Psych nurse practitioner - page 7

I just got accepted into a psych nurse practitioner program....However, I now have a second thought on accepting it after talking to a couple of PA and MD. I was told that unless I have some sort of inside track, it would be... Read More

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    You will be just fine in your studies as you are asking the right questions. I was fortunate as I worked for a university hospital system that paid most of my initial training for BSN, MSN. National Health Services Corp paid for the rest! (Post-Masters, DNP) , so no loans for me. Depending on where you want to work, you may want to consider the Corp. The money is tax free and it can pay your debt down fast. 4 years 120,000. I had a great experience, moved around the country and seen some cool places...not the horror stories you might of heard.

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    Thank you so much for the support and advice, Miss PsychNP! I know I'm fairly early in my studies to be thinking this far ahead, but I can't help it. It sounds like I should relax, because there seem to be plenty of jobs that pay well and many options for loan repayment. Plus, after having a positive conversation with some classmates ahead of me in the MSN program (there is, apparently, work for per diem/part-time RNs in the bay area, afterall), I'm not as concerned about having absolutely gigantic loans to pay back (they will hopefully just be sort of gigantic, haha!) It sounds like I will be able to work part-time as a RN during the PMHNP portion of my program.
    Ellen NP likes this.
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    You will definitely be able to work.
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    This (Psych NP) is what I want to do ultimately. Please feel free to continue this thread.
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    I can initiate involuntary commitments, lead an ACT team, etc. I cannot administer ECT...only physicians can do so. I grew up in California but like the cold New England winters. Portland, ME is pretty liberal although the state leadership currently is embarrassing. We can practice and prescribe independently according to state law. A number of facilities still will require physician supervision although the other physicians all have supervisors, too. I independently admit patients to one of our three attending psychiatrists. The residents have the same limitations on their admissions. In fact, the outpatient attendings in our organization do not even have admitting privileges. They have to send patients from their office to the ED or (occasionally)for direct admission by me, a PA, or a resident.

    I think that you really have to look at each position and each organization as well as the state laws when choosing where to practice.

    If you want to do primary care then go with the FNP. You'll be able to do a lot of uncomplicated mental health and there's actually a new certification in mental health for pedi and FNP's. It's offered through NAPNAP. If you really want to do psychiatry then the PMHNP is the way to go. I initially trained as a pedi NP but missed psychiatry and went back for my PMHNP. Since I work on the consultation liaison service and cover the inpt med-gero-psych unit I still get to do lots of medicine. I definitely need my medical experience in this job.

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