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ThePsychWhisperer BSN, MSN, APRN, NP

Psychiatric and emergency nursing
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ThePsychWhisperer has 7 years experience as a BSN, MSN, APRN, NP and specializes in Psychiatric and emergency nursing.

ThePsychWhisperer's Latest Activity

  1. ThePsychWhisperer

    I have a bizarre case...

    I am a little confused. Do they want you to enter an IPN for drug use or bizarre behavior they believe is related to drug use? If you have a valid prescription for the Ativan, I'm not sure they can force you into an IPN, although your employer may opt to terminate employment because you may or may not have been under the influence on the job. Although it certainly may have induced manic symptoms, I'm not sure why all the focus on the Wellbutrin. It does not show in a drug screen. In any event, wishing you the best!
  2. ThePsychWhisperer

    Anyone here work inpatient psych doing IM rounds?

    I am a PMHNP that does IM rounding in a hospital setting, I am also available for questions 🙂.
  3. ThePsychWhisperer

    Greater Western Telehealth

    Not too well, actually. It's hard to network in a state when you don't live there. I am still willing to practice patient care in Wyoming if I had patients in need.
  4. ThePsychWhisperer

    PMHNP/PSYCH NP

    Thank you! Apparently when I make make suggestions like this, I'm hating.
  5. ThePsychWhisperer

    PMHNP/PSYCH NP

    Hating? You're precious. Hating on what exactly? I have a military and emergency medicine background, and outpatient and inpatient psychiatric experience. I see some of the sickest patients at their worst while working my main job at a community hospital, and do private practice medication management with brief narrative psychotherapy on weeks off from my inpatient gig. I am also dual board certified in emergency nursing and as a psychiatric nurse practitioner. I am only a few months from my doctorate, and will soon be the coordinating liaison between my psychiatric unit and my emergency department. But yes, I must surely be hating because the OP is younger or cuter or something similar, because that's all it could be, right? 🙄 Anywho, my original question wasn't meant to be a personal attack. I simply wanted to know what was drawing the OP towards psychiatry when s/he didn't mention any overt experience, and merely suggested that the OP get a little experience with some of the more acute patients before dropping thousands of dollars on a psychiatric nurse practitioner program before learning that's it's not going to be their niche. Psych is a wonderful field but it has some of the most emotionally exhausting patients. Unless one has a true love for the population, providers can get really burned out, really fast. As for being territorial? Yep. But not the way you might imagine. There's enough mental illness to go around for all of us. What I am protective of is my patients, who deserve better than someone in it just for job security and a cushy desk job. I am not guarding the profession; instead, I am guarding vulnerable patients from those that get into this field for the wrong reasons. I do support those getting into mental health and will be a preceptor for a PMHNP student this fall, but I highly recommend a person getting their feet wet prior to plowing full steam ahead into the field and finding out it's not for them, which truly was the original gist of my response. Finally, unlike some that believe everyone deserves a "Thata girl!" or a hearty encouraging pat on the back, my first priority is to advocate for my patients. Period.
  6. ThePsychWhisperer

    PMHNP/PSYCH NP

    While there are indeed multiple areas in psych to specialize if one chooses, I don't think Bryan has a terrible idea regarding needing some exposure to the sickest psychiatric patients prior to becoming a psych NP. And you have a good background but to be fair, these are all areas that could be applied to an NP with a med-surg focus as opposed to psych. What is it specifically that draws you to PMHNP when you don't seem to have any experience in that particular area?
  7. ThePsychWhisperer

    Your most bonehead moment in nursing. Or 2. Or 3.

    - Once spiked through a bag of blood and ended up with blood on the floor, my shoes, infusion pump...pretty much everywhere besides in the patient where it should be. - During nursing school prior to reading the chart, I told a double AKA to "hop out of bed," so I could change his linens. - Forgot about the opening at the top of the bags we use for milk and molasses enemas. Went to remix and splooshed milk and molasses all over the floor. Like another poster, housekeeping was not impressed. - Accidentally cannulated an artery with an IV while fishing for a deep vein. Didn't realize I had done this until I let go of the apparatus to grab gauze and a syringe, and the pressure of the artery blew the IV right out of the patient's arm and on to the floor. Blood was everywhere. I can't count how many times I tripped, smashed my hand in things, or hit my head. Honestly a wonder I wasn't fired or killed during the first part of my nursing career.
  8. ThePsychWhisperer

