I QUIT MY JOB AS A PSYCHIATRIC NURSE PRACTITIONER

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  • เผยแพร่เมื่อ 7 ก.ย. 2024
  • I QUIT MY JOB AS A PSYCHIATRIC NURSE PRACTITIONER
    In this video, I go over why i ultimately decided to quit my job as a psychiatric nurse practitioner.
    Hope you enjoy 😊
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ความคิดเห็น • 201

  • @lopezclara1782
    @lopezclara1782 2 ปีที่แล้ว +105

    I quit my job as a registered nurse last two years ago after almost 12 years in the field. It was not an easy decision, but life is too short to dread going to work everyday. No amount of money can buy real happiness lol😁 but friends I'm not asking you to resign from your job or abandon your business but be wise!

    • @riccardogiuseppe6635
      @riccardogiuseppe6635 2 ปีที่แล้ว +6

      I don't particularly enjoy my profession, but I appreciate the benefits it provides for me and my family. People are considering and working in this economy.

    • @asrafjean944
      @asrafjean944 2 ปีที่แล้ว +2

      You're quite right ma'am, how did you prepare before you quit?

    • @lopezclara1782
      @lopezclara1782 2 ปีที่แล้ว +2

      @@asrafjean944 I prepared for early retirement while still in service, earning roughly $2,000 per week from my Investment portfolio while attempting to establish more side hustle and income.

    • @asrafjean944
      @asrafjean944 2 ปีที่แล้ว

      @@lopezclara1782 Impressive! Speaking of investing, I've heard of it, but I'm not sure where to begin or how to make a decent one. Could you please provide further details?

    • @lopezclara1782
      @lopezclara1782 2 ปีที่แล้ว +5

      @@asrafjean944 There are many Investment alternative available, including real estate, exchange_traded funds (ETFs), stocks, and cryptocurrency, but my best advise is to hire an expert to guide you into a profitable one.

  • @evelynhamman7520
    @evelynhamman7520 2 ปีที่แล้ว +70

    Andddddd, this is the reason why I started my very OWN telepsych practice. Thank you for your input and support.

    • @cocococo5087
      @cocococo5087 ปีที่แล้ว +1

      Hi Evelyn. How is your new practice going and how many years experience did you have before you went out on your own?

    • @evelynhamman7520
      @evelynhamman7520 ปีที่แล้ว +9

      @@cocococo5087 hi, it’s very slow but moving forward. I only had about 6 months experience before going alone.

    • @MelisJoy
      @MelisJoy ปีที่แล้ว +3

      I've never heard of this. is this an RN position? Or Masters counseling? very interested..any help would be a blessing

    • @cocococo5087
      @cocococo5087 ปีที่แล้ว +1

      @@evelynhamman7520 thank you. Im glad its moving forward. I wish you all the best with your practice😊

    • @anarchistonsunsetdrive7813
      @anarchistonsunsetdrive7813 ปีที่แล้ว +3

      @@evelynhamman7520 6 months. this is telling. Mid level encroachment. And NP's have a problem with people saying they do not have the training and experience. They are running from beside (which I understand) but acting beyond your scope - the Dunning Krueger effect is real.

  • @versatile_shorty3805
    @versatile_shorty3805 2 ปีที่แล้ว +49

    Thank you so much for this; I’m a psych NP debating this in my current job. Management instability has really unfortunately taken a toll on our service. Being told to practice beyond our scope to meet numbers has been a huge issue. Thanks for your honesty and advice!

    • @1bdb288
      @1bdb288 2 ปีที่แล้ว +3

      Hello, what did they ask you to do that is beyond your scope of practice as a psych np?

  • @connieyoung7554
    @connieyoung7554 2 ปีที่แล้ว +18

    Great video - felt like you were reading my mind. The “business “ of health care when unchecked is only helping big business and killing the souls of providers and taking away from good patient care.

  • @estherv2805
    @estherv2805 ปีที่แล้ว +28

    I can totally relate. That’s why I quit my last job as a psych NP after 9 years. The way that organizations are managed, focus on profit, not quality of care. It feels like you are working an assembly line. It’s inhumane for the provider and the patient.
    I believe the only way I can continue practicing in this profession I love, is by working PT. I’m at sn age where I can afford to do that. They just don’t have enough of MY Time to squeeze more than the amount of patients I feel comfortable with!! That allows me time to complete paperwork ( even if by putting extra unpaid time) without feeling stressed!
    I chose to never work a 40 hour week, found it unhealthy!!! My health came first!!!! Like they say, It’s not a sprint!
    Good luck!

    • @PleaseEnterA.Name.
      @PleaseEnterA.Name. 7 หลายเดือนก่อน +2

      Hi are you still working part time as a psych NP? If so are you liking it better?

  • @CowPower-513
    @CowPower-513 2 ปีที่แล้ว +13

    Thank you for your input. I'm 14 months away from graduating from PMHNP program. I'm stressing big time and wanting to feel reassured that this is the right path for me...

  • @singlelady1219
    @singlelady1219 2 ปีที่แล้ว +13

    No, so sorry to see you go! However, that being said, your video is totally on point! They need less managers and more staff providing care for patients.

