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tacoma_jim's Latest Activity

  1. tacoma_jim

    PMHNP advice

    In my experience, i do not think it is necessary to get an FNP for the "medical foundation." Prior to becoming an PMHNP, i spent about 2 years in the ER (some of which was in trauma), 4 years in critical/cardiac ICU, then about 2 years in inpatient psych hospital. After this experience, i'm pretty confident about how/when to order necessary medical workup and refer to appropriate sources. Admittedly, i went this route knowing that i was going into psych eventually and purposefully worked on these medical units for my "medical foundation." The approach to my psychiatric patients does not differ much from the approach i took when i was working those previous specialties as an RN.
  2. tacoma_jim

    Downsizing Military Medicine

    Been working with them for a year now, huh, wow. I guess i'll keep my timeline expectations realistic, but i guess that's government for you. On the other hand, i'm not getting any younger.