Hey guys, and welcome to another episode of the doctor nurse
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Hi! Welcome to the doctor nurse
podcast. Guys, I'm so excited to
introduce Our Guest today Kirby Williams.
She is a nurse practitioner Psych mental health who has been
running her own private mentorship and career consulting
services for psych NPS. When her business is called
Beacon Behavioral Health, they Consulting and she's going to
come on and talk about her career and then also about her
hers. So welcome, this is Williams.
Thank you. Thank you, Santa.
So happy to be here. Thank you for having me.
Yeah. All right.
So let's Dive Right into what you do.
So are you Just I guess my listeners kind of heard a little
bit about what you're doing, but they explain all the hats.
You might be wearing several hats.
I am a mom. I am working full-time as a
psychiatric nurse practitioner and Community Mental Health.
That's my w, Sue's position and then I have print out this year
started doing career Consulting and private membership services
for psychiatric nurse practitioners.
I found from a lot of my previous students that I've
observed, that it was something that was really needed.
It's And I kind of have been doing throughout my almost 11
years as a psych nurse practitioner, but I wanted to
make something more for my like where I could really devote the
time to being with a person who is trying to stalk their careers
effect nurse practitioner figure out like what the options are
just like nurse practitioner and really get into some of those
intricacies and difficulties with some of the job and just
having a good support system like a mentor like myself.
Yeah, that's really good. I love that you put mom is your
First job because that is our inverse job and I love that you
did that. And then, secondly, tell me a
little bit more about your, your W-2 job, which is funny.
I think I love that. Yeah, so tell me a little bit
more about what you're doing, kind of in your clinical
practice and then we'll dive into your into your coaching
mentorship business. Okay, awesome.
So, I see adult client every bike mental health nurse
practitioner, and Community, Mental Health.
What it can look like inside at the outpatient cracker and it's
okay. Patients who sometimes are
underinsured or uninsured Medicaid Medicare and then we
also have clients who come from the jail system so they don't
have insurance at the time. So they assistant getting
connected to Services. We also have primary care
services are too so that helps out a lot as well.
And then we have patient to have what we call severe persistent
mental illness, so get the friend Mia, that the high
severity. So they have been fertilized
sometimes for several Years and they finally been stabilized
after those years and then they're coming out and need
continued outpatient care. So, 40 of my patients.
Currently have a high level of severity for the most part.
Many of them do not all but many and so, but if the kind of work
that I like to do with the kind of work I enjoy, I feel
fulfilled by that and so I do that position.
It's so full time but not full time. 40 hours, I do 32 hours a
week full time with us. Yeah and so balancing mom and
were Kirk. And now, adding on this side
hustle, Danielle said you precepted for 11 years and then
you decided, let me create a formal program to help psych
mental, health, nurse practitioners, kind of get their
career started, and how to negate in their careers.
What were you finding? When you are precepting
students? That you noticed, something's
missing here and I can feel that guy.
Yeah, so what I found was truly missing.
Is they really didn't understand?
And the beside of healthcare, they didn't understand what were
the best ways to be successful in their careers.
They knew like, okay, if I do good work, it patient gets
better. Yeah, I'll be good.
But there's more than that as you probably know as well.
There's more than that. Just about the patient doing.
Well, it's also about continuing your education, continuing to
network, so you can find better opportunity more opportunities
by mentorship client support from other colleagues.
So they really lacks an understanding those types of
processes. And then a big thing for psych
mental health nurse practitioner.
That probably other nurse practitioners fine with job.
Is that a lot of? Well, I don't feel like some
mental health practices that have like all therapists.
They look to hire a bike in pink because they're like, okay, we
have a lot of therapy clients, but add a not b MP, someone who
can do medications, they'll be a great idea and it is, but they
don't fully understand the capacity and the pope and all
the supports that a spike provider would need For, you
know, for care, for they're just like kind of throw the person in
the mix thinking, well, we got this thing going, but going to
work and it doesn't, if you don't really truly know what
type of mental health nurse practitioner needs.
If you don't truly know what their billing is life, what
their day is kind of like, and what kind of support they need
by. For example, up admin, assistant
medical assistance, something like that.
