I just accepted a position to do home psych evals for an agency per diem. I only have medical experience, but I always wanted to get into psych so why not. Someone recently told me though that there is a special certification that goes along with being a HH psych nurse in order to recieve compensation from medicare. Is that true? Im starting to wonder why they hired me.. Also, since this is a new area for me does anyone have any advice on doing evals.. thankx.
Check with the agency about what resources you have available to you.
Is there another nurse or social worker available to go with you if the client is not on their medication, or a potential to act out.
It is not easy walking in by yourself if a situation may escalate.
So just make sure you know what the plans are if a client is potentially dangerous, sometimes they are mixing alcohol or drugs -legal or illegal with prescribed psych meds which changes the mental status/presentation.
A DSM V book will be helpful for you ,( you may already have one.)
You will want to ask what MSE (mental status examination) format
your local hospital/crisis team/state hospital uses.
(Sorry, don't want to deviate from the original question, but please make sure you are safe as you go on your rounds.)
Last edit by jahra on Dec 31, '10