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twinkerrs's Latest Activity

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  1. Why DNP and not MD?

    I don't want to be a doctor. I am happy with my role as a nurse practitioner, but I want a terminal degree. I also plan on teaching at some point so a DNP makes sense to me. The idea is that we all should have the same degree as an entry into pract...
  2. Spanish resources for psych nursing?

    They have to give him treatment in his language. They can lose their Medicare medicaid funding if they do get someone in there and quick. The apps may be good for a few things but he has the right to understand and be understood. Demand an in person ...
  3. RN or PMHNP?

    I think you should start with an RN and see if you even like it. You sound kinda indecisive so maybe dipping your toes into nursi
  4. As an APRN, I have to correct nurses and techs all of the time because they refer to me as "the doctor". Their argument is that the psych patients do not understand that I can prescribe their meds. I think sometimes patient education is the key to he...

    I just finished school for Pmhnp and I am 42. I don't see where age comes into play at all
  6. Interesting times in psych

    I see schizophrenics with active hallucinations and all of the above problems. It is what I was trained to do as a psych np. But if one of them complains of an ear ache I refer to medical. There is still a need for psychiatrists just like there is st...
  7. Altered Mental Status- a surprise diagnosis

    Had a 30 something year d patient at our psych hospital last month with mental status changes also had lesions that his pcp was telling him was eczema or something like that. Ended up being syphlis transferred him out for iv abx.
  8. Is 18 patients "the new normal"?

    I bet this hospital belongs to a huge corporate chain of behavioral health hospitals. The facility I worked at before becoming an APRN had census like this. The acute unit is staffed 1:15 or 1:whatever the census is some days and teacher count in the...
  9. Cyclic vomiters (drive me up the wall)

    My 10 year old autistic son has cvs. I thought I would end up being investigated for munchaussen by proxy we have spent so much time getting ivf. Haldol is the only thing that has ever helped even tho our pcp thought I was nuts when I suggested it.
  10. I would get copies of my charges resolution of my case etc and go talk to your state board of nursing. They will let you know. Your school may also counsel you on it but I found the most relief by talking to the board. I have a dwi and a misdemeanor...
  11. Are American hospitals ready for Ebola?

    I think if he knew it he would have gone to atl from Liberia. That is where the others were treated and I am sure he knew it. Plus why would he have put his family at risk?
  12. Mentally ill

    Family education has been shown to be effective in reducing re hospitalization rates in many mental disorders, but this does not mean these people need a guardian. They just need family members who understand and are willing to learn.
  13. role of CNL?

    Clinical nurse leader. I have no clue what they do tho never worked with one in psych.
  14. Scenario - input, please!

    Honestly I don't see what the patients mental health had to do with this scenario. I think examining one's feelings about patients with mental health histories may be in order. Patients who are in pain tend to be agitated and verbally aggressive. I k...
  15. Has anybody done Telepsych?

    I was going to ask this same question. Here in arkansas it just recently changed to where APRNs can bill for all psych services provided by telepsych to medicaid.