Psychcns 12,127 Views
Joined Feb 10, '06.
Psychcns is a Psych APRN.
She has '30' year(s) of experience and specializes in 'Psychiatric Nursing'.
Posts: 863 (42% Liked)
Nurse managers often have a lot of different disciplines reporting to them. NPs should be grouped with other providers in terms of reporting. Makes no sense for providers to cross train as staff nurses. If all providers are reporting to a nurse administrator, that is fine. But it seems some places are expecting NPs to be NPs and staff nurses as one job description. If an NP has that much down time the position should be eliminated.
@trauma. I have written three articles for allnurses. Waitning for inspiration for the next step! I want to be paid and have something regular. I also like literary magazines. I want to write about living as an expatriate and working as a locum tenens. How I took the plunge to do something different like this. The rewards and the obstacles. The shape of this I get bogged down. Thanks for your interest.
The other thing to consider is "what do you mean by managed?" In the chain of command, I understand that nurse managers are responsible for their staff. There is no way a nurse manager could or should be responsible for the work of a provider. However there many be ways of conceiving "managing" that allows providers to treat patients. And if nurse managers take on managing providers, it should be all providers, and they would have to figure out how to partner with physicians.
The places I have worked inpatient, one time a psychiatrist was listed as the attending. Otherwise I am. For outpatient sometimes I have a collaborator and sometimes I dont. I thought in independent practice states I am responsible for my own practice. Even in collaborative practice states I am responsible for my practice. Do you have a different understanding? What state? One time. I had a psychiatrist read my charts and it felt like micro managing and was not helpful. I consult with psychiatrists. How are you seeing the accountability of a psychiatrist as different from mine when it is often the same role.
As a psychiatric provider I have the same role expectations as a psychiatrist. Yes, we are regulated by our state BON, and we are usually credentialed as part of the medical staff.
You would think nurse managers were busy enough without overseeing providers. I could imagine higher management seeing it as efficient but I can't see why nurse managers would want it. The example above is to have NPs cross train as RNs which doesn't make sense either. I could imagine upper management wanting more "productivity" from physicians. When I work locums I have had nurse managers sign my time sheet but there was always some kind of accountability to a physician.
I do locum tenens and some states I cannot work in. ( NY, CA,FL and a few others). So I apply only to states that are CNS friendly. There are still plenty of jobs but I thought by now there wouldnt be these barriers. I think it is up to the CNSs in each state to get their BON to accept the consensus model. It seems like in your case your school would have to verify to Ancc that your program was a psych np program. Or the same as a psych np program. it would be best to have the non-retired credential for the future.
There are about 36 states that recognize Psych CNS with prescriptive authority. with the Ancc being retire-certification happy, would think they would help adult APRNs transition to the family psych np since this is the future non-retired credential.
Check out student nurse practitioner under nursing students on this forum. Also try the search function.
First questions to consider are location of program and on-line vs brick and mortar. Also cost of program. You can pay over 100,000 or 10,000. Also make sure school is accredited. I'm sure there are other things to consider also.
That stuff annoys me too. So disrespectful of my time. But,I would go with the wise words of the previous posters. Your goal is to get a positive evaluation from this guy. It seems arrogant that he is not putting your learning needs first. But it seems you need a strategy to redirect him and get what you need from the experience. Figure out how to make it interesting for yourself. Maybe Google strategies about how to deal with overly talkative people and try a new one each week. It is an art to do this without alienating him. Best wishes!
FB groups "Gypsy nurse". "travel nurse network". I usually take company hotel housing while I look around. Have found places through hospital employees and one time an art shop. I have used Craig's list when I had someone to check out the place and get keys for me. Otherwise too many scams. With and b seems more reputable. Also call property managers and seasonal rental places and VRBO. Word of mouth has been the best for me.
@ eat-pray - love. : i took several writing classes at Gotham writing workshop in New York. Some were in person and some were on-line. All excellent
@social media coach BSN -have not submitted at all for paid jobs. I wrote an article a few years ago for a travel nurse magazine and I do have a blog but I rarely update any more. I think my next step is to have a few pieces and start submitting. I need some direction on this. I am not sure exactly what to do.
I received my CNS with prescriptive authority in 1994 before there was a psych np program. It was the only psych advanced practice degree at the time. Now I can practice in many but not all states as an APRN. My curriculum was clinically oriented. Mostly therapy and clinical formulation and psychopharmacology. Not so much change agent or systems. My clinical hours were all clinical-- seeing patients and working with interdisciplinary team. 600 hours I think. My program evolved into,a psych np program. Be nice if there was a bridge now to the lifespan psych np since my adult psych cns is considered a retired certification.
OP- there are a couple of other places you could post a clinical question like this and receive more supportive responses. Send me PM if you want more info.
I think generally you have to do a complete clinical evaluation before prescribing.
When I took this job all I had was psych RN and APRN experience and credentials. I have been back 5 times as a locum tenens. States vary in how many forensic psychiatrist beds are allotted. In some states, I hear that prisons treat (or house) psychiatric patients, which does not seem right.
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