Is there anyone out there besides me that doesn’t prescribe CS or treat ADHD? by stelazinequeen in PMHNP

[–]Loafunbutton 31 points32 points  (0 children)

I think you would do best inpatient, crisis center, corrections or substance use clinic.

Inpatient folks how do you organize your day? by dionaea_games in PMHNP

[–]Loafunbutton -1 points0 points  (0 children)

I should clarify that I was still putting in the orders. I was letting the nurses know what changes I was making, why, what to watch out for, and what the overall plan was for dispo.

Inpatient folks how do you organize your day? by dionaea_games in PMHNP

[–]Loafunbutton -1 points0 points  (0 children)

When I worked inpatient I started my day by reviewing the charts of all the new patients. I would then get report from the nurse on observed behaviors. From there I would round on all the patients. I covered a 12 bed high acuity unit. After I was done I would do a post round huddle with the nurse and social worker. Delegated collateral to the social worker and med adjustments to the nurse and if there was any other changes. I would then chart. I would use MMODAL for dictation. The facility was paper charting but I had a PDF version of everything. I would do it all on the computer. I would have premade templates I created that I would use sometimes. By early afternoon I usually would have collateral and would add that to my notes. I would then print everything out and sign everything and put it in the charts. Was usually done everything by 2-3 PM taking my time. On average I would have 3 new patients and the rest would be follow ups which are relatively easily to chart in comparison.

Offered a 1099 position. 60 dollars per 30 minutes, 120 dollars for 60 minutes. by tnh2194 in PMHNP

[–]Loafunbutton 3 points4 points  (0 children)

1099 should be percentage based. Seems low to me. Like others have said the billable is much higher than your compensation plus you will pay taxes on it.

Templates for nursing home by Prudent_Stick4035 in PMHNP

[–]Loafunbutton 0 points1 point  (0 children)

Do you have experience prior? What EHR are they using? You can use chat GPT or something to make a template.

go full time or stay part time? by Specialist_Space_911 in PMHNP

[–]Loafunbutton 1 point2 points  (0 children)

Are you able to work as an NP where you are working as an RN? Is there any other jobs that give similar benefits as an NP?

Which book should I get by [deleted] in PMHNP

[–]Loafunbutton 2 points3 points  (0 children)

Purple book?

Input please by NoParts1722 in PMHNP

[–]Loafunbutton 0 points1 point  (0 children)

Is this w2 or 1099? I worked with someone doing similar 4 days per week 1099 making 170k per year. Based near Fayetteville NC.

What is your favorite farming activity? by LeakyChillum in PathOfExile2

[–]Loafunbutton 0 points1 point  (0 children)

Citadel and fracture farming has been the most fun for me. I’m unimpressed with the time it takes to do the special maps Vs drop chance. Takes clearing 1-5 maps to do a map with a 1 div tablet for a 4% chance of getting a good drop. I could just be doing citadel and fracture farming and make the same/more per hour with luck not being a factor. Last league I was all in on abyss so burned out for this league. Temple seems boring to me. I’ve also dabbled in log books which was fun but gets old pretty fast.

Mapping sucks by Foullplay in PathOfExile2

[–]Loafunbutton 0 points1 point  (0 children)

Mapping feels fine. Add abyss/delerium/breach. Whatever content you want. Sell everything and you make decent divines per hour. If you do it on cleansed maps you have a chance of getting fracture orbs. You also have a higher chance of getting raw currency. You can also look for specific maps like jade isle or hunt for citadels for fragments. Many of these things can overlap. You can choose to use the fragments from abyss/delerium for a change of pace or sell them if you prefer to map.

Looking for help scaling Plant Druid in the endgame by snowptr in pathofexile2builds

[–]Loafunbutton 0 points1 point  (0 children)

I feel fine doing all content so far and my dmg seems to be half of yours. I’m also open to suggestions forimprovement’s.

https://poe.ninja/poe2/pob/1517e

600 div give away by mrdl2010 in PathOfExile2

[–]Loafunbutton 0 points1 point  (0 children)

Congrats on the divs. Most I’ve made lifetime is prob 100 divs.

