PMHNP10

I'm certain I'll offend but here goes. Society is like a person with a borderline personality in that things are black or white and shades of gray do not exist. The pendulum swings too far in one direction and forces exert their effort to bring thing...

Actually the constitution states the fed laws supersedes state--article 6 supremacy clause

Most unfortunate if this is still happening. Wasn't good then; isn't good now. ok so I'm intrigued. Are they posting pics or are we talking ugly like someone being ugly? I must try to find this thread.

I was triggered by your post and felt the need to respond as a good triggerin' is apt to do. I joined a bunch of years ago ('03 I believe) and was pretty active until around 2010. If memory serves my decreased activity was at least in part associated...

interesting question. Unfortunately I had the experience of 4 months of visiting my daughter in the NICU and I did mention I was a NP just as a way to relate to those taking care of my daughter. I tried to make it clear I only treat things going on b...

C'mon, you were asked what makes a good day, not to detail your wildest fantasy. For me a good day is simply that each of my clients show up on time and I do not fall behind. A great day is that a majority are doing well or at least better than they...

I have a cure--abolish each and every one of these scourges or our educational system. See...no test = no anxiety about the test.

Winry I think you're on to something. In spite of the popular narrative seen in the media, maybe, just maybe all (or even a majority of all) police officers don't make decisions based on race. The preconceived notion is very unfortunate.

I don't want to assume, but are OR NPs given full practice independence/autonomy--i.e., can Rx sched II-V without physician oversight, practice without a collaborative or supervisory agreement, therefore able to open their own private practice and pr...

I would say it is. The VA I recently left instituted policies where it would almost take a letter from congress to get an opiate and if you were on an opiate, you were likely going to be switched to tramadol whether it worked or not. We had a pain mg...

Not sure what's ridiculous about it--I'd love to find an original research article, but here's a link to a Medscape article on one study indicating there is in fact an increase in violence in individuals with PTSD: Medscape: Medscape Access I don'...

I'd only advise caution in general on this--While your employer may not do random drug tests, it is possible that if you were to get a needle stick or other exposure to bodily fluids or some other injury on the job, or if the narcotic count is off, d...

I have a few questions: 1) What do you think of telepsych? 2) What should one expect for reimbursment? Revenue split? Hourly (what rate)? 3) What should one look for/expect from the telepsych company? 4) What do you feel have been the positives of d...

I don't know that I'd be billing as I'd be working for a company that would take care of the billing.

I just read an article that someone posted on Facebook about this. I thought this was new news and made some off-the-cuff statements like the nurses will **** and moan but ultimately pick up their mops and scrub brushes and get to work. 4 months late...

Mostly it was to demonstrate my point that i dont treat HTN. I just pulled the first med that came to mind without giving any further thought such as if on any other anti hypertensives or dosing. Fwiw I've rx'd kapvay for ADHD which calls for bid dos...

Bits and pieces about my perspective on things mentioned in this thread: 1) Psychiatry is an art AND a science. 2) As a whole, I give meds 20% of the credit; the other 80% is on the client. 3) I remain aware of medical Dx's that might mimic any given...

I hope this is a topic which hasn't been posted on before. I did a search for the word screenname and came up with nothing, so let me be the one who starts this one up. How did you come up with your screenname? Is it simply just where you work and...

So as psych nurses we're painfully aware of the stigma that is still alive and unwell within psychiatry from the general public towards the patient, the patient with X Dx towards the patient with Y Dx, the patient's family towards the patient, the no...

hmmmmm...I never got an email telling me anyone had responded anywho, funny you should mention about the family; I have a cousin who has a child with ADHD and tourettes; she lives in a rather podunk town and so healthcare access isn't so great; the k...

I'll take a stab at 1 reason. I suspect there are many many call-ins in a nursing home, just as there is in a hospital. Difference being that there are usually float pool and maybe even agency nurses available to cover some of the holes in a hospital...

Let me be blunt--Which career potentially sucks worse? My fiance and I were hanging out with a teacher and her family this weekend. Some of the things she was mentioning made my stomach turn. For example, she said that insurance for her 2 children...

I saw yet another example of some nurses getting hung out to dry (this time in KY); I believe a bunch had been using "mother's milk" PRN as if it were a protocol. Many were doing it and got canned, but if I recall the pharmacist, MDs, etc. were not ...

Feeling salty today waiting for the ANCC to take their time to approve a certification application while having $0 income. Yeah no rush. So I ran across this thread and thought to myself--Psychrn03, here's an an idea--let's beat eachother down some ...