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  1. Goldenfox

    Switching offices

    How much do you like this job? My experience in dealing with these types of private practices where family and nepotism hold sway is that you will not win if you try to take them on. They will always choose their family and close friends over you. 'Putting your foot down' is not an option because they don't care at all about your opinion on the matter---not enough to ask you anyway. Of course the office manager approved it. He/she does whatever the practice owner says. You won't like hearing this but they have already made the decision. You will eventually be making a decision of a different type....whether to stay and be treated like a rug or find a better opportunity and leave.
  2. Goldenfox

    Contract Penalty fee $30,000

    Why do you really like this company? Think, for a moment, about why they would put that particular language (about the $30,000) in the contract? Is it for any other reason than to screw the unsuspecting NP who accepts a job there then later figures out that the place sucks and decides to leave? Whenever you approach relationships of any sort with any employer always remember one thing---they are not your friend, so keep it professional and be discretely looking out for your own interests as much as they look out for theirs (and they are ALWAYS looking out for theirs). Do not sign that contract. If the place was so wonderful that no one would want to leave after 3 months that language would not be in it.
  3. Goldenfox

    Self Employed

    Even if you are not a person of faith, I wish you God's blessings and much success with your plans to start your own business. It is so very rare that I encounter other NPs who are even thinking in this direction. It is one of the best decisions you will ever make. I recently started myself. The freedom...the potential... First thing - don't talk yourself out of doing it. Second thing - don't let other people talk you out of doing it. Expect that a lot of envious and ill-wishing people will try to discourage you. Ignore them. Everything depends on which state you plan to practice in. The laws vary considerably. It is best if you don't plan on doing this in an anti-NP state that puts many unnecessary restrictions on NP practice (if you live in one of those, move). This is not the same as requiring physician collaboration. Even in states that don't require physician collaboration you will find that you still benefit from a collaboration arrangement for a number of reasons. Start with a resource guide like Carolyn Buppert's book on NP business practice and legal stuff. She gives very good advice on how to make up a simple business plan to do exactly what you are thinking about. Invest the needed time to do research and to write up your business/marketing plan. Look for inexpensive office space that is off the beaten path but easy for people to find, and preferably one in which the landlord is willing to include buildout at no additional cost to you. You can set up the place very simply and inexpensively and it still looks good. Since you're doing psych you won't need to buy or lease expensive equipment for diagnostics or procedures. Budget for a full-time office assistant and a part-time mental health counselor.
  4. You seem a bit judgmental. I remember a time when college education was much more affordable. I also worked full time while I was in school and paid my way through my RN and BSN degrees. But that was all a very long time ago. Most available non-professional jobs these days don't pay enough for young people to work and fully pay for today's college costs out of pocket. And newer accreditation rules no longer allow most health science programs to give students very long to complete their credits anymore either. So, dragging things out while you work to save and do a class here and there in between is no longer a strategy that works for most in modern academia. If a student hasn't finished the degree within x number of years the validity of certain credits become null, and the student has to re-take these credits in order to meet the graduation requirements. According to you, if a student inquires about student loan forgiveness programs before applying for a loan this means that the student doesn't intend to repay the loan. This is not true. You pride yourself on being a good planner, so you should appreciate that good financial planning means carefully researching all of one's options before making major financial commitments. Student loan forgiveness programs are not a freebie for the new graduate. He or she is trading part of payment for their labor in exchange for a reduction of their student loan balance. This deal works ok form some, but not so great for others---for a variety of reasons. Students are still being sucked in by the misinformation about college education and student loans. The law requires that they are educated about borrowing this money before they receive it but most still don't really understand. The lenders are charging interest on the loan amounts from day one, and a few thousand dollars easily becomes many thousands of dollars after several years. And a big surprise is waiting for the borrower after graduation when the payments become due. We don't know for a fact that most graduates default because they never intended to repay from the start. It is possible that many looked for a long time and couldn't find jobs that pay enough for them to pay back the loans AND live on without having to scrounge, so they gave up. Sure, many nurses make decent money---IF they can find a job. In many areas getting a job as a new grad RN isn't so easy anymore. And the pay isn't always so great either. Also, many, MANY new RNs decide after only a short time that they hate bedside nursing and either go back to school or quit the field entirely and take a lower paying job doing something else that they like more. But they still have to pay back the loans, perhaps with even less income, or take out new loans to pursue a different career. There are many variables. For-profit, or not, college, and the co-conspirator textbook publishers, and the student loan hawks are a major con job on the nation's youth. And government intervention to prevent delinquent borrowers from earning an income was an extremely bad idea, but I'm not surprised that it came from Florida---the worst state in the union for nurses.
  5. Goldenfox

    How bad do I want it?

    Without revealing exactly where you are, do you mind saying which state you are in? Despite what you describe as YOUR personal experience with finding a job, someone will soon show up and say that there are plenty of high paying jobs and that you just need to look harder. Count on this. If pulling up roots and moving your family to where you may find a fairly decent NP opportunity isn't an issue, then fine. The way things are now with the job market you may have no choice but to move if you want to find work as an NP. But always remember, that when it comes to pay you should ask for more than what you are actually willing to accept. Many times, they will lowball and expect you to accept it due to the way the job market is in some areas. Also keep in mind that $100,000 is not a lot of money for an NP. Ask for more. Also weigh the pros and cons of moving. Its not always what it looks like. More pay is often a wash if the place that you're moving to has a significantly higher COL. This job that you are interviewing for, do they pay for your malpractice? You didn't say. I would also ask for that. If they don't provide this then you will have to provide funding for it yourself. No benefits, no malpractice, and low pay is the offer de jour lately.