Smitty08

Smitty08

Psychiatry (PMHNP), Family (FNP)

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All Content by Smitty08

  1. Working triple shifts

    Smitty08 replied to Aviationurse's topic in Psychiatric

    This seems to happen in a lot of facilities and is truly terrible. It puts the licensed person in a terrible position. If the RN in charge knows this is going on and there is a safety lapse, suicide...

  2. Sad day in the USA

    Smitty08 replied to rickkijo's topic in Emergency

    There is a hidden tax on all of us who do have health care insurance, we are overcharged for our insurance to cover cost of care for the uninsured. Another reason we need insurance for

  3. What are the prescriptive authority allowed new NP in your state?

    Smitty08 replied to rnattorney's topic in Nurse Practitioners, NP

    Hi ya. That does sound very restrictive, however, the laws vary all over the map. Here in CT, APRNs as prescribers need all the academic qualifications and licenses AND a collaborative agreement w....

  4. FNP vs PsyNP

    Smitty08 replied to drfitness's topic in Nurse Practitioners, NP

    Hi ya! Agree with al dente above that there is typically a stronger market for PMHNP, and that could be more variable with FNP nation-wide, but that is only my impression from what I read here. It...

  5. where to get PMHNP

    Smitty08 replied to misplaced1's topic in Nurse Practitioners, NP

    HI- I did an FNP first, with the idea of staying in psych. where I have always worked, but I wanted more knowledge in the medical area too. There is much overlap medical/psych. in practice as you can...

  6. How do you obtain a license after certification?

    Smitty08 replied to kanzi monkey's topic in Nurse Practitioners, NP

    It's a very complicated process in a lot of states, and confusing as to which agency does exactly what. So don't feel dumb! Good

  7. thoughts/advice welcomed........

    Smitty08 replied to carluvscats's topic in Nurse Practitioners, NP

    I would suggest trying to pinpoint which specific population you'd like to work with as an FNP and try to find a job working with that population that is bearable and would allow you to go to school...

  8. Should I do NP or DNP in the near future?

    Smitty08 replied to Joe NightingMale's topic in Doctoral Nursing Degrees

    Agreed that some DNP programs tie in with master's programs in which you learn the majority of clinical information. The DNP has a different focus, e.g. synthesizing research, policy, leadership,...

  9. Psychiatric Home Care Nursing

    Smitty08 replied to Pooksmom1996's topic in Psychiatric

    Agreed w. above that I rarely felt unsafe in doing psych. home care. It was at times a little strange going into peoples homes for assessments, I would often have the medical nurses request an eval....

  10. Trends in NP practice?

    Smitty08 replied to Joe NightingMale's topic in Nurse Practitioners, NP

    Its too bad your inpt. psych. experience was so bad. I think they vary so much depending on where your work. I've been in psych. since the stone age and some places I've worked were extremely poorly...

  11. Any Psych NPs out there?

    Smitty08 replied to Joe NightingMale's topic in Psychiatric

    HI all. I think Lucianne is on the mark suggesting that psych. nsg. experience is invaluable in your work as an NP in psych. I've said in other posts, I think that you can pick that up elsewhere...

  12. Help please!! I don't know what to do

    Smitty08 replied to palo143's topic in General Nursing

    Yes you might be able to skip the BSN. I did an ADN, was working much faster, later got a BA in psych. Later still got into a master's program that did not require a BSN. Now I'm an APRN back in...

  13. Any Psych NPs out there?

    Smitty08 replied to Joe NightingMale's topic in Psychiatric

    I think there are some out here, just on various threads. I've been a psych. NP for maybe 18 years, its been great. Its a lot different from working on a psych. floor but it does build very well on...

  14. Question for psych NPs

    Smitty08 replied to ivanh3's topic in Nurse Practitioners, NP

    I agree, I think you need a masters in psychology for that route. Its a totally different

  15. DNP Category?

    Smitty08 replied to Smitty08's topic in Doctoral Nursing Degrees

    Hi Does cnl mean clinicial nurse leader? I'm not sure that term. The DNP programs vary quite a bit, some have a clinical component, for others its optional as are other optional areas such as...

  16. Psychiatric NP AND Psychologist?

    Smitty08 replied to Jo Dirt's topic in Nurse Practitioners, NP

    I really do respect the psychologists I have worked with and they perhaps do get the most rigorous training in psychotherapy, however, I think managed care has not done right by them, in that so many...

  17. Treated for Bi-Polar disorder and depression

    Smitty08 replied to neknanrum's topic in General Nursing

    I think you will be a fine nurse! I treat a whole bunch of folks w. bipolar who do just fine. Its extremely common. It is not so easy to treat always. Be aware that current evidence based research...

  18. moving into Psychiatric work or wait for specialty?

    Smitty08 replied to westcoastgirl's topic in Nurse Practitioners, NP

    I would agree with this approach. I would suggest getting into the new content area ASAP. I did notice a few DNP programs that offer a clinical psych. track, which would be another way to go. Most DNP...

  19. Here's one I'll bet you don't hear every day

    Smitty08 replied to chirodoc's topic in Nurse Practitioners, NP

    I remember some of the LPN's in my RN program long ago saying they were keeping mum about being LPN's, as the instructors would expect more of them, be less forgiving of mistakes. I'm not sure thats...

  20. PMHNP How much therapy do you do?

    Smitty08 replied to elizabelle's topic in Nurse Practitioners, NP

    I agree with al dente, above, however my particular program was probably better than most in preparing therapists so I feel well prepared adn comfortable doing therapy. Also because I had challenging...

  21. Online university, accreditation and clinical sites for NP

    Smitty08 replied to PrinceBartholomew's topic in Post Graduate Students

    Hi You might have some logistical problems doing clinicals in other states, I take it you have to do this for licensure reasons, or perhaps school reasons. I would not, however, rule it out if you...

  22. Considering dropping out of FNP program

    Smitty08 replied to Mahage's topic in Post Graduate Students

    Hi You did mention depression and I wonder if it could have impacted your ability to focus, concentrate and maintain interest. That would not be unusual. Do you know anyone you could talk to about...

  23. Violent Borderlines

    Smitty08 replied to Leahr's topic in Psychiatric

    Oh and yes, probably there are some nice exceptions and some very violent BPD individuals. I always liked the example of that movie "Fatal Attraction", which I thought depicted a really out of...

  24. Male Nurse Demand?

    Smitty08 replied to techraider77's topic in Men in Nursing

    I don't think there is more demand for males, at least in my setting, but there is demand for experience, track record and such. And there is no discrimination against males that I have seen either....

  25. Violent Borderlines

    Smitty08 replied to Leahr's topic in Psychiatric

    Seems to me the most violent pts I ever dealt with were not even the BPD pts. Sure there were plenty of threats, hystrionics and tantrums - even self mutilation (usually dramatic and superficial). My...