twinkerrs

twinkerrs

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All Content by twinkerrs

  1. Why DNP and not MD?

    twinkerrs replied to koreanjohn32's topic in Doctoral Nursing Degrees

    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...

  2. Spanish resources for psych nursing?

    twinkerrs replied to SwampCat's topic in Psychiatric

    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...

  3. RN or PMHNP?

    twinkerrs replied to eventualnurse's topic in Nursing Career

    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

  4. At my boiling point...you are NOT a Nurse...of ANY kind!!!!

    twinkerrs replied to nursehunnie's topic in Nursing Professionalism

    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...

  5. PSYCH ARNP

    twinkerrs replied to Debi Fischer's topic in Student Nurse Practitioner

    I just finished school for Pmhnp and I am 42. I don't see where age comes into play at

  6. Interesting times in psych

    twinkerrs replied to nursetim's topic in Nurse Practitioners, NP

    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...

  7. Altered Mental Status- a surprise diagnosis

    twinkerrs replied to Stcroix's topic in General Nursing

    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...

  8. Is 18 patients "the new normal"?

    twinkerrs replied to SunnyRose's topic in Psychiatric

    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...

  9. Cyclic vomiters (drive me up the wall)

    twinkerrs replied to Emergent's topic in Emergency

    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...

  10. criminal background? have i wasted my time? please help. Anybody know knows?

    twinkerrs replied to amavillal's topic in Licensure: Criminal History

    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...

  11. Are American hospitals ready for Ebola?

    twinkerrs replied to texarkana 551's topic in Disaster Preparation

    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

  12. Mentally ill

    twinkerrs replied to apnurserock's topic in Patient Education

    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...

  13. Scenario - input, please!

    twinkerrs replied to GoodNightNurse-LVN's topic in Patient Medications

    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...

  14. Has anybody done Telepsych?

    twinkerrs replied to TheOldGuy's topic in Nurse Practitioners, NP

    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

  15. Prospective nursing student

    twinkerrs replied to Emotions's topic in Pre-Nursing Students

    Just walking away now. But will add my nursing school class of 62 lowest GPA was

  16. Did I take the bait (for profit school)?

    twinkerrs replied to golson's topic in Pre-Nursing Students

    Going the cc route to even just get your RN is going to help you maximize your GI bill. You are better off staying away from places where you even have a doubt in your mind. I am a recently graduated...

  17. PRN times in psych

    twinkerrs replied to sassyann85's topic in Psychiatric

    The facility I worked at outlined the dosing schedule for orders like this in our policies. TID dosing for an adult unit of patients was 8,2,8. If the doc wanted it q8hrs then he ordered it that way....

  18. NP Salary

    twinkerrs replied to Surface's topic in Student Nurse Practitioner

    Starting RN salary: 2009 18.50 ending salary was 21.50 I quit last April to finish my MNSc. I graduated in May as a PMHNP I just turned down an offer for 75k. Lowest starting salary for my class so...

  19. First job - HIV unit

    twinkerrs replied to Adonai Adonai's topic in Infectious Disease

    At least you know they are HIV + you will encounter many patients who do not know their HIV status. Use your precautions like you are supposed to and you will be fine. I have never seen someone...

  20. Reasonable new grad NP offer????

    twinkerrs replied to nursebetty24's topic in Advanced Practice

    Not enough ceu reimbursement either. Most places offer 2000-2500 and paid time off for them that does not count as your pto

  21. Why did you become a Nurse Practitioner?

    twinkerrs replied to wildcatarnp's topic in Advanced Practice

    When my twins were born they were preemies who did well and left the hospital pretty quick. Quick is not always better so we spent a lot of time seeing the PNP at their clinic. She was the one that...

  22. Rolling tote

    twinkerrs replied to GraduateNurseMom's topic in General Students

    I had that tote for nursing school also. Now I use it like luggage for the lake or short trips. So yep it is durable considering I bought mine in

  23. Questions for Psych NPs

    twinkerrs replied to EatYourVeggies's topic in Advanced Practice

    Should be 2013.

  24. Questions for Psych NPs

    twinkerrs replied to EatYourVeggies's topic in Advanced Practice

    I graduated in 2009 and worked as a psych RN until 2003 when I had to quit to focus on my PMHNP program. I just graduated and I feel I was leaps ahead of the people with no psych

  25. Mom jailed for refusing to feed her infant proper formula

    twinkerrs replied to RNIBCLC's topic in Ob/Gyn

    She could have discussed the issue at the hospital instead of avoiding getting the baby rehydrated. Obviously the doc thought the baby was bad enough to send to the hospital. Maybe she didn't discuss...