AddictionNP

Hi there, I just took the AANP PMHNP exam. I studied the purple book and went through all the PMHNP 101 videos on YouTube and did Pocket Prep app. I felt the AANP exam is very practice ready, you need to know first and second line meds for both adults and peds in various psych conditions. There is hardly any therapy questions- maybe 3-4 questions. Overall I felt well prepared for the test. LMK if you have specific questions.

Sure but I did not do the DNP program and I graduated 5 years ago so don't know how many changes have been made since than.

I work in Occupational medicine with in a restricted state and handle all the day to day patients myself. Treat, refer, diagnose, medications etc. My supervising physician comes in once a week and may see one or two patients but he does not look over my shoulder or micromanage me. He is actually awesome in the sense that he has taught me so many more things and is always available if I have any questions.

So the way I understand it is we will need three years of supervision or 4600 hours and then to own something of our own, another 3 years in business. SO really we have 6 years of practice to own our own practice- how is that FPA? The nine member advisory committee that is going to decide our fate includes 4 NPs, two physicians and surgeons and one public member. In my opinion not a fair representation of NPs. I have a feeling we are going to be like Florida- FPA for primary care only, or even more limited. The AMA is strong in California- mark my words FPA as we know it in other states is not going to look the same in Cali.

I work at an on site occ med clinic so billing is only on paper. My services are paid for in advance for the contractual period- hope that makes sense. There are billing levels built into our software that goes by the size of the laceration repair and the type (simple, complex)- hoep that makes sense.

Not at all. In fact I started off higher than most of my classmates who got jobs in primary care and work their buts off! I have also gotten a raise every year for the last two years. My situation is unique since I am based inside a large food manufacturing plant. The food manufacturer contracts with my company to provide occ med for their employees so I am only limited to their employees. If I worked at one of my company’s urgent care/occ health clinics they get really busy- each clinician sees 30-32 patients a day and it’s very fast paced.

I'm sorry that you feel this way. Please do get medically checked (rule our Thyroid) and great that you are taking a trip. This will clear your min. No job should drive you to anxiety and depression. There are many other nursing avenues which are not anxiety provoking. I used to work corrections and loved it. I also did public health and that felt rewarding as well. You can work for insurance companies, private duty nurse etc. But if non of this interests you and you really feel like this is not for you then do whatever you want- you are still young! Goodluck:)

My daily tasks these days in a lot of COVID tests and signing off on them. But generally we do a lot of pre employment physicals, Department of Transportation medical clearances, work injuries- which pretty much include any body part and mostly musculoskeletal, ordering diagnostics, referring to PT, Chiro, OT, or surgery and then managing those patients post surgery with their surgeons.

I'm so sorry for what you went through, I hope you continue to recover. And you are a great writer- you should seriously consider this path.

Is it possible you were exposed to COVID and didn't know about it? Hence your "1st" vaccine is essentially giving you an immune response like a 2nd vaccine? Just something to think about. I has 103 fever with my first vaccine, bodyaches, fatigue for 48 hours, it was gone after that. I had a similar response to the second vaccine with maybe a longer fatigue period. I work in a COVID hotspot!

This. Mine brings Dr. Seuss books on the days he's physically here with me and reads it our loud!! But honestly he is awesome- he does not look over my shoulder, has taught me a lot and has never once been unprofessional. He treats me like an equal colleague but I do know that everyone does not have this same experience.

May I suggest counseling?

I suture, do all joint injections and I & Ds. I was taught joint injections by my supervising physician. I work in occupational medicine and we do joint injections quite frequently. I was also taught how to graft and tie over bolsters.

Could you perhaps do telemedicine in psych?

Not at all- I started off as a new grad and am almost finishing up my 18 months! We have plenty of clinics in New Jersey!!