twinkerrs replied to koreanjohn32's topic in Doctoral
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...
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 understand and be understood. Demand an in person ...
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 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...
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.
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 1:whatever the census is some days and teacher count in the...
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 our pcp thought I was nuts when I suggested it.
twinkerrs replied to amavillal's topic in Criminal
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...
twinkerrs replied to texarkana 551's topic in COVID
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?
twinkerrs replied to apnurserock's topic in 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 understand and are willing to learn.
twinkerrs replied to GoodNightNurse-LVN's topic in 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 pain tend to be agitated and verbally aggressive. I k...
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.
twinkerrs replied to golson's topic in Pre-Nursing
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 PMHNP who went the CC route and I made it just fin...
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. I think most places outline this in policies and p...
twinkerrs replied to Surface's topic in NP Students
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 far is the girl who owes the VA for her ed and she i...
twinkerrs replied to Adonai Adonai's topic in 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 double glove it almost seems rude and disrespectful. Id...
twinkerrs replied to wildcatarnp's topic in Advanced
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 recognized my PPD she was AWESOME!!! Switch gears t...
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 2007.
twinkerrs replied to EatYourVeggies's topic in Advanced
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 experience.
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 the formula with the doc but she could have discus...