LucyLou88

I said nothing of pure profit. You are exhausting. I was just sharing info that I read, and agreeing with the terrible offers out there. Good luck to you in your endeavors.

I pulled the numbers from a a Texas workforce report, and it's based on billables. That number is repeated from many agencies. I'm not off the mark at all. This is a great book, and offers up how you would get to a number of $347,000 of additional practice income utilizing an NP. Nurse Practitioner's Business Practice and Legal Guide, Fifth Edition: I found it quite illuminating. Maybe you will too. It's one of the many required texts in NP school. As a group, we are trying to promote professionalism and educate others as to what we do and our value to a practice, and society as a whole. Spread the word. We are not on the clearance rack. I'm impressed by your billing code knowledge. Unfortunately, we are speaking of different things here.

I was just offered 40 bucks/hr (I made more as an RN), no benefits, no nada. They want to work-horse me to death. In trying to negotiate I was told that that was industry standard. Ha! Needless to say I'm not getting out of bed for that. This is internal medicine BTW, and seeing like, 25 pts a day! I would sooner take an RN weekend position. That sounds pretty good right now. As far as justifying your salary? Go look up the figures on how much income you bring to a practice. Seeing 10 pts. a day, you will add about $350,000.00 to their income. You are practicing medicine, and billable at a rate of 85% of the physician. How can they justify trying to get you for nothing? There are positions out there that offer fair and decent pay for new grads with impressive benefits. Look into large corporate healthcare. In Texas, we have Texas Health, Baylor Scott & White etc..Wherever you are, there is a big system. Avoid the mom and pop shop practices. They will be sucked under soon by the by big health anyway. You deserve much more. Honestly, your offer is worse than mine, and I;m so offended by mine, if they call and offer something better, I'm still saying no thank you. We have to, as a group (NP's) stand up and demand to be paid and treated as professionals. Hang in there, something good is coming.

I agree. You either play the game, or you give up the license and career you worked so hard for. It's a lesson in humility among other things no doubt. I do not at all understand the letter. It's odd and violates all manner of privacy issues. You decide what you disclose to whom on this planet. For now, you do what you have to do, get yourself in order and get through this. Later, if you want to tell your deepest darkest, and cleanse your soul, release your past and start a fresh without baggage, then you get to do that outside the system with a therapist of your choice, or a best friend and a Tolle book, or just you and your readings. Play the game and take a long hot bath. Sounds like a T shirt I would like to wear.

That's just idiotic. There is no one way to do anything, and there is certainly no one right way for everyone. The 12 step thing fails a lot of people. You seem highly, highly intelligent, and I suspect that if you want sobriety, you will have to decide you want it, then find your path. Pick up and E. Tolle book when you get the chance. The Power of Now to start, then read the next one..It's relaxing, hypnotic, and may take you to a place you have never been..the moment, where everything is okay. The right now, where anxiety does not exist, and there is no need to medicate. I read the E. Tolle books at the request of a friend who swore by them. I was skeptical, but they really are life changing. Certainly better that the droll of 12 steps. Don't you just love idiotic advice? I think the problem here, or one of them, is that you are being directed and controlled by people with less than half your IQ. Not fun. Not helpful. They are overmatched and you are annoyed. Keep your license.

Poetic.

Yes. Patients believe that there is a pill for everything. Are they wrong? No. There really is a pill for everything because it's big business. Huge profits for the drug industry, and the rest of it are little minions serving big pharma. I've been in NP school for a couple of years now, and will graduate this summer. We learn so many things, but at the end of the day, we practice medicine based on government and medical organization guidelines. The guideline is almost always as drug as first line treatment. Even obesity gets a drug now. Sad? Here some generic prozac. Wait, that's only a buck sixty, take this Lexapro instead! Constipated? Take this. Tired? Take this. So, we have trained patients to expect that the answer lies in a drug. Now they are furious when we tell them that their URI is viral, and there is no reason for an antibiotic. It's a quagmire. Somebody should probably tell the patients what all of their meds are doing to their bodies and minds. I was a an RN and holistic nutritionist before going to NP school. Can ya tell?

Sorry, didn't realize that.

You will hear "seasoned" nurses say a lot of things. They want new nurses to live their personal hell. Nothing you do in a floor will make you a better ED nurse. Learn now..right now, to let everything you hear just roll right off our back. Work hard, learn everything you can, put the patient first, make allies of the providers, be professional and polite to everyone. They will still be saying the same old things when you are the nurse manager of the ED!

Have to agree. It seems irresponsible and lazy. Not exactly promoting success for the undergrad students.

I agree. The answer on the test did not include the ml. But, there is only one on-hand OTC formulation, and that is 100 mg/5ml. So, I was assuming reality and knowledge of pharm here.

The answer should be to give 80 mg/4ml (because I know it comes 100 mg/5 ml) q6. It's not a q4 med. The calculation comes out to 77 mg, but we give 80. I actually know some PAs who write take home pharmacy orders for things like 77 mg of ibu and then the poor parents can't figure out what to do. Honestly, I'm worried about your instructor. The 17 pound child, the q 4 ibu. She may need an intervention. Get the epocrates app right now!! The free version will change your life. I use it at work/clinicals. Life changer.

UT Arlington has an online option for all of the NP programs, and does NOT require the GRE. We have many students from Houston in the program.

Low T treatment is not something generally done in general practice where I live. It's handled at hormone specialty clinics. If she didn't feel comfortable writing the script, then she did exactly what should be done, refer on. Even endocrinologists often shy away from it. My personal physician and the NP's in her office do not do hormone replacement. On the psych meds, no. You do not have to be psychiatrist to write for psych meds. We prescribe them in general practice, and in other specialties. As a nurse, I'm surprised you don't know this. If you seemed as angry in the office visit as you do in this post, I can see why she was concerned about your taking testosterone, and why she suggested a psych med.

I live in Texas. Search the PA Bar Association. I have no idea where in PA you are, but it may not really matter. Everything can be done over the phone, and documents signed electronically or even snail mail as worst case these days. You absolutely have to have someone who does nursing license issues all day long. My husband is an attorney. I have learned that you cannot go into battle alone when faced with an army. The board is an army. If you have substance abuse issues, deal with them. You have to. Find another way a to handle your stuff, to fill your spaces. If you were just having a day of poor judgement and drove after a glass too many of wine, welcome to the land "I screwed up and now I'm at the mercy of a punitive system." Regardless you deserve a voice. Keep me posted.