So I found that new nurse practitioners are getting into
those chickens, and then drowning might be a strong word,
but we're having some struggles that they just didn't realize
that would even come. Gotcha.
So staying and as you have been
helping these current psych nurse practitioners, you know,
that are new in their career. What have you been able to
provide for them? Some of the think I can provide
is really survive for them out, saying, okay, what kind of job
are you looking at, or do you want?
And they can talk to me about like what their what they enjoy
those types of things and talk about what they are looking
into. So, let's say they're looking
into going to a private practice that has Pyramid Ivory.
Okay well let's talk about. Have you talked to them about
what kind of dissent they have in place already have you talked
about what kind of like policies they have but they might have
therapy policy but not medication management policies
which are which can be different, sometimes they look
similar but a lot of times they look different, you know, are
they willing to have you some medication management policies?
You know, different things like that.
So helping with guiding them to think about these processes,
I'll help them even draft some of the policies that they're
like. I'm not sure what Authority.
Which is okay. That's, you know about a crime.
I'll say okay, let's help you draft.
Someone speak about like things that come up with medication
management. Let's think about things, we
need to have in place so that patients already know kind of
what to do. So some of that are things that
I've you, I also help them with kind of figuring out, what may
be a best fit for them, some nurse practitioners like nurse
practitioners are like. Well, I'm not ready to be like,
completely on my own. I don't really want to do like a
private practice. Could I would feel too alone,
which is okay by popular about like, okay, some options to be
like Community Mental Health. That is a lot of us all
together. It could be an inpatient
hospitalization, it could be a crisis stabilization unit.
So I saw something about the options because it's also
possible during their training. They may have only seen two
maybe three kind of setting for Quakers tactician so they may
not be aware of like all the possibilities and what that
could look like full ports. Yeah.
I feel like I don't need to see
on job postings nurse practitioner.
Psych mental health, nurse practitioner, remote jobs.
They get is like an absolute Joy.
Goldmine for psych nurse practitioners to be able to walk
in and start, you know, with a remote position.
And so I was thinking if you were a nurse practitioner and
you had your site degree and you were like, I think I want to do
remote care. What is something that you would
help her, you know, figure out, like think here.
Yeah. What are some of the concepts
that you think that, you know, if somebody came, he was like,
Hey, listen, I want to be a remote nurse practitioner in
Psych, you know, help me out what something right knee would
suggest to her, right? Yeah, that's true.
That's a really good question for the actually going to post
about this about telepsychiatry said, I have gotten that
question a lot and so what I tell people do out for quite
some time and I don't tell you what to do but let me give you
some things to consider. So I tossed him about like okay.
Have you ever done any kind of Telehealth before had?
So you feel like you can do and comprehensive assessment over
Total Health? Some people might say I'm not
really or I'm not sure if I'm going to see this much of the
perfect I mean that's okay. But I asked them about.
Okay. What are you?
Your thoughts about when you need to assess something
morphism, because all medication, no matter what you
give someone can have physical side effect.
And mental health are a lot of medications that have a
possibility of causing that disorders or movement issues
sir. So, you know, I've kinesia.
Yep. That's one of them.
Have no death for that. In a setting like this.
Do you feel comfortable Investing For That in that
setting? What kind of funds we do?
You ask? And so kind of the student
understands through some of The same talking to them about like,
you know, do you feel like you have good enough boundaries that
have a person answers your Telehealth appointment and
they're driving? What are you going to do?
But those are type of can happen.
Yeah. You know so what are you going
to do? And do you feel, you know, you
have to a person have to ask themselves?
Do I feel comfortable setting boundaries or am I not or am I
just like, okay, we can go really quick.
You know, you know, you got to be honest with yourself like a
about those kind of things. Those things do come up, they
have come up. People have to Stan, you might
have to have like policies in place that patient sign about
those kinds of things like no driving, you know why you're you
know things like that. Yeah.
