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yhl1975

yhl1975

Outpatient mental health /detox
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  1. I am new grad PMHNP with full time RN position( 80K salary with benefits).After three months of constant intervews I was offered 2 part time NP positions. My yearly income will decrease, since I am loosing my benefits. Both positions offer 2-3 clinic to cover in less then 24 houres a week. Unfortunately, all my intervews for the full time NP positions were unsucsessfull. The full time positions offered salary 90-100K , there is no direct supervision and in come cases the comuting demand is to cover 5 or more clinical setting ( outpatient, office, shelters and other). I wonder if I can ask my employe PTO for les then 20 houres a week. Any other benefets that are possible for part time position.
  2. yhl1975

    Pmhnp ancc board exam passed 2017

    Thank you so much for the help , assistance and support in this particular topic. I passed the ANCC PMHNP on 09/27/17 . I prepared just for 2 months. I hope my post will make others to feel a little better . So, thank you all and good luck.
  3. All chronic illness are expensive for insurance. As for mental chronic disorders all much more complicated, since SPECT/EEG not done in every case and maybe it could help to identify new subtypes of anxiety, depression and attention deficit disorder, categories far more specific than even the forthcoming fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, the benchmark of the field. I hope , one day will be the real opportunity for psychiatry to use the emerging advances in genetics, molecular biology, imaging and cognitive science to supplement, rather than replace, the symptom-driven diagnosis.
  4. People with a mental illness are twice as likely to have a substance use problem compared to the general population. At least 20% of people with a mental illness have a co-occurring substance use problem. For people with schizophrenia, the number may be as high as 50%. Similarly, people with substance use problems are up to 3 times more likely to have a mental illness. More than 15% of people with a substance use problem have a co-occurring mental illness. Institute for Health Metrics and Evaluation (2015). Global Burden of Diseases, Injuries, and Risk Factors Study, 2013. Data retrieved from GBD Compare | Institute for Health Metrics and Evaluation Chesney, Goodwin and Fazel (2014). Risks of all-cause and suicide mortality in mental disorders: a meta-review. World Psychiatry, 13: 153-60 Mental health clinicians obligated be trained in addiction & recovery.
  5. yhl1975

    Methadone worse than heroin....ideas?

    In some cases , methadone clinics justify putting young people on a medication that they will likely never be able to come off in an effort to prevent them from using illicit drugs so they are not involved in criminal activity.Then again our society wants everything easy and fast. The 12-step program is not mandatory, so if the patient is "not spiritual ", he/she is on methadone program "forever".
  6. yhl1975

    Vivitrol/naloxone

    Thanks you for your response, it is ok to share "subjective responses " in this forum. The main idea was to share experience and knowledge "off-label treatment" for Vivitrol .
  7. yhl1975

    Prison nursing vs psych nursing

    How do nurses help those who need to become competent to stand trial? Nurses scope of practice is all connected to patient education ,but not to advising to the trail .The patient education done by evidence based practice. The nurse in forensic unit needs to make sure that the client is not hungry, physically clean , dressed and safe to himself and others.The lawyer needs "to prepare " the client for the trail. This is his paid job , since he knows in what case what will be asked and how it will be sound in the court system.
  8. yhl1975

    What to expect in Dialysis Nursing

    For success in all dialysis careers you need to be "handy" ,good in mathematics, autonomic and experienced in patient education. The salary is grate, the job is stable, the staff usually loves his job and the quality of the staff checked and trained all the time. There are so many options to grow in Dialysis after some experience as RN, you could be trained by the company for other roles: CAPD, Home dialysis RN,Case manager, Clinical AV coordinator, Staff educator, Quality control specialist,research , infection control, other played roles to educate LPN/TECH's and may others. Good luck!!
  9. online program PMHNP? I've applied online to Rochester and Stony Brook and was accepted. The cost was not a factor, since I had approved for senator Patricia Mcgee scholarship for nurse educators. My major concern with an online program was what type of teaching/learning methods are utilized - namely, are there any interactive, engaging methods being used - i.e, pre-recorded lectures, power points with voice, MP3 files, discussion boards, collaborative group assignments, webnairs, virtual simulations, or interactive video modules? As far as for now, I found that my choice was correct and my PMHNP program in Molloy was good decision. I find the course work to be engaging, comprehensive, and useful, it was not it a bunch of "busy" work. The textbooks were truly relevant and useful, some expensive, but reasonable. All my professors were PhDs or Masters prepared. I would that say the course work truly prepares me for my role as PMHNP, however, I will have to constantly seek additional sources to fill in the gaps. Lastly, I think I will feel prepared to sit for the national exam. Personaly, I know several PMHNP that finished online programs, but still can not find a job in this field -PMHNP, some can not pass the national exam and some just feel "unprepared".
  10. yhl1975

    The worst job you had before becoming a Nurse?

    "Sale and trade" is different from "care" . Some tried as a future career in sale and trade and undestude that it is not THE FLOW. The hallmark of flow is a feeling of spontaneous joy, even rapture, while performing a task although flow is also described as a deep focus on nothing but the activity – not even oneself or one's emotions.
  11. yhl1975

    The worst job you had before becoming a Nurse?

    This was when I was a teenager counselor in summer camp age 17 then Au Pairs Vs. Nannie age 18-21
  12. Please define following: elevator speeches/mid level providers/white coats : 1.Word salad 2.confabulation 3.grandiose thought process 4.Defence mechanism 5.reality I am still confused:roflmao:
  13. yhl1975

    Which NP specialty is most in demand?

    Dr. Joseph Mercola , Dr. Mehmet Ozi ,Dr. Andrew Weil, Jon Kabat-Zinn and many other PHD/MD's- each have their side and their / newspapers / magazines / radio /TV show. Each of them against drugs and against long stubborn FDA / clinical.trail.gov research. And basically they advertise themselves, although they have not invented anything new. Evidence-based medicine is the central component of the stated higher-order and in US there are lots of finansial foundations to do research. Somehow the amount of foundations for research in US are the best the world. And still all research that done is not as many as required/fairly acceptable/not enough defined and other NO. In UK, Germany, France and Israel alternative medicine is covered by inshurance, specialy in chronic and preventative care. Some how the data is obtaned there and patients have a choice how to be treated.
  14. yhl1975

    Which NP specialty is most in demand?

    My chakras are still blocked , I am ready to read about Yoga and tried "hot Yoga" is not for me yet.Fitness and Zumba dance work fine for me. As for meditation is really " the hardest brain workout I've ever done." in all my classes of meditation I just was so tiered , that I was nocked down to sleep.I tried biofeedback device to utilize my own awareness and monitoring . My be because I like numbers and prefer objective data summarized.
  15. yhl1975

    How do people feel about male nurses?

    less stress with maternity leave for sure, so as a clinical director/manager/ privet office owner , I will prefer male medical and office support staff in my clinic bless you!!!
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