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CrazyPremed MSN, RN, NP

Telemetry, ICU, Psych
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CrazyPremed has 9 years experience as a MSN, RN, NP and specializes in Telemetry, ICU, Psych.

Soon to be CrazyNP

CrazyPremed's Latest Activity

  1. CrazyPremed

    Initial APRN license

    I would say yes! In my state, they allow new grads to start the application process and will hold it until thier exam is passed. It may take 2 months to for the fingerprint/background check to be processed. This may be completed while you finish you last semester. I would check with the Illinois state board of nursing for specifics. Good luck! Crazy
  2. CrazyPremed

    University of South Alabama PMHNP Students 2013-2015

    It looks like the letters have started going out at the end of May. I received my acceptance! Good luck to all that applied! CrazyPremed (now CrazyPrePMHNP!)
  3. CrazyPremed

    University of South Alabama PMHNP Students 2013-2015

    Anyone heard anything yet? Any acceptance letter received? CrazyPremed
  4. CrazyPremed

    University of South Alabama PMHNP Students 2013-2015

    I've applied for the Fall RN-MSN PMHNP class. Has anyone heard anything, yet? I hope I get in!!!!
  5. CrazyPremed

    PMHN RN Certification test

    I just passed, too! You're right, it is a tough test. I've met a lot of psych nurses who started with a degree in Psychology before nursing. I recommend they all take it. It seems like it is more of a psychology test than a nursing test. Anyway, congrats! CrazyPremed
  6. CrazyPremed

    How much psychotherapy as a PsychMHNP?

    Alright PMHNPs, How much of your day is spent providing individual or group psychotherapy? Many graduate programs list therapy under the 'scope of practice' of PMHNPs, and I hear of some NPs providing counseling during medication check ups, but how many of you provide (and bill for) therapy? I love the idea of becoming a therapist, and would like to incorporate it into my future practice as an NP. But - without having specific courses in counseling theories, MF therapy, etc. and hours of supervision providing therapy - is it even feasible to give it? Do many of you leave it to the LCSW, LMFT, and LPC's? Any thoughts would be appreciated. Crazy
  7. CrazyPremed

    What kind of a person works Acute Care?

    You've gotten some great responses to your questions. I've worked Tele and ICU for a little over two years, and can understand what you are trying to ask. I think great advice would be to work in an ER (or an ICU if possible) as a tech while you finish the Bachelor portion of your program, then move to an ICU while you finish the Master's. This will give you insight and may help you develop the skills that you are looking for. In all honesty, my transition (which I'm still going through) to becoming a solid ICU RN is only beginning. I wanted to fly through an Nursing school and an Acute Care NP program, and didn't want to take years off in between. I have actually held off on finishing my BSN for a year, just to focus on the ICU that I am currently working in. It is amazing how much time, classes, and energy it takes just to be a functioning ICU RN. To become a leader will take even more. Secondly, as many have stated before, even if a person can go straight through these programs without having a certain amount of experience, it may be difficult to find certain NP jobs without the RN experience. Although I am frustrated by this fact, I am slowly understanding why. It would be horrible to go through all the schooling and licensing, then have to return to the bedside in an RN role for 2 years just to find work. You might as well work at the bedside now. Finally, working as an RN in the ICU might even show you that you may not like that particular role as an NP. There have been so many ICU pts that I have taken care of that wouldn't have gotten as sick if they had good primary care. At times, I feel that I may be more fulfilled working in a community clinic managing and educating diabetics than in the ICU managing pts in the throws of DKA. Gaining some RN work experience may actually change your direction. All in all, that is just my two cents. I think the best way to learn of the ICU is to volunteer, or find a tech job in one. Good luck on your journey. CrazyPremed
  8. CrazyPremed

    Anyone NOT have enough exp before NP school?

    This is one of the few things that frustrates me with the NP path. Although this is a generalization, it seems that - If I went to PA school - I could find a job in an ER, with a Cardiologist, FP group, or pediatric hospitalist group right out the gate (if someone would be willing to train me). As an NP, it feels like I've got to get years in the ICU if I want to work for hospitalists or surgeons in a hospital setting, years in the ER if I want to be an ER/Fast Track NP, or years in Peds/PICU if I decide to work with inpatient or ER/Urgent Care kids. I know the PA vs NP thing has been beaten to death and I don't want to restart it with this thread. Truth is, I'm leaning more towards the ICU/Hospitalist/ER/Acute Care route, but the idea of working in an inner city Family Practice/Infectious Disease(HIV/STD, etc.)/Low income area has always been a desire with my volunteer work. I think I'm trying to feel out what experiences I need, and what lack of experiences would make me unable to find work in the field. I could always find a combined FP/Adult Acute Care/Peds Acute Care/PNP program, and work 200 hours a week to keep all certifications. Thanks for the replies, and please keep 'em coming. CrazyPremed
  9. CrazyPremed

    Anyone NOT have enough exp before NP school?

    Thanks for the reply. Anyone else? CrazyPremed
  10. CrazyPremed

    Anyone NOT have enough exp before NP school?

