Quote from chiromed0
I am not PMHNP but to just comment on general as a newby (kind of). My first NP job, I was there 1 hour, handed a laptop (no training on EMR), and told "go see patients, you know what you're doing". Okay, so I did know but in the beginning nobody knows if they "really" know what they are doing. Odds are you are fine, know enough, and you are just wanting reassurance. Unfortunately, I don't think there is much of that in "provider land" in most jobs. So, yes, it probably is typical, not unique to PMHNP, and as my wife said, "When you make six figures or more they expect you to walk in and do the job otherwise they would have hired someone else". She's got a point. It's not the best way to "on board" someone but feel some confidence that you DO know enough to do the job, maybe not as well as a seasoned provider but you do belong, you are capable, and you will survive. Just know you are not alone in this adventure, still reach out to find a confidant (even someone not a provider but can guide you to right people/process...you'd be surprised who can help you), and take it day by day for your first year. Good luck.
Definitely a lot of truth here.
I would also recommend the Integrated Textbook of Geriatric Mental Health, and similar titles, available cheaply used. It's a couple of years old, but still relevant. It didn't provide instant answers, but did make me feel more confident when I first started working with the population.
Regarding NP scope of practice, it's astounding to me how many people seem to think that Psych NP's, in particular, only have the easy patients, or that they are just refilling scripts for the physician, and that it doesn't really require that much independent knowledge or judgment.
Or that we only use simple pre-scripted protocols. Or that we only can practice if a physician is present in the building.
Of course, none of this is true.
Good luck to the OP.