptor.
  25. umbdude

    Total Number of Nurse Practitioners Hits 325,000

    There are more NPs (especially FNPs and AGPCNPs) than there are jobs in many areas. That's just reality. I'm surprised that people are arguing over this. It's not really about feeling "entitled" to jobs, but nobody in their right mind would want...