mtsteelhorse 18,014 Views
Joined: Jul 20, '07;
Posts: 1,738 (14% Liked)
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16 year(s) of experience in Correctional Nursing; MSN student
Hi tseabury12, Congratulations on your acceptance into the PMHNP program at EKU! Have you decided where you are going to attend? There are 3 of us (myself included) that are starting the same program this January of 2015, and we found each other through this forum.
Let me know if you decided on EKU. One of my fellow classmates started a FB EKU closed group for support, and we can invite you to join it as well. Take care and best of luck to you!
PERRLA was easily one of the best investments I made in school. Made APA an afterthought when it was one of the things I was more aprehensive about when starting my program. I finished my program a few weeks ago with a 4.0 and never got a single point deduction on any paper for incorrect APA formatting, which was often at least a quarter of the grade. In undergrad several years ago I felt like I spent just as much time plowing through the APA manual as I did writing the paper. I wish PERRLA was around then.
Definitely PERRLA for under grad and currently Grad school. I also use this website quite a bit as well Citefast automatically formats citations: APA 6th edition, MLA 7th ed. and Chicago 16th ed.
Money well spent for the time and effort saved.
thanks everyone, looks like PERRLA wins it! i really appreciate the positive input.
PERRLA, and to the person who finds using technology laughable...good luck! I would rather spend my time in graduate school learning the material vs. counting spaces and setting up margins. $30 when I purchased it. I used the APA manual and OWL Purdue A LOT as well. For basic formatting PERRLA is a lifesaver!
Really not that big of a deal. I'm at a community clinic and the medical director handles that sort of thing routinely. Involuntary hold authority is also not that big of a deal. I've been seeing people in hospital emergency rooms, and on medical floors for the last year to assess and place people on holds for over a year. I'm not sure what you mean by extended periods of time. A goal of outpatient care is to avoid inpatient care. We like to use the term adherence rather than compliance by the way....and adherence is more likely when you develop a therapeutic alliance with your patient (client) which is more likely to be established when understanding people from the holistic perspective that nursing teaches....
I passed! This is the best feeling in the world!
I just took the ANCC exam for Psych NP and here are my thoughts on how to pass this test. I would like to reiterate that this information is from MY experience and may not be reflective of others who have taken and passed this exam.
I studied for 8 weeks using the Fitzgerald Review. I continued to work full time (3-12hr shifts). In hindsight 4-6weeks is probably good enough and I was scheduled to take my exam at the 6 week mark but then I got nervous and rescheduled.
I purchased the Fitzgerald Review, the ANCC Psych NP book, the ANCC Psych NP practice questions, the ANCC test taking skills, and the FamilyNPprep.com questions. All of them helped in different ways but ALL of them are not necessary to pass.
If you're really interested.....
Psych nursing is not well respected in the nursing world (I am not saying this to insult people but this is what I've seen). Just like many cultures, there is something of a hierarchy and the most respected tend to be ED/ICU nurses. SNF nurses tend to be at the bottom and Psych nurses are just a bit above them. Again, I am not trying to be disrespectful. My RN experience includes SNF, Home Health, Tele, ED, ICU - and psych. Each area has its own challenges. RN compensation kinda follows - worst paid tends to be SNF and psych.
Work your tail off in the BSN program - learn as much as you can. On graduation, get some experience working in a medical unit so you understand medical issues. Most psych patients have significant medical co-morbidities and it is important to understand them, the meds they will take for them and the side effects associated with those meds. Many people who have only had nursing experience in psych nursing don't really have solid medical backgrounds and it hurts them. Many psychiatrists don't either by the way! I worked in tele, ER and ICU and it really helped. Psych patients are often pretty good at faking symptoms, its important to know what those signs and symptoms are to rule out real vs faked problems. Coordinating with the pt's PCPs is a lot easier if you speak the language. The psychiatrists that I work with often come to me with medical questions and it helps establish credibility.
Find an NP program that has more coursework in the "hard stuff". I recommend the University of North Dakota even though the program is about 15 units more than most MSNs. You will take twice as much patho, 3 times as much pharmacology there. Go to grad school while you are working as a nurse. Again, try to work in a medical unit. You will learn and understand advanced pathophysiology, advanced assessment and pharmacology a whole lot better if you have chances to practice everyday. Your ability to read and understand labs and their real life significance will improve greatly. Becoming familiar with those meds and interactions takes time.
A typical day for me means seeing anywhere from 8-15 pts. These might be a combination of new patients requiring complete workups, "quick" med checks and annuals. I review lab work and respond to the zillions of little problems eg insurance company issues.
Compensation is ok - but not what it should be. Expect to see roughly 1/2 of what an MD makes. This is not fair or right and I expect it to improve, but that is what I've seen. The market is good and I think it will be for some time.
I love working as a psych NP. It is a real rush to come up with the right "cocktail" that really makes a difference for someone who has been seeing psychiatrists for 25 yrs with little success. At the same time, prepare yourself for patients that will successfully commit suicide despite your very best efforts...
Hope this helps!
Interesting to read this right now as I'm struggling with whether or not to commit to a PMHNP program. I am terrified of the "3 P's" as they're referred to. I am an older, non-traditional student and not sure if I can handle the stress. How do you get through the class and make the info stick? It's been years since I took basic A&P! One minute I feel so excited to embark on the journey then I think about the stress of these classes and self doubt creeps in.
Thanks for that resilientnurse! Bookmarking this to read for when I graduate
Educational delivery methods will change as technology changes. For example I bet you don't use a Walkman anymore...or even know what it is. Not too many years ago all grades used to be taught in a 1 room classroom. Do this: pick a drug, say Wellbutrin, and just spend a few hours on youtube listening to videos about the drug. Sit there in your PJ,s with a bowl of popcorn and a Coke and I'll bet you'll know more about it than what you will learn in a couple hours in class. Pick a physical exam video from a well-known medical school, one that makes videos for their medical students, and watch it any time of the day or night before going to class. The person on the video probably has more experience doing physicals than your instructor and you can now do a physical just like an expert. In fact, if you get a partner, you can do an exam on them while you follow along on the video. A couple times and you'll have it done perfectly. Do these activities in the time you normally would have been driving to class and finding a parking space.
Elkpark, I understand what PMHNP's general roles are and their various responsibilities. After several months of being unable to find an available PMHNP to shadow, I was recommended this site to get information from those currently working in various nursing specialties. If you have any information pertaining to my question I appreciate the help, if not, then please find another thread to badger.
It's really not that mysterious. One can have a basic understanding of a type of job from educational program descriptions, reading message boards, and other internet research. However...this is not the same as hearing what the real world day-to-day is like from the "horses mouth". Asking for real world insight and perspective from those currently in the role in no way means the individual has no idea what they do.
I'm surprised at the number of people on this board who make unfair assumptions and passive-aggressively try and shame folks who are just looking for information.
[QUOTE=EmJeanRN;7351640]That is great. I applied for a Camp Nurse job in Maine and I know my BSN played a major part in the money offered. It is a generous offer for a camp nurse for 4 weeks. More than I make in my current job. I have decided to ask for a raise at work now that I have my BSN.[/QU
Coming to Maine EmJean? It's a great place to be in the summer! Only way my life has changed post-BSN is I got accepted into a FNP program.
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