The things you don't always think about cuz you're like, oh
we have to really come to. I want to work with moat which
is great. So you have to think about all
these other things as well, to make sure that you can do it
comfortably, you can do it safely and you could do the
things during. Yeah, I didn't even think about
that. With the, with the driving on
the telephone, you're right, I mean, how can people be present
when they're, you know, in afternoon traffic?
Go back to work. Yeah, that's a really good
thought, so, I like that, I like that.
You're able to kind of walk through all the scenarios and
bring up things that they may or may not be able to think about
and kind of help them navigate, you know, their comfort level
with these things. And I think it's good because it
allows for, you know, new nurse practitioners or even season
nurse practitioners that are wanting a change to kind of get
an inside. Look before they step into some
of these places. And some of these roles that
they might not be familiar with even though they are psych nurse
practitioners. It's really cool.
So, how did you get here? You know?
Like like like, you didn't just wake up and just started, you
know, just worked all these years as a psych mental health
nurse and, and, and start a business.
Like, how did you get to this specific spot?
So I really like to kind of hear your journey to get there.
Yeah, your trajectory from, you know, nursing school until this
spot in your career, all right? Awesome.
The one thing is that I always wanted to be a nurse.
I knew that from Age of five. I know I'm a nerd but that's
what I knew. Yeah.
Oh, you know, that went to school that my BSN and I will
say one thing that a mistake that I made going through school
because I was young, I was accepted into college at 16.
I started at 17 and so what I've seen happen and it still happens
is that when you're in your What everybody says like, but Mr.
Departments, they're threatening third, I did Express an instant
by as undergrad, but it was just like what?
And you know that by looking at that time, I was nine.
Boom, you know, but I was still like, oh okay, I guess the fact,
my first, yes, that's what you know, that's the way I prefer go
hated men, surgery, anything like that.
But I broke The enough we did have a good
amount of patients who has some concerns, so sometimes people
would come there after doses. After very major, a lot of car
accidents, and Phoenix. After, after a major car
accidents and they were very, very young people who had lost a
limb. And so, there was a lot of
management of, you know, really learning how to really talk with
people who are going through more than just like, oh, I just
had a surgery or oh my, I don't know hypertension flared up,
something like that. You know, you really Having to
really build rapport cut, someone's life, has dramatically
dramatically pain and that happened a lot on our unit.
So after that I said, oh, I'm going to travel a little bit.
I thought I'd get myself back to.
I'm Leslie from Chicago, but get myself back East somehow.
I did travel North and in order to do that, we want to find it
will still on meds certain another.
And I floated, so, I did some quite fair and have a whole
whole lot, but some place from med-surg and then I said, you
know what, I should get back. Request your you know, go get
your degree in site mental health is what you want to do is
what you're interested in. You know, let's just get back to
it. So I did that and started
working as an inpatient which for me impatient, I was there,
three and a half years as a viking p and I was really like
my fellowship. I wish that everybody could get
that experience. It was little like my
fellowship. I grew in those three and a half
years and really learned a lot Network, like, my foundation for
all the knowledge I have now and I just built up on mess.
Then I have said a lot and had enjoyed Meant for precepting
continued to work as a spice and tea and like private practice.
I worked at Primary Care offers a good Community Mental Health
in d.c. for a while. Did kind of a little bit of
everything is this? I can quickly and then get
myself back where I am now in Virginia.
And I was continuing to kind of walk and Academia a bit and I
said, you know, full-time Academia is not for me but I
still have this joy for helping others grow and nurture new
firing, you know, novice, And even number krishna's, like you
said earlier, who might be looking forward to playing.
I hope you guys are enjoying the episode.
I want to take a break and remind you guys to check out the
resources on the doctor nurse podcast, website.
I have blogs. Etsy shop free resources for
nurses who want to start aside householder.
Hear things that I wish I knew before I became a nurse listen
to all the other podcast episodes I put on my website,
check it out. Now let's get back to the combo.
They may not be new, there might be experience and so I really
said, this is what I want to do. I really Want to continue to do
that. But do it my way.
Not do it in the Academia way, which is still great for
somebody just wasn't great for. Yeah.
Because you have to kind of
obey, whatever the university is wanting you to push Glory, kill
em and all that. Yeah, exactly.
