verene MSN

mental health / psychiatic nursing

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All Content by verene

  1. verene

    Emergency response team

    verene replied to Tomi90's topic in Psychiatric

    I work in a large (600+ bed) inpatient psych hospital. Units try to manage crisis on their own as much as possible and not all acute behaviors (or medical issues) result in a code being called all...
  2. verene

    NPs and Being On-Call

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

    It can be highly variable which is part of the challenge. I'm in psych and where I work (inpatient) the NPs don't take call at all, so no overnights or weekends. Which is really nice and can help keep...
  3. verene

    Other than Nursing, what other passions/hobbies do you like?

    verene replied to Convoy2022_TrumpSupporter's topic in General Nursing

    Gardening, animals (have permanent residents and foster animals at the moment), hiking, crochet, sewing, reading, studying history and languages, genealogy (but from more of a...
  4. verene

    Wise Orders From Wise Doctors

    verene replied to SilverBells's topic in General Nursing

    Unfortunately coming from the other side of things as an NP all of these sound completely reasonable orders or at least recommendations (Which sometimes turn into orders when no one follows them) to...
  5. verene

    Wise Orders From Wise Doctors

    verene replied to SilverBells's topic in General Nursing

    He's not wrong. People are allowed to be stupid. People are allowed to be eccentric. Being either of those things does not automatically mean a ticket to an inpatient psych bed. Sometimes people are...
  6. 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

    Not sure why a townhouse or a condo would be "damaging" to one's self-esteem? One of my good friends is an areospace engineer (aka someone who earns 6 figures and has for years) and owns a townhome-...
  7. verene

    Psyche NP administration of Botox

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

    In my opinion it is completely out of scope of practice for PMHNP role, with the only exception possibly being prescribing botox for cervical dystonia secondary to psychotropic medications and even...
  8. verene

    NP Salary/Pay Let's Be Transparent

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

    PMHNP - Psychiatric Mental Health Nurse Practitioner SO - Significant
  9. verene

    NP specialty with the most patient time?

    verene replied to haels's topic in Advanced Practice

    Ah... yeah. I suppose I should make it clear I was thinking Private Practice where you are the one who owns the practice - or are a partner in the practice with some say over how it is run. The folks...
  10. verene

    NP specialty with the most patient time?

    verene replied to haels's topic in Advanced Practice

    Mental health - several are at FQHCs and a couple are part of small NP owned private practices. And yes, you really do need that time to build some rapport and complete a through assessment. There's...
  11. verene

    New Nurse, On Call, Called Off My Scheduled Shifts

    verene replied to Owlseye's topic in General Nursing

    Low-census is a thing at hospitals, and may results in being "called off" sometimes (particularly once an RN is through the probationary period) you can be trained to cross-cover or float to other...
  12. 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

    Many of those who "appear to have everything" also have a LOT of debt. I know it's not true for all, but if they are spending all of their money "things" (including homes, cars etc) then they may not...
  13. verene

    NP specialty with the most patient time?

    verene replied to haels's topic in Advanced Practice

    New patient intake in 40 minutes!?! That's terrible. Intakes really should be at least 60 minutes, and at least 90 minutes if peds or with interpreter. I'm lucky inpatient I can take as little/long...
  14. verene

    PMH-NP QUESTIONS ANSWERED from Experienced NP

    verene replied to Future MSN's topic in Psychiatric

    I would hope that new grad NPs would already have a good sense of answers to most of these questions, and as would many students - doing research before you get into the field is a good idea! You...
  15. verene

    NP specialty with the most patient time?

    verene replied to haels's topic in Advanced Practice

    Private practice in whatever field you chose in an independent practice state - if you are your own boss you can set the amount of time you spend with
  16. verene

    First NP job... Did you negotiate the salary?

    verene replied to RN/WI's topic in Nurse Practitioners, NP

    Oh - also ask about things like call (required/optional/none), coverage (do you find own? Does employer provide?) for absences, panel size. Number of admits per day/week and number of follow ups....
  17. verene

    New Nurse: which psych meds can be mixed for IM?

    verene replied to Sophie H's topic in Psychiatric

    Did they give a reason? It's pretty common
  18. verene

    Would PMHNP role be welcoming to nurse in recovery?

    verene replied to SkyIsTheLimit86's topic in Advanced Practice

    Assuming license is unencumbered it is not necessarily a barrier and one of my professional idols is an NP with a history of severe alcohol use who is now a PMHMP who specializes in substance use...
  19. verene

    First NP job... Did you negotiate the salary?

    verene replied to RN/WI's topic in Nurse Practitioners, NP

    1) I took boards and started interviewing about a month after graduation. Received job offer about 2 months after graduation, and started work about 4 months after I graduated. 2) Job is pretty...
  20. verene

    As a new NP, did you do a residency program?

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

    I did not. I started working as an attending PMHNP less than 4 months after graduating (time for boards, DEA, credentialing). Orientation was 1.5 weeks of general hospital employe orientation and...
  21. verene

    Grocery store workers hazard pay

    verene replied to 1gr8trnstudent's topic in Disaster Preparation

    I think a big difference is that those of us in healthcare know that adverse circumstances and potential exposure to illness ARE a part of the job we have signed up for (covid has highlighted that...
  22. verene

    Psychiatric patients refusing to move rooms?

    verene replied to Ashleynurse101's topic in General Nursing

    It's a challenge to have patients move - particularly from single to double. How we handle in in my facility is a few different ways depending on the patient/urgency of need: Often, if given a...
  23. verene

    Psychiatric NP

    verene replied to xtl311's topic in Advanced Practice

    I an attending PMHNP on an all-male high acuity forensic psych unit. I have definitely been verbally threatened and had patients physically posture at me, and hearing derogatory language is not...
  24. verene

    is your schedule full?

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

    I work inpatient (with a hospital that is affiliated with large academic center) and we are generally full. My coattending (also PMHNP) and I have had a full unit for months! With both of us...
  25. verene

    Question about salaried employees

    verene replied to Ellarooplus2's topic in General Nursing

    This will depend on your specific contract. Many salaried positions do not include overtime pay as the expectation is you work until the work is done - however little or lot of time that takes....