Psychcns 9,981 Views
Joined Feb 10, '06.
Psychcns is a Psych APRN.
She has '30' year(s) of experience and specializes in 'Psychiatric Nursing'.
Posts: 773 (40% Liked)
I did my OB nursing rotation at an inner city Boston hospital and I was shocked with how many women were there for therapeutic medical abortions and how many women had had more than 20 of these therapeutic medical abortions in their lifetime. PP can help with education and services for these situations so abortion is not used as birth control.
If no one answers here, try calling the DEA or your BON or read the website and nurse practice act for direction. The BON might be able to direct you
You keep the same dea number if you change collaborating physicians. I would apply to jobs as DEa eligible. When you apply for jobs ask who will be your collaborating physician and try to meet with them. Generally a new np needs mentoring the first year so it would be good,to get someone who likes to teach.
I would do some searches on all.nurses for the current working environment of PMHNPs. In NY at this time you need a collaborating psychiatrist and sometimes you have to pay them. The PMHNP role is mostly med management. You can do some therapy and the role qualifies you to be a therapist. In private practice you can do what you want but there is higher reimbursement for med management. You would make more money as a PMHNP--at least that is the case now.
Work as LPN. You will learn psych meds which will help you later. Often the LPN will do all the meds for the psych pts. Be willing to cover off shifts and weekends. There might be nursing home type places that have a lot of psych pts. Or geripsych.
Why didn't you go to PA school? Might have been a better fit.
Those of you who disparage the DNP should really try to get your input into the "powers" that make the decisions about curriculum. In between the negativity and sarcasm you have some good ideas about updating the np or DNP curriculum. Why not try to influence the direction of your profession. And if you don't like nursing, change your profession!
Psych guy Have you considered going
full time for the phD in experimental psychology and cutting your psych np hours. It seems your heart is in neuroscience and it would be good to head that way...at least apply..
It sounds like you don't think they need to be reevaluated by you every thirty days. Then don't do it. If you think you are over treating then you are.
Re:the team meeting. What is the purpose of it? Who needs to be there and why? Could be a hipaa violation. In any case sounds like you think it is a waste of time for you.
Doesn't sound like the job is a good fit for you
Dialectical behavioral therapy. A kind of cognitive behavioral therapy which teaches 1)mindfulness 2) interpersonal effectiveness 3) emotional regulation and one other thing I cannot remember. You as a caregiver have to maintain your own equilibrium and not get pulled in to any drama. Often people with borderline PD were sexually abused as children. I think they do best with structure to not get too involved in their emotions, and to learn to be more rational than emotional. It is important that staff provide consistency. It seems like a very difficult illness to live with.
i have to start asking for more.Last year I went from $60 to $75 just by saying "I want..." And when a previous gig wanted me back, I said. "I make $75" they said "We'll give you $78". I should have asked for more." I will next time. Thanks.
I don't plan on doing this since I am pro Union and it would go against my beliefs. But. I can see a place for strike nurses. It could allow a facility to stay open until an agreement is reached. Am I missing something?
What about something about maintaining comfort and wellbeing. How about psychosocial needs. I.e. Processing feelings about dying. Anything left undone. Depression. Religious feelings. I would put managing pain and maintaining comfort first. Then probably hydration and physical things, then psychosocial.
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