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sadiemae1123 has 16 years experience.

sadiemae1123's Latest Activity

  1. sadiemae1123

    Career advice- to leave or not to leave?

    If a lower salary is a big concern, you might want to look at your cost of living currently vs where you would like to be. You might be able to maintain the same quality of life with a lower salary if you aren't spending as much on rent, utilities, travel to see friends, etc. It might also be worth a lower salary if the stressors at work and separation from family and friends is taking a toll on your mental and physical health. Personally, if I have to choose between a high stress work environment with a salary at the top of the pay scale or one that offers a healthy work/life balance with a lower(but still reasonable) salary, I'll take the lower salary.
  2. sadiemae1123

    Now THAT'S a lab result

    Gotta love election season. I just saw a Facebook post by someone running for office. Apparently he has such an amazing work ethic he continued to go to his job despite having a "really low sodium", a potassium level of 11.4, and being "really dehydrated". He even posted the time sheets to prove it. Not the labs though. [emoji57] Think I should vote for him?
  3. sadiemae1123

    Now THAT'S a lab result

    TSH in the 140's. Patient refused to believe she had a thyroid disorder and wouldn't take her meds.
  4. sadiemae1123

    Acute care versus Family NP

    Maybe you could ask your school if there are any alumnae working close to where you live. Or talk to your local NP organization, if there is one in your area. That might be the best way to get an idea of what the job market is for Acute Care vs FNPs where you live.
  5. sadiemae1123

    Number of Patients per Day

    Maybe ask to shadow for a day or so to see how the other providers handle the patient load. Observe if the provider you shadow is getting time for a lunch break, admin time, etc? Are the patients they're seeing as acute as the ones you'll be assigned? Would they allow you to start off with fewer patients/day so you can get to know them, the staff, the EMR? Then gradually work up to a full case load.
  6. I agree with most of the above posters. Even if you only want to deal with psychiatric issues, as a provider you're going to need spot on assessment skills to work with this population. How else will you be able to differentiate between a mental illness, adverse reaction to a medication, or a new onset somatic issue? Especially since many patients with mental illness have a difficult time articulating what is wrong. I strongly suggest you shadow a few different types of mental health professionals in order to get a clear idea of what you may be getting into.
  7. sadiemae1123

    Private Practice- maternity leave?

    Have you tried contacting any locus tenum agencies to see if it would be financially feasible to have someone come in for a few weeks after the baby is born?
  8. sadiemae1123

    Tips prior to starting DNP/FNP program!

    I think I used PERRLA. It cost about $30 and used Word. There are lots of others I believe. If you google APA format software, you'll get a lot of hits. Some offer free versions so you can download a few to see which works best for your writing style. You could also ask students a year or so ahead of you if any particular software program is better suited for your school. Or the librarian. Some school's online library are compatible with different types of software programs, so you can upload any articles from places like PubMed straight to the formatting software for easy referencing, quoting, and citations. Honestly, this was the best thing I invested in during school. I'm not a detail oriented person, so it drove me nuts trying to figure out where each indentation, colon, semicolon, etc was supposed to be placed for each type of reference. And I lost needless points on papers because I kept making those type of mistakes.
  9. sadiemae1123

    Tips prior to starting DNP/FNP program!

    As far as using APA style with writing your papers, I would suggest investing in a software program that automatically formats your writing and stores your bibliography sources. You'll still have to double check your work, but these can save you so much grief and points lost over picky details. If you already have an idea of what you want to do your project on, choose that as your topic on any papers where that is an option. It'll save you time on your project when researching. In my program conciseness and brevity were important for most papers. Most papers had a maximum length of 3 pages or less, with the exception of my final project.
  10. sadiemae1123

    HELP! I have to write policies now??!

    I agree with the above posters regarding using the facilities template and documenting resources. Make sure you keep track of how much time you spend on this project and save all correspondence for it. If this is something you're doing beyond your usual job duties then it should be noted in your personnel file and performance evaluations. Also, don't get too upset if you're asked to rewrite parts of a policy several times during the process or have to explain things that seem obvious to a clinician, but less so to an administrator. At the end of the day, make sure you get credit for all the work you do.
  11. sadiemae1123

    Work declining vacation request?

