verene MSN

mental health / psychiatic nursing

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All Content by verene

  1. verene

    1600 mile transfer for bed

    verene replied to JBMmom's topic in General Nursing

    Sometimes it's both - my hospital is both struggling with staffing, and every bed (with the exception of a few on our covid/isolation unit) is full (but we can't use those for non-covid patients due...
  2. verene

    NP Schedule

    verene replied to KYNurse123's topic in Advanced Practice

    Yes, I work 4 days/week with benefits (most typical schedule among my colleagues). Some of my coworkers are 3 days/week. Very few are 5 days/week. I work inpatient psychiatry setting. Flexible...
  3. verene

    NP/PMHNP Work Culture

    verene replied to Iamchasingdreams's topic in Nurse Practitioners, NP

    Unfortunately I think this is part of the variability of training and of school acceptances. Some school strongly screen applicants (for both direct-entry and for RN to MSN/DNP) and some don't and...
  4. verene

    Psych NPs - What do you do when you get this patient?

    verene replied to mangopeach's topic in Advanced Practice

    Thank you for making that distinction, I'm probably a little salty from having been around a few too many NPs who are SUPER judgmental about patients on ANY controlled substances or anything other...
  5. verene

    Psych NPs - What do you do when you get this patient?

    verene replied to mangopeach's topic in Advanced Practice

    There is potentially an argument for it being okay under coordination of care - but I would think there would still need to be an active referral in place, and the records being sent/reviewed would be...
  6. verene

    Protections of civilian nurses from fed. inmates

    verene replied to Fishfeels's topic in General Nursing

    I work in forensics and am no stranger to the kind of patient you are describing. Unfortunately you should be very disturbed both at who is let out, and who is kept for a long time, our legal system...
  7. verene

    Protections of civilian nurses from fed. inmates

    verene replied to Fishfeels's topic in General Nursing

    The process for how to transfer him back will depend on what his specific jurisdiction is and on why he is hospitalized to begin with. You need an interdisciplinary care consult including unit...
  8. verene

    Are nurses really leaving nursing in droves?

    verene replied to Mqshell's topic in General Nursing

    Nursing has a fairly high turn over rate even in good times - the midst of a global pandemic is far from good times. Many will leave for other jobs in nursing, some will leave for related health...
  9. verene

    PMHNPs travel contracts?

    verene replied to 2015bsngirl's topic in Travel

    Yes, lots of opportunities for traveling PMHNPs. I know we've had a number at my work place and I get messages from recruiters for travel / locums agencies all the time via linked in. I don't know who...
  10. verene

    Psych NPs - What do you do when you get this patient?

    verene replied to mangopeach's topic in Advanced Practice

    I guess I'm fortunate I work inpatient and have time to figure out how the wacky combo came to be in the first place. As a student one of my preceptors did have a couple (and I mean literally...
  11. verene

    Any APRNs that also enjoyed bedside nursing?

    verene replied to JBMmom's topic in Advanced Practice

    I enjoyed being a CNA and I enjoyed being an RN. I knew fairly soon after starting work as a CNA that I would one day want to be an NP. There are parts of each job I enjoy and parts that I don't. I...
  12. verene

    NP/PMHNP Work Culture

    verene replied to Iamchasingdreams's topic in Nurse Practitioners, NP

    I went through one of those accelerated/direct entry programs -- ABSN to PMHNP. I think there is some misunderstanding that those taking this route have no idea what they are getting into. Everyone in...
  13. verene

    NP/PMHNP Work Culture

    verene replied to Iamchasingdreams's topic in Nurse Practitioners, NP

    1) Finding a job will vary based on location, subspecialty, and setting. Right now I can't predict what the market will look like in 6 years. There is increasing saturation (which may be...
  14. verene

    Advice on Opening Mental Health Clinic in Nevada as FNP

    verene replied to VanNuysRN's topic in Student Nurse Practitioner

    I would STRONGLY recommend waiting to open a private practice mental health clinic until you are credentialed as PMHNP and preferably spend a year or two working in private practice with someone else...
  15. verene

    Question about Psych NP

    verene replied to ERnurse523's topic in Psychiatric

    It really depends on what you want to do with the PMHNP as to how all that ED experience will translate - you want to work ED Consult or Consult liason with in a hospital, or work Psych ED - that...
  16. verene

    Suicide Risk Assessment and Care Planning

    verene replied to Popwhizbangz's topic in Psychiatric

    The most important thing to do with a patient mentioning SI is to clearly assess -- is this a vauge and passive "wish I don't wake up tomorrow" level of SI or an imminent detailed plan with high...
  17. verene

    Psychiatrist’s false documentation

    verene replied to psychrnadvocate's topic in Psychiatric

    It may be that there are shady practices going down. It may also be that patient presentation is different at different times of day and with different staff - which is not at all uncommon. I've had...
  18. verene

    Short Staffed: An Epidemic

    verene replied to KellyM RN's topic in General Nursing

    Oh we are working on morale boosters too and seeing what we can do to get people to stay and to get people who've been out on leave to come back to work. It's not a single prong approach by any...
  19. verene

    Short Staffed: An Epidemic

    verene replied to KellyM RN's topic in General Nursing

    COVID policies led to decimated staffing at my hospital. Prior to COVID we had 100% of our positions filled. Yes - we still had sometimes with high call outs, but we even had our float-pool mostly...
  20. verene

    Should I renew my LPN license despite recently getting my RN license?

    verene replied to Lurkndmurk's topic in General Nursing

    No, you don't need to renew the LPN license. In my experience once you have the higher license level the lower one automatically moves to inactive or expired status as it is superseded by the higher...
  21. verene

    Dress Code - Hair dye

    verene replied to Annabelle Flee's topic in General Nursing

    I work inpatient psych - myself, unit psychologist, social worker, and our RN manager and at least two of the RNs on my unit all have either totally unnatural hair colors or have some fun highlights...
  22. verene

    Are you ACTUALLY supervised???

    verene replied to ICUnurseEst2015's topic in Nurse Practitioners, NP

    I work in an independent practice state, my supervisor at work is a physician, he doesn't "supervise" me in the sense of practice restriction. Has there been a time when a physician...
  23. verene

    Mandated reporting outside of work

    verene replied to chrisrn24's topic in General Nursing

    As others have said depends on your state. In both WA and OR you are required to report suspected abuse or neglect of child or vulnerable adult even when not in your employed "mandate" role....
  24. verene

    Suboxone salary

    verene replied to nurselove757's topic in Nurse Practitioners, NP

    It is possible that they are gaining more pay via billing as patient complexity may be higher and/or time with patient longer which can shift into higher billing codes. But there typically isn't a...
  25. verene

    Buying a House on a Nurse's Income: How Do Nurses Afford $450,000+ Houses?

    verene replied to SilverBells's topic in General Nursing

    Therapy is often individualized based on need -- I've had everything from 1-2x weekly for 60 minutes when things in my life were more intense to 30 minutes every few months to just "touch base" with...