    There are many threads about the experience that one should have before starting an NP program and applying for jobs. Is there anyone who didn't have enough before starting a program, and had difficulty getting the job he/she wanted? Everyone knows what we SHOULD have before NP school, but I would love to hear true life stories. Thanks in advance! CrazyPremed
  11. CrazyPremed

    tele experience 'not good enough' for MICU?

    I started on Tele then moved to an MICU/CCU. I have worked with nurses that have moved to the MICU from tele and from med/surg and the tele nurses usually fare better. Although you may see more MICU diagnoses on a med/surg floor, your day to day activities will involve more of what you see on tele. While my med/surg counterparts were learning how to read strips and 12 leads, I was taking ACLS. While they were being introduced to basic drips, I was titrating multiple pressors. Working on a tele floor, we tended to be more involved in the codes on my floor, instead of defering many things to a rapid response team. With that said, there are things that I am not familiar with, like traches and oncology patients. Non-cardiac surgery and long term nursing home patients are somewhat new to me. These are things that the med/surg nurses seem to be much more familiar with. Honestly, I think that it is much more difficult to have to learn strips and hemodynamics from a non/tele background. I think you will be more than OK, and you should not switch to Med/surg just to get the experience. CrazyPremed
  12. CrazyPremed

    Is this too much or am I crazy...what are your units like?

    Your floor is crazy. My first tele job was similiar. Extremely sick pts with patho and gtts (and 5:1 ratios) that would easily be in the ICU in many other hospitals. Later, I moved to an ICU at a different facility. At this hospital, the only drip on their tele floor was Heparin. The nurses in this ICU commented that the tele floor was not "progressive" and they remember all the things that they titrated when "they" were on tele. When I first started out, I though it was a 'badge of honor' to tell all of my new grad nursing school friends about all the stuff I have seen (drips, meds, crashing pts, etc.). I felt that I was having such a better learning experience than they were (which, to some degree, I was). As time passed, I began to realize how much the stress was waring on me. I was leaving work frustrated, barely getting through the orders of the day. Because many of the patients were sick enough to need ICU care, they took a great deal of time and energy to care for. Lunch was a joke and bathroom breaks were rare. Codes and transfers back to the ICU were a little more common than they should have been. All of this translates into a decrease in the quality of patient care. Was I teaching my new onset CHF pts about lifestyle changes? Nope, I was too busy titrating the 75 mcg/min of nitro that my HTN pt needed. Was I preparing my preop CABG pt for his postop recovery? Nope, I was too busy grabbing lidocaine (who still uses that? ) for my post code whose bag is running out and is throwing PVC's. This stress that you experience at work carries over to all areas of your life, whether you realize it or not. I was gaining weight and becoming less healthy. I even think I started getting a little depressed. I know that I saw this with many of my co-workers. Most importantly, in all this chaos mistakes will be made. If they are, no one will take into consideration that you had a crazy pt load - not administration, the pt or family, or the nursing board. Do not underestimate this last comment. Also, my friends who were working in better environments were making the same amount of money, because this area pays based on years of experience. Although they weren't stress free, I could tell that things were better. Too often we rate our nursing abilities by how sick our patients are. Everyone wants to be the hero that saves the lives on the high-ratio, drip-giving, IV-pushing, code-having floor. It's great to be able to manage high acuity patients, but we also have to realize that if we only focus on that aspect of nursing care, we are doing much more harm than good for our patients. When Mrs. Johnson is admitted for STEMI, it's a big deal. Do you think she would really trust you as her nurse if she knew that - because you've accepted a crazy work load - you may not have time to teach her about her labs, give her pain meds, or be there right away if she codes while another pt decompensates? What about John Smith, the new diabetic on the insulin gtt? Would he drive to another hospital if he knew that you probably didn't have time for his q1hr BS's? How could you with the ratios? We are nurses, not super heroes. The economy is tough, I know. Unfortunately, you really need to move to another area. You aren't doing anyone any favors by working in (and, in a way, helping to maintain) an environment like this. These environments exist because we - as nurses - allow them to exist. CrazyPremed
  13. CrazyPremed

    Any one work for Chandler Regional?

    What's it like there?
  14. CrazyPremed

    ASU's RN-BSN Program...

    Just a quick update from when I started this post. I deferred the first time, so I will actually be going this fall. I think that the majority of the program is now online instead of the one day a week option that it was last fall. I've also taken Gateway's Critical Care course; PM if you have questions. CrazyPremed
  15. CrazyPremed

    NP programs in Texas...

    That's great advice. Which program are you in? Are you paying out of state tuition or did you get in-state residency? I'm beginning to see that many of these programs are $30-45,000 total. There has got to be a cheaper option! CrazyPremed
  16. CrazyPremed

    NP programs in Texas...

    Hey folks, I'm considering my options as far as NP (ACNP mostly, but also FNP) schools and I am concerned about the cost. I have entertained the idea of moving to Texas, working for a year to gain residency, and then applying to some Master's Programs. I've been pretty interested in the websites of some schools (especially UT Houston), and was wondering if I could get some input on their NP programs. Any advice would be appreciated. Thanks in advance! CrazyPremed