So you gotta gotta decide like if I do not lighting up to
certain things because again, like entrepreneurship is
something that's not in the curriculum.
And like, I think it's such a disservice to nurses to not
allow them to see nurse. And they're spoiling it.
I know it's not leave the issue that you're having, but it is an
issue that I have with Academia. It's just, why do you give us
such a myopic view of what nurses can do?
It is so geared to get out and become a slave immediately in
the hospital Center job. And I don't show you all the
other things and I'm like, even if I did, you know, one, one day
with a nurse practitioner entrepreneur, you have to put me
the whole semester. But even I one day one week
where I would have learned and seen a nurse practitioner, that
was running a business or doing something like that.
It would have opened my eyes to won't even know this was a
valuable. So I agree.
I think there are some things with the academic system that
make it hard to swallow sometimes and it's like, caramel
just do my own thing and probably be able to kill have
autonomy over. What?
I'm what I feel is important and I can terminate are those those
things. So I think that's really cool.
And I think your journey is me and I You used travel nursing to
get where you wanted to go, that completely start.
Hey, yeah, super smart. And another thing that I like to
ask why my podcast guests and people that are on is just, you
know, it's not always easy where you're doing all these things
being a mom working, you know, now trying to start something on
the side and building marketing and learning how to do, you
know, reels and Instagram, and then learning how it like, what
am I? What am I about?
With my niche in life? All this different stuff.
And so there have been challenges along the way, I'm
sure I'm times that you thought I am not going to make it thinks
that that's it. So we have thrown in the towel
but yeah, but you still kept going.
So tell me about one of those times are coming over overcame.
Yeah, but I did, I have, I don't want to have them often, but
they do come up because, yeah, I'm human.
And so, I would say one of a kind came up when I was trying
to figure out. Oh, my goodness, trying to
figure out a website. And always like, well, I'm Art.
I can do this website. I'm a nerd.
Yeah, yeah. Let me just, you know, look at
look at this and put this together and I was like, I'm
going to throw this laptop. I'm going to throw it and
instead of throw it and my husband's is boards,
technologically, advanced will crave it.
So if it's deep fried and I was like, well, we got life through
one paragraph of putting something like corn.
Something I was like, there's some three hours.
I can't live like this. I can't do it.
We're paying for this. Exactly.
Exactly.
So really, I think that was one thing to and I heard about it in
a previous podcast as well. And it really resonated with me,
which was like, really invest them.
One of nothing and that's time and money investing and yet
could I have figured out the issue?
Yes, it was website, but I want to still want to give time as a
mom, I still want to give time to my husband.
As a wife, I still want to be a best friend to my husband and my
friends and things like that. So I said, no, we're going to
invest in this other person who can do.
I might hit second and did and she did a great job.
Yeah. As you know, that would that
would be like saying yeah, but and so I do have done that with
some other thing for my visit to but that was probably like the
biggest one or the first came up for a hurdle.
Yeah. Yeah, I know it's true.
It sounds like you're a little bit like me and the fact that
you're like, I can do. I give it, I got it.
I got it. I give it.
I got it and then you start doing it.
You're this is a lot harder than I thought it was like that.
I thought this was going to be really it looks really easy and
then you start in your realize like this is not Not easy at
all. And not only that, but going
back to what you said because I agree with you.
You've got an invest money in giving yourself more time.
Like, it's just true. Like, it was going to take you
so long to build that website. That if you could just delegate
that work the time and the money start to look a little.
Like my time is more valuable than this money to go and get
this done, you know? And so I think it's really smart
especially because there's This thing where like I was working
really hard to get people scheduled for podcast and I'll
just kind of show this little caveat and I was working super
hard. I would get on.
I'd have to meet email them. I'd have to do this and have to
do that. I have to remember all these
things. And I said, you know what, when
my podcast I was making a little bit of income.
I'm going to invest in, were close with my calendar system
that I use. And as soon as I was able to
afford it, I purchased it. The calendar system.
It is saved. Me so much time.