  • @aw8758
    @aw8758 2 ปีที่แล้ว +38

    I’m a bsn student right now and at one of my clinicals we witnessed so much drama between the social workers and then trying to get pts to snitch on nurses/doctors, and them overstepping their boundaries in terms of scope of practice …kind of insane

    • @Moola444
      @Moola444 ปีที่แล้ว +2

      That’s very interesting and I’ve never witnessed that between the nurses or social workers. I’ve also been in healthcare for nearly 13 years. I’d be interested in what you defined at stepping outside of their scope though. Like were they giving the patients medication or something of that nature? Also, a lot of hospitals have RNs who are actual case managers as well.

    • @aw8758
      @aw8758 ปีที่แล้ว +1

      @@Moola444 i was at a nursing home. the social workers went in right behind my preceptor and another RN and asked the pt if they were" just abused by the 2 women that left the room". also told the pt "it's the nurse's job to "sell" medications to you". she also told a different pt that "he could not be moved to another nursing home bc no one wants to deal with a bed-bound pt that is behaving like an asshole" ....she was written up and removed apparently bc that wasn't her first time speaking like that. and the other 2 were put in another facility bc they never reported her.
      when my group first got to the nursing home, she separated us and told us to report to her if the nurses were doing this incorrectly bc she is their manager....lies lol, she didn't know we would tell our professor
      and this happened at Bronx Care, a different site but btwn nurses/doctors, but that seemed to just be a bad week

    • @Moola444
      @Moola444 ปีที่แล้ว +3

      @@aw8758 I’m sorry you experienced that. It’s never a good feeling being a student nurse and seeing a toxic work environment. Especially because nurses and social workers work so closely together and we rely heavily on one another. Of course it’s everyone’s job to report abuse but it’s so shady that she was pretty much coaching the patient. Good luck on nursing school and hopefully you’ll get to see the good social workers out there. They’re extremely helpful and resourceful. Don’t let a few bad apples impact your relationship with the others.

    • @insertmyidentityhere
      @insertmyidentityhere 3 หลายเดือนก่อน

      Well, I will tell you I have worked in community mental health in crisis and have seen that often nurses & doctors were not very nice to clinicians and crisis workers!

  • @barford91
    @barford91 2 ปีที่แล้ว +21

    Hey man I really appreciate this video. As someone that works for the same company I recently got a second job as per diem in case I have to make a shift. It feels as if things are changing, not saying it’s bad I just cant see where it is going anymore. As an RN some of my autonomy has been taken and it feels as if the company is trying to push their own wills on us whether or not they have the license to understand fully.

    • @LifeofaPsychNP
      @LifeofaPsychNP  2 ปีที่แล้ว

      Hey, of course, and yup, that is exactly how I feel. Who is this by the way? Lol

  • @NursingSuccess3503
    @NursingSuccess3503 2 ปีที่แล้ว +16

    Video started at 3:20

  • @keyaced
    @keyaced 2 ปีที่แล้ว +24

    Oh no! You’re the one that inspired me to enroll to psych np school.

    • @loisbeard8536
      @loisbeard8536 2 ปีที่แล้ว +9

      I think he just left *the* job, but not quitting the profession?

    • @Ellie-jl3vk
      @Ellie-jl3vk ปีที่แล้ว +4

      He didn't quit the profession, he left a practice he works for to focus on his own private practice.

  • @venessat75
    @venessat75 2 ปีที่แล้ว +25

    I am a women's health NP and quit my job 3 months ago without another job. Its sad because I love taking care of patients but its all the other stuff that made my job suck. Thanks for your candor and it really resonated with me.

    • @cocococo5087
      @cocococo5087 ปีที่แล้ว +4

      Hi Venessa. I just did the same thing 2 weeks ago. I kept getting slammed with patients and no matter how many times I asked for help I was ignored. It pretty much became overwhelming and I left with without a backup plan. I thought working as an RN at the bedside was bad. I didnt even imagine that working as an NP in outpt was worse.

    • @PleaseEnterA.Name.
      @PleaseEnterA.Name. 7 หลายเดือนก่อน

      Were you a women’s health NP too?

    • @DeniseRene407
      @DeniseRene407 4 หลายเดือนก่อน

      When you quit a job without another one lined up, you know it’s bad. I’ve been there. I hope you’re in a role that you enjoy now!

  • @edwensanabria6338
    @edwensanabria6338 ปีที่แล้ว +4

    I became a PICU RN after graduating and relate to a lot of the problems you mentioned. Management would Amit patients knowing we didn’t have enough nurses, doctors or RTs. This put nurses, doctors and most importantly the patient at risk. It all came down to money, they were trying to squeeze every dime out of us. It got to the point where I dreaded going to work and couldn’t even sleep the night before. I finally quit. Best decision of my life! 😊

    • @DeniseRene407
      @DeniseRene407 4 หลายเดือนก่อน

      This is the same reason why I recently left a role as a dialysis RN. Management would continue to admit new patients knowing that we didn’t have enough nurses. It blew my mind. They clearly cared more about profits than quality of patient care. I know healthcare is a business but I don’t understand how management sleeps at night knowing that they’re prioritizing money over patients.

