myoglobin

myoglobin ASN, BSN, MSN

ICU, trauma, neuro

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All Content by myoglobin

  1. Psych NPs Patient Schedules - Is this the norm?

    myoglobin replied to mangopeach's topic in Nurse Practitioners, NP

    I believe that you describe an optimal arrangement for many if not most NP's. Even states without IP should be able to arrange a roughly equivalent set up with the difference being that they would...

  2. Suspicion About Med Error

    myoglobin replied to Sharmilagrg00's topic in Patient Safety Issues

    There are numerous reasons for new onset patient agitation including delirium, discontinuation of other medicines, changes in family visits or changes in underlying physical condition. To make an...

  3. What's your opinion on nurses dating doctors?

    myoglobin replied to DesiDani's topic in General Nursing

    I feel that dating someone for their appearance may be construed at least equally shallow as dating them for their occupational status or finances. However, few question dating someone for their...

  4. They asked me if my salary range was negotiable. I said no. Was I right to do that?

    myoglobin replied to mangopeach's topic in Nurse Practitioners, NP

    Everything is negotiable let’s say they offered you a one million dollar house but offered a salary that was 30 percent less? What, if they offered a lower base, but threw in a percentage of profits...

  5. Psych NPs Patient Schedules - Is this the norm?

    myoglobin replied to mangopeach's topic in Nurse Practitioners, NP

    They do most of my scheduling, but I do some myself. I do my own prior auth’s. I could use Covermymeds but find my rejection rate is higher than when I personally make calls. My, total taxes are...

  6. What's your opinion on nurses dating doctors?

    myoglobin replied to DesiDani's topic in General Nursing

    I believe that would be considered unethical and might well result in action against your nursing license. In the armed forces it would probably be considered "conduct non becoming of an

  7. What's your opinion on nurses dating doctors?

    myoglobin replied to DesiDani's topic in General Nursing

    What does it matter the reason that someone wants to date (or marry) someone? Why is it somehow less of a virtue if someone likes me for my money, my profession, or say my ability to hold a nice...

  8. Psych NPs Patient Schedules - Is this the norm?

    myoglobin replied to mangopeach's topic in Nurse Practitioners, NP

    Benefits are "nice" but they virtually "all" have a "cash" value. For example if you get health insurance there is a premium (say perhaps $1500 per month for a typical "gold" family style plan). Your...

  9. NP License in California by endorsement question.. Please, please help!

    myoglobin replied to edome85's topic in Advanced Practice

    This illustrates how frustrating government can be (especially in California). Literally, every NP Program in the United States that leads to board certification requires an advanced pharmacology,...

  10. New FNP Questions

    myoglobin replied to drbeckrn's topic in Nurse Practitioners, NP

    You will also need to have identified a physician who will be your "collaborator" in Florida before you can apply for your DEA since IP is only for NP's who have several thousand hours of experience....

  11. Psych NPs Patient Schedules - Is this the norm?

    myoglobin replied to mangopeach's topic in Nurse Practitioners, NP

    I don't "save" on taxes. In fact I have to pay the whole social security and Medicare tax (normally your employer pays half of these). Thus, when I get a check I take around 33% of the gross amount an...

  12. Psych NPs Patient Schedules - Is this the norm?

    myoglobin replied to mangopeach's topic in Nurse Practitioners, NP

    When I get my next distribution packet that details my reimbursements I will post some of the amounts from specific companies/codes. That may better illustrate how I come to these numbers. I do much...

  13. Contested a Doctor's Order Psych ?

    myoglobin replied to mhadvrn34's topic in General Nursing

    That's the thing as an RN your purview includes virtually all issues with the patient from their safety, health, emotional, psychological and even spiritual well being. You are the central nexus of...

  14. Contested a Doctor's Order Psych ?

    myoglobin replied to mhadvrn34's topic in General Nursing

    While I don't believe that "arguing" is ever ideal. I do want to emphasize that I believe a key roll and function of nurses is to act as advocates and I would indeed submit guardians of patients...

  15. Contested a Doctor's Order Psych ?

    myoglobin replied to mhadvrn34's topic in General Nursing

    In my opinion it is almost never wrong to advocate for the patient. Disagreeing with physicians I would argue can be a key component of effective nursing. RN's can be one of the "checks and balances"...

  16. Why doesn't any job seem to fit?? (AKA what is wrong with me?)

    myoglobin replied to Nurse Magnolia's topic in General Nursing

    Travel nursing might be another option in the sense that the pay can be good (especially in California) and you get to see new places. Also, like agency nursing you minimize involvement in "politics"...

  17. DNP: Mirroring the Path of DO?

    myoglobin replied to AF2BSN's topic in Nurse Practitioners, NP

    I think that you will find that psychiatrists (and MD's in general) all things being equal prefer to practice in an environment where NP's do not have IP. For one NP's tend to put a competitive...

  18. DNP: Mirroring the Path of DO?

    myoglobin replied to AF2BSN's topic in Nurse Practitioners, NP

    Those are good thoughts (making the DNP more clinically focused), but in reality by the time that you walked that process through the myriad of boards, committees, and organizations that you would...

  19. Is going back to school worth it?

    myoglobin replied to hcurry9's topic in Student Nurse Practitioner

    I do believe that going back to school for the money can definitely be worth it. Let's face it the reason that we work at all (primarily) is for the money. If we all got a check for 75K per year...

  20. DNP: Mirroring the Path of DO?

    myoglobin replied to AF2BSN's topic in Nurse Practitioners, NP

    If they do then I will have to compete more efficiently, and provide even better service and value to my clients. If that happens it will likely be the consumer or clients who benefit in terms of...

  21. Psych NPs Patient Schedules - Is this the norm?

    myoglobin replied to mangopeach's topic in Nurse Practitioners, NP

    I average around $150 to $200 for a 30 minute followup visit with my combo codes that I use (those would be 99214, 90833 and 90785 when applicable). even Medicare pays OK on these. On my 90 minute...

  22. Is doing therapy as a psych NP realistic?

    myoglobin replied to Kaelif2015's topic in Student Nurse Practitioner

    I am a new graduate and I integrate therapy with every client. I use codes that pay me more for doing so. Most of my therapeutic interventions are evidence based lifestyle and I heavily rely upon...

  23. How much do you owe in student loans?

    myoglobin replied to MJB2010's topic in General Nursing

    Not perhaps as bad as it might be for some. I'm fairly "Asperger's" so its not like I have friends or family to socialize with and my work gives me purpose. There is even some data to suggest that...

  24. NP Salary/Pay Let's Be Transparent

    myoglobin replied to SurgicalNP's topic in Nurse Practitioners, NP

    PMHNP graduated Oct 2019 working in the Seattle area on pace to earn around 250K three days per week seeing patients. No benefits 1099. Also I work from home and see clients only through telemedicine....

  25. How much do you owe in student loans?

    myoglobin replied to MJB2010's topic in General Nursing

    The only great reason that I can think of for possibly gong back for a DNP might be to teach in my "golden years", however a PhD would probably be the route to go if I was serious about that