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Nigel9

Nigel9

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Nigel9 has 1 years experience.

Nigel9's Latest Activity

  1. Nigel9

    PMHNP and telepsych

    That sounds appropriate. But does she do initial assessments along with initial prescriptions over tele/internet? And if you guys took a trip out of the US, I do not believe she would be able to work, at the very least not something that would allow her to code for M/M patients. But what has been her experience with this?
  2. Nigel9

    PMHNP and telepsych

    For what it's worth, and I'm sorry but I don't remember the actual legal references right now, but aside from needing to be licensed where the client is, coding presents as a problem (especially with Medicare/aid, which represents the bulk of clients), and also there is an issue with initial assessments. I believe initial assessments need to be done in person.
  3. Anyone have experience with MSU Texas's NP programs? I'm having a difficult time finding people who received their degree from here. Please feel free to PM me or post here.
  4. Nigel9

    Stress Test (aka Burning Man)

    Since you brought this up -- yeah, so far in just the vicinity where I sit we've had one panic attack and three students go on meds (ADHD and mood stabilizers). Yikes!
  5. Nigel9

    Stress Test (aka Burning Man)

    Hey guys. I want to thank you all again for your support and advice when I was stressed out. As it turns out, I aced all my subjects. Second semester has not been fun, although I am doing well in my classes. My aim is to be a psychiatric nurse, but I have found my psych clinicals to be disappointing. To clarify, I have enjoyed working with patients and staff in all my clinicals, and in psych I have a fondness for patient interaction. However, seeing what the psych nurses do has been disparaging. They are pretty much bogged down in paperwork all the time. So far they don't seem to work with patients much outside of medications. Psych theory class was also very disappointing. Apparently the old professor left and an assistant filled in? She is nice, but it is apparent that she has not done this before, and we're not learning much. The book also is a mess, coming across as mostly a copy/paste job. Very disappointing, being that I was looking forward to this and pharmacology the most. The thing on my mind now is that in the future, my wife and I will return to her hometown overseas. I will not be licensed there, and will not be able to get licensed there. Is telepsych, practicing from abroad, a good option for states where I am licensed? What do you think?
  6. Nigel9

    Moving Overseas

    My wife is from overseas, and we both know that we want to move to her hometown within 10 years. I have a background in language, art, and science, all at the undergrad level. Much of my family work is in mental health, and I've grown up reading their work and books. I have a great affinity for it and am interested in working in the field. But can this be done from abroad, i.e. telepsych? If I became a PMHNP, wouldn't the 2008 Ryan Heights act limit my prescriptive powers? It states that one cannot prescribe to a patient who one has not yet met face to face. There are clinics and hospitals who hire out (the RH act allows prescribing to patients in clinics/hospitals, to my understanding), and maybe that is a viable option for states in which I have a license, but I guess an independent practice would be out. Then again, maybe an independent practice is not the way to go. I guess there is the option for becoming a counselor, if we're looking at working from abroad via an online practice. If I were to stay in the US indefinitely, PMHNP is surely the way to go, but with our plan to move back to her hometown, perhaps that's not a good idea. I know that some of you have experience working via telepsych and perhaps even working from abroad, and that many of you have investigated the matter. What have you found? What are your thoughts?
  7. Nigel9

    PMHNP and telepsych

    bumpity bump bump
  8. There MAY be state flexibility with the Ryan Heights act, but I'm not too sure. If you want to setup your own online practice, I would count on that you can't prescribe to patients without first a face to face assessment UNLESS they are in a DEA approved clinic or hospital. So really your options for that private practice while traveling or living on an exotic beach seem pretty limited. You can still sign up for jobs with existing clinics in the US where you are licensed, but if you want a practice of your own and you can't meet patients face to face, I don't know that you'll be much more than a counselor. With, that is, a science background replacing the extra psychology training. Thoughts?
  9. Nigel9

    Stress Test (aka Burning Man)

