hrnurse

hrnurse

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All Content by hrnurse

  1. What happened to all the Walden Haters?

    Wow, way to congratulate and support a fellow practitioner . I'll bet you're a real joy to work with . I don't understand why you're putting down the OP and saying money doesn't equate to clinical...
  2. Mental health.....telehealth.....

    May I ask how did you find a telehealth job as an RN ? I have a few ideas to share but its more case management focused . Thank you
  3. Mental health.....telehealth.....

    Excellent post . What telehealth company do you work for might I ask
  4. PMHNP & LCPC Advice Needed

    This. Consider how it will be billed
  5. Multiple prn pain meds requested all at the same time

    The PCP wrote an order for parameters . Hospice or not , nurses can question parameters and prn meds . Better to clarify than blindly accept what the pt reports
  6. Thoughts on Treating Withdrawal Symptoms with Meds

    Do you feel that the Methadone delays the inevitable withdrawal? Broadly speaking re: med assisted withdrawal . Nurses have protocols for meds to ease withdrawal symptoms, yes . A person's...
  7. Any Psych Nurse Practitioner's out there?

    For those thinking that an honest perspective from the NP in the south was rude or negative, be thankful for honesty and the perspectives of many . I didn't find anything discouraging about her...
  8. Any Psych Nurse Practitioner's out there?

    Comment was intended for OP
  9. Any Psych Nurse Practitioner's out there?

    If you're pursuing a PMHNP path because it requires less hours, or is less work , or because the pay is higher , you may be disappointed in the outcome . Maybe I'm misreading, but a practitioner st...
  10. Narcotics missing

    Excellent observation that you noticed this and brought it up to the pharmacy , you might also include the DON on this . Despite the reason about bar codes being smeared , be suspicious of med packs...
  11. what is it like to be a psych nurse ?

    There's many roles and environments for psych nurses . That's the beauty of it . You'll learn different skills in different locations . Different age groups and populations pose various challenges...
  12. The NP who can't function in the role

    LTC work is no joke . We did not have breaks, or coverage , or floaters from other units . Our pt load was crippling
  13. Interesting day for a PMHNP

    There's a definite increase in the number of elderly diagnosed with a mental illness , and the meds to go along with it . Trazodone and Risperidal used to be seen once in awhile on a MARS , now its...
  14. Psych NP vs FNP

    As a side note I do understand and relate with the concerns expressed by other nurses. Psych nurses are some of the sharpest folk I've ever worked with, and their intuition is excellent. Always...
  15. Psych NP vs FNP

    You might look into other options for RN's as well . Since you're an experienced psych nurse , some travel and other assignments could increase your hourly . If you're interested in pursuing the NP...
  16. Psychiatric Case Management HELP!!

    I just posted on another thread so I copied the post here . I'm not trying to discourage you or be a downer . Not all jobs are the same... but here's something to consider. Psych case manager jobs...
  17. Psych case manager jobs can vary widely . If it's for an insurance provider for example, the duties will differ from working at a clinic or agency. Be prepared to wear many hats, not always nurse...
  18. Assessing CIWA

    Follow hospital policy and document, even if it upsets the pt . Withdrawals aren't easy on them but we are there to ensure
  19. Narcotics missing

    Med errors happen but if the attitude is to not worry about it, especially if it's narcotics, someone will lose their license. Be a hard ass about closing the doors, locking the cart, passing your...
  20. Disillusioned

    Consider it a benefit to see the downside of psych. There are deplorable atrocities, no lie . Let that arm you to STAY hopeful . We can't save everyone . Accept what you can do to help
  21. will it get any better?

    Have you thought about working in a clinic or outpatient setting ? I liked the learning curve in inpatient but it was always too much rush rush rush and burn
  22. Join Facebook groups.. wealth of info in there but do anticipate having to research alone as well
  23. Psych Nursing - Boring?

    I was not thrilled by my psych rotation either, probably because the preceptors had us sit in AA meetings and not much else . If you enjoy psych, it's far from boring. Perhaps you just need to...
  24. Psych NP vs FNP

    Demand depends on geographical area, salary is also commensurate with location . There is a huge shortage of Psy NP's and psychiatrists . Psy NP's tend to make more . However, choose what...