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mangopeach's Latest Activity

  1. mangopeach

    Do Black Nurses Have a Different Experience?

    I posted this on another forum that I frequent 2 years ago. So today I was reminded that I am not an equal Rumors have been swirling at work that the new guy (he's white) I am training was being paid more than many of us are being paid. I've been brushing those rumors off. He's a new grad. I was thinking no way. Sure enough, I went HR, just for the hell of it. They wouldn't confirm, but they didn't deny it- But they said, " you need to talk to your manager about your own pay rate". - which pretty much confirmed the rumors for me. Anyhoo, HR guy contacts my manager - who then calls me with some BS excuse saying " oh looks like we made a mistake when we did our numbers in Jan and you got left off, I don't know how that happened, I'll make sure that gets fixed". So now they will give me a raise. - But it felt like a kick in the gut. How insulting to think it was OK for me to train someone who was getting paid more than I was? I am his superior - how can he make more than I do? This has ticked off a bunch of other nurses on the unit that are now thinking about leaving after finding out how much this guy is making fresh out of school with no experience. I guess thats white privilege at its finest. Walk out of nursing school and make the same pay rate as nurses with several years of experience.
  2. mangopeach

    Prescription "cookbooks?"

    I used the Epocrates App when I was in school- the free version. I'm a psych NP so I use the Stahl's App more than anything if I need to look up med dosage, how to start or stop meds. However I still use the Epocrates App especially for looking up drug interactions and contraindications.
  3. mangopeach

    Job hunt

    Do you have a Linkedin profile with resume? If not do so. Just be prepared to get a bunch of recruiters contacting you. Someone I know, got hired directly by an employer via LinkedIn. But it will be mostly recruiters that contact you. Which is not a bad thing. I got my present job through a recruiter. Even though I am contemplating leaving(I've been here almost a year), I would still use a recruiter for my next position, especially If I make a move out of state. Just do your due diligence when working with recruiters. Work only with one you feel comfortable with. Some will come off sleazy like used car salesmen. Their job is to make a sale. They get paid by the employer. Some of them are not concerned if its a good fit for you. The recruiter that I worked with, listened to my needs and didn't try to place me in the boondocks or with children. I was a new grad and she directed me to employers that were new grad friendly. You can also just Google NP recruiters. I can only speak to the work ethic of the one that I used, so do your due diligence. Good luck!
  4. I am approaching the end of my first full year as a psych NP. I am not sure I want to renew my contract. I work at a FHQC mental health clinic. I was hoping to stay here for awhile and perhaps get loan forgiveness. But I am finding myself overwhelmed these last few months. I knew the transition from RN to provider would be challenging but I don't like feeling burned out this early! Things have gotten worse since Covid19 and we have been working from home. At first, I thought I would enjoy working from home, but I have found it more time consuming and we have not gotten any more time in between patients. I feel like I am always working. Even before the shutdown, I never left the clinic at 5. I was there till 6-7 pm. I start seeing patients at 8:00 am. I miss working 3 days a week! I find the slog of working 5 days a week draining. Maybe if I left the office on time, it wouldn't be so bad, but that never happens. I even spend my lunch hour doing documentation. I just knew when I started working as an NP that I would only work outpatient. Now I find that I miss working in the hospital setting. I was looking forward to never having to work holidays and weekends ever again. But I think I would prefer that if I could have some semblance of balance in my life again. I have seen some positions posted, though not many for positions with 10 days on, 10 days off, or 15 days on and 15 days off. Does anyone work a schedule like that? I think I would prefer that schedule than 8:00 am to 5 pm (which is more like 8am-6 or 7pm) 5 days a week. Maybe things would be different in private practice. I don't think an NP in private practice has to do all the things we have to do - So maybe working in private practice would be an option, but like I said, I just find working 5 days a week such a drag. Thanks for reading.
  5. mangopeach

