umbdude MSN, APRN

Psych/Mental Health

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All Content by umbdude

  1. umbdude

    Total Number of Nurse Practitioners Hits 325,000

    I take BLS numbers with a huge grain of salt. For years they projected amazing growth for pharmacists, and it's true that in the late 90s and early 2000s the job market was excellent. Then these PharmD diploma mills start popping up (similar to Nurs...
  2. One thing to consider is to sue the school for refund for tuition if you've paid out of pocket or had taken out loans. If you can move, maybe another state will accept the school's degree.
  3. I'm sorry to hear. Do you have your own malpractice insurance? If you do, contact them right away. Malpractice companies usually have attorneys that could point you to the right direction if not more. It's very common for employers to thro...
  4. umbdude

    DEA nonsense

    This really makes no sense to me. How does one have a practice location if you're not seeing patients there?
  5. umbdude

    DEA nonsense

    Frustrating. There's a lot of confusion about this. Are there any state-specific regulations from TX or WA that require you to have DEA in the state where you physically live? I came across another post elsewhere that's also head stretching. A p...
  6. umbdude

    NP Salary/Pay Let's Be Transparent

    I hope this is a 1099 20-hour position?
  7. umbdude

    When to apply

    Every program has different policy. It's best to ask them directly. I graduated Dec. a few years ago and the programs I applied to didn't have any January cohort, so I started in Sep.
  8. umbdude

    Massachusetts NPs - A License Question!

    This is a fairly new requirement. Call MassHealth provider line to obtain a tracking number, then find the "MassHealth non-billing provider form" and fill it out (if you don't have a license number you can just put 'pending'). You'll need to put...
  9. umbdude

    Psyche NP administration of Botox

    Check with your board of nursing. I have heard about RNs giving botox (or other cosmetic shots) after having documented training. You may also want to inform you malpractice insurance and question whether you need (or allow to have) added i...
  10. umbdude

    Which NP Program would you choose?

    Great breakdown. You've done your homework. #1 is the best choice, IMO, hands down. #3 would be second #2 would be last in comparison
  11. umbdude

    Any PMHNPs working for online platforms?

    Unfortunately it's not about judgement but legality per Ryan Haight Act. Ryan Haight is altered d/t covid but it's unlikely that it will continue post-covid. Prescribing controlled without seeing a patient in person would be a violation. Splits ...
  12. umbdude

    Any PMHNPs working for online platforms?

    I've heard the same about Cerebral. Another problem with Cerebral is that I think it expects NPs to prescribe controlled, which is something I would not do if it's 100% telepsych. I've talked to 2 other companies (one has similar model another a...
  13. umbdude

    NP specialty with the most patient time?

    That's not the case all the time. I recently interviewed a private practice and the HR person started out with how their mission is to provide the best BH care, then immediately shifted onto productivity and expectations for psych NPs to see 4 f/u pe...
  14. umbdude

    ONLINE ASN TO PMHNP PATHWAYS

    I am concerned about someone prescribing with this level of GPA without a lot of remediation. Are you really going to be able to grasp advanced and nuanced concepts in psychopathology, medical knowledge, and pharmacology? How was your science and cli...
  15. umbdude

    As a new NP, did you do a residency program?

    Just because you found residency helpful does not mean everyone else requires one. Sadly, throwing out an insult to my legitimate response to OP (I was not replying to your posts) showed that maybe the residency taught you some clinical skills, but n...
  16. umbdude

    First NP job... Did you negotiate the salary?

    Wouldn't occurrence based be better (other than being more expensive)? No need to worry about tails. I always get my own personal coverage even though almost every organization offers malpractice coverage.
  17. umbdude

    Please recommend your CPA!

    HR block can be very aggressive but unless you're making millions and getting millions back from IRS, audit probability is extremely low. Make sure you buy audit defense. My guess is that any individual CPA will be less aggressive and will stic...
  18. umbdude

    As a new NP, did you do a residency program?

    I declined an offer to a residency. In my case, I didn't think that residency would benefit me that much and I simply had a better job choice. I would add that not all residency programs are created equal, and not having a residency program does...
  19. umbdude

    First NP job... Did you negotiate the salary?

    I received my first job offer 3 weeks after my graduation as a psych NP. That first job offer was one that I didn't like, so I asked to have 1 week to think over, and as soon as I asked they bumped my offer up by $5k (I didn't negotiate). I got my 2n...
  20. umbdude

    MSW to PMHNP/FNP (dangerous ideas!)

    Your last semester looks similar to mine, but for me, adult health II (aka critical care) was lecture and senior seminar for me was inpatient psych (I got a specialty placement which was great). Loved my final BSN semester. I did my MSN over 3 y...
  21. umbdude

    Oversupply of Nurse Practitioners

    I had to see my primary care doctor to get a referral to see ortho. My PCP does his assessment and figure out whether I need a referral, more diagnostics, or just RICE. That's how HMOs work. I can't just walk into an Ortho office because it would be ...
  22. umbdude

    We Must Demolish NP Diploma Mills

    I just completed it last year. The school I went to is pretty "old school" and don't rely heavily in online education (obviously we had to for a couple months due to Covid).
  23. umbdude

    Psychiatric NP

    Psych is a specialty with a higher risk of violence compared other specialties, but it's probably still much lower than getting killed in a MVA. Although it is necessary to have safety in mind, it is quite unhealthy and stigmatizing to have so much f...
  24. umbdude

    Berxi Malpractice?

    Are you comparing the same type of policy (occurrence and claims-made)? claims made policies are usually cheaper. In terms of the company itself. I'm pretty sure Berxi is legit. It's part of Berkshire Hathaway which is a gigantic holding compan...
  25. umbdude

    Certification Timeline

    I agree about not waiting, but I don't think there's a requirement to take it within a certain amount of time.