Latest Comments by Psychcns

Latest Comments by Psychcns

Psychcns 10,870 Views

Joined Feb 10, '06. Psychcns is a Psych APRN. She has '30' year(s) of experience and specializes in 'Psychiatric Nursing'. Posts: 823 (42% Liked) Likes: 738

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  • 1
    NotYourMamasRN likes this.

    Is telepsychiatry an option in your state? Or schedule your follow ups early?

  • 0

    GRanted Fal. As a CNS with prescriptive authority, I am licensed as a APRN in 5 states. In 4 of these I am independent. In my 5 states CNS scope of practice is same as NP

  • 0

    MD training is amazing. Why can't NP's get paid residencies so they don't have to scrounge for preceptors? I've heard residents get 50k per year- half paid by hospital and half by federal government. And teaching hospitals have so many patients to learn from..and 1:1mentoring from attendings and senior residents. And didactics all tailored for their learning. We have a lot to catch up on. But our outcomes seeing patients one at a time are similiar and this is what a lot of jobs are.

  • 3

    I think empathic listening and engaging patients in their treatment is important. So is accurate diagnosing and prescribing. So is staying within time frames.

  • 1
    BostonFNP likes this.

    Within past few years have done inpatient and outpAtient psych in NH OR and MN. Have found most if not all practitioners (MDs and APRNs) to be competent and diligent.

  • 0

    A CNS is an APRN with prescriptive authority in 36 states. My DEA calls me a mid-level practitioner. In many states CNS and NP are interchangeable.

  • 3
    ICUman, Lisa.fnp, and Asclepius86 like this.

    APRNs have proven their safety and competence over the years and People not comfortable with APRNs should see MD's.

  • 5

    No.. Find a community college. Get your ADN. Then consider options for BSN.

  • 1
    Lisa.fnp likes this.

    There are good and bad NP's and good and bad MD's. I have had some very good physician supervisors and others who do not want to teach or supervise. I always seek collaboration when I have questions but I find if I think about a problem long enough and research it I will find a solution. Mandatory supervision can be an obstacle to providing care.

  • 1
    elkpark likes this.

    An experienced psychiatric professional should provide the CBT but there may be a way to involve bedside nurses.at least education about what we know about progression of acute stress reaction to ptsd and what kind of support could lessen that possibility

  • 5

    Maybe np's can share how they do an genital urinary exam on a boy or man in a routine physical. I bet there are a variety of
    Approaches. What are the criteria if any for pulling back forskin .

  • 0

    PA's are supervised by MD's not NP's. NP practice is about evaluating and treating patients. I don't see how NP prescriptive authority can be delegated if what you mean is that it is done by someone else with your oversight.

  • 1
    Blue Roses likes this.

    This is an awful experience. It does sound like PTSD and there are some effective therapies, i.e. EMDR. Continue talking about it with your EAP/ private counselor and friends. Processing an event like this sounds very difficult. Give yourself all the time and support you need. Best wishes.

  • 0

    Good for you looking into this! You could call insurance companies and ask about quotes. How about talking to malpractice attorneys for how you could protect your license and assets if sued? Have you tried calling the place that offers training to only MD's to seen what it would take to let you in. Maybe a letter of reference for example. Also
    Ask Your BON. You might also check if OK with your state board of medicine and what kind of extra training is recommended. Or other professional organizations. Best wishes.

  • 1
    ICUman likes this.

    Boston is nice but likely an over saturated market. Cape Cod probably uses travelers in summer since it is a vacation area. New England has beautiful areas and depressed areas. Ask your recruiter who is hiring. Northampton, Amherst and the Berkshires are nice. Fall is beautiful I in New England.


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