    Staffing Firms/Recruiters

    I have. I had a great experience - I used MedSource Consultants -
  6. This all day every day. I'm a new grad NP. I spent over 7 years in patient psych. It is my opinion that anyone that wants to be a psych NP should be a psych nurse prior to becoming a psych NP. Just my opinion. I was always gobsmacked at some of the things some of my cohorts that never worked psych would say. Rest assured that I would run the other way if I took my loved one to an appointment and walked into an office and saw one of them sitting in that chair. In time, I suppose they will be great clinicians , but I think there are things you learn when you are exposed to actual psych patients that you don't learn in a book. I can't imagine being a cardiac NP without ever setting foot on a cardiology unit. Again, JMO. We didn't give IV meds on my unit but I gave levothyroxine, insulin, metformin, you name it blood pressure meds, coumadin, anti, biotics, nebulizer treatments, on my unit, made sure chest x-rays got done, etc. Psych patients do not check their medical issues at the door. In fact, just as they do not take their psych meds, they do not take their medical meds so they come in with uncontrolled blood sugar, blood pressure etc. Psych patients tend to have shorter life spans. They tend not take care of themselves.
  7. mangopeach

    Angry and need to vent

    Hugs to you. I am a new grad NP. I have been a detox/psych nurse for over 7 years prior to becoming an NP. I plan to continue my work in psych/addiction medicine. I've lost clients over the years. Some have been successful at being able to stay sober. But the battle for their sobriety is hard fought. The crisis was there for me on my unit- long before the media was talking about the crisis on tv. There is not enough money for long term treatment. There are not enough providers. I am relocating from my state to another state for my first NP job. I am still getting calls from clinics in far flung places desperate for providers that have experience with addiction. I was delighted to read an article recently that some medical students were choosing Addiction as a specialty. It is its own beast under the umbrella of psychiatry. I don't want to get on my soap box here because I believe that there is a lot that we can do to stem this crisis. Its like a lot of other things in this country. Its a matter of what our govt prioritizes. Our politicians, make wonderful speeches but never put money where their mouth is.
  8. mangopeach

    Interview Tips

    I'm a new grad NP - I just went through a whirl wind series of interviews and phone calls. So glad all that's done! So I had some varied experiences- The job I eventually took- First contact was a phone interview - This was with the Community outreach program president Then I was told to fill out an application online -then HR manager contacted me and had a 2nd phone mini interview - Then they offered to fly me in for interview ( This is in another state) Day of interview - I met with the MD in charge of the the out patient clinic, practice manager, HR manager and Community outreach program manager -All separately. Total of a 3 hr interview It was a pretty laid back interview though. It really was more about what the organization was about and seeing if I was going to be a good fit. I sent everyone a thank you email after the interview. They sent me an offer letter by email a week later. On other interviews Job#1 I interviewed with only the practice manager - that one disturbed me - but hey I'm a new grad so what do I know? I figured I should be meeting with an MD or NP as well. So I was turned off by that. I asked who would be my direct supervisor and she said me. I found it all Strange. Job#2 Interviewed with HR manager and Medical Director - this was the job I almost said yes to. HR manager contacted me first. I had a phone interview with HR manager then 1 week later went in for in person interview. HR manager asked the usual Tell me about yourself, Greatest strengths, weaknesses, etc questions. Medical director asked me clinical questions - /diagnosis/meds. This was the only time I was ever asked those questions in an interview. Job#3 Interviewed with a solo practitioner- I knew I was not going to take that position- He bad mouthed his current NP during our interview. Her contract was expiring and she did not want to renew. I wonder why? Anyway - we talked on the phone a few times before I went in for the actual in person interview. Our conversations were really friendly prior to me going in person. I was just really turned off about the way he spoke about his current NP. As far as Thank you emails - I would send it to everyone you have been in contact with through out this process, including the people that interviewed you over the phone. Good luck!
  9. mangopeach