I mean the workflow sends out an email, reminds the person about
the podcast reminds me, I don't forget to send this and so it's
making my life easier. And so I'm looking at the time
and the money and I'm like, oh this is so worth the money
because of the time that it's giving me, the freedom, the
flexibility. And so, yeah, I was just talking
about this with another podcast guest.
It's okay to spend that money to give yourself a level of
freedom. Sometimes and then it's done and
that box is checked and you can move on instead of spending and
waiting for that thing to materialize.
So good example, perfect example.
And yes. So true and I completely agree
with how you process that was well done.
And I know you talked a lot about mentorship and what the
mentorship that you provide but is someone mentoring.
You have you been mentored a longer career?
That's been able that you've been able to look back and go
like This person really changed my trajectory because I think
these stories are important. That people can believe that
there are people in nursing that do want to see you be successful
like many stories like that or anyone that you currently our
relationship with to help you kind of navigate these whatever.
And yeah, being put water this, what us?
So right. Yeah, that was very, very, very
good. Mentally like probably a weird
but she was a student of mine. I was one of my first students
in my second student and now she's my mentor.
I'm still her Mentor but we help each other with different things
he was in and said, what is about it?
She was a pharmaceutical. What before she became a nurse,
she the mentor that I have, she was previously before she was a
nursing, she was in the pharmaceutical tree and so she
just have a different mindset than myself.
And that's been really helpful to just kind of bounce ideas off
of her, because she's like, well, Kirby kind of all, you
know, is nursing because that's your only life career has been
My only career Focus so she can talk to me about those things.
She's also had different experiences.
You would like NP as well. Now, but she had different
experiences from working in the Ed from working in substance
abuse. And so, sometimes I need
assistance in like more of those kind of topics or subjects.
He's able to provide some benefit and though I've worked
longer than her. You know, there's some ways that
you know, I can benefit her as well.
So it's like a minty Mentor but they stood back and forth
between the both of us that I found to be really helpful and
she's just Another one is that she's just really a good support
all because those days, like I gave you the day about wanting
to throw the computer, oh, you know, off the desk because of
that, you know, website, she was, like, Gonna Take Time gonna
be a minute, you know, just take a pause.
Take a breath and higher something exactly David.
Yeah. Yes, yes.
Oh, she's just that helpful, reminder.
In those times when I also didn't get overwhelmed, so he's
going to really, really good support.
My husband is a good support as well.
Drop this whole process because no one I'm trying to start.
Then else while still working full-time.
While being a mom, you know, he's supportive in all the
things that I try to do to push the business forward, giving me
the time and space to do that. So he thought Mentor, but he's
helpful. Okay, he's a good guy, he's a
good guy. So, for the last question of the
podcast, I like to ask, if you could go back to Kirby at the
very beginning, when she just finished her bachelor's and you
could tell her something that you wish you would have known at
the beginning of your career. What would it be?
So, a piece of advice that you would tell her.
Hold on to this with all your might and then a piece of advice
that you would tell it toss it. It's garbage.
What would you which puts you got to meet?
So I would say a piece of advice that I would say to hold onto is
to not listen to what your nursing instructors are saying
about site mental health, nursing, they're all wrong and
then he's a piece of advice, I would say just to kind of trash
and things like that. I don't know if it's a piece of
it but it's just like don't just focus on the hospital and I
think that's something you echoed as well.
Like don't just focus on the hospital you know, because at
the same thing they were just getting you ready for the
hospital as a nurse and then hospitals a nurse practitioner.
If you chose at that time to continue on, that's what that
was like all or like, how do system and outpatient setting
something like that? So is it just just talk that
there are options, many options, many more options than just
Hospital. Cause it was like, oh yeah.
There are options, you could work, you know, med-surg so
Telly. Yeah, I love how the tax deed
walk. Like, he totally We blew my mind
on this episode where he talks about like when he started
getting into real estate investing and he realized he
could make more money in a deal then he could while like going
for a certification with, I'll give you an extra dollar, excuse
me, an extra dollar like an hour and he was like, but I just made
5,000 with, like, working in Tech like working with tax deed
investing and so again, like it doesn't necessarily have to be
nursing that you find your side Hustle.
