BChapp3182

Your body your choice. I will give my medical advice on things like eat less McDonalds, exercise more, get some fatty acids, etc but it is in no way our place to do any more than that. All vaccines, medical treatments, medications, etc are voluntary and up to the individual to decide, NOT US. Why this vaccine has providers thinking any differently is something you have to ask yourself. When you start judging patients and treating based on your personal beliefs you need to get out of medicine.

Yes I RX during covid and for long haul sx.

Can an ICU nurse chime in and help me with evaluating markers of covid prognosis? I need a "cheat sheet" to know what are the upper limits associated with increased mortality to keep in my head. Lactate Dehydrogenase Procalcitonin CRP Ferritin Albumin D Dimer Anything you want to add?

Specialty areas tend to be the highest paying. I work for myself in my own business and do all cash clients. I perform anti-aging treatments like bio-identical hormones, botox, dermal fillers and practice holistic/functional medicine using herbs and alternative treatments combined with traditional medicine. I LOVE my job because I am actually helping people and not just throwing pills at their symptoms. I get to the root of their problem and take the whole body into account, never compartmentalizing one system. I regularly make $800-$1000/day after expenses. I only work a few days a week and love the flexibility to work when I want to. I also teach aesthetics a few days a month and can make anywhere from $800-$1500 a day. Mind you this is not full time work, I could grow my practice into 5 days a week and make more money but it has taken a decade of work and training to get to this point. I did not walk into it overnight. My friends who were new grads and went into the ER made the big bucks right out of school, with overtime they get $120/hr!! Plus benefits, etc. I have to pay all my own healthcare, etc. No one pays me for holiday pay, overtime, etc. But my job is not stressful, people are happy and I really am making a difference which is what it's all about!:)

I have done these before, not for United but another staffing company. They pay per visit usually $65 or $75. You can realistically perform 3-4 per day. The exam alone takes an hour if your fast (involve glucose check, urine dipstick, monofilament test, vitals, eye exam, test of all cranial nerves, it's extremely comprehensive, review of all meds and teaching, checking drug interactions, etc). You must also call the patients the night before to tell them your coming. leave messages, call back, it gets time consuming. The paperwork alone is 12 or more pages of very detailed stuff so the company can get paid for everything you do. In the end it was not worth it since time spent with the patient averaged 1.5hrs (these are elders with many, many, many conditions, questions galore and lonly on top if it so they want you stay). Time spent driving at least half hour between locations. The sad part is how much we are paid. The insurance company bills about $800 for a visit like that, we get $75? I figured after my time spent I ended up making about $20/hr. No thanks!! I did it for less than a week as soon as I saw the reality of it.

Can someone please explain to me how these weight loss, antiaging and other type of online clinics are prescribing prescription medications to patients who are never physically examined by the prescribing practitioner? All they do is fill out an online medical history, pay and get a prescription or a medication delivered right to them. I saw alot of this with overseas pharmacies but now I see it going on here in the US. How can this be legal (because there's no way it's safe!)??

Salary is going to be difficult to pin down as it ranges based on experience. I've seen it pays the same as regular nursing jobs, not more. You do get tips from customers sometimes. I have been both an RN and ARNP in aesthetics making $30/hr as an entry level RN all the way to $75/hr as a master injector ARNP. I also teach privately now in a real working medical spa environment.

I am contemplating getting into research, going back for my PhD. However, what sort of job can I get with this degree? I'm leaning more towards research for general areas of medicine/health rather than focused on nursing related research. For example I am more interested in development of a cure for cancer vs. development of a way to reduce medication errors. Should I go back for phd in biomedical research and not nursing?? So confused...what do nurse researchers do? If I spend time and money on this degree will it pay off in a pay upgrade? Can any phd's out there tell me about your job and your pay range? TIA!

I am also in S. FL. Graduated May 2009. Most of my classmates that got NP jobs were RNs in the same hospital department and most in a very specialized area like pediatric neuro. They had been RNs in these jobs for years and were able to stay on as an NP. The rest of us took anywhere from 8-12 months to find low paying jobs, meaning only making what we got as RNs or even offered less. Others moved out of state where medical workers are paid better and there were more oppertunities. I took a job where I had to commute 4 hours, stay away from my family for 4 days and drive back 4 hours. One of my classmates lives in Kendall (Miami) and commutes to Key West (4 hr drive each way) because he was unable to get a job in Miami. He is still looking for something local. Basically as a new grad to get a job you must know someone, get very lucky or have a special skill that is unique and valued to set you apart. The competition is horrible for medical jobs here and what's worse is the pay is so low. If I could move out of south FL I would. Wish I could paint a prettier picture but we are at the bottom of the pool of workers as new grad NPs. No employer wants to invest in training you, etc.

