Latest Comments by Psychcns

Latest Comments by Psychcns

Psychcns 9,986 Views

Joined Feb 10, '06. Psychcns is a Psych APRN. She has '30' year(s) of experience and specializes in 'Psychiatric Nursing'. Posts: 775 (40% Liked) Likes: 674

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  • 0

    AndersRN. Can you recommend any apps that would help with differential diagnoses??

  • 3
    Jules A, canigraduate, and elkpark like this.

    Have you considered referring to Psych? ADHD is a clinical diagnosis and there are criteria in the DSM. Criteria are different for children and adults. Stimulants are abusable. Many children outgrow their childhood add diagnosis. Some clinicians require neuropsych testing. For childhood adhd you need collateral information from parents and the school. Sometimes there are mood issues that should be treated first.

  • 0

    You could not list this supervisor. Find someone else at this facility who will give you a good reference

  • 0

    The unit will have rules and parameters for giving prns. Be kind and observe boundaries.

  • 0

    Regarding being paid more because of degree-not likely but it would depend on the candidate's negotiating skills
    And what they bring to the practice.
    I think doctoral level people in the future
    Will have to distinguish themselves to be paid at higher rates.

  • 0

    Have them perform the competency quarterly or when a new pt comes. Maybe there is a way it can be done on a dummy like CPR.

  • 0

    Methadone uses a harm reduction model. It stabilizes the persons opiate addiction so they can develop coping skills. I worked in methadone for several years and I was always intrigued why people stayed on it. People organized their lives around getting their daily dose between 6am and9 am and there was mandatory individual and group counseling.

  • 2

    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.

  • 0

    Most NP and MD jobs are seeing patients one at a time. NPs (masters level) have shown their outcomes are equivalent to MD's. I think both the DNP and the MD eventually will have to work at a higher level if they are to be paid more. More complicated patients, research, teaching, work as unit directors, set policy, specialize, etc.

  • 1
    Maevish likes this.

    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.

  • 1
    MindfulMSWRN likes this.

    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.

  • 0

    Hi Psych guy. I also have work that I love. I do locum tenens and I work as a provider inpatient and outpatient psych. I love and appreciate psychiatry more as an APRN than I did as a staff nurse. I was a good staff nurse and I also worked as a nurse manager. I like the autonomy and responsibility of provider work and I am glad to not have to work within the RN group process. I am very grateful to nursing for developing the APRN role and for doing the hard political work of obtaining prescriptive privileges which enables me to treat patients as a provider.

  • 1
    vitiana likes this.

    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.

  • 1
    elkpark likes this.

    Why didn't you go to PA school? Might have been a better fit.

  • 1
    elkpark likes this.

    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..


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