Common Nursing Complaints & Psych NP's - Not As Bad? Common Nursing Complaints & Psych NP's - Not As Bad? - pg.5 | allnurses

Common Nursing Complaints & Psych NP's - Not As Bad? - page 6

Hello All! I am an aspiring Psych NP currently taking my prerequisite classes. I have been reading and searching through this board for many months now (and will continue to) in order to try and... Read More

  1. Visit  mania4real profile page
    #52 0
    Interesting views but I think one does not have to work as an RN in order to be a good NP. As a matter of fact, I know I had to change my physician with an FNP in a VA hospital who never worked as an RN because of what I though was lack of know and care on the part of the physician. Today, I'm happy with my decision - she's so knowledgeable and caring.
  2. Visit  xeniah profile page
    #53 0
    HI Baggins1215 ! I saw this post of yours recently. First of all thank you for sharing! I am an RN working FT for past three years on a med-surg and ortho/neuro floor and considering the same path of mental health nurse practitioner and wanted to ask you what is the most fulfilling part of your job? I am interested in the counseling part and I am good at it although my past life coaching experience 2000 -2010 was with people who just wanted to improve their lives an was not with anyone with significant mental illness. My passion is rooted deeply in the mental/emotional causes of disease (mental or physical) and also in preventative medicine through wellness/ educating people on cause and effect, avoiding onset of (avoidable) mental illness through education, outreach and family wellness programs parental support and resources education etc. One of my main interests is in preventing (preventable) mental illness that comes from emotional trauma. I also have some interest in treating PTSD. I have heard that NP's in this field do more prescribing medication than 1 on 1 counseling. Do you find that to be true? I really am not interested in prescribing pharmaceutical medicines to be honest. I am interested in almost every other type of therapy to help mental/emotional illness that does not involve medications. I have 2 young kids and am already working full time so mostly just gathering information right now. My income requirements are 90,000+. I have settled for jobs I loved in the past but was always living hand to mouth and being financially stable and having financial freedom is very important to me especially the older I get. Can you tell me what a typical day in your job looks like? I really appreciate any information you can provide even if it is just brief. I know you must be a busy lady as well! Thanks again in advance!
  3. Visit  xeniah profile page
    #54 0
    HI Baggins1215 ! I saw this post of yours recently. First of all thank you for sharing! I am an RN working FT for past three years on a med-surg and ortho/neuro floor and considering the same path of mental health nurse practitioner and wanted to ask you what is the most fulfilling part of your job? I am interested in the counseling part and I am good at it although my past life coaching experience 2000 -2010 was with people who just wanted to improve their lives an was not with anyone with significant mental illness. My passion is rooted deeply in the mental/emotional causes of disease (mental or physical) and also in preventative medicine through wellness/ educating people on cause and effect, avoiding onset of (avoidable) mental illness through education, outreach and family wellness programs parental support and resources education etc. One of my main interests is in preventing (preventable) mental illness that comes from emotional trauma. I also have some interest in treating PTSD. I have heard that NP's in this field do more prescribing medication than 1 on 1 counseling. Do you find that to be true? I really am not interested in prescribing pharmaceutical medicines to be honest. I am interested in almost every other type of therapy to help mental/emotional illness that does not involve medications. I have 2 young kids and am already working full time so mostly just gathering information right now. My income requirements are 90,000+. I have settled for jobs I loved in the past but was always living hand to mouth and being financially stable and having financial freedom is very important to me especially the older I get. Can you tell me what a typical day in your job looks like? I really appreciate any information you can provide even if it is just brief. I know you must be a busy lady as well! Thanks again in advance!
  4. Visit  elkpark profile page
    #55 5
    Quote from xeniah
    HI Baggins1215 ! I saw this post of yours recently. First of all thank you for sharing! I am an RN working FT for past three years on a med-surg and ortho/neuro floor and considering the same path of mental health nurse practitioner and wanted to ask you what is the most fulfilling part of your job? I am interested in the counseling part and I am good at it although my past life coaching experience 2000 -2010 was with people who just wanted to improve their lives an was not with anyone with significant mental illness. My passion is rooted deeply in the mental/emotional causes of disease (mental or physical) and also in preventative medicine through wellness/ educating people on cause and effect, avoiding onset of (avoidable) mental illness through education, outreach and family wellness programs parental support and resources education etc. One of my main interests is in preventing (preventable) mental illness that comes from emotional trauma. I also have some interest in treating PTSD. I have heard that NP's in this field do more prescribing medication than 1 on 1 counseling. Do you find that to be true? I really am not interested in prescribing pharmaceutical medicines to be honest. I am interested in almost every other type of therapy to help mental/emotional illness that does not involve medications. I have 2 young kids and am already working full time so mostly just gathering information right now. My income requirements are 90,000+. I have settled for jobs I loved in the past but was always living hand to mouth and being financially stable and having financial freedom is very important to me especially the older I get. Can you tell me what a typical day in your job looks like? I really appreciate any information you can provide even if it is just brief. I know you must be a busy lady as well! Thanks again in advance!
    Psych NP education and practice is focusing on prescribing and medication management. There is little training in therapy, and limited opportunity to practice it. It's not cost effective to have someone who has rx authority talking to people about their feelings and problems for significant periods of time. Most therapy is done by therapists from other mental health disciplines who get paid a fraction of what psych NPs do. You are going to have a v. hard time either a) being a psych NP who does therapy or b) being a therapist who makes $90k a year.

