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Psychiatric and Mental Health Nursing
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mtdnk has 28 years experience and specializes in Psychiatric and Mental Health Nursing.

mtdnk's Latest Activity

  1. I have been certified by the ANCC as a Psychiatric and Mental Health nurse since 1984 (2 years after graduation). Yup, that's 27 years! I would have done it even if the original test and subsequent renewals were not reimbursed. I do get a differential (currently 1750/year), but most importantly I am identified as an expert based upon my board certification. I am also a clinical nurse educator (psychiatric) and this certification is essential in securing those positions. Professionally, certification is an important designation and allows for defferentiation of the experience levels of nurses (also who is willing and able to specialize in practice). It provides validation of knowledge/skill for self, agency and patients/families. Does anyone question why a doctor seeks board certification?
  2. mtdnk

    PMHNP- Online Program(s)

    SUNY Stony Brook. Initially considered going there, but then decided that NP was not the way I want to go (for today!). You can check it out online. It is a distance education course, which is great.
  3. Many times the students in my psych clinicals ask this same question. I have been a RN for over 28 years full time and have been teaching since 2004. I think the problem with trying to describe the ideals are the "nurse-isms". It can be confusing to decipher what is being said. First of all, we are not part of the "medical" profession. We are the Nursing Profession. How do we differ? Look at the definition: "the diagnosis and treatment of actual and potential HUMAN RESPONSES to illness/disease" We do not focus on the medical diagnosis, we look at how our patient (individual, family, community) is responding to the illness/disease/disorder (whatever!). Of course we do need to be knowledgable about the diagnosis so we know what to assess for. We do not "cure", in fact we do "care". We help the patient acheive their highest level of functioning (who's theory is that), by taking caritive measures (who is that?), etc. Do we always know the formal names to our behaviors, not necessarily. It is the same regarding the nursing process/nursing care plan. Many times the students will say "The nurse said they never do care plans". Really? The nursing process is the basic framework of nursing (ADPIE). These phases are also the exact parts of the nursing care plan. What I respond is: in practice while I may no longer write a nursing care plan (yes, we used to have an area for this in the MR) I do use the nursing process. I collect subjective and objective data re: my patient, I analyze the significance and determine what I think is going on for the patient, I discuss with the patient how we will address the problem, select appropriate actions to help meet the goal and take a look to see if it works. Isn't that a care plan? The nursing process? When I document, I address each step of the nursing process as well-regardless of the format used (PIE, DAR, narrative, etc) For those who don't care for NANDA, it is those impairments that are typically used in the multidisciplinary treatment plans (Potential for violence, alterations in sensory perceptions, alterations in thought process, etc). If my patient is schizophrenic, you bet I care about the presence of hallucinations or delusions (those are the symptoms (responses) I assess for based on the medical dx). If they are present, I want to decrease/eliminate them. I medicate, I engage in a 1:1 to provide support and diversions,and check back to see if it worked. The person that spoke about Maslow is correct in that application of a theory-basic needs need to be met before progress can be made. Different levels of care happen at different phases of the patient's illness, theory addresses this as well. Sometimes you have to slow down and really take a look at what you're doing and why. You may surprise yourself! Embrace nursing, it's a great profession. My NY 2 cents.....
  4. The medical diagnosis is not part of a nursing diagnosis. Nursing is the diagnosis and treatment of actual or potential human responses to health problems. The AEB is merely the current symptoms your patient is exhibiting that supports your nursing diagnosis. If the diagnosis is a "risk for" the patient can't have symptoms, right? Then they would actually be having the problem.
  5. mtdnk

    Who writes CEU courses? Resources?

    This may be too late, but I did a program as a capstone project for my MSN that was approved for CEU's by NYSNA (New York State Nurses Association). Requirements were 2 RN's, at least one had to have their BSN.
  6. mtdnk

    Smart draw for demonstrative evidence

    I have Smart Draw for Healthcare. If it is anything like it, I recommend it enthusiastically! I am currently writing a review book and this program is superb! I am attending a conference and testing for LNC in March 2009. I will certainly purchase either an upgrade to include the Legal Smart Draw, or if that is not possible, I will purchase the program.
  7. mtdnk

    are online MSN programs respected?

