umbdude MSN, APRN

Psych/Mental Health

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All Content by umbdude

  1. umbdude

    PMHNP Fee-for-Service in Washington State

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

    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...
  2. umbdude

    NP Schedule

    umbdude replied to KYNurse123's topic in Advanced Practice

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

    Schedule II Meds

    umbdude replied to DrCOVID's topic in Advanced Practice

    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...
  4. umbdude

    Initial DEA licensure- time for processing

    umbdude replied to Momma1RN's topic in Advanced Practice

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

    Scary Paranoid Thought

    umbdude replied to paramedic-RN's topic in Nurse Practitioners, NP

    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...
  6. umbdude

    Scary Paranoid Thought

    umbdude replied to paramedic-RN's topic in Nurse Practitioners, NP

    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...
  7. umbdude

    NP/PMHNP Work Culture

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

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

    NP/PMHNP Work Culture

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

    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,...
  9. umbdude

    NP/PMHNP Work Culture

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

    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...
  10. umbdude

    HOW MUCH malpractice insurance?

    umbdude replied to paramedic-RN's topic in Advanced Practice

    $1m/$3m is
  11. umbdude

    Experience for PMHNP

    umbdude replied to RN356's topic in Student Nurse Practitioner

    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
  12. umbdude

    Experience for PMHNP

    umbdude replied to RN356's topic in Student Nurse Practitioner

    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...
  13. umbdude

    Secured a job on LinkedIn

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

    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...
  14. umbdude

    Total Number of Nurse Practitioners Hits 325,000

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

    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...
  15. umbdude

    Total Number of Nurse Practitioners Hits 325,000

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

    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...
  16. umbdude

    Total Number of Nurse Practitioners Hits 325,000

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

    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...
  17. umbdude

    What is your take home pay as Nurse Practitioner?

    umbdude replied to hik9258's topic in Nurse Practitioners, NP

    That's good to know.
  18. umbdude

    What is your take home pay as Nurse Practitioner?

    umbdude replied to hik9258's topic in Nurse Practitioners, NP

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

    Are you ACTUALLY supervised???

    umbdude replied to ICUnurseEst2015's topic in Nurse Practitioners, NP

    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...
  20. umbdude

    Is doing therapy as a psych NP realistic?

    umbdude replied to Kaelif2015's topic in Student Nurse Practitioner

    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...
  21. umbdude

    Is doing therapy as a psych NP realistic?

    umbdude replied to Kaelif2015's topic in Student Nurse Practitioner

    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...
  22. umbdude

    Total Number of Nurse Practitioners Hits 325,000

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

    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...
  23. umbdude

    Total Number of Nurse Practitioners Hits 325,000

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

    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

    umbdude replied to NPRoseMona's topic in Student Nurse Practitioner

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

    Total Number of Nurse Practitioners Hits 325,000

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

    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"...