    If you don't think you'll get your vacation time off, you could ask some of the other nurses if they would switch up some of their shifts with you. Since its summer and the facility is stingy with allowing days off it might work out for everyone. You could each pick up extra shifts while the other is off. You'd also be able to pick up a little OT money just before or after your vacation, so it might even end up being cheaper.
  12. sadiemae1123

    help, which job do I pick??? CRNA vs. NP/RNFA

    Is there a third option? Are there NP jobs in your area that require fewer hours or have a better schedule in general? If you're planning to start a family soon, then salary may not be the most important aspect of a job offer to consider. Flexible hours, less/no overtime or call, great health insurance, sick/vacation time, maternity leave, etc all should be considered if starting a family is going to be your priority. You may not be bringing in as big of a paycheck if you look for a job that's more family friendly, but in the long run you might come out ahead. There would be less stress or grief if you need to call in for a sick kid, less child care expense if you're home more, less money out at the doctor's office, and more time with your family. Just something to consider.
  13. Eighty thousand is a lot of money to borrow. You need to keep in mind that if you borrow $80,000, you will end up owing quite a bit more. No more subsidized graduate student loans means that the interest will begin accumulating immediately and be added to your principle. That being said, my student loan debt was about that much when I graduated. If you take the repayment plan to get your loan paid off in the shortest amount of time, your monthly payment will be almost $1,000. I had some unexpected medical debt on top of that, plus my mortgage. I also had no children or spouse dependent on me. I was fortunate to get into a HRSA loan repayment program, but keep in mind these are very competitive and dependent on where you are willing to work after graduation. It's also unlikely that they'll pay back the total amount. Is there any way you could defer your admittance to Georgetown until next year? You could work overtime and cut your budget down to the bare minimum to save for school.
  14. sadiemae1123

    Psychiatric NP - job security?

    I agree with the above. Med-surg isn't the end all/be all of nursing. I started out there, but spent almost a decade working in L&D and newborn nurseries before returning to school. Now I provide primary care for inpatient psych patients. The FNP is going to give you a lot of flexibility in your career. You can work outpatient, urgent care, specialty, and in some areas - acute care. The main emphasis of the FNP is going to be primary care - i.e. chronic disease management, minor acute illnesses, and preventive care. That's not something you're going to see a lot of on a typical med-surg unit. The psych NP is probably going to be more financially lucrative, at least for right now. With the growing awareness of mental illness and substance abuse, I don't see a decrease in job opportunities anytime soon. You'll be confined to treating psychiatric patients, but you would still have options in terms of outpatient vs inpatient or focusing on specific mental illnesses or subpopulations - i.e. forensic, children, adolescents, etc. Of course, if you're really ambitious, you could always get dually certified.
  15. sadiemae1123

    First year as an NP: type-casting??

    It sounds like they're not very good at selling the upsides to working at that facility. I wouldn't discount working at a LTC facility completely, though. Like others have said, you really would be doing a lot of primary care in terms of chronic disease management, referrals, etc. You just need to make sure you find one that's the right fit. Try to focus on what you want from the job in terms of patient census, types of disease management, support staff, expected workload, administrative duties, autonomy, available resources, and compensation. If you're working someplace where you are well treated, well respected, and well supported then inpatient vs outpatient and acute vs chronic disease management may seem less important.
  16. sadiemae1123

    First year as an NP: type-casting??

    Before you turn down the job, you might ask to meet with any of the physicians who would be supervising you. If both of you are on the same page in terms of practice standards and management techniques, then the supervision issue might not be as big of a deal as it initially sounds. I work in a restricted practice state in a psych hospital. When I first started as a new grad,100% of my charts were reviewed weekly for my first 6 months. It felt intrusive at first, but now that we have worked together for a while there is an element of trust that I will bring any questions to him about a treatment.