TexanRN10

Psychnursehopeful, you're right there are some diploma mills out there but states with full practice authority usually require some length of practice as a supervised APRN before being on your own. Usually at least a few to 4 years like a residency for a physician. djmatte, the same could be said of any profession that has millions of patients. There is going to be a practitioner somewhere who is a quack and hurts patients. Christopher Duntsch was a spine surgeon in Dallas that killed two patients and maimed numerous more until he made it onto the "American Greed" TV show. You probably know of bad medical doctors who have done bad things and doctors aren't going anywhere. Let's give the good NPs a chance!

f you are an APRN or plan to become one, we need your help. This will take a few minutes to promote full practice authority where you can have your own practice without a paying a physician to supervise you. If we lose, it is over until 2023. Tell your colleagues and family! https://ntnp.enpnetwork.com/nurse-practitioner-news/213198-help-hb-2029-cannot-get-out-of-committee-

If you are an APRN or plan to become one, we need your help. This will take a few minutes to promote full practice authority where you can have your own practice without a paying a physician to supervise you. If we lose, it is over until 2023. Tell your colleagues and family! https://ntnp.enpnetwork.com/nurse-practitioner-news/213198-help-hb-2029-cannot-get-out-of-committee-

If you are an APRN or plan to become one, we need your help. This will take a few minutes to promote full practice authority where you can have your own practice without a paying a physician to supervise you. If we lose, it is over until 2023. Tell your colleagues and family! https://ntnp.enpnetwork.com/nurse-practitioner-news/213198-help-hb-2029-cannot-get-out-of-committee-

Glad to see all of the support! The bills are going to either succeed or fail over the next two months and there won't be another legislative session until 2017. Now is the time to reach out to your legislators and let your voices be heard. This is an excellent source of information on the latest developments: https://ntnpmw.enpnetwork.com/nurse-practitioner-news

Glad to see all of the support! The bills are going to either succeed or fail over the next two months and there won't be another legislative session until 2017. Now is the time to reach out to your legislators and let your voices be heard. This is an excellent source of information on the latest developments: https://ntnpmw.enpnetwork.com/nurse-practitioner-news

Texas Nurse Practitioners need support for NP healthcare bills to be heard in Public Health Committee. Some of you may know that Texas NPs are fighting for autonomy right now in the legislature. The Metro West NP Association has asked everyone to contact various reps who are on the Public Health Committee. Chair Rep. Crownover is under pressure to not even allow our bills to be heard in committee. Here is a link to the story: https://ntnpmw.enpnetwork.com/…/77511-call-to-action-attent…- North Texas NP website has prepared message that they are requesting TX nurses to email to: Chair: [email protected] Vice-Chair: [email protected] You can also contact Fort Worth Arlington NPs: Nicole Collier of Fort Worth as she is on the committee.http://www.house.state.tx.us/members/member-page/email/… or Arlington's Bill Zedler http://www.house.state.tx.us/members/member-page/email/… Additional info: AANP Commemorates 20th State to Grant Patients Full and Direct Access to Nurse Practitioners Map of NP State Practice Environmentslisting Full Practice, Reduced Practice or Restricted Practice states.

Texas Nurse Practitioners need support for NP healthcare bills to be heard in Public Health Committee. Some of you may know that Texas NPs are fighting for autonomy right now in the legislature. The Metro West NP Association has asked everyone to contact various reps who are on the Public Health Committee. Chair Rep. Crownover is under pressure to not even allow our bills to be heard in committee. Here is a link to the story: https://ntnpmw.enpnetwork.com/…/77511-call-to-action-attent…- North Texas NP website has prepared message that they are requesting TX nurses to email to: Chair: [email protected] Vice-Chair:[email protected] You can also contact Fort Worth Arlington NPs: Nicole Collier of Fort Worth as she is on the committee.http://www.house.state.tx.us/members/member-page/email/… or Arlington's Bill Zedler http://www.house.state.tx.us/members/member-page/email/… Additional info: AANP Commemorates 20th State to Grant Patients Full and Direct Access to Nurse Practitioners Map of NP State Practice Environmentslisting Full Practice, Reduced Practice or Restricted Practice states.

Zenman, I don't know if you could sign the petition or not. However, you could email the TX NP Association and ask them at [email protected].