Ellen or you find something that you enjoy.
But what you can use, you can use your nursing career in your
nursing job to help Finance other things for you to do.
Just in case just in the miss. You know, the happenstance that
you begin to get burned out with it'll work, because news, flash,
it's happening to Physicians and nurses, it's happening to nurse
practitioners. I mean, I talked to them on the
regular, and we just heard today about a female Caucasian Female
physician a resident who killed herself, because she couldn't
deal with the anxiety and the stress and the depression of
the, the job that she's doing. And I'm like, we shouldn't be
having jobs that make us want to like, hurt ourselves.
Like this is not, this is not a lifestyle that is okay, it's not
exemptible. And so, if you're able to get
through the schooling and get through the rigorous training
that we have to do, then you really need to move to keeping
your Eyes open to. Okay.
So what if I don't want to do this anymore I need to come up
with a plan and again it's not always, you know, going to be a
million-dollar idea right from the jump, it can just start
really slow. You can slowly start to build
something that might end up being the thing that you can go.
I don't have to do this as much because I've got this other
thing. And so I'm going to go part-time
or I'm going to work two days a week or I'm gonna, you know,
take a job someplace. Part-time or whatever you can.
Yeah, you can Flex it and you can really allow yourself a
longevity and our career that tends to burn people out there.
They just either they just keep doing it because their bills
make them have to do it. And they just have things that
they pay for and people they have to pay for or, you know,
you've got the other option of you do that have time and I get
to go do this over here. Attack seed.
Investing a real estate investing or make a t-shirt
company or I can teach nurse practitioners, how to get Where
they want to be in their careers quicker because I was doing it
for free for 11 years. So, I want to challenge of doing
things for free because nurses are such givers.
That's just all we do is just give give how can I give more?
And we need to start finding ways to ties for ourselves so
that we have options. Yeah.
And so I think it's fabulous what you're doing.
I think it's wonderful that you've decided to operate in
this way and to really start to open up.
I so what else you can do? And for one thing, it's not
going to return in vain all work.
All toil is profit, but mere talk leads to Poverty.
So I love that scripture so much because it just reminds me
currently that there is profit in work.
But if I sit here just, you know, I mean funny.
I'm a podcast podcast shows and all right, talk.
But in this in this and by doing this and creating these
relationships and creating you You know, the conversations
around things, I have been able to see an end to notice.
Wow, there is so much more than I had any idea that was going on
with nurses, and it's just really inspiring.
So, all good advice, thank you for sharing that.
And for the last part of the interview, it's the rapid fire
questions. Are you ready?
I'm ready. All right, what do you say?
When you answer Phone. How do you answer the phone mrs.
Kirby even for my regular regular phone even regular.
So people text me anyway. So calling me?
Yeah. What do you want it?
So what was your first job ever? Ah, my first job ever I think I
was like doing is probably something under the table and
sounds bad, but I was just young if I wasn't stable but nobody
working at a library a nerve All the time.
Very cool. And so, what subject nerd alert?
Would you find the most fascinating in school nerd
alert? I think it was kind of writing
that was one of our courses in junior high.
Yes, I really enjoyed that but that yeah, they probably don't
have it anymore but I do. I did enjoy that a lot.
Yeah, it's change the curriculum, a lot.
Orchids which I don't know if that's a really good thing or a
bad thing, but yeah, creative writing is totally of fun, you
know, subject, I remember that too and getting to learn about
different writing techniques and how to like share and you know,
right in such a way that was interesting is like what it was.
I feel like I might not have been well my class on that.
That was it. That was it?
Your journey and sharing what you're doing.
I'll put all your links in the show notes to people can check
you out and see what you're doing and reach out to you.
If there's like mental health nurse that could totally use
some coaching and just mentorship and Community,
because that's what we all, we all need, we need Community.
Yeah. And just getting to talk to
someone that kind of gets, you know, it's had enough experience
in the area that can really help.
I think is fabulous, right. Thank you so much for having me.
I appreciate this. Yep, you're so welcome.
So that's a wrap, be sure to subscribe to the show so you
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Jim.