    When Your Nursing School is Shut Down

    Leader, overall, we're discussing for-profits and their often times deceptive practices, misleading students into mountains of debt with no usable degree. Not sure where the discussion on hate and PC rhetoric came from.
  9. ThePsychWhisperer

    Rude nurses

    SDN is the student doctor network. I enjoy going over there to read the forums from time to time, just to see what new anti-nurse practitioner rhetoric may have surfaced.
  10. ThePsychWhisperer

    Rude nurses

    A lot of this isn't adding up for me. Graduated HS at 16? Okay. OP would have had to have been at least 18 to begin nursing clinical, so a minimum of 20 prior to graduation. Three years of nursing experience would have made him/her 23. Newly graduated at 26? Completed medical school in three years, all while working full time as a nurse? Nope, not buying it (If my math is bad however, the OP is welcome to come back and correct me). I found it difficult enough to keep up with the classwork and clinical hours required for my nurse practitioner while working full time. In any event, I try to be at least professional with all physicians I come across just due to virtue of education and degree, but nice is reserved for when said physician has proved themselves to me as worthy of my respect. Is it possible that OP is misconstruing busy, overworked, underpaid, and blunt as rude?
  11. ThePsychWhisperer

    I passed my AANP

    Congrats on passing! Welcome to the world of advanced practice nursing!
  12. ThePsychWhisperer

    PMHNP prescribing questions

    In cases of catatonia, I'm limited to hitting it hard and fast with antipsychotics/benzodiazepines if I'm having to provide care solely at my facility. We can refer out, but to my knowledge, we have one local OP provider of ECT, and Vanderbilt is the nearest IP facility to me, and I'm in Knoxville, TN. It may be there are others out there, and they're just not on my radar. In fact if that's the case, someone please correct me.
  13. ThePsychWhisperer

    PMHNP prescribing questions

    I work for my grossly medical hospital's in-house psychiatric unit. I do consults for patients on the medical floor, and aid the ER in disposition of the difficult psychiatric patients. We don't do any ECT in my hospital, unfortunately. It's become a rare animal in my neck of the woods.
  14. ThePsychWhisperer

    PMHNP prescribing questions

    In my state, while someone with an MD or DO degree can prescribe whatever their heart desires, specialty nurse practitioners such as PMHNPs must stay in their own lane, as it were. I am allowed to prescribe any psychotropic medication that is on my collaborating formulary (which is pretty much everything because my collaborating physician is awesome), but I am not allowed to prescribe any general practice medications (BP, BG, etc) unless specifically directed to do so by my physician. While I understand that I'm smart enough to prescribe these medications, there's a reason we have FNPs and AGPCNPs and the like. They don't do what I do, and I don't do what they do. Besides, rarely is there a situation like a UTI, high A1c or other metabolic concern that is urgent to the point that it cannot wait for a primary care referral, and do I really want to be in front of the board of nursing d/t a patient's serious adverse reaction to a medication that I really shouldn't have been prescribing in the first place? That being said, when I did clinical hours at a veterans home, there was one PMHNP and one AGPCNP full time, and one physician for the entire home. When one of the nurse practitioners was out or on vacation, the other would have to pick up and write the medications for the other. So unfortunately, there may not be a clear cut answer to your question, and the answer may be more situational than anything. Clear as mud, I know.
  15. ThePsychWhisperer

    Liability Insurance

    NSO and proliability are good and relatively inexpensive
  16. ThePsychWhisperer

    Psych DNP- Online or In-Person?

    From what I hear, many facilities in CA are starting to crack down on the for-profit schools like Walden and Chamberlain (I'm in TN, so that could just be rumor), but if you're planning to attend an online program through a reputable school, I don't imagine there would be a problem. I completed my master's degree online, but attended a reputable school, and am now completing my DNP (mostly online with BNM bookends). I have had no problem finding a job, and had multiple job offers prior to working where I am now. FWIW, I've not had anyone criticize how I've chosen to attain my DNP either. Personally, I think it all comes down to the school as opposed to the format.