RatchedAfterMidnight MSN, APRN

PMHNP/Adjunct Faculty

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All Content by RatchedAfterMidnight

  1. RatchedAfterMidnight

    PMHNP Fall 2019

    I did not have an issue finding preceptors, I did have significant problems with the paperwork process with UTA. In a couple of short years I had three or four clinical coordinators and they were constantly losing paperwork. I had to resend stuff sev...
  2. RatchedAfterMidnight

    Walden University - diploma mill?

    Walden has an extremely poor reputation among employers. I’d tell you to go anywhere but Walden
  3. RatchedAfterMidnight

    Experiencing racism and xenophobia when coming to CA to help with Covid

    You have a terrible attitude. You have a savior complex and it's not cute. If you believe you're the most intelligent person in the room, you're super nurse I don't know why we're having a conversation. You don't want feedback, you already know you'r...
  4. RatchedAfterMidnight

    Experiencing racism and xenophobia when coming to CA to help with Covid

    I would never want to work with you. Not because you're gay, not because you're liberal, but because you're toxic. Words are not violence. No one came up and punched you, threatened you, or fired you because you're gay or liberal. I don't have time t...
  5. RatchedAfterMidnight

    Nurse Practitioner - Emergency Nurse Practitioner

    It would be ideal to become an Acute Care Nurse Practitioner if you want to work in the ER. I have seen a couple of FNPs in the ER but it's controversial whether working in an ER is out of the FNP's scope.
  6. RatchedAfterMidnight

    Interested in Mental Health- Options?

    Experience on an inpatient unit or in a Psychiatric ER will give you the experience to work in any kind of setting. Also note that nurse psychotherapists must have a masters degree. Therapy is not in the scope of practice of an RN but therapeutic com...
  7. RatchedAfterMidnight

    Behavioral Health Nurses in the ED

    I have seen it done, especially in community/county hospitals. Psych is in every floor of every hospital but depending on the population the Psych RN in the ER can be very beneficial. The Psych team is essentially a consult and embedded in the ER. Ho...
  8. RatchedAfterMidnight

    allnurses Defeats Test Prep Firm in Defamation Lawsuit

    I have been wondering about this. Congratulations to all!
  9. RatchedAfterMidnight

    Is it appropriate to "show off" that you are a Nurse on social media?

    I’m a Millennial but the Instagram stories/reels, Tik Toks nurses make trying to be clever or cute drive me nuts. Most of them are not funny, what I see is a full group of people making a video at the Nurses station when they could be helping a patie...
  10. RatchedAfterMidnight

    Struggling to move forward

    I would recommend EMDR therapy specifically. As healthcare providers we take on the trauma of our patients daily and if not addressed you will burnout, be your own worst enemy at work daily, and experience moral injury that builds up. Burnout and mor...
  11. RatchedAfterMidnight

    Scared of being harmed at work.. Am I overreacting?

    I would never work in any psych environment without another staff member with me. I know too many people that have been injured on the job to ever give the patients benefit of the doubt. Some patients can become delirious while detoxing from alcohol/...
  12. RatchedAfterMidnight

    Thoughts on online Psych NP schools

    I would strongly advise against online only programs. Most campus based programs are hybrid with a large online component. By the last year