    Thank you for the responses, everyone. They have been quite helpful. I think I'm going to have to place boundaries on school, even if it means a few Bs. I will be happier focusing on aspects of the classes that are longitudinally more beneficial towards being a nurse anyway, as opposed to focusing on what I need to make a top grade. There is, I'm sure you all know, a difference. In the mean time, a call for health both mentally and physically is indispensable. What kind of nurses are we if we can't take care of our own selves? Thanks again for the comments, everyone, and best of everything to you.
  10. Nigel9

    Stress Test (aka Burning Man)

    I don't really care about festivals and dinner parties. I do care about quality time with friends and family, however. I also care about how I'm in my 40s and experiencing arrhythmia and angina when so many men in my family die young due to heart related issues. If, hypothetically speaking, after graduation I would have ~10 more years of life, would I even continue with this track? (My post was really long, and I totally understand you may have missed some of that. Sorry for the rant. I was part venting, and part just looking for support from people who have been on this path. And I also was hoping I could delete or edit the post later as it's pretty personal, but I see the edit option has disappeared now that someone has replied.) For what it's worth, I previously had what some would consider a dream job. But I decided I wanted to come back to the US for a bit (was I crazy? haha), and knew that I would have to start my business over. Contemplating learning a new angle on life, I took tests that said I had aptitude in science, arts, and psychology. Eventually I happily decided to go back to school on a nursing track. Studying science has been a blast. Meeting patients and working with them has also already charmed my heart. Nursing school itself, however, I will be happy to finish. I'm going to stay the course, of, er, course. There are stressors (pun!), and there are questions. But what can I do but pay attention to now? I just need to try to relax a bit, not worry myself over a 4.0, and remember to live and love. Oh, and I seem to be having art withdrawals. I need to find how to reincorporate that. The trouble is that it's time consuming. But I digress. Laden with trouble we may be, we are still the lucky ones. Even if worse comes to worse and I die young, man have I lived one heck of a life. And I am thankful. Tomorrow is clinical. I can't wait to see those guys! But for now, study. Thanks for your words, friend.
  11. I'm in an accelerated "leadership" program (as they sometimes put it), which has us taking frequent ATI tests on top of classes. If you don't make the mark they want on the ATI, you lose 1-2 letter grades in the respective class. (Apparently it used to be that you outright failed, but they changed it so that A students who screw the pooch on the ATIs can keep going.) It's only the end of the first semester, and I've already hit a burn out point. I've lost my drive to study, and am despising classes. Don't get me wrong, I've been doing well and I LOVE the clinicals. I love getting to know my patients and helping them. I love all this hands on learning. Furthermore, I love the people in my cohort and most of my professors. They're smart and just good. It's a pleasure to be among them. But despite all this, I'm having a hard time focusing on studying. I've lost my drive, my love for the actual program. I hate that I have a 97 in patho right now, but there is a serious chance I will end up with a B since I haven't been able to get good studying in for the final. (And it doesn't help that our new and vague professor added 5 additional chapters right at the end before the final. And why in the world can't we download your ppts? I don't get that. And why do you quiz us on your lecture material before the lecture? I get that you want to make sure we pre-read, but it seems antithetical. And don't get me started on all the students I've seen come out of your office, wholly disheartened and questioning their career choices after one of your "pep talks".) I can't even study for that final right now because we have an ATI right around the corner. I basically have to choose between the two - in which do I want to keep an A, and which will I dangle over the sacrificial pit of B? And I hate some of these stupid ATI questions. Who cares if requesting a new antibiotic from the pharm is "fair, responsible, risk taking, or creative"? I mean, really? How the frogger does this help us become better nurses? We get hammered with little assignments and things to learn that seem a waste of time. Graded videos that don't really teach jack. Required and timed online simulators that we have to pay for and that really don't teach jack. I need to be studying diseases and foundational skills, not memorizing arbitrary "levels of critical thinking" or "the eleven nursing attitudes". What a waste. On top of that my life sucks now. My wife and friends are going to festivals, having game nights and dinner parties. Meanwhile I go to bed at 9-10 and get up at 5 every day to study if not hit a clinical. I get offered gigs that I have to turn down because I can't confidently make the time commitment. (I was previously an artist.) My foreign friends chat with me, and I realize I'm losing some of my language skills but can't do anything about it at the moment. I get asked to reboot old language projects, which I would really love to do, but again can't commit. I get ideas for new projects, and just have to jot them down and hope for the future. I loved A&P. I loved my chem classes. I was a top student in all of those and it was because I loved the subjects. Going into nursing school, I was excited at the courses. Pathophysiology, pharmacology, psychiatry? Yes, please! But what I loved I now loathe, and despair that there is a year yet of this accelerated program to go. The result? I'm irritated pretty much most of the time, and I've lost muscle but am putting on plenty of fat. Pudge McMe. So I Googled, "I hate nursing school". The result? What came back was a lot of nurses who say they love nursing but hated nursing school. It was actually really good to read that. Thank you. I may be coming to the conclusion that As are not so important anymore. What's more important is health. And that means both eating better and getting to the gym more, and getting involved in life. But this is easier said than done. I am grad school minded, and I will still fret if I don't feel A-lvl prepared for exams. Making myself get back on a good diet and exercise routine shouldn't be too hard, but getting involved in artistic projects again while keeping my grades up will be difficult. On top of that, the men in my family tend to die young, heart complications, average age about 55, so if I look at this schooling and grad, especially if I have to sacrifice living, to use the term as an expression of happiness and exploration and all the terms we typically associate in positivity with living, I sometimes ask, "Will the later years be worth the 10%+ of my portioned seasons I am giving to these studies?" (I'm middle aged, to boot.) Or maybe I'm ignoring the bigger issues. Like that I had a cardiologist appointment because out of the blue I started getting heavy chest pains when I jog, or because that dizzying arrhythmia I used to get once a month or so is now almost every day. Or that a week ago, right when I was having the cardiology appointment, I learned my sister tried to kill herself and was hospitalized. Or that I tried to make three appointments at two different clinics to talk with someone about all this, and they never even got back in touch with me. Who does that? So yeah, I'm having a hard time concentrating. It was getting harder before, I was already losing the drive, but now it's just practically nonexistent, the will to study. But I have to. Positive notes: My sister is getting help. She rejected it for a long time, but she's now accepted she needs help and is getting it. Cardiology results are not yet conclusive. I was able to go on a good jog after taking a bunch of magnesium. And while on my father's side all the men die young, on my mother's side we have some pretty stalwart longevity. I have an awesome cohort. I love my patients and have enjoyed clinicals. There are still many options for the future. My gpa will be just fine if I relax and make a few Bs. I have the greatest wife, who loves and supports me no matter what. Breathe. Stretch. Smile. Focus.
  12. Nigel9