Way to go, Steph! If you have time, there is also a free bus trip to Austin on April 8th from Ft. Worth to visit legislators. Please tell any friends or colleagues that might be interested and about the petition and email. https://ntnpmw.enpnetwork.com/nurse-practitioner-news/74281-tnp-round-the-capitol-bus-sign-up-for-april-8

The Metro West North Texas NP Association is sponsoring a free bus trip to Austin to lobby legislators for practice autonomy. 42 more people are needed on April 8th to leave from Ft. Worth and return the same day. If you have a vacation day coming or know someone else, let them know about this chance to meet with the big decision-makers. And don't forget to sign the petition and email! It only takes a few minutes. https://ntnpmw.enpnetwork.com/nurse-practitioner-news/74281-tnp-round-the-capitol-bus-sign-up-for-april-8 I Choose NPs - Texas Nurse Practitioners

Update: The Texas Nurse Practitioners association now reports over 3000 signatures for the petition and 1735 emails. Keep it up and we can win this one! Spouses, friends, and children over 18 count. Texas Nurse Practitioners

Update: The Texas Nurse Practitioners association now reports over 3000 signatures for the petition and 1735 emails. Keep it up and we can win this one! Spouses, friends, and children over 18 count. Texas Nurse Practitioners

There are 2 bills in the Texas House and Senate that offer independent practice rights to NPs. It only takes a few minutes to sign a petition and email your legislators. If you recruit your spouse, friends, or adult children, you can double or triple the response. There are about 2000 signatures and 1200 emails generated already. Legislators are taking notice. Now is the time if you would like autonomy. Texas Nurse Practitioners

All Texas RNs and NPs are needed to sign a petition with the Texas NP association and email their state congressmen. It will only take a few minutes. As of 3/6/15, there are about 2000 signatures and 1200 emails to the House of Representatives. Attention: your spouses and kids (over 18) can sign and email as well, thereby doubling or tripling the number of responses. Post "done" after this post to inspire others that people really are on the move. Fight for Texas independent practice! Texas Nurse Practitioners

I am looking for work in the Dallas-Fort Worth area as I want to move there to make attending school easier. I am looking for a prn job and would like to know what is the going rate for a psych RN with about 3-4 years of experience. Anyone have any feedback? Thanks in advance!

Thank you, PsychiatricNP! A very informative post. I am wondering only one thing: that disruptive patient that you had to cut off - can you still determine what appropriate meds to give them despite the brevity of the encounter?

I used to work admissions at a local MHMRA and I also had to omit certain items if the patient was uncooperative. However, the next morning a doctor would have to come in and assess them. What you say sounds reasonable but I would really like to know what practicing PHMNPs do with these violent/uncooperative patients for assessment. Do they rely on report from the ED or police and guess at the rest? Is this enough to start prescribing meds for them? I don't have PM capability but if you do or anyone else, let's hear it from the experts like zenman, PsychiatricNP, or resilientnurse! Thanks for your views.

No, our hospital (UHS) is chronically understaffed. Twice there was a tech present but the patients were sizable. They were pounding on a dayroom window with a small table and kicking an exit door as hard as possible and screaming, respectively. The other two times there was no one in the immediate area and I managed to evade them while calling for help long enough for someone to come to my aid. The assessment times were for outpatient not inpatient. Our MDs also are brief on inpatient assessment. The question is: what do docs/PMHNPs do with such violent patients or even just the unruly ones? How are assessments performed?

I am currently enrolled in a FNP program but I am thinking of switching to PMHNP. I have worked 3 years as a psych nurse and I went for FNP because I liked learning about medical diseases and pathophysiology. It also appealed to me that there was a wide variety of jobs available to FNPs. Now I am thinking that there is too much to diagnose in a 15 minute visit with history, exam, and prescription or referral. I understand that PMHNPs usually get 1 hour exams with 20-30 minute followups. I also wanted to get away from psych because I have been attacked 4 times in less than 2 years and threatened numerous more times. We use CPI training and I have learned SAMA, but it still amounts to being a punching bag while trying to grab a patient understaffed. For all you practicing psych NPs, how do you handle violent or threatening patients such as under mental health warrants? Is it safer outpatient? If you must round inpatient, have you had trouble with violent patients and how do you examine them? How do you examine patients that are not violent but are disruptive-i.e, cursing, incoherent, etc? Thank you for your insights!

I am applying to the University of Texas at Arlington for the Fall 2013 FNP. At the information session, the administrators told us that the school would arrange our first two preceptors but we were responsible for obtaining the rest of them. I asked for more details and I was told that students were expected to cold-call offices, join the state association, etc. If that didn't work, the school would vaguely "step in" and somehow either arrange a preceptor or give us lists of former preceptors to try. Can any current or former students give me more specifics? I have read numerous horror stories here on Allnurses about FNP students struggling to arrange preceptors. I will do anything I can such as the ENP network, emailing state association members, or even accepting a preceptor across the state where I have to stay in a local cheap hotel for a month at a time to acquire clinical hours. Will UTA let me down if I still can't find anyone and need an arranged preceptor? Much thanks for any information!