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verene MSN

mental health / psychiatic nursing
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verene is a MSN and specializes in mental health / psychiatic nursing.

verene's Latest Activity

  1. Yes, it's each renewal. Sometimes employers pay for it.
  2. verene

    Dot and samhsa

    It may help if you provide some more information about what specifically you are asking. The only DOT acyronym I'm coming up with off the top of my head is Department of Transportation, and I'm unclear how this related to licenses with in NP practice. I'm assuming you are asking something about substance abuse treatment with SAMHSA license -- is this regarding DEA-X waiver for prescribing buprinorphrine for medication-assisted opioid abuse treatment? Or are you asking about something else?
  3. verene

    Non-Nursing related bachelors to NP?

    If you have 1.5 years left on your bachelor's it is likely MORE cost effective to switch your major to nursing and get a BSN now if you want to go the NP route. (You can also still go to med school with a BSN, if you decide you still want to do this). While it is possible to go from non-nursing bachelor's to NP this path is NOT for everyone and I would strongly urge you to do your research before going this direction. These programs are either an accelerated Bachelors + MSN-NP (and/or DNP-NP) OR are a direct-entry MSN, some of which combine RN + NP education (typically 3 years) some of which are RN-only and which require post-masters certification or DNP for NP training. However, these programs are often expensive and financial aid may or may not apply for RN portion of program if you have a prior bachelor's degree. They can also be incredibly intense and time consuming (which may not phase you if you are currently thinking med school) and may not allow as much opportunity for working along side school as other paths. NP programs also tend to be much less flexible (when compared to med school) with allowing one to run down your own interest areas - I.e. some med schools allow a "sabbatical" year for research during medical school and/or option for co-degrees (clinical research, public health, etc). I would urge you to really take some time to look at the pros/cons of each pathway (Med school, switching to BSN, various direct or accelerated NP routes, etc) and in relationship with your career and life goals. If possible, try to have some informational interviews and/or shadow opportunities (may be difficult with COVID) with both physicians and NPs to get a better sense of the similarities and the differences between the roles. You may also want to look at the PA route as well, which is it's own pathway and set of opportunities. Just to give yourself a broad spectrum understanding of what is out there.
  4. verene

    Hardest Clinical Rotation?

    Everyone has different experience of clinical rotations - and what may be difficult for one person may feel much more comfortable to someone else. For example - many of my peers really struggled in their community health placement - I found the term super easy. Simply because that clinical placement built on previous skills and experiences I'd had, such that it was less intimidating/more comfortable for me, and for some of my peers who didn't have the same background it really pushed them hard. For me - peds was scary because I didn't have much exposure to small children prior to nursing school - I initially was NOT doing well in the placement but talked to my instructor about it. We had a good discussion around my background, goals, interests, and strength/weaknesses. Knowing this she was able to guide me to some patient assignments where I could show what I did know, and was able to help me build up my skills and confidence in areas where I was weak. Definitely be proactive about talking to instructors if you are concerned about how you are doing. One of the great things about nursing is that you don't have to like/be good at every specialty - it's more about finding the area that works for you! So stay open and learn from your clinical experiences both the good and the bad - they can help guide you to the area of practice that will be a good fit for you in the end.
  5. verene

    Seeking Nurse Psychotherapist Point of Veiw

    You are correct that for most PMHNPs the focus is not on psychotherapy but on diagnosis, assessment, and treatment (primarily medication focused treatment). While there is some therapy education in NP programs - it is fairly minimal compared to what other disciplines receive, and it is far more cost effective for most organizations to employ a social worker, counselor, therapist, or psychologist in role of therapy rather than PMHNP (for whom revenue generation is primarily tied to medication management). You can either complete PMHNP and know you will need additional training/certification post-degree for therapy if you want to be good at it, and will likely need to work in private practice where you can dictate more of your hours being devoted to therapy. (Which is certainly doable - I know several PMHNPs who have gone this route). OR - consider getting a different credential such as social work or counseling if psychotherapy is your primary goal with transition. OR look for another area of nursing where you have a smaller patient load and can spend more time providing that 1:1 care and interaction you enjoy.
  6. verene

    Getting a Psych Nurse Job After Graduation

    No, not particularly difficult to get into as a new grad particularly if you have psych tech experience. Just make sure you start out in a place that provides some support/has reasonable expectations for new grad, and is a safe environment.
  7. Can they? Yes. Should they? It depends. Prescribing metformin relating to blood glucose regulation secondary to atypical antipsychotic side effect -OK. Prescribe it for diabetes - you may lose your license. Can I prescribe blood pressure medications - yes. I can prescribe prazosin for nightmares, propranolol for anxiety, etc. I can't prescribe them for hypertension though. I can continue orders for things like HIV medications on admission/medication reconciliation but cannot change the medications. I can prescribe commonly used PRNs (e.g. tylenol, maalox) under organization's protocols (which are approved by director of medical). If you want to manage both physical and mental health you will need to become dual-certified.
  8. verene

    Importance of NP Program Reputation, Name Recognition

    It doesn't need to be Ivy League but yes, going to a school which has at least regional name brand recognition helps. I went to a public B&M school - it's nursing program is well known regionally, and medical school is nationally recognized. I have my current job in-part because of the school I went to, they don't often hire new grads (particularly those who haven't previously worked for them as RNs), but know the reputation of the school (and an alumna who is well-respected in the organization referred me). This university is well-known by many of my psychiatrist colleagues and while it is a very welcoming setting/culture for NPs in general- going to a school my MD/DO colleagues know/recognize/respect has definitely NOT hurt. It is NOT the cheapest program, nor easiest to get into, but it does find solid placements for clinicals for ALL students (which is important for learning AND networking), and has a reputation of churning out practice-ready new grads - they don't have a HUGE endowment, but financial aid is available, and there are LOTS of loan repayment opportunities they connect students with. I imagine UPENN would be similar - high quality education, high support for students, even if cost is more expensive.
  9. verene

    Do you have your own malpractice insurance?

