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twinkerrs

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  1. 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 practice at an advanced level. More and more professions are moving to this idea
  2. 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 translator. That is what my hospitals do immediately. I think one has to be present within 24 hours of admission.
  3. 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 helping people understand our different roles.
  5. I just finished school for Pmhnp and I am 42. I don't see where age comes into play at all
  6. 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 still a need for family practice docs even though we are trained to treat the patients too.
  7. 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. 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 matrix so the nurse loses some techs on day shift. Crazy stuff when they want no restraints or seclusion a on top of that.
  9. 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 hot check from 20 years ago and have since been licensed as an APN and given authority to write prescriptions.
  11. 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. 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. 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 know I am not in the best frame of mind when I am in pain. To the apap issue call provider for a change.
  14. 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.
  15. Just walking away now. But will add my nursing school class of 62 lowest GPA was 3.6.

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