  • @pranarn1451
    @pranarn1451 2 ปีที่แล้ว +10

    I’m currently working on my psy np. I loved working frontline with pts. My hope is finding that one position where nurses, NPs and PAs are respected. There is room for creating great team work employers. Reading the responses I realize corporate $$ is a very real problem and will most likely continue to enrich their pockets while saying they are there to fund the city, promise to support their staff. The truth is they care and support staff until someone younger, cost less $$ to employ. My last nursing position was in a psy ER as a psy assessment specialist and triage nurse. I loved my job until the deep pockets of corporate business took over. They accepted so many unlicensed staff that had never worked in a hospital and they had no experience in medical detox, mental health crisis situations. I worked weekends and was asked to work with an individual that everyone else refused to work with. Over a 4yr stint I felt I was coming unglued. There ere two individuals that were allowed to curse, threaten pts, slam doors and yell at anyone anytime. One of the individuals would talk about “popping on a pt” carried a gun in her car and she was not mentally stable. Needless to say there was no professionalism left. Corporate didn’t care. I was threatened by the program director with lies and inundation’s. These three stayed and Ieft. About a yr later the director was terminated and 1 individual was terminated because of her gun and comments. As nurses we must support one another and help their fellow nurses learn and grow as a individual. Thank you for being honest and sharing your reasoning for your decision .

  • @De-Zay
    @De-Zay 2 ปีที่แล้ว +33

    They said third time is a charm,Am officially a NP nurse now. To all my repeat test taker I pray y'all make it some day but will advise you keep reading and believing in yourself ☺️🎉

    • @dionjoyner6973
      @dionjoyner6973 2 ปีที่แล้ว

      Nurse Practitioner test is really frustrating, I can't believe I failed again after studying so much🥺🥺😓😭😭

    • @lorientheresa4844
      @lorientheresa4844 2 ปีที่แล้ว +1

      I failed 3 times, i lost money to reviews that never helped but the major thing is that I've not lost hope

    • @De-Zay
      @De-Zay 2 ปีที่แล้ว

      @@lorientheresa4844 Sorry for your predicament, license is for everyone just have to work hard and believe you’ll make it.

    • @marymathews2741
      @marymathews2741 2 ปีที่แล้ว +1

      Well I've taken the exams for the second time now and still didn't succeed, i wonder how those who succeeded did it🥺😭

    • @kathleennelson4551
      @kathleennelson4551 2 ปีที่แล้ว

      Nurse Practitioner exams won't bother you or be a problem if you work with someone like Mrs Catherina... She's God sent, she saved me from taking the test for the 3rd time

  • @RN_BSN_PHN
    @RN_BSN_PHN ปีที่แล้ว +15

    From my perspective, you realistically know what you're getting into at the start. The secret is understanding; the work flow that works best for you. While you maintain all provider priorities to treat your patients. I learned a long time ago. If you overwork at onset of your employment. They will expect you to never slack off the same pace. Now they have locked you into the work flow you flossed just to impress. Therefore, you must know your worth, your burnout tolerance, and set proper boundaries from day one. While providing excellent care. Its truly a balancing act. This is really more of a dynamic between yourself and superiors. Not between yourself and patients I have learned you will earn their respect and admiration for the ability to balance it with appropriate limits set.Otherwise you get taken advantage of. I've worked in Psychaitric Nursing for 30 years. This is my suggestion.

  • @DithsHauteSpot
    @DithsHauteSpot 2 ปีที่แล้ว +20

    I don’t like therapy run organizations. I always feel insulted. It makes no sense for them to have a say in the medical side of things because they’re not trained in it.

    • @hollihoffman4950
      @hollihoffman4950 2 ปีที่แล้ว +6

      I am a psychiatric and primary care NP, also a mental health therapist. It is very harmful to have social workers and MH therapists advising medical team members what to do, what meds to prescribe, what counseling they should be allowed to give, and other related issues. I have experienced this situation in a past company. Also, not providing enough support staff for patients is a problem I have seen across the board in both in-patient and out-patient situations. The Insurance companies and other factors make it very challenging to run one's own practice. As more and more states states allow NPs to work un-supervised, there will be new opportunities for NPs but I also see how many problems that will arise. Consultation with psychiatrists is an invaluable tool for psychiatric NPs and should be appreciated. I hope there is a way for fully functioning psychiatric programs can exist where all employees and patients will be well treated.

    • @aahsimovieprojects
      @aahsimovieprojects 2 ปีที่แล้ว +3

      Therapists in leadership are the absolute worst and need to stay in their lane. They have no insight into the medical side of things but are making administrative decisions that negatively affect the medical outcomes of the patients we treat. I worked in an addiction facility where the CEO was a therapist. She was unable to lead effectively and things were constantly disorganized and just a mess in general. Needless to say I left that position.

    • @flippinsurreal
      @flippinsurreal 2 ปีที่แล้ว +2

      I completely agree. One of the hospitals I interned at had only social workers in leadership roles. One social worker that I had to collaborate with often demanded that I make specific medication changes and totally disrespected my POV. The place is a mess and honestly I would not recommend it to anyone. It is so dangerous.

  • @CalifaJohn1
    @CalifaJohn1 2 ปีที่แล้ว +13

    This is the problem throughout our system. It all boils down to maximizing profits over all else, including clinician autonomy, health, and well-being. The licensed clinician should never be micromanaged by non-clinicians OR by clinicians who have sold themselves out for money. I left RN patient care a year and a half ago, and I am unlikely to return to any corporate billing factory.