    Yes, I've had my own malpractice insurance since I was a CNA. I am also covered by my employer. For me it is about piece of mind and knowing I will have my own representation should I need it and an agency who will represent my interests and not just my employers interests. It's like car insurance or home insurance - I hope I don't get in a crash or that my house is damaged, but I'd rather have someone to call who can help me through the process and cover costs if the worst does happen.
  10. verene

    Psych NPs working in hospitals. What are your hours?

    I work inpatient, and there is some schedule flexibility to work either 8s or 10s for set schedule (many chose to work 4 10s). However, if there is work that needs to be done, you may come in early or work late, or work an extra day or partial day. (Fortunately management is very much okay with this so long as you are clearly working and not abusing the system for extra hours). Perhaps rather than jumping setting you can look at renegotiating for part-time work? Maybe working 3-4 days a week would feel better? Also - documentation wise - do you have templates that help speed your process? Are you able to concurrently document during appointments? (this can save a LOT of time at the end of the day). Is your typing speed slow and could you get dictation software if this is the case? (I know many who swear by it, though I prefer typing my notes).
  11. As others have said, in nursing school we are taught drugs by drug class, and were expected to know a couple of the most commonly used drugs in each class and the couple of weird outliers that don't conform to their class for each drug class and the common uses/side effects/monitoring for each class. We were also expected to know how to look up medications quickly if need be (which you can't do on the NCLEX, but CAN do when in practice). You will become familiar with the most commonly used medications in your specialty.
  12. verene

    I put the blinders on and am regretting it

    I am very glad I was able to help put your mind at ease. This field isn't always easy, patients (and families!) will sometimes say mean things, sometimes there is chaos, and occasionally threat of physical violence (though in my experience it more often stays at level of verbal threat - but in my world we take even verbal threats very seriously), and exposure to some absolutely heart-breaking stories and past trauma. I agree with Here.I.Stand -- assault is assault - workplace violence or not, and my workplace can and does report assaults - be they against other patients or against staff - to the police. Even when a reported assault was unwitnessed by staff (and potentially questionable to have occurred due to unreliability of patient) we will start an investigation because our patients deserve this, and our staff deserve this. I do think that online forums can skew towards the negative (including this one) because people are more often going to "vent" online than to post their major successes online. Perhaps because of the anonymity (real or perceived) online forums offer. There are also a number of RNs, who, for whatever reason, have become extremely unhappy with this field and who will actively try to discourage new RNs from joining. Nursing is not a perfect job or a perfect field. There ARE negatives involved with this career path, but I would argue that is the case for ANY career path or job. It's about finding the pros/cons that you personally can live with - and with in nursing there is still room to move around - different specialties and different facilities have their own pros/cons as well. I see you are considering counseling for anxiety in another post - I do recommend this not only for you but for anyone considering a major life change (of which starting a new career is one!). I personally struggled with severe anxiety in my past and have intermittently seen a counselor (and been on medication) -- it was a big help both prior to nursing school, and during nursing school, to have some one to process the experience with and to work on my own self-knowledge and self-growth. I will also say that nursing school seems to be a HIGHLY anxiety provoking time for many, and several of my peers who did not have anxiety issues before nursing school developed severe anxiety while in nursing school. Ultimately I am far less anxious now (working in a setting that many people seem terrified of) than I have been at any point earlier on in my life.
  13. verene

    I put the blinders on and am regretting it

    I work in inpatient psychiatry with a forensic population (aka patients who have been charged with crimes and are also mentally ill). Assault - even in this population - is NOT an everyday occurrence, or even an every week occurrence. I would guess the woman in the video either works in an extremely poorly run unit which does NOT prioritize safety or is exaggerating risks for effect. I have been in health care since 2013 (7 years). I have been assaulted three times... once when a mentally ill individual attempted to break into the group home I was working at, and once by an elderly patient with dementia. I also had a patient pee all over the floor when I floated to a progressive-care unit and I wouldn't let them leave to go the the ED... but they were pretty intoxicated at the time. In no instance was I physically injured (more emotionally shook up). This isn't to say that there is NO risk of injury/assault in health care (one of my coworkers just took a bad punch to the head last week), but I wouldn't go into this field with the expectation of facing violence on a daily basis.
  14. verene

    NP application process

    Online programs are not created equally. Make sure you do your research! This forum is littered with posts from online students who can't find preceptors, are having to extend time in school, and/or pay extra for preceptors/education, or who need remedial training following graduation and/or have extremely difficult times finding employment following graduation due to the program they attended. There ARE good programs out there, so make sure you do your research and really weigh the pros/cons of easy/fast to get into vs quality of program, support provided, education, and employment prospects down the road.
  15. verene

    Misconceptions/truths about specialities

    Come join the dark side -- we can't promise sanity, but we can promise completely and utterly random knowledge of more topics than one might guess, a delightfully dark sense of humor, the ability to become an IM giving expert, and verbal-deescalation ninja. 😉
  16. verene

    Misconceptions/truths about specialities

    OMG yes! And with no orientation to different population/unit at all....

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