I live in south FL, it took me 8 months to get a part time job here in a field I had RN experience in. I started part time and when one of the other part time NPs quit I was able to go almost full time and currently work 30-35hrs/week only. My friends I graduated with are all employed but took them from 8-11 months to find jobs and most are still job hopping with unhappy positions, just working anywhere to have money. It's a sad situation. No one wants to train a new grad anymore. Pay rates are low. We went to a traditional face to face school, not online.

Thanks for the advice. I've been interviewing for administrative/management positions outside of the hospital setting (home health, agencies, health ins companies) but no offers as of yet. I am finding that they want the MSN plus either experience as a manager or the healthcare administration degree. So, I'm considering doing a post graduate certificate to increase my chances of landing that first job. Then I guess I'll go from there. Perhaps the hospital management position is out of the question as I'm just gettin too old...lol.

I currently work in aesthetics/cosmetics part time. Not the typical ARNP job. We also are getting into weight loss and anti-aging, bioidentical hormones..

I would not go into nursing if you have worked your way up in your current position. I'd focus instead on how to make my current job better before I went and took a pay cut and jumped into a field I knew nothing about. The grass is NOT always greener on the other side. Nursing jobs are next to impossible for new grads to get unless you can relocate. I don't see this clearing up until the economy stabilizes. The nursing/healthcare areas always used to be a sure bet and decent pay. Not anymore. Let's say your making $80k now are you willing to make $40k (if you even get a job), then maybe in 7 years be making closer to $80k. If it's money your chasing your time is better spent going to medical school because at least then when 7-8yrs is over and you graduate you'll be making six figures. I've been a nurse for 16 years. Started as LPN, then RN and now new grad NP and can not find full time work in heavily populated south FL. It's been 8 months and all I can get, even with all my LPN/RN experience is a part time job with no benefits. Now is not the time to play with your income. If you really want to do nursing I'd go part time, play it safe, then by the time you graduate there may be jobs. Please go check the forums at indeed.com, just look at all the unemployed new grads. This is no gravey train and the money is terrible. I made more as a personal trainer!

Take the job. Unless you have offers and lots of interviews take the job. It's next to impossible for new grad NPs to get jobs in this economy and you need to start working as an NP in any capacity. It does not sound like the drug dealing type of pain clinic, so I would take it. If you don't like it, keep looking. I would do it for your first year so then you have NP experience. It took me several months after graduation to get my first job which is only part time, so I am still looking for work. TAKE IT! This economy is horrible, if the pay is good, they are not drug dealers and you can learn then do it.

It was to do medicare home advantage visits where I would perform a h&p, chart review, kind of like case management stuff. It would be about an hour per visit. I was paid $65/visit as a 1099 contractor. The position I took was 3 hrs from my home so I would travel and stay in a hotel for 4 days, work a 10hr day then drive home. I could not handle being away from home, living out of my car and hotel rooms. Too lonley, so I only lasted a short while. I took it because I was desperate for any work I could get as a new grad The $65/visit does not really come out to all that much once you factor in taxes 15% (at least), gas, time spent reviewing charts before the visit, paying your own health ins and benefits. I think I calculated it all out and it's about 30-40% to cover your gas, taxes, benefits that another job would give. So your really working for like $39 or less per visit. I could do 8 per day because many visits were a double at the same location (husband/wife). If jobs were plentiful and times were good it's not a job I'd take again, too low pay.

I think what the physicians are talking about is that with universal coverage millions of more providers are going to instantly be needed because millions of more people will be insured. With less and less family docs it's safe to assume NPs/PAs will fill the gap. Personally I agree that there will be increased jobs but will they be decent paying jobs, a decent work environment or a mill like process pumping pts out? How do you rate the quality of care in your public health departments now? I can tell you I rotated through a few and it was horrific, disgustingly low salary, tons of red tape. My gyn clinic only saw 4-6pts per day simply because the providers felt why bother seeing more when I am paid so little, the paperwork is so much and just had a who cares attitude. They took 1.5 hr lunches, did personal things on work time, were inefficient, treated the pts like dirt and acted like "gods." All the while pts were lined up waiting 8+hrs to get a pap smear and b/c pills. Was nuts! I can tell you now, I don't wish to work in an environment like that!

So the deal offered is to see elderly pts in the home, ALF, rehab centers, etc basically driving around doing quick home visits. Schedule is whatever I want it to be. The job would be as a 1099 contractor for 60% of collections. The average visit is $100 to $110, so I would get about $60/visit. In my particular situation I don't need health insurance and luckily I don't pay for gas. I should also add I am a new grad with no real experience and the market is tight in my area of south FL. But I do a have a very nice part time job elsewhere so this would be supplemental income. What do you think? Raw deal or good enough to take?