    UTHSCSA Accelerated BSN 2018

    I got an email at about 7:30 as well, so someone or persons over there have been burning a bit of late night oil, perhaps. I definitely can be grateful for that! Congratulations on all who got in this cycle! You've worked hard and earned it. There's more work ahead for sure, and we have to buckle down and focus. Here's to a good road and a good journey. :) Congrats again to you!
  13. Nigel9

    UTHSCSA Accelerated BSN 2018

    Hopeful, I'm sorry to hear that! I was sort of wondering if we would all meet in class some time. (Of course, that's still a distinct possibility!) Thank you for letting us know that notices are beginning to go out.
  14. Nigel9

    UTHSCSA Accelerated BSN 2018

    It's 6:12 and I have received no notice. Seeing as the deadline for the traditional program is Feb 1st, I guess there's little choice but to resend documents and pay up for another application. I'll check that everything is assembled, and wait for a while longer... EDIT: Yeah, waiting 'til tomorrow to send a new application. I guess we start the nail biting dance again come morning!
  15. Nigel9

    UTHSCSA Accelerated BSN 2018

    I got through! FutureRN92's post convinced me to keep trying. I finally reached a very nice woman who told me they are planning to send out notices on the 31st.
  16. Nigel9

    UTHSCSA Accelerated BSN 2018

    You mean the main number listed on their website? Yes. I sometimes get a ring there, but never an answer and the call drops after a while. I was hoping to get a confirmation to post here about when they believe they'll have application responses.
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