PMHNPs - also doing primary care? - page 2

by myelin

Hi everyone, I have a quick question. I was meeting with a student who is in the PMHNP MSN program that I am due to start next fall, and she made some interesting comments. She basically said that PMHNPs can sometimes be expected... Read More


  1. 0
    Amen nursetim.
  2. 0
    I stick with what i know-the psych meds.ho
  3. 0
    I stick with what I know--the psych meds. However there is an overlap.. Can you recommend some ANP pocket size reference
    Books for me. Ie how to recognize and treat new hypothyroidism, how to assess and start bp meds, sliding scale insulin, rashes, etc. so I can follow along. Thanks...
  4. 0
    Passing the core NP courses doesn't prepare one to manage medical problems, it's a foundation to build on with cliical courses. I work at a community mental health center, and treating medical problems is not allowed, it is outside the terms of our liability insurance. Which is just fine with me, as I do not feel qualified to do so anyway. All NP's have been trained to do H&P's, which is not the same as treating.

    I have seen job postings at the VA, a few health clinics, and some inpatient hospital settings, requiring practicing both in mental health and medical areas. The only thing I can figure out is these places either do not understand how PMHNP training works, or they are looking for someone who's origional training is as an FNP, with a PMHNP cert.
  5. 0
    ATPIII for lipids.....JNC 7 for BP control.....UpToDate for quick reference
  6. 0
    This is a great thread. I start PMHNP school in Jan and I'm trying to wrap my brain around all the possible work environments. I certainly don't think I will be prepared or desire to treat medical issues. For you practicing PMHNPs, do you feel the majority of your work is medication management?
  7. 0
    When then the PMHNP role came along in the 90's, it appeared it would allow the APN to do primary care and Psych..after you do your physical exam you do your mental status and you treat everything..
    My training was in therapy (and meds) and I was horrified...
    I currently do only med mgt,(only locums)
    I would like to know more about treating primary care problems because I think it helps my med management ( thank you Trauma for the reference info).
    40 hrs per week of med mgt can be draining--it works for me doing it as a locums..
  8. 0
    Quote from Psychcns
    When then the PMHNP role came along in the 90's, it appeared it would allow the APN to do primary care and Psych..after you do your physical exam you do your mental status and you treat everything..
    My training was in therapy (and meds) and I was horrified...
    I currently do only med mgt,(only locums)
    I would like to know more about treating primary care problems because I think it helps my med management ( thank you Trauma for the reference info).
    40 hrs per week of med mgt can be draining--it works for me doing it as a locums..
    How do you get into locums? I'm a little concerned about what I'm getting into with regard psych NP school. I want to do more holistic care...more than just pills. Thanks for your feedback.
  9. 0
    I have a psych cns friend who has a lot of diversity in her role working at the VA. Therapy, crisis, meds, groups, and some adminTo get into locums just call. I work for staff care ..Psych was more interesting and more holistic before meds took over--
  10. 1
    @mtsteelhorse. Med mgt is more than just pills. You have to do some in-depth interviewing to get at the symptoms that you can medicate...and it is a great feeling when the meds work.
    myelin likes this.


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