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Discussion

PMHNP

Lately I've been entertaining the idea of PMHNP other than critical care. I enjoy nursing in the critical care arena but also think I may enjoy mental health as a future provider. May be a good move in the future. Mental health professionals; NPs specifically chime in...…… Of course I plan to shadow all grad school prospects on the way to decisioning #pondering

Featured Replies

The biggest reason to choose ACNP is the ease of finding 12 hour shifts. One of the best arguments for PMHNP is the relative ability to start your own practice (in a state that facilitates the ability to do so). I would suggest that you check out "The Psych Dude" on Youtube as he as a very worthwhile series of videos that might provide insight into your decision process.

  • Author

Thanks myoglobin, ASN, BSN, MSN.

I have heard this reasoning when comparing FNP to ACNP regarding shifts but not PMHNP. Do you know what states facilitate the ability to run own psych practice? ; great thought might I add. ?

I will review Psych dude material via YouTube for more insight.

Any of the independent practice states. The AANP website has a nice map which shows the practice status of each state. Note that some IP states require one two five years experience to practice on your own while others do not impose any experience restrictions.

  • Author

Great info! Thanks

NY is independent practice, but don't think you'll have your own PMNP practice without paying a psychiatrist to collaborate if you want to bill insurance.

True all over the country.

Many of the psychiatrists I have known are a total shame to the profession, but they have 3x the education on paper we have.

  • Author

Wow. Total shame? I have not experienced any psych specialty yet to chime in or confirm this. But i'm sure their credentials are quite extensive.

The AANP displays New York in yellow as a “reduced” practice state. I can attest that in Washington state even as a new grad I am credentialed with six of the top seven insurance companies (Kaiser is tougher) that serve the greater Seattle area. Also many of the providers here don’t even take insurance as demand is such they are “cash only”.

  • Author

Hi Myoglobin,

? very interesting fact....

A lot of outpatient PMHNPs work 4 10-hour shifts.

If you work inpatient as a PMHNP you may have the option of 12 hour shifts.

  • Author

Hi FullGlass, thanks for your comment. Wow, 12 hours shift would be great.... I was under the impression only 8 hrs per day.

7 minutes ago, Flightmed123 said:

Hi FullGlass, thanks for your comment. Wow, 12 hours shift would be great.... I was under the impression only 8 hrs per day.

Don't quote me on that! ? But do some research on hours for inpatient jobs.

Also, one of the potential "downsides" of ARNP is that you may end up working "six on and six off" that is the way all of the PA's who work for the Trauma team at my hospital have to work (we do not currently use ARNP's in our hospital). To me that would be a nightmare considering the never ending stream of procedures that they must perform ranging from central lines to assisting the MD in surgery (and most of the trauma MD's are pretty far towards the type A personality style).

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