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ThePsychWhisperer BSN, MSN, APRN, NP

Psychiatric-Mental Health Nurse Practitioner

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  1. ThePsychWhisperer

    FNP...a bad career choice?

    I'm not super knowledgeable on this subject, but I know the following do, or at least did at one point: University of Tennessee, Knoxville; University of Tennessee, Chattanooga; Georgetown, Vanderbilt, Duke, and I believe Yale.
  2. ThePsychWhisperer

    FNP...a bad career choice?

    I agree with the above posters. There are still many jobs out there for the FNP. The problem lies in that most of these jobs are in very rural areas where most people don't want to work. The major metropolitan areas are very saturated with FNPs, and PMHNPs are on their way to becoming "surplus outweighs demand" as well (I believe this to be due to most nurses having NO idea what practicing in psych really entails, sadly). To echo the sentiments of @FullGlass, do not pursue psych unless you know it is what you really want to do. Psych has one of the highest rates for burnout, both for those that aren't really passionate about it, and those that are. As for your mental health condition, I have been diagnosed with MDD and am currently medicated and in therapy. You always need to be wary of how much information you divulge to all patients (but especially psych patients), but I believe in the right context and with the least amount of information provided as possible, this can help build and strengthen the therapeutic alliance between practitioner and patient.
  3. ThePsychWhisperer

    How to be a successful NP/NP Student

    I would advise against it, but only because of the risk of role ambiguity since you're trying to simultaneously learn two very different roles: that of the staff RN and of the advanced practice provider.
  4. ThePsychWhisperer

    Acute Care NP vs. Family

    There are combined AC/FNP programs out there that would allow the graduate to provide acute care to adults in a hospital setting, and adults/children in a primary care setting. While it's two board certifications to maintain, it would give you a little more flexibility and marketability, especially in areas that may have moved to an "acute care only in the ER" model.
  5. ThePsychWhisperer

    I've had enough.

    Many of the things that you've mentioned concern me -- a lot. Your symptoms certainly sound like depression and what is called passive suicidality. I urge you to speak to someone at your school, anyone you may consider a close friend, an independent licensed therapist, or call the number provided by Trauma. There is absolutely no shame in admitting you may be depressed, or in taking medication for depression. I take medication every day, and I feel so much better. Everyone I am close to knows I'm on medication, and guess what? They love me anyway. Please find help soon.
  6. ThePsychWhisperer

    Online MSN Mental Health/Psych

    There are actually quite a few very reputable schools that now offer a mostly online format for the PMHNP, including Duke and Vanderbilt. These were a bit outside my price range however, so I went to the University of South Alabama. Sometimes a bit disorganized, but like most online programs, you really get out of it what you put in. They accept students from most states, and they charge in-state tuition for online students, which was one of the major selling points for me.
  7. ThePsychWhisperer

    Survival guide for women of color

    That was an interesting read, and a compelling argument to do more research on the topic. It helps convince others when your postings contain evidence relevant to the argument.
  8. ThePsychWhisperer

    Survival guide for women of color

    We're not arguing whether or not WOC have a higher mortality rate. The point we're arguing is whether or not true disparities in health care between WOC and white non-Hispanics have any influence over maternal deaths. I read all the articles you provided with your most recent posts, and although they do address a quite large chasm between the races and maternal deaths, they do not address whether or not disparities in health care are considered a root cause. One thing I did notice however, is that among all the stated causes of maternal deaths in the US, cardiovascular diseases rates number one. In the US, up to 1/2 of African-Americans have some form of cardiovascular disease, as compared to only about a third of non-Hispanic whites. Also, after looking at the following Harvard article, it suggests hypertension as a probable cause for this cardiovascular disease, a condition that, due to a genetic component, African-Americans are more likely to have than non-Hispanic whites. When you look at all the conditions on the CDC website as contributing factors to maternal deaths from 2011-2014, hypertension could be considered as an underlying (but admittedly not definitive) cause for cardiovascular disease, cardiomyopathy, hemorrhage, cerebrovascular accidents, and is a sure cause of hypertensive disorders of pregnancy. Add these all together, and these conditions contribute to a whopping 51.2% of all maternal deaths. This is why I was curious as to whether or not these maternal deaths were truly being caused by intentional or unintentional disparities in health care, or if there may be something more insidious at work. Race and ethnicity: Clues to your heart disease risk? - Harvard Health
  9. ThePsychWhisperer

    Survival guide for women of color

    If this is actually a WOC problem and not a socio-economic problem, then education level is really a moot point. But what is the core reason for the increased mortality of women and infants of color? I apologize up front, but in order for me to blame blatant racism in medicine and nursing for the higher mortality rate, I need to see evidence of a continued disparity in maternal care. The content of the original article posted is terrible, but the truth is that it was a process failure, and it could have happened to any woman of any ethnic or non-ethnic group; there is absolutely no way to prove that it happened just because she was black. Was it a wrongful death? Yes. Could it have been prevented? Absolutely. But again, there's no empirical evidence that it was only because she was a WOC. Where are the studies linking the mortality rates to substandard care? I know I'll probably get flamed for this, but I think we may need to stop yelling racism when there could very well be other underlying biological issues.
  10. ThePsychWhisperer

    Survival guide for women of color

    Exactly what water is that? My comment was in no way meant to be snarky if that's how it was taken. I was speaking as to a biological reason such as a clotting disorder that would make women of color to be more susceptible to hemorrhage after birth. I said this in the same vein as Tay-Sachs would be related to the Eastern Jewish population, or Sickle Cell Anemia is generally associated with the African-American population. Nowhere did I say that certain ethnicities are just more likely to die, and that's the way it is. I don't really appreciate my words being twisted into something that makes me sound like a racist bigot.
  11. ThePsychWhisperer

    Survival guide for women of color

    No doubt this was a very disturbing incident with a massive process failure which unfortunately resulted in the death of a young, healthy woman of color. While I am not arguing the point that racism still exists (as it indeed does), but is there any other possible reason for the general statistic of WOC being 243% more likely to experience a fatal event post-childbirth? Could it be related to WOC being more genetically likely to experience post-partum complications such as hemorrhage?
  12. ThePsychWhisperer

    Drug screen left out for 4 days

    I've never heard of using an EIA for drug testing. Learn something new every day.
  13. ThePsychWhisperer

    Drug screen left out for 4 days

    While the nurse did break chain of custody by leaving the sample on a desk until Monday, if the tape surrounding the sample was left intact, there's no chance of tampering. The only thing that would possibly show from the sample being left out is EtOH, and only if there was yeast and glucose already present. There's nothing about what happened with the sample that would cause a false positive of any other drug metabolites. Please excuse me if I'm wrong, but it sounds like the OP is just looking for a potential reason the sample would pop positive besides drug use.
  14. ThePsychWhisperer

    Lovenox injection

    It is actually correct pharmaceutical practice to round Lovenox UP to the nearest tenth, no matter the dose. Ex: dose calls for 7.4mg of Lovenox, it should be rounded to 8.0. Very little known blurb about Lovenox.
  15. ThePsychWhisperer

    Finally Accepted!!! Need Advice.

    You are correct that I have never done anesthesia. I also stated that my comments were, in fact, NOT due to well-prepared NPs and CRNAs not being able to function autonomously, but were instead from a liability perspective with our benefit in mind. Unfortunately, since this is all that seems to have been gleaned from my original post (which was intended to be directed at the OP gaining some humility), I am bowing out. And nope, still not ignorant.