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puravidaLV, BSN 6,685 Views

Joined Feb 8, '10 - from 'Portland, or'. Posts: 405 (25% Liked) Likes: 209

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  • Jun 5
  • Dec 31 '15

    I have Bipolar, Generalized Anxiety, and ADD and I'm a psych nurse.

    Best advice I can give you is don't always try to relate your diagnoses to the clients. Generally, they won't care what you have. Use your insight into the illness, just don't overshare.

  • Mar 8 '15

    I enjoy calling myself a murse. I don't know why people have a negative connotation of it!

  • Jan 15 '15

    What is ITA? How many patients on your unit? In my experience 1RN and 2 techs isn't uncommon overnight staffing on units with 15-23 patients.

    Like purvidaLV I think the sicker the better. I agree 100% with setting limits and sticking to your word it builds credibility with staff and patients alike. I'm a firm believer in PRN medication administration for the truly psychotic or manic who are unable to remain safe. In my opinion if you don't find these patients fascinating and instead are frightened you really should start looking for another job. These patients have very well honed instincts and will know you are nervous and could interpret that as any number of things. I'm not trying to be negative or judgmental, this is a tough field and not everyone is suited for it. I would guess there is enough disdain for psych that if you start interviewing and are just honest that you thought you would enjoy it but it is not your cup of tea there will be very few who judge that as a negative. Best wishes!

  • Dec 31 '14

    Quote from puravidaLV
    I am on the fence now since I just turned in my E-quip stuff for the VA and if the salary for psych floor nurse isn't what I want it to be I'll stay where I am at. Moving from 12 to 8 hour shifts for the same pay with little to no overtime doesn't seem worth much.

    I keep getting told there are amazing benefits at the VA, yet looking at their recruitment website and comparing them to the state prisons I see noooothing that special. Lots of older nurses are telling me do it for retirement. I guess at 35 I should think about that instead of my current wallet though....naa #yolo?
    As a floor nurse I made a very nice, competitive wage it was when they offered me a NP position that it was horrible. I also didn't think the benefits were all that impressive. The time off, if you can get it, holidays and health insurance were very good however their retirement is similar to a 403B. Someone please correct me if I am wrong but the pension has been gone for years. Personally the money I would have lost in my yearly salary far exceeds any benefits they were offering at the time.

  • Dec 19 '14

    Quote from puravidaLV
    I won't be graduating for a while and I live in a large city yet geographically defined by mountains and not much else beyond them. Two doctors in private have offered 140-160 to start while at the veterns hospital I've been told 85k. This is all based on pmhnp degree I haven't even earned yet. A lot of it might be networking as well. I tend to fix Porsches when I am off
    For some reason the VA hasn't caught up to the standard in my area with regard to Psych-NPs. As of a few years ago their highest rate, for like 20 years experience, was $50,000 less per year than my first NP job as a new grad.

  • Dec 19 '14

    Psych NP's in Spokane WA can start at $120,000. The VA is desperate for psych.

  • Dec 4 '14

    The VA is like any other employer, there are good points and bad points. The benefits are wonderful, where else do you get 26 days of vacation a year to start along with 13 sick days. The insurance is very good, but on the expensive side. The wages vary, if you stay there for a long time they are better then the private sector but at first they are on the low end. Getting things done can be difficult because of the federal government red tape. I enjoyed my time working at the VA but others hated it.

  • Nov 27 '14

    I have never met anyone who worked for the VA that did not sing its praises as a place to work.

  • Nov 27 '14

    No call offs is one benefit.

  • Nov 21 '14

    Quote from zmansc
    I wouldn't want to be a guinea pig while they flush out their curriculum.
    You phrased it much better than I could, that is exactly what we were in my pilot program. Holy stress batman.

  • Nov 17 '14

    From my understanding, the schools transitioning to DNP are not adding two years to the program. I think that is the part-time length for those going from MSN-DNP.

    Personally, I think this is wasteful. I understand it more for CRNA's as they have a very large earning potential, but unless this DNP is coming with a large-scale pay raise, many won't be able to justify the cost of education in comparison to earnings.

  • Nov 17 '14

    As several others have pointed out the answer is no. The exception is for CRNAs need to have a doctorate (not necessarily a DNP since so many CRNA programs can't grant nursing degrees) by 2025. Personaly I have doubts that it will ocme to pass even for CRNAs. Many of the CRNA programs are based in schools that currently don't grant any doctorate degrees. A lot of programs will have to shut down and new programs started at universities that can grant doctorates.
    In my opinion it's abserd. There is no evidence at all that advanced practice nurses prepared at the masters level are not providing high qualiety care. The masters programs are already full of irrelevent fluff as it is. My program certainly was.

  • Sep 29 '14

    Quote from puravidaLV
    Figured my last post would have been clear as mud
    Oh it was...

    (sorry for the snark )

  • Sep 29 '14

    Quote from puravidaLV
    the vitamin came up today on another patient. So far in my research there is nothing allowing this or policy at the facility. I've caught her stepping over the line previous in forcing patients to accept their diet. Pt has the right to refuse treatment no matter what it is. She told me a diabetic cant refuse a diabetic meal ordered for them that the ADA diet is "LAW". I looked at her and handed a copy of the patient rights given to every patient.

    I was checking state law in regards to this and saw little to nothing. Matter fact its specific that dietitians can not dx anything according to state law, which was a rational for the reason of this original post.

    Sorry I might work in mental health, but I give a damn about my patients.
    I'm not quite following the vitamin part, but ordering an ADA diet is within the scope of the RD, just like ordering a dysphagia diet is within the scope of a speech therapist, although technically both are writing those orders under the MD.

    A patient has the right to food and water, regardless of NPO orders, fluid restrictions, etc. They are free to refuse those orders and eat/drink whatever they want. The degree to which a facility feels they need to assist the patient in obtaining food that falls outside of their dietary orders varies however. I'm sure many patients would prefer lobster to shepherd's pie, but the patient doesn't have a "right" to lobster, only to food, which shepherd's pie counts as (although I might argue differently).


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