myoglobin

myoglobin ASN, BSN, MSN

ICU, trauma, neuro

Member

  • Content

    1,453

  • Visitors

    10,577

  • Followers

    7

  • Likes

    1,557

All Content by myoglobin

  1. Is it an ethical violation to quit a job before you start?

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

    Good advice but: a. I am in a contract with Mindful Therapy. If I terminate the contract I owe them $1000 plus $600 per month for every month left on the contract (12 months) and I forfeit the fees...

  2. Is it an ethical violation to quit a job before you start?

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

    When my current Seattle job called last December (I had already tentatively accepted a 100/hr job in Flagstaff Arizona that would have let me work 45 hours per week at a place called Phoenix mental...

  3. Is it an ethical violation to quit a job before you start?

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

    Keep in mind they are holding me to the end of May not just this week. I gave up 175k with benefits in upstate NY to come to Wash ( perhaps a poor choice). Many of the NP’s at Mindful earn well over...

  4. Is it an ethical violation to quit a job before you start?

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

    The challenge is that the $57.00 job is mainly nights (I haven’t established they have need for days). Thus it is not possible to work a 7pm to 7 am job on Fri, and Sat and still do the disability...

  5. Critical care RN to PMHNP, am I crazy? Looking for advice

    myoglobin replied to ScottMedicRN's topic in Student Nurse Practitioner

    Tele is hard to find without several years experience. However, many states including New York, Maine, Wash. and Colorado have 30 min. medical management appointments. You have to get out of the South...

  6. PMHNP

    myoglobin replied to Flightmed123's topic in Nurse Practitioners, NP

    I also think that someone considering becoming an FNP and owning their own clinic might be well served by also becoming an acute care NP. This would allow them to better "follow" their patients in the...

  7. Nutrition Certification for APRNs?

    myoglobin replied to Michelle91518's topic in Advanced Practice

    The problem is that their is a diversity of opinion as to what the "best" nutritional strategy is for particular disease states. For example their is some research (mostly in animals) that...

  8. Why The Future of NP Practice Maybe A Two Edged Sword

    myoglobin replied to All4NursingRN's topic in Advanced Practice

    So as a CRNA do you feel that you shouldn't have IP practice? If not what form should the "supervision" take? IF said supervision only involves the current "Medicare rule" requiring and MD attending,...

  9. Why The Future of NP Practice Maybe A Two Edged Sword

    myoglobin replied to All4NursingRN's topic in Advanced Practice

    In IP states NP's can still work with MD's and even for MD's (when a doctor happens to own the clinic), However, MD's can and do work for NP's and sometimes both PMHNP and MD's work for Psy D's or...

  10. Why The Future of NP Practice Maybe A Two Edged Sword

    myoglobin replied to All4NursingRN's topic in Advanced Practice

    It's based upon my personal experience in clinical of being subjected to pharm. representative pushing the latest and greatest (and very expensive) medicines all day long and physicians like Dr. Stahl...

  11. Why The Future of NP Practice Maybe A Two Edged Sword

    myoglobin replied to All4NursingRN's topic in Advanced Practice

    Yes, but times are changing. Nurses managed to get ratio laws through in California and have come close in other states. Also, Nurses and NP's (who are also nurses) have managed to gain independent...

  12. Why The Future of NP Practice Maybe A Two Edged Sword

    myoglobin replied to All4NursingRN's topic in Advanced Practice

    By nursing, I mean owned and managed, but not without physicians. They would be hired where necessary in appropriate specialties and compensated at market rates. Many for profit hospitals have owners...

  13. Asked to Write a Formal Explanation

    myoglobin replied to BSN_Studnt's topic in General Nursing

    Perhaps she works at a facility like mine where there simply isn't sufficient staff to safely cover us during breaks most days. In tens years I've had maybe 15 real lunch breaks of 30 minutes (even...

  14. New grad need help, afraid I’m failing

    myoglobin replied to LMSNew's topic in General Nursing

    I really think that in most cases when a new nurse experiences these sort of "vague" issues it usually comes down to one of the more experienced nurses who holds "sway" with a "clique" and doesn't...

  15. Why The Future of NP Practice Maybe A Two Edged Sword

    myoglobin replied to All4NursingRN's topic in Advanced Practice

    I am talking particularly about the acute care role (still gaining benefits by Independent practice). I believe that you live in California and it is somewhat of an exception. That is to say in spite...

  16. Why The Future of NP Practice Maybe A Two Edged Sword

    myoglobin replied to All4NursingRN's topic in Advanced Practice

    What you are saying is no doubt true and would be more of an issue for CRNA only groups. However, even ARNP's in IP states that practice under physicians are in a significantly superior position...

  17. Why The Future of NP Practice Maybe A Two Edged Sword

    myoglobin replied to All4NursingRN's topic in Advanced Practice

    I also believe that NP's can and do get better pay inpatient in independent practice states. Obviously, ARNP's will work as part of a "collaborative team" with physicians (who are uniquely equipped to...

  18. Why The Future of NP Practice Maybe A Two Edged Sword

    myoglobin replied to All4NursingRN's topic in Advanced Practice

    No one is calling for the "same" prestige or even pay as MD's. However, consider two situations. 1. PMHNP works for MD in Florida and has to see about four patients per hour billed at about $100.00...

  19. What's the least saturated specialty in APRN?

    myoglobin replied to soljhs's topic in Advanced Practice

    I would argue that if you practice in a state with true IP practice (Washington, Oregon, Arizona, Colorado, New Mexico) for example and develop your own clinic and clientele be it in primary medicine...

  20. Why The Future of NP Practice Maybe A Two Edged Sword

    myoglobin replied to All4NursingRN's topic in Advanced Practice

    The bottom line is that NP’s are trained and licensed in about half the states to provide IP. Also that trend is growing with an aging population and high cost containment demands. And if you are...

  21. Why The Future of NP Practice Maybe A Two Edged Sword

    myoglobin replied to All4NursingRN's topic in Advanced Practice

    In my case that was four years after working as an RN for eight years when I started the program. No, I’m not saying that the educational is superior only that the outcome studies (mostly in primary...

  22. Why The Future of NP Practice Maybe A Two Edged Sword

    myoglobin replied to All4NursingRN's topic in Advanced Practice

    The answer to this by and large is move to an IP state and have your own practice and groups. At the same time we should out lobby physicians in states that are not IP to gain that status. Thus, in...

  23. New grad need help, afraid I’m failing

    myoglobin replied to LMSNew's topic in General Nursing

    This is why nurses need strong unions. Any time my manager as an issue with me my standard reply is "I don't discuss potential discipline without my union representative being present". At a union...

  24. What's the least saturated specialty in APRN?

    myoglobin replied to soljhs's topic in Advanced Practice

    The difference is that in my (limited, but still somewhat long) experience is that there is an opportunity for a variety of personalities, and sexes to work in the ICU (I don't believe that CRNA...

  25. What's the least saturated specialty in APRN?

    myoglobin replied to soljhs's topic in Advanced Practice

    My point is that there are gifted people from a plethora of backgrounds who would make good NNP's. To limit the opportunity to only those with NNP specific experience is to lose many, if not most of...