Jump to content

Experience for PMHNP

NP Students   (4,361 Views 29 Comments)
by RN356 RN356 (New Member) New Member

143 Profile Views; 2 Posts

advertisement

You are reading page 3 of Experience for PMHNP. If you want to start from the beginning Go to First Page.

1,233 Posts; 6,418 Profile Views

It's a tough world out there. Some people do not really respond to anything, even clozaril. In my work, 2 antipsychotics and a mood stabilizer are just a normal day at the office. But I have extensive experience with mentally ill people.

There has to be a prescribing threshold. And the threshold has to be very different for zoloft and zyprexa.

Unfortunately some of our so called role models in this country, psychiatrists, are very low quality. At least in the state system where I worked. Some I have met don't even speak English well enough to evaluate people.

On the other hand, I currently work with an FNP, who also worked at the same forensic hospital as a RN for a couple of years.

He seems to think he knows alot about psych. I can assure you, he does not.

But I know practically nothing about diabetic management, because it wasn't taught in my program. You can't just absorb it by osmosis.

So yes, there is a huge mental health need out there, but be aware, many of the pts are looking for that magic wand answer to their lifetime of poor choices. Don't get sucked in.

Share this post


Link to post
Share on other sites

1,233 Posts; 6,418 Profile Views

It's hard, if not nearly impossible, to make a living in outpatient psych. Too many obstacles. The real problem is usually poverty.

Another big tip. You don't fill out social security disability paperwork. You only provide copies of your notes.

Unless you find that very rare bird, a once in a career pt who should have disability, and doesn't. 

Beware of high functioning adults who want ADHD meds.

Get used to saying no, no, no , no and no.

A small dose of Xanax and other benzo's can occasionally be life changing if they are used to appropriately confront a problem.

If they are used to run from a problem, they are dangerous.

 

Share this post


Link to post
Share on other sites

FullGlass has 1 years experience as a BSN, MSN.

1 Article; 701 Posts; 6,818 Profile Views

1 hour ago, Oldmahubbard said:

It's hard, if not nearly impossible, to make a living in outpatient psych. Too many obstacles. The real problem is usually poverty.

 

At least in California, the standard pay for a new grad PMHNP in an outpatient setting is about $150K per year.  That can grow to $200K+ with a few years of experience.  I'm talking about clinics serving mostly Medicaid and Medicare patients.  The VA also pays well and offers outpatient and inpatient opportunities.

Share this post


Link to post
Share on other sites

29 Posts; 1,427 Profile Views

I have worked in a inpatient intensive psych unit and what you see in ICU is nothing compared to what you will see. In ICU you might see someone with a drug overdose and drug induced psychosis or someone with a hx of schizophrenia that might have tried to commit suicide, or someone with dementia or delirium which we get calls all the time from ICU to consult with our Docs and we have to explain to them that delirium or dementia caused by age isn't a psych problem. If you are in the down town Houston area I can refer you, I think we have a few openings. I think to work in any field NP programs should ask for at least two years in the intended field. I did not go the Psych NP path because my experience in that area helped me decide that Psych is not something I want to do long term. I'm half way through the FNP program because I like the variety in population I may see, including psych patients and most of my experience in inpatient medical so I do like the variety. While ICU is a great experience to have and will make you a great NP, I would advice you to maybe ask to shadow someone in an inpatient acute Psych unit before committing to Psych.  

Share this post


Link to post
Share on other sites

1,233 Posts; 6,418 Profile Views

Whatever you do in psych, you will pretty rarely find a simple answer in a pill.

Although I have been wrong more than once on who will respond to medication, haha.

Still learning some 15 and 20 years later.

Share this post


Link to post
Share on other sites
  • Recently Browsing 0 members

    No registered users viewing this page.

×