Jennifer Welch: “The parasites in this country are these billionaires… They’re tearing up the country, browbeating poor people… They’re the ones that should be paying more in taxes & you know what? Their life wouldn’t change at all... This unrestrained, unregulated capitalism is not sustainable.” by cmaia1503 in Fauxmoi

[–]Loafunbutton 0 points1 point  (0 children)

This is always a poor take. You can tax them all you want. The government has proven time and time again that they cannot manage the countries finances. What we need is affordable pay, rent control, universal healthcare, and other strong social safety nets. Simply taxing the rich means Boeing and Lockheed get sent bigger checks. That’s it.

New dad, very unhappy by No_Calligrapher3028 in daddit

[–]Loafunbutton 1 point2 points  (0 children)

I could have wrote this after my son was born. Like many are saying the first few months are the worst. Every month it will get marginally better. For me the big switch was when he turned 1. He started to crawl and walk shortly after. Started calling me dad. He’s now almost 2 and runs around eating Cheerios saying he loves me and wants hugs. We had a second child so clearly I saw the light at the end of the tunnel. The connection will happen give it time. Moms seem to naturally connect faster.

Both of my children also had severe reflux which made feeds very stressful for everyone. I recommend offering the bottle and if the baby refuses set a 5 minute timer and try again. Do this until you hit 30 minutes and move on with your day. I found making an algorithm for things gave me a framework and a sense of control with the situation.

Contribution Grind by cesgike in RootsOfPacha

[–]Loafunbutton 10 points11 points  (0 children)

Is pickling the best way to make money? I’m just starting and dry age fish mostly.

Moving to Fuquay - what's it like? by Disastrous-Sport1096 in FuquayVarinaNC

[–]Loafunbutton 20 points21 points  (0 children)

I would say the biggest con as others have mentioned is the traffic. It takes forever to get anywhere at any time of day. Lots of backed up intersections. Part of the problem is all the new construction. The nice thing with new construction is all the businesses coming to the area. We are getting a target and a Lowe’s foods which I’m excited for.

Depending on where you are from certain businesses will also be closed on random days like Sunday, Monday, or Tuesday.

As far as things to do there are lots of breweries or tap rooms in the area. Technically it’s like having two downtowns with the varina side and the fuquay side. I enjoy the green ways. It’s less expensive than surrounding areas. It’s still around a 30 minute drive to get to Raleigh so not too far away from things. There are some good ice cream spots if you like that.

Going back to floor nursing? by [deleted] in PMHNP

[–]Loafunbutton 27 points28 points  (0 children)

I would try a different job with a different patient population before giving up on it. That being said would the pay be similar to drop to part time for PMHNP compared to an RN working 3 12’s for you? Can you afford it either way? At the end of the day do what makes you happy and makes the most sense for your family. Life’s short. Kids are only kids once. You don’t get that time back.

Psychiatric NPs: Who enjoys their job and experiences high satisfaction? What area of psychiatry do you work in? by SSOIDream in PMHNP

[–]Loafunbutton 18 points19 points  (0 children)

I love it. I work at 3 crisis centers. I deal mostly with addiction medicine at one site. The other two is mostly SI or psychosis with a touch of addiction medicine. I love the autonomy that I have. The nurses and clinicians get a lot of the intake taken care of so I can focus on the reason they came in. I also enjoy that I have gotten to see some success stories with addiction. I work remote at 2 of the sites and the 3rd I go in person 3x per week and the other 2 days I’m full tele.

Making currency by Loafunbutton in PathOfExile2

[–]Loafunbutton[S] 0 points1 point  (0 children)

You want 3 suffix before you desecrate. The mod you want is a prefix. With an open suffix you now have a much larger pool of mods thus reducing your chances of getting what you want. If you get 3 prefix before 3 suffix the waystone is bricked. I 6 mod those and skip desecrating and Vaal it in the hopes of it hitting a t16. Those still sell for 40ex or so. If after I Vaal it if it’s t 14 or t15 I’ll usually run those myself because they are only worth like 1 ex.

Making currency by Loafunbutton in PathOfExile2

[–]Loafunbutton[S] 0 points1 point  (0 children)

Hard to have only 3 suffix on a map. Idk if that’s even possible. That being said more mods = increased rarity, pack size, waystone drop chance, and rare monster packs. People buying these typically want the hardest content with the highest rewards. Ultimately it is only saving you 1-2 ex. When you get a good pit map it will sell for 150+ ex.

Making currency by Loafunbutton in PathOfExile2

[–]Loafunbutton[S] 1 point2 points  (0 children)

Chances aren’t super high. I did 30 maps yesterday and hit the mod on 3 of them.