    • @Bayoubebe
      @Bayoubebe 2 ปีที่แล้ว

      👏🏼👏🏼👏🏼

  • @tiffanywright6451
    @tiffanywright6451 ปีที่แล้ว +20

    I've been a psych nurse for 20yrs and it's not for everyone so I'm glad you made the choice you did. I'm in my last year of PMHNP school and I'm very excited about being able to continue working with this population but having more autonomy..

    • @chinaarlene7035
      @chinaarlene7035 ปีที่แล้ว +6

      It's like you didn't listen to the video at all.

    • @tysonmikel9222
      @tysonmikel9222 ปีที่แล้ว

      Heaven won't need psych nurses sorry.. forcefully drugging people is satans lifestyle..

    • @tiffanywright6451
      @tiffanywright6451 5 หลายเดือนก่อน

      ​@@chinaarlene7035no its like I'm ok with my choice as he is

  • @tenorvox1989
    @tenorvox1989 2 ปีที่แล้ว +10

    Thanks for this video & your honesty. I’ve worked inpatient psych as a tech with aspirations to become a PMHNP. I became really close with a PMHNP on my unit and she was really stressed out at times because of the same reasons and others. Treatment team meetings the social workers would challenge why she wanted to prescribe a certain med & medical director wanted a faster turnover rate (discharge) when she didn’t feel comfortable d/c a patient who had just started meds like invega the day before. The medical side on inpatient psych is nonexistent- ive seen patient get rhabdo & almost go into DKA but management didn’t want them to go to the ED for treatment. I’m glad you chose what was best for you. Great content😊

  • @aw8758
    @aw8758 2 ปีที่แล้ว +10

    Can you discuss more on telehealth? And what a companies offer telehealth positions? Thank you!

    • @adannaya1
      @adannaya1 ปีที่แล้ว +1

      This question for me too

  • @FlorBunbury
    @FlorBunbury 2 ปีที่แล้ว +3

    Thank
    You for telling us your experiences. Hope all is well for you 🙂

  • @CollaboratingDocs
    @CollaboratingDocs 2 ปีที่แล้ว +3

    This is so relatable! Thank you for sharing!

  • @anitareyna8727
    @anitareyna8727 2 ปีที่แล้ว +5

    Thank you for your balanced presentation of your experience. Both my degree's are in social work and I'm licensed as an LCSW in Texas and it is beyond the scope of any social worker's role to direct what a PHMNP or any other provider should do. I wish you the very best and hope you will continue to share your experiences. Take care!

  • @bazbuco
    @bazbuco ปีที่แล้ว +1

    “Incongruency” is a great word and it perfectly describes inconsistent or disingenuous management practices!

  • @agneskwapong-ayeh8039
    @agneskwapong-ayeh8039 2 ปีที่แล้ว +4

    Great work. Peace of mind is everything

  • @jeanlanz2344
    @jeanlanz2344 2 ปีที่แล้ว +3

    Very honest. It's good you left. The situation was unsafe for you and your patients. The company management's lying to you, using you, and making profits off your exploitation is immoral. The emphasis on profit over safety of staff and patients is repulsive. So glad you pushed back and ultimately decided to say good-bye. God bless you.

    • @towandaarnold1986
      @towandaarnold1986 2 ปีที่แล้ว

      This!!!!
      Yes, as a mental health professional, I couldn't have said it better. 👏🏾

  • @agcatec11
    @agcatec11 ปีที่แล้ว +2

    All I can say… where ever as in where everrrr you go there’s always politics, there’s always someone will tell you how you do your job, micromanaging, negative impression about what you do, do this and do that etc. I completely understand all your points, ultimately. However, when you quit your job because of 5 ultimate reasons, I think you should also count how blessed and lucky you were in all aspects. I don’t know you personally, but when you think about your family “if you are married” I think you will think of alternative ways to continue practicing your profession as psyche NP. You are NP psyche of course there will always be higher than you, and if you think you don’t like them teaching you what you need to do, the door is widely open. For sure they did not force you to apply to them. There’s a lot of things/ways you can make your profession more interesting. Good luck and God bless bro!

    • @mattman8822
      @mattman8822 ปีที่แล้ว

      Very true. Like we’re all in the same boat here, even as an ICU nurse, I can’t escape it. If anyone wants to escape the politics they may as well just get out of healthcare because it’s not going away.

  • @kimhutchinson2759
    @kimhutchinson2759 2 หลายเดือนก่อน

    Yes, I’ve been pay CNS many yrs in a state without tx authority. I’ve seen all these issues & so never sought NP role. BTW, very similar pay.

  • @MelisJoy
    @MelisJoy ปีที่แล้ว +1

    i hope that place can get their act together. This shouldn't be happening. I hope you've found a place you love

  • @achilles5197
    @achilles5197 ปีที่แล้ว +3

    Majority of docs care about money and not patients from my experience as an NP.

  • @tonle9292
    @tonle9292 2 ปีที่แล้ว +1

    thank you for the great video. I am learning so much from this video.

  • @monkeybutt72811
    @monkeybutt72811 2 ปีที่แล้ว +12

    Click bait..you made it seem like you left the profession itself😂..great video thought!!😬

    • @LevelheadedMind
      @LevelheadedMind 2 ปีที่แล้ว +5

      Thought the same! 😆 🤣

    • @better2bkind
      @better2bkind 2 ปีที่แล้ว +7

      Very annoying. Just be honest in the title, dude!