A new grad at any level is going to face a very hard market. I am a new grad nurse practitoner and after looking and applying to jobs every day, hundreds of jobs, I just last week got a part time job. Now I just need to get another one to make full time money. If you have a bachelor's I would go to PA school if you can get in. The program is longer but by the time you graduate which is about 3 yrs the economy might be more stable. If you decide to do the RN program I'd go part time and keep your current job. The unemployment in FL keeps rising and new figures are close to 12% (11.3 or something). I don't see that turning around for a few years at least. Honestly if you only have 2 months of savings to support your family, in 15months when you graduate, you can expect to sit unemployed at least 4-6 months so you don't have enough money to survive. You could always take out way more than you need for student loans and set it aside to plan for this. But that's just more money you have to pay back. I think the safest route would be to start something part time and keep your job. When the market starts to look better quit the job and go full time and finish up. I'm sorry to paint a bad picture but this is the reality of our hard times. Nursing is not a guranteed job like it was 10 yrs ago. Neither are midlevel jobs like NP or PA.

It's not you or anything you did or didn't do, it's the economy. I graduated May 09, got licensed in Sept 09, have been applying to job after job for at least 4 monts with no calls, no interviews, nothing. I was just recently last week able to get a part time job. I'm looking for another part time one to make it one full time job. This may be the best way to get started. But p/t offers no benefits usually, but it's work and once your in somewhere the possibility of other positions or f/t will open up. I know how stressed you are. I gained 10lbs I was so stressed out looking for work for months, student loans coming due, no job, feeling like I just wasted 3 years and $35k of my life down the drain. All I can tell you is that it takes several months in this economy to land a job as a new grad. Just tell yourself something will come along. You are certainly not alone, thousands of new nurses and experienced ones are out of work. I did hear that Lee Memorial Hospital is hiring which I think is near Orlando/Tampa?

I really did my research on amplified scopes as a new NP, I have a really hard time with murmurs. I concluded that Thinklabs makes a quality product (based on user reviews). I'm about to buy one soon and will post back my experience.

I vote for sleeping as long as your still doing your job which you are. If the MDs and PAs at that same facility are sleeping then you should be too. We all know that a rested brain thinks better than a tired one. If PAs get to sleep then the rule is discriminating against NPs perhaps bring up that issue and that your not going to stand for it and will do whatever it takes to get equal treatment in the workplace (read between the lines--lawsuit). Or take the issue up with your manager's boss and see what they have to say, then go from there..

I got another offer from a different aesthetics practice, it's only part time up to 32hrs/wk but I only want to do it p/t and get another more medically focused p/t job so as not to lose my NP skills. Here is what they offered: $45/hr plus 5% of injectables, 7% of laser procedures and 10% if I get the person via my own networking to buy a procedure. They have malpractice. No call. That's all I get as part time but I'm going to take it til I find something else, just to be working. I can set my own schedule and get all my own cosmetic procedures for free which is nice. This is just going to be my "fun" job while I look for NP work. I've been looking since last May!

Just wanted to update all of those who gave their excellent advice on this offer. I did not take it. I actually only think a fool would at this point. No malpractice, expect me to get my own to cover cosmetic stuff which can run from $8k+ with high deductables, no 401k, no CME or time to do it, no sick days, 24/7 call with no extra pay. This was my first offer as a new NP. Lesson learned, go with your gut. Don't be so excited to be offered a job that you take it right away without investigating it and the company. If they pressure you into taking it "now, now, now, sign here" that is a red flag. Back to the drawing board. Hopefully it won't be long before I can post with a good offer.

Yes, you need to dumb it down. You have to look at it from their end, they will be putting time into training you and yes you will be out the door onto a new position as soon as you graduate. Or you could say I'm in nursing school and I've heard such wonderful things about your hospital that I wanted to start working here as an MA and then hopefully stay on as an RN. If it's not a money thing and that you want more clinical hours have you approached your nursing program/teachers about getting more clinical?

Thank you for that awesome response! Unfortunately on my way to the interview they called me to reschedule it, said they'd call back to reschedule but never did. I called today and left a message. I hope it's just that they are a chaotic mess and not that they hired someone else. I have been to a few AA meetings with various family members but would certainly need to become more familiar with that. I deal with my brother who is an addict and I know what you mean about how fragile they are and are like immature children with no adult thought process. I think I would be good in a role like this because my life is 110% solid, I'm very grounded I could provide support and direction, be the stable one. I've done that all my life for a family of addicts (my mom, aunt and brother). Sure hope they call me back. Sounds like a challenging job...