    I graduated from Walden University, MSN-Specialization in Education 4/07 . I received tuition reimbursement from my full-time job (hospital) without any problems- they only reimburse accredited schools. I obtained a clinical adjunct position in a BSN program, online curriculum development and teaching position with no problems. I recommend this program highly, but do caution that it is a lot of work,and requires self-discipline. It is a worthy program, and a professional, stimulating learning environment. I feel well-prepared to function as a nurse educator (curriculum development and teaching methods).
  8. mtdnk

    M.S. in Nursing Education @ Walden Univ.

    Well, look at it this way......the two years will go by regardless. Might as well make the best of it. Don't think about it too much, "Just DO IT"!!! Any help I can offer........ Margie
  9. mtdnk

    M.S. in Nursing Education @ Walden Univ.

    RNPatL said: I'd be more than happy to help anyone attending Walden U. That is a great idea you have about the seperate folder....also keep this information in another place (off your computer). You can even just make one "portfolio folder" and add as you progress class to class. Many colleague's computers crashed over the 2 years of the program, and it's not a pretty sight when your assignments are gone! The portfolio ends up being 100+ pages long (multiple papers, mission statement, resume, etc). Putting it together at the end is time-consuming, but manageable if you keep EVERYTHING! I completed this program in the two years, while working full-time nights and doing two clinical adjunct assignments. It can be stressful, just make sure you keep on target. The beginning courses are less complicated, and as with everything....it gets harder (but not impossible). They are very particular about APA format (get a program for your computer). This upcoming week I am offering my accredited conference that I developed as my Capstone Project (it is approved for 6.75 ceu's through NYSNA-New York State Nurses Association). Margie
  10. mtdnk

    M.S. in Nursing Education @ Walden Univ.

    Following up late myself on this dicussion. I graduated from Walden 4/22/07 MSN- Specialization in Education. It was a wonderful experience.....lots of work, but I feel well prepared as a nurse educator. I have a colleague that started at Phoenix- didn't last. A much different program. Walden is intellectual, has great expectations from the students, knowledgable and experienced professors and the courses are realistic and applicable. My suggestion: if they still have the portfolio requirement: keep a copy of everything. You will need to submit actual papers you had written, assignments, etc. The end of this program is no joke...much more manageable if you keep up from the beginning. If a paper is not to be handed in for a grade- make sure you schedule time to do it anyway. It's easier to do it when you are in the class than later when you have forgotten resources and have other papers to do.
  11. mtdnk

    Nurse credentialing...HOW? Money?

    The American Nurses Credentialing Center is another source of certification. You must practice for 2 years as 1 qualification for testing: http://www.nursingworld.org/ancc/
  12. mtdnk

    the one thing you would change . . .

    I would have kept going on with my education. Now, 24 years later, I am finally finishing up my masters.
  13. mtdnk

    What can I do with this?

    Congratulations on your acheivments. Quite motivated and mature! Though not paying in the monetary sense, consider volunteering. If you are planning to pursue health care as your profession, check out local hospitals, etc. This is a good way to set yourself up for possible scholarships. As soon as I was able, I volunteered at my community hospital (candy striper) and was eligible/won a nice nursing scholarship. Of course, that was 30 years ago (YIKES!!)...... but some things never change. Check out nursing homes, rehabs, etc. Best of luck!
  14. mtdnk

    Is it true that a BSN will be mandatory soon?

    It is a misnomer to equate a BSN with administrative duties. I graduated from my BSN program 24 years ago, the concept for us was the same then as it is now....the BSN level education prepares one for the learning yet to come in practice and the profession. Its purpose is to provide a solid foundation to support and facilitate further education. The curriculum of a BS and BSN are not the same. A BSN is not just sciences, but the science of nursing. There will always be disagreements related to the educational debate in nursing. I realize that my personal and professional values influence my position, however, I believe that nursing profession has an obligation to set and maintain high standards. That requires a frequent evaluation of the needs and trends in nursing and health care, as well as the ability to accept and promote change in our preparation and practice. Nursing is not what it was when I graduated 24 years ago, not even the same as those that graduated 5 years ago. We can only hope, imagine, and plan for the future of nursing....it is a great responsibility to ensure the proficiency and position of our profession for the future nurses. One day they will be learning about us, like we all learned about our foremothers....what will they be saying?
  15. mtdnk

    Is it true that a BSN will be mandatory soon?

    I think if you compare the curriculums of ADN and BSN programs you will see the difference. Just look and see, it should clarify your understanding.
  16. mtdnk

    Is it true that a BSN will be mandatory soon?

    A BSN is a Bachelor of Science in Nursing. There is a distinction in curriculum.