  • @User-72430
    @User-72430 2 ปีที่แล้ว +24

    I don’t think it’s what it is, just another click bait. He’s probably going to talk about quitting one particular NP job or other people’s experiences of quitting.
    Edit: So I was right after all 😄; you left one particular job 😄. Click bait 🤩. Good video though.

    • @LifeofaPsychNP
      @LifeofaPsychNP  2 ปีที่แล้ว

      How is it click bait? What’s the title? 🤦‍♂️

    • @User-72430
      @User-72430 2 ปีที่แล้ว +3

      @@LifeofaPsychNP we’ll see 😁

    • @michellekluczinske
      @michellekluczinske 2 ปีที่แล้ว +6

      Yeah, it was what I expected - why he quit one of his several NP jobs. The title doesn't explain he has other jobs so it kind of sounds like he left the field entirely.
      That being said, I did enjoy how he encourages others to not tolerate unsupportive management, leadership, and administration who sometimes don't even understand our workflow or scope of practice.

    • @s.w2934
      @s.w2934 2 ปีที่แล้ว

      Yeah I really hate that

    • @s.w2934
      @s.w2934 2 ปีที่แล้ว +1

      @@michellekluczinske exactly. I don’t follow TH-camrs that do that

  • @khadramohamed8367
    @khadramohamed8367 2 ปีที่แล้ว +7

    Great content! You scared me a-bit thinking you left the profession. About done with my DNP psych degree by next spring.

    • @sunnyj6068
      @sunnyj6068 2 ปีที่แล้ว

      What is a DNP?

    • @khadramohamed8367
      @khadramohamed8367 2 ปีที่แล้ว

      @@sunnyj6068 doctor of nursing practice

  • @debrabooth5676
    @debrabooth5676 ปีที่แล้ว +1

    I feel the same way. Especially with patients who have substance use disorders. The controlled substances requested are clinically unsafe. Being pushed by companies to give patients what they want is ridiculous!

  • @melody-RN-BSN
    @melody-RN-BSN 2 ปีที่แล้ว +1

    Congratulations! It was not safe like that! Nurses were too stressful too!

  • @FindOrMakeit
    @FindOrMakeit 2 ปีที่แล้ว +3

    Good for you, good luck.

  • @anurseinthekitchen6442
    @anurseinthekitchen6442 ปีที่แล้ว +2

    Welcome to the REAL...happens everywhere. It's good to have options, but it's the same everywhere. Psych NP here.

  • @hummtp
    @hummtp 7 หลายเดือนก่อน

    Yo that’s scary when it gets to the point where you’re worried about others jobs because of inconsistencies and management not holding the end of their stick. Liability would scare me off enough to find another job ASAP.

  • @mermaid_gurl
    @mermaid_gurl ปีที่แล้ว +2

    I cannot wait to do telehealth too.

  • @Grace2me623
    @Grace2me623 ปีที่แล้ว +2

    When management justifies being overworked with previous “slow days” 🤦🏽‍♀️

  • @SoulfulMole
    @SoulfulMole ปีที่แล้ว

    I have worked outpatient community mental health, inpatient/hospital, emergency, and private practice psychiatry. I have seen virtually every one of these problems in every institution excluding the private practice (which has its own unique challenges). In my view, it stems from poor or even corrupt management and clinical leadership, which do not genuinely respect us or our license. Admin wants to treat us like unthinking mid-level providers and "functional doers" incapable of our clinical judgment, which is a huge slap in the face. I have a DNP. I have full practice authority in many states, where I don't need MD supervision (i.e. I am NOT a mid-level provider). These issues are burning psych NPs out at an alarming rate. I've seen NPs go back to working as travel RNs specifically because they don't feel respected by institutions as NPs, and can do just as well if not better for themselves financially as travel RNs - AND have a better, more balanced lifestyle. But this is really hurting the field. We need to stand our ground here and advocate for our field, at minimum for the sake of integrity and providing quality care. If we can't do that, then we are in trouble.

  • @TheDSquad
    @TheDSquad 2 ปีที่แล้ว +2

    would love to hear more about your academia position

  • @myfirstnamemylastname2994
    @myfirstnamemylastname2994 ปีที่แล้ว

    And then there is the pattern that many facilities have of trying to guess nursing duties out of an MP. Things like having your office be next door to a medication room and a drug delivery coming in while you're on your lunch hour in your office doing your documentation but the nurse is who ordinarily signs in the drugs is also gone somewhere. They will casually ask you if you don't mind signing for the drugs so the delivery person can leave. But that requires doing inventory and documenting how many medications you received and then doing it again when the medication nurse arrives. All of those things they would never ever ever in a million years ask a physician to do and you are not offered any extra pay for doing that. They may suggest that you weigh a patient yourself and get their Vital Signs and other things before you see an outpatient medical or Psych patient. And they may suggest that you're a great resource for the psychiatric nurses but that means some of them will be coming to you for advice about a patient in crisis on another unit the belongs to another provider and at a time when the providers are gone and they should be calling the one on call for that patient. Obviously if someone is having a code blue even if it's a psych Hospital you would be expected to go to that. Or you might not if you were a psychiatrist you wouldn't dream of it but there are vague extra expectations of a nurse practitioner because a psychiatric nurse practitioner often has a lot more familiarity with medical procedures than someone who's been a psychiatrist for 20 years. And many psychiatric nurse practitioners have fairly recently been clinical supervisor Center Psych facility so if there's a behavioral crisis where someone may be D escalated versus restrained they may hope that you will help with that. And if they're not very good at it and you are it will be tempting, but you're not covered if you get hurt as a contract worker.