    New Grad NP - Took first job offer-

    Hey all, just to update everyone, I did not take the job with my preceptor. I ended up taking a job out of state! I am so excited and can't wait to start. I had a few offers in town and almost accepted one of them. Then a recruiter I had been working with contacted me about a position with an organization that checked all the boxes I was looking for and seems like my dream job! They flew me in for the interview and everything fit. The MD and everyone I met were so supportive. Its right up my alley. There are other seasoned NPs here. I feel a sense of calm. (Not that I am not nervous about my first NP job, I'd be lying if I said I wasn't)- I just feel at home at this clinic. Its a big step moving to another state but of all the places I interviewed, I feel I would be most supported here and the clinic seems to fit my values when it comes to addiction and mental health treatment. The benefit package is awesome and I was a bit surprised that they offered me more than some of the places here in GA. It was not a whole lot more, but still more. I'm moving to Florida. So much to do. But they are giving me time to get it done and giving me some moving expenses. Thanks again for your input. I am so happy for this board and you all. I am so happy I made the decision to go with my gut and keep interviewing.
  10. Forget Elizabeth Warren. There is a ton of data on this matter. Lots of research, journal articles. Are you offended by their conclusions? So many have concluded - that yes -
  11. Do you know any professionals at your facility? My references have been physicians I've worked with, other staff RNs, MSWs. These are people I've known over the years at work. They don't have to be direct supervisors.
  12. Hello, So as far as assaults In my facility, its a rare thing- However, can it happen? Yes Having said that, I never blame the patient. I blame management. Are they staffing the units correctly? Psych nursing is team nursing. You need a good team. Most of the time, you can respond to a patient before they get aggressive. Most Patients don't get aggressive out of the blue. I hate to tell you this but I deal with disrespectful family members all day long. People dealing with sick family members are usually stressed out and often don't know how to deal with their own stress and emotions and sometimes take out their stress on healthcare providers. They are projecting. I just remind myself its not about me. I try to offer them some resources or ask them what are they doing to take care of themselves . This tends to break the ice. I remind them they can't properly take care of their loved one if they are not taking care of themselves. IMO, Psych is something you either love or you hate. If you love it, you won't mind the stressful days so much. We are in a mental health crisis in this country. Suicide attempts are up. We are in an Opioid crisis. A lot of facilities are short of beds. Most days I don't get a break. I eat standing up. Might be different in some parts of the country, but in GA where I am, all the facilities are hurting for staff so its busy all the time. Non stop work. I'm always shocked when someone from a different area of nursing comes to psych and says well I came to psych because its easy or I want to sit down more. LOL! Having said that. I love what I do. I am a new grad Psych NP. I was a psych RN for 7 years before becoming an NP and I would not change it for a thing. I have seen people go back and forth from psych to other areas of nursing. Only way to know is to try for yourself. If psych interests you then go for it.
  13. mangopeach

    Is this a lowball offer?

    I've already accepted another offer, but wanted to see what you guys thought about this offer. I'm a new grad still trying to navigate my way through the business side of things. I want to be more prepared next time around for contract negotiations. I did not accept this position but one office offered $50 per new patient and $25 per follow up. Its a pretty busy practice. The office manager predicted I would average a little over $500 per day and I could choose to work 4 or 5 days. Their benefit package was also lacking when compared to the other offers I got. Does anyone get paid a flat fee per patient? Would this be a low ball offer if you are paid per patient?
  14. mangopeach

    New Grad NP - Took first job offer-

    Thank you for all the replies. I appreciate all the insights. I have been quite busy interviewing since I made this post. It has been quite a whirlwind and my head is spinning. I have gotten 2 offers. I have a few days to make a decision. Thanks again for the feedback.
  15. mangopeach

    New Grad NP - Took first job offer-

    No I have not started the job yet. I am not scheduled to start until the first week of June. I have no other offers yet, so this is all just supposition at this point. I have scheduled the interviews over the next 7 days. I'm hoping one of them is successful and makes their decision rather quickly so I would be able to give him " timely" notice that I won't be starting.
  16. mangopeach

    New Grad NP - Took first job offer-

    Thanks for the reply. I would really prefer to work in an out patient setting. I hate that I would be burning a bridge with my preceptor. I feel such a heavy weight with that. I'm so torn. He's hired others in the past from my program. If I end up not taking the job, I would hope that I don't leave a sour taste in his mouth that would prevent him from hiring anyone else from the program in the future.

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