myoglobin

myoglobin ASN, BSN, MSN

ICU, trauma, neuro

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All Content by myoglobin

  1. HCA StaRN contract

    I would just contact HR. I suspect that if one employed the services of an attorney and threatened legal action that HCA might bend rather than enforce the contract. Also, if one is placed on a "do...
  2. I am not licensed in California, but here is my understanding of the process: a. In all states you will start with an RN license. California is not a compact state and the process for gaining...
  3. Agreed. Even though I "only" have an MSN I have had clients tell me that I have obtained results after "top" national psychiatrists at places like the Mayo clinic could not. It certainly wasn't...
  4. I believe that the point about the fellowship residency such as the one's offered through https://thriveap.com/blog/nurse-practitioner-residencies-the-ultimate-guide (formerly Midlevel U) is an...
  5. HCA StaRN contract

    Then again how can I criticize a company that has been named the World's most ethical company on multiple occasions...
  6. HCA StaRN contract

    So if I loan someone $500.00 and they sign a contract to pay me 50 percent interest not only would it be unenforceable, but I might face misdemeanor charges of usury. Also, if I hired a desperate...
  7. HCA StaRN contract

    These contracts should be contested on the grounds of “unjust enrichment” rather akin to Wendy’s or Walmart hiring someone for a $10.00 per hour job in a down economy and telling them that if...
  8. Over-documentation

    I did disability evaluations for the State of Washington for several months. I used the "hour" to gather information and "finalized" my reports over the coming week. Mainly, I worked off of a...
  9. My problem with this article is that a "reasonable person" would read it and conclude that NP's should not have IP disregarding the fact that they have been practicing this way safely in more than 20...
  10. DNP: Mirroring the Path of DO?

    I would also point out that "boards" are not necessarily the best measure of who will be a good clinician. The Psychiatrist that I trained under failed the boards three times before passing, but is...
  11. Keep in mind that if you go the medical school route you may want to consider a few other points: a. Most of the pre-req's require pre req's. Thus, many of the Physics, and some of the Chemistry...
  12. Why do psych NPs make more?

  13. Why do psych NPs make more?

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  14. Is doing therapy as a psych NP realistic?

    Perhaps it is a matter of semantics, , but at least 16 minutes of every 30 min followup, and 45 min of every 90-120 intake. Given that I see about 15 patients four days per week that seems like a good...
  15. DNP: Mirroring the Path of DO?

    MD's like PA's more because in almost every case they cannot work independently. Thus, they are not a threat. I am not saying that there cannot be improvements in the system. Rather, I choose to...
  16. DNP: Mirroring the Path of DO?

    I would argue that most of that "concern" is driven by the AMA and their lackeys who wish to maintain their dominance and roll back the progress that RN's and NP's have made over the decades. There...
  17. Is doing therapy as a psych NP realistic?

    The Psychiatrist that I trained with had an entire year of his residency focused on therapy. He said that although he enjoys therapy he only has time to do supportive therapy because the expectation...
  18. ANCC Frustrations

    I feel like you school should allow you the MSN post masters option. They may be "different programs" however I would wager that the entire curriculum content of their MSN postmasters is a " subset"...
  19. DNP: Mirroring the Path of DO?

    Again, one of our intrinsic assets is our relative lower cost to educate. We should not diminish that attribute without very good cause, and then only so much as necessary and which is supported by...
  20. DNP: Mirroring the Path of DO?

    In response I assert the following: a. Outcomes in primary care for FNP's have been excellent in many cases equal or superior to that of MD's. There is no reason to believe that this will not...
  21. Mid-school Crisis (PMHNP)

    I would suggest listening to podcasts such as The Carlat Report, Dr. David Puder, and The Psychopharmacology Institute. All of these focus on evidence based psychopharmacology and therapy. For some...
  22. Manager threatening patient abandonment

    So it sounds like anything over a month is safe from the abandonment accusation. I would be curious how many have been sanctioned over this. If I had the resources I might publish a monthly newsletter...
  23. Is doing therapy as a psych NP realistic?

    I will agree that we should generally encourage clients to have "stand alone" therapists in addition to providing supportive therapy and medication management. However, in response to the primary post...
  24. Manager threatening patient abandonment

    So where does that obligation end? I currently have over 350 clients as a 1099 PMHNP many of whom waited months to get an appointment to see me in the greater Seattle area. There is no guarantee that...
  25. PMHNP inpatient

    Usually, not unless there is a psychiatric aspect to the medicine. For example I sometimes prescribe metformin to ameliorate antipsychotic induced weight gain. In some states like Arizona the board is...