Latest Comments by Psychcns

Latest Comments by Psychcns

Psychcns 11,206 Views

Joined Feb 10, '06. Psychcns is a Psych APRN. She has '30' year(s) of experience and specializes in 'Psychiatric Nursing'. Posts: 847 (42% Liked) Likes: 769

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  • 0

    Study Pharm a lot-and let us know how taking this exam works for you going forward. Appreciate you sharing the information. I am a adult psych CNS and can practice as a psych APRN in several states but would like to keep options open.

  • 1
    ICUman likes this.

    I make $78 HR in New England. This is psych aprn. Locum tenens. No benefits. Try looking up on salary.com

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    I started for the work itself which I found very rewarding. Now i work for the work and for the money.

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    Jules A and smilealot like this.

    At the clinic after 4 years was making 100k per year. Her hourly rate didn't change because she was doing therapy. They were very glad to hire her and she wanted therapy experience. Private practice is a 60-40 split. (She gets 60 percent-the practice gets 40 percent). You are only paid when people show up so you have to have a good business head. ( I like hourly myself).

  • 0

    Are there enough residency program for all these med students?

  • 1
    smilealot likes this.

    A PMHNP friend, just out of school, worked 4 years in a community outpatient rural clinic with good MD supervision. She also negotiated for 4 hours of therapy per week. She just left that clinic to join a private practice where she will be doing meds and therapy with supervision for therapy by a psychologist. There are ways you can incorporate therapy but your market value is meds.

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    BCgradnurse and smilealot like this.

    For a PMHNP and a FNP you will have two certifications to keep up. For a psychology degree you will learn more about how to do therapy I would think. If you get your PMHNP you would be qualified to do therapy and you could pursue programs to learn to treat trauma etc. Psychotherapy is less valued in our culture than it should be. It is much more all-encompassing and interesting than meds but meds are where the jobs are for PMHNPs.

  • 1
    AAC.271 likes this.

    Why is NP insurance so much less than MD's.

  • 4

    Start taking prerequisites to remember how to study and write papers.,

  • 1
    elkpark likes this.

    OP- your question was about direct entry NP programs and how important is it to be an RN first. There are many posts in the NP section of all.nurses about the two roles being very different and yes, you can be a successful psych NP without working as a RN. Part of the direct entry programs includes obtaining a RN license and I think in some programs working as an RN. Everything is accelerated but it can be done. I have a BA in psychology and went back to get my BSN. Worked about 10 years and then I got my MSN. Worked in management and education for a few years years and for the past 7 years or so working as a psych APRN as a locum tenens. All my background experience has been helpful. The work is intense mentally and emotionally and very interesting and satisfying. And psychology and psychiatry are different. Maybe check out curriculums and schools, and see what is doable for you. And spend as little money as you can on credits and degrees.

  • 1
    ICUman likes this.

    In addition to this forum check out FB. I am in a psychiatric travel nurse group. Re #1. Agencies I have worked for as a staff psychiatric nurse and were ethical include: onward, supplemental, cross country. Heard good things about Titan and American Mobile. What is most important is the recruiter.

  • 2
    Jules A and Jusween like this.

    meet with the unit director to go over your needs and your concerns...in meantime consider this may not be a good fit for you and start looking around...i agree with you as a new nurse you should have a structured orientation so you learn things correctly the first time. They may or may not be able to give you this. Ask her for the p/p book. do not give meds you haven't pulled.. "backing up" someone should be shadowing her and see how she organizes her assignment etc...Keep your practice safe and by the book..

  • 1
    Jusween likes this.

    You might get a clue about what kind of orientation you need if you look at your job description. You will likely be evaluated on each point. I would try to structure learning opportunities for yourself, like you did with the med nurse, to make sure you are competent in each area. It would be good to find some role models or mentors as you go along. Also, this sounds boring but read the policy book. If anything happens, you have to make sure you are following the units policies. Safety is very important, so is seclusion and restraint, and searches for contraband. The suicidal patient. Deescalation and crisis management. There is a lot to learn. .

  • 0

    Besides all you mentioned above there is psychotherapy and the relationship with the patient. Life behind the scenes depends on the facility. I am at a place now as a locum tenens provider where I see outpatients 1/2 hour at a time. Can do some therapy but mostly med evals. PTSD, insomnia, bipolar 1and 2, schizophrenia, comorbid substance abuse, etc. go to team 1/2 hour per week. communicate with team through email. Do notes and scripts during session. Most of your time is with the patient. Psych is very interesting.

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    Re: scope of practice. My understanding is that by law an MD can do everything medical or surgical. By law APRNs can work within their scope of practice, which for CRNA's is anesthesia

    Re: supervision and independent practice. All disciplines collaborate. Having mandatory supervision doesn't usually add much. However when I have a question I always consult but I am still responsible for my practice.


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