grammynp

It all about the college/university 's making more degrees to make more money. I have been a nurse practitioner for over 20 years and my patients still do not know what to call me. We need to be unified.

I do chores, play with my dogs, talk to my horses everyday. Would to go riding more. Hike more, spend time with my grandson. Mostly I am mentally exhausted at the end of the day and veg on the couch watching Netflix.

I have 7 years of intensive care nursing. Then I have worked as a NP for 20 years in solo rural Heath medical office. It is very stressful with the the complexity of my patient population. I am 57 years old and make 14,000 more than what i would be getting at the VA. I looking for less stress, more patient management rather being pushed to see as many as I can to keep my Budget prosperous So I was wondering about the VA.

I got an offer for full time no call $100,000

Anybody working as a primary care provider for the VA? Positives and negatives? I am looking to make a change. I am now working for a county hospital.

Thank you so much for your reply. After reading the article you posted, I will change my practice. Though I will make this change per each patient. Many are ready for this change, many are not. In the rural community we do not have any diabetic educators. I teach what I know a little at each visit. I bought a A1C (fingers stick) for my office and love it. What bothers me the most is that she refilled there prescriptions for a year. These are mostly one time visits my patients have with her. I would not even think of making major changes to another providers patients. I would rather have her discuss this with me, so I can learn better management. Does this make any sense?

I have not seen any salaries that high. I finally broke 110,000 after many long years of hard work.

Part of what upsets me is these are my patients, not hers. I have worked hard to establish trust and motivate healthy habits.

I have been off one week so far recovering from surgery. I have a new grad MD, covering my patients. I work in a rural community. Today I was reviewing charts from home per EMR. She has told several of my type 2 DM pts that they do not need to check home glucose, because they are type 2. She also refilled their prescription for a year and told them to come back in a "couple" months to have their labs drawn. Is this the new standard of care? Ps I am brand new to this site. Thank you for your input.

I think this would be a great idea. Low overhead cost. Go for it, you can always expand later.

Midwest Salary 114,000. Primary care provider LC Nurse practitioner MSN 28 years Full time Work days and evening, some Saturdays, no Holidays On call for Nursing Home Not a manager.