  • @LevelheadedMind
    @LevelheadedMind 2 ปีที่แล้ว +2

    Very relatable... been there for sure and it led to burnout which is when I knew I had to leave to care for my mental health. If you're not supported and able to care for your well-being then clear sign to leave!

  • @martinponcianornlmft1637
    @martinponcianornlmft1637 2 ปีที่แล้ว +3

    Hey there PsychNP dude! Such a great video. I thoroughly appreciate your candor, and sharing your frustrations over the system of care! I have been following your videos and am really impressed with your content, sharing vital info with others in the field. As both an LMFT and RN myself, I have experienced many of what you described here, where the institutional hierarchy can be a barrier to quality care. When I was a program manager (PM) for an ACT-level program, I ensured that each discipline functioned optimally. I trusted in the abilities of the professionals contributing to their own roles.
    It sucks that it sounds like program leadership has infiltrated your role, and even is directing your practice! Sounds very unethical, not to mention beyond the scope of their practice! As a PM, I ensured overall operations were implemented and that we were congruent with ACT and institutional fidelity, BUT I would never dream of instructing my nurses or providers what to prescribe or even what interventions to do!
    Thanks again for your video and honesty! I can definitely identify with your struggle. Keep healing people, bruddah! :)

  • @lamareneahjordan8660
    @lamareneahjordan8660 11 หลายเดือนก่อน

    Thank you so much for speaking on this

  • @myfirstnamemylastname2994
    @myfirstnamemylastname2994 ปีที่แล้ว

    About the time that the pandemic started I worked in a hospital where some of the longest term staff just took medical leave as soon as the pandemic arrived where we were and the remaining two nurse practitioners were just given her patients to divide between us. So for not a single nickel more we were expected to carry one hundred and fifty percent of the casement load that we had before even though because of the pandemic we were both at risk for getting sick and the patients were much more agitated especially the ones that came in off the street which were the highest risk to have covid at that time. Meanwhile the hospital threw a fit if people wrecked up much overtime because we're on a contract that theoretically pay the overtime. In the end none of us cleaned all the hours we work and the ones who were best liked didn't claim any.

  • @kaylawalker5265
    @kaylawalker5265 2 ปีที่แล้ว +3

    Or you’re being told how to treat your patients by insurance companies.

  • @suns1457
    @suns1457 2 ปีที่แล้ว +7

    Wait in one practice or therapist above the medical director who's a MD? Or in what practice are therapist directing NPs?
    Unless it's a private group owned by the therapist.
    In that case I wouldn't even work there if they're telling me what to do. it's not their specialty and they don't have training for that. That is absurd.
    It's like the Secretary telling the boss what to do haha

    • @IyaT-c5e
      @IyaT-c5e 2 ปีที่แล้ว

      This is why I do emails so I can have a record and no one would come back say otherwise plus I refuse to put my license on the line.

    • @mentak2593
      @mentak2593 ปีที่แล้ว

      @Joshua Carrillo not in medical management! Lol

  • @jenniferclarke9683
    @jenniferclarke9683 ปีที่แล้ว

    Everything you say is true. I am at a nursing home just 6mths & thinking of quitting.

  • @Angie-yh4bi
    @Angie-yh4bi 2 ปีที่แล้ว +7

    I am a psychiatric nurse practitioner.
    I see 20 patients a day where I work. It sucks

    • @suns1457
      @suns1457 2 ปีที่แล้ว +7

      Ask how many the psychiatrist is seeing and what their pay is?
      If it's the same amount that they're getting paid three times as much as you it's time to leave.
      They're taking advantage of you

  • @anziang100
    @anziang100 ปีที่แล้ว +2

    Please b direct and short

  • @CNAmasterycenter
    @CNAmasterycenter 2 ปีที่แล้ว +5

    This is why I’m leaving, this is why I’m leaving, this is why, 5 reasons why, stay till the end, let’s goooo, 5 reasons why, this is ultimately why but stay till the end, let’s goooo

  • @myalynnrn7080
    @myalynnrn7080 4 หลายเดือนก่อน

    what specific job did you quit? I heard you mention at least 3-4

  • @corythegreat13
    @corythegreat13 2 ปีที่แล้ว +1

    What were you doing? Was it clinical or a crisis center? Where are you located? I'm considering pmhnp and that 300k # sounds amazing. Not at the sacrifice of what you're talking about though. Just curious what I'll be walking into.

  • @michelleeshea
    @michelleeshea 2 ปีที่แล้ว +5

    literally just put my notice in my job and so many of these things rang true to me!

  • @racquelwallace1240
    @racquelwallace1240 2 ปีที่แล้ว

    Thanks for the transparency

  • @BloomsArchitect
    @BloomsArchitect ปีที่แล้ว

    Staff workers go into the job for pay. No matter how great the job is, if paid low, they will leave.
    Staff workers must also expect that business owners are focused on profits. No matter how happy everyone is, if they are not making money, they will end the business.
    Mangement and owners do not care as much about staff welfare. Profit first.
    Just like staff workers don't care about management welfare. High salary first.
    Let's be real. No one says this.
    Work is transactional. There is no loyalty. Get yours or get out. It's that simple. That's the world we live in.