    (Also, there is a huge difference between "coaching" basically health people and doing psychotherapy (effectively, that is -- there are plenty of lousy "therapists" out there) with people with significant mental illness.)
  5. Visit  PsychGuy profile page
    #56 5
    You'll make more than 90k.
    You won't do therapy.
    You'll have an awkward relationship with therapists.
    You could very well be a psychiatrist's lapdog so be selective.
    You'll do the same work, if not more than MDs, but make less.
    Your ability to control your schedule could yield income greater than primary care MDs so be selective.
    You'll eventually lose the allure of wellness and life coaching.
    You will study often and demonstrate efficacy or be like "the other half" or incompetents that give us a bad rap.
    You'll wonder why people stop taking meds that work, ignore your instructions to take meds for at least a month before stopping, why people prescribe meds that don't work, wonder why they can show up a month later not having had time to go to the pharmacy and pick up their prescription, and become replulsed by any hint of wanting Xanax or Klonopin.
    You'll enjoy your job, your autonomy, responsibility, and liberty never experienced as a RN.
  6. Visit  Psychcns profile page
    #57 1
    Agree with previous two posters. I do Locums tenens inpatient and outpatient

    My typical day outpatient
    800 review labs mail
    830-12 see patients. New eval 90 min
    med follow up 30 minutes. Type note as I interview and listen
    12-1 unpaid lunch
    1-430 same as morning
    430-5. Review labs etc
    Make phone calls and collaborate when your patients are no shows
    Did not attend staff meetings at this job

    Inpatient schedule
    8-83O morning report
    830-10. Team. More indepth review of treatment
    10-5. Meetings with patients, writing notes, putting in orders, talking with pharmacy, family meetings, admissions, discharges, dictating, collaboration, restraints, emergency meds
    1 hour unpaid lunch

    Both roles had a steady pace.
    No formal therapy but having a therapy background helps
  7. Visit  xeniah profile page
    #58 0
    elkpark, psychguy, and psychcns thank you so much for your feedback! It really helps to have feedback from people who know more about this field than I do!!!! There are limited opportunities these days to find out what a career is really like from the inside before starting school and committing a ton of time and money first and to be honest, of course the money sounds so appealing but I have absolutely no interest in prescribing medications. :/
    Last edit by xeniah on Nov 17, '15 : Reason: additions
  8. Visit  xeniah profile page
    #59 0
    Anyone reading this know of online psychiatric nurse practitioner programs heavy on psych classes?
  9. Visit  mtsteelhorse profile page
    #60 0
    PMHNP programs are geared towards medication management based on diagnosis and symptoms. There is little therapy involved. The psych courses focus on mental illness and diagnostics/treatment.
  10. Visit  yhl1975 profile page
    #61 0
    All posts very helpful, thank you so much. As a postmaster student in PMHNP program, I am not worried about job in the future.
    I work as RN in mental health/addictions programs and periderm in Zucker Hillside North Shore-LIJ .
    PMHNP is not easy program, specially if RN is not "handy" , since there is a difficulty for some psych nurses to get through Advanced Physical Assessment. The life is different if the program is online.
    In our track only 4 students left in the program for PMHNP.
    I am looking for shadow pediatric psychiatric NP/MD/DO in privet practice/ambulatory care/outpatient program in Manhattan, Brooklyn, Queens, Nassau and Suffolk.
    hlarisa@yandex.ru
  11. Visit  OwlNation profile page
    #62 0
    Do they count office experience as direct patient care?

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