  • @StevenandMaxi
    @StevenandMaxi 7 หลายเดือนก่อน

    Do you work in Long Beach? I think you seen my brother once at his appointment.

  • @Jaxillan
    @Jaxillan ปีที่แล้ว +2

    3:26 finally tells why he quit

  • @jenrobie1620
    @jenrobie1620 ปีที่แล้ว

    To be clear, you did not quit being a nurse practitioner, right? You just left this company? The company I currently work for has this kind of practice. I am prepared to face the truth of the healthcare industry as it is. I hope that I can hang in there until my private practice builds, and or that I can find like-minded people before a burn out.

  • @richardlazarus1738
    @richardlazarus1738 2 ปีที่แล้ว

    We have to remember our true purpose as providers and make what is best for our patients. I congratulate you on doing what is right.

  • @darlynnlyons742
    @darlynnlyons742 ปีที่แล้ว

    It’s very unnerving how the different disciplines will not work together as a team. It doesn’t have to be a pointing finger and egotistical environment.
    It’s all over nursing and so sad. Disappointing to say the least.

  • @stephenmarkey6783
    @stephenmarkey6783 ปีที่แล้ว

    I was in a psych hospital however many times.I learned alot.My brothers a psych nurse.i wouldn't want be in that situation,yet I was lucky since the places I went were freindly.However, they kept administering the wrong medicine and that's what scared ne.They finally gave me the right mess the last time I went.Thank God

  • @StupidUchihas
    @StupidUchihas ปีที่แล้ว +1

    Do you work in a state where NPs can practice independently?

    • @Ellie-jl3vk
      @Ellie-jl3vk ปีที่แล้ว

      Yes he does. He owns his own private practice

  • @queentinadoire6931
    @queentinadoire6931 2 ปีที่แล้ว +4

    Oh No!! I have to watch this video.

    • @LifeofaPsychNP
      @LifeofaPsychNP  2 ปีที่แล้ว +1

      👀

    • @queentinadoire6931
      @queentinadoire6931 2 ปีที่แล้ว

      @@LifeofaPsychNP I'm here. Do what's best for you and your family. I respect your decision and wish you well on your journey.

  • @dennisjex2965
    @dennisjex2965 11 หลายเดือนก่อน

    Got any family with psych ill or have you been down on the streets? Then what do u actually know..principles dont cut it

  • @Luke747gal
    @Luke747gal 2 ปีที่แล้ว +1

    I've been weighing pros and cons of getting my psych NP. Your videos have all been very helpful in the process. Ultimately I decided to get my AGPCNP.
    The policy, staffing and management all make or break any job. I left an understaffed, overworked RN job that was high paying but not worth it. Good for you!

  • @jeffgonzales4572
    @jeffgonzales4572 2 ปีที่แล้ว +1

    Wow I’ve been thinking the same, great video.

  • @009Goldeneye
    @009Goldeneye ปีที่แล้ว +2

    Sounds like most jobs

  • @NursePractitionerLena
    @NursePractitionerLena 2 ปีที่แล้ว +1

    Oh my! Your previous job almost makes my job feel like heaven. My supervisor is also a therapist but then she totally respects my autonomy and let me handle my own schedules and how to prioritize the patients. When I told her I do not want to see more than 12-15 patients a day (usually 2-3 intakes and follows ups), she was fine with it too! I don't get paid that much though as it's public health center and their budget is usually tight 😅 so I guess there are pros and cons 😆

  • @shedydee4962
    @shedydee4962 2 ปีที่แล้ว +3

    Company GREED. They were making millions off of you.

  • @christiel4302
    @christiel4302 2 ปีที่แล้ว +2

    Thank you for being so transparent!

  • @lilyg1062
    @lilyg1062 2 ปีที่แล้ว +3

    Please tell us how many jobs you currently work and how many hours a week?

  • @colettespencer3357
    @colettespencer3357 ปีที่แล้ว

    Yep. Psych nurse x 18 yes. Spot on

  • @doctordr1397
    @doctordr1397 2 ปีที่แล้ว +2

    Hey man, I have just been accepted into a pmhnp program starting this fall. Can you give me some information on books or anything that I need to look at to kind of get a leg up before I start. Thanks man and keep up the informative videos!

    • @doctordr1397
      @doctordr1397 2 ปีที่แล้ว

      @@cb.1212 I appreciate it!

  • @zalaynaanderson4051
    @zalaynaanderson4051 10 หลายเดือนก่อน

    The way you explained your experience with management is just SAD:(!

  • @suesfriend1431
    @suesfriend1431 ปีที่แล้ว

    The bus patrons come out late, and walk right into people getting on. Criminal Nuisance. Date Rape.
    This time, the driver did it too. Honolulu, bus 519.

  • @Amrknegypt
    @Amrknegypt 7 หลายเดือนก่อน +1

    Nursing is horrible not even 200k is worth it

  • @jonesy2891
    @jonesy2891 9 หลายเดือนก่อน

    Is a psychiatric nurse practioner better than a PHMHNP?

  • @wisemanj2934
    @wisemanj2934 ปีที่แล้ว

    Pays well? You lost me there. I was a psychiatric nurse. I am not sure what you mean by it pays well? As far as I know, it was barely 60-70k a year. Cybersecurity though... 150+ a year, as consultant, 300k+.

    • @adamferencszi797
      @adamferencszi797 ปีที่แล้ว

      What state? And what conditions? It varies for both careers. Cyber security you're competing with a bunch of foreign students and you need to be lucky to make that salary. It's not a guarantee.

    • @wisemanj2934
      @wisemanj2934 ปีที่แล้ว

      @@adamferencszi797 canada. There is no workers. No competition.

    • @AggiBlessed
      @AggiBlessed ปีที่แล้ว +1

      He is psychiatric Nurse Practitioner which is different from being psychiatric nurse. He says he quit a over 170,000 dollars base pay job.

    • @nursedanig2246
      @nursedanig2246 ปีที่แล้ว

      @@AggiBlessed do you know what state he’s in?

    • @AggiBlessed
      @AggiBlessed ปีที่แล้ว +1

      @@nursedanig2246 hi Dani, he is in California.

  • @fatimatasulemana8099
    @fatimatasulemana8099 2 ปีที่แล้ว

    great move!

  • @reddbendd
    @reddbendd ปีที่แล้ว +1

    You said you would be making 300,000 working 3 days a week? What the fuck???? Where do I sign up? I don’t care about how shitty the workplace is, I want to be a millionaire.

  • @mermaid_gurl
    @mermaid_gurl ปีที่แล้ว

    Im studying for the boards.

  • @Hellatight24
    @Hellatight24 2 ปีที่แล้ว

    Did you have a contract during your first psych NP job. If so how did you get out of it after only 9 months?

  • @OrdoSanctiBenedictus
    @OrdoSanctiBenedictus ปีที่แล้ว

    RN for 22 yrs I guess I'll stay put.

  • @nursechriswright528
    @nursechriswright528 2 ปีที่แล้ว +4

    I always thought you owned your own practice.

  • @mayadolnik9164
    @mayadolnik9164 ปีที่แล้ว

    Maybe you should work one job, then you won't be burned out

  • @art4ucu554
    @art4ucu554 ปีที่แล้ว

    Wow, definitely very stressful

  • @TexMex_Family
    @TexMex_Family 2 ปีที่แล้ว

    👏👏👏👏👏👏

  • @gueenvictoria64
    @gueenvictoria64 2 ปีที่แล้ว +3

    # This is being a Nurse period .....they always try and boss us around and make us do things........#pitiful!

  • @1973sophia
    @1973sophia 2 ปีที่แล้ว +1

    People need to learn how to pay for direct patient care and not rely on insurances. We need to learn how to save money for the rainy day.

  • @DPO770
    @DPO770 ปีที่แล้ว

    1:15

  • @gretchenjana6219
    @gretchenjana6219 2 ปีที่แล้ว +1

    What happend Po

  • @patriciayoung8956
    @patriciayoung8956 ปีที่แล้ว

    You said therapists shouldn't be telling you how to care for your patients because they didn't go to school for that, but you (a nurse practitioner) are on the "medical" side of things... Wait, isn't he/she a THERAPIST? How come they didn't go to school? You work with a bunch of therapists that don't know how to deal with psychiatric patients?
    Can you be more specific and explain what kind of therapists you're working with? ALL licensed psychologists need a doctoral degree to practice in the US and Canada, plus they need residency... so how come you are saying they don't know how to care for the patients, but you do?
    Some psychologists receive extra training to prescribe meds, and all psychologists go through an intense pharm curriculum to thoroughly study all mental health-related medications. If the therapists you're working with didn't go to school or are neither a psychologist Ph.D./PsyD nor a psychiatrist, then neither they nor you should be taking care of mental health patients with medications.
    You said, "... a lot of these places, especially these newer places popping up, especially the ones that are existing like therapy psychologists are running the show, they may try to do all these things and micromanaging how you do certain things and what modalities of care are you providing or what medications are you prescribing, they may try to push you into telling you what you need to prescribe or what you need to do for the patient because they're trying to make as much money as possible..." My experience has been entirely different. I have seen way more NP clinics popping up left and right to care for psych patients, which is very scary. There are way more NPs than psychologists and therapists, so I need to find out where you got your info that all these newer clinics are popping up where psychologists are running the show... That is hilarious. Even if they were, psychologists and psychiatrists are supposed to run the show because they are the experts in mental health, not NPs.
    To be honest, the fact that nurse practitioners can practice independently and prescribe medication in certain states is mind-blowing. NPs don't get half of the training psychologists get, and you can count on one hand how many states allow psychologists to prescribe meds to mental health patients. Even so, they need to go through extra training to be able to do that. NPs are nurses, not doctors. Their doctoral degree is academic, not clinical, and they should never be seeing patients like doctors. We appreciate our nurses and encourage them to get extra training. However, if NPs are expected to see patients, treat and diagnose them like doctors do, they need WAY more training than what is currently offered at all these NP programs. You bet that if you were working under my psychologist license, I would be watching you like a hawk, especially in the US, where lawsuits are common.

  • @theman_10
    @theman_10 2 ปีที่แล้ว

    Capitalism in nursing?

  • @TexMex_Family
    @TexMex_Family 2 ปีที่แล้ว +4

    You’re so proud of yourself. You should marry yourself

  • @TexMex_Family
    @TexMex_Family 2 ปีที่แล้ว +1

    Who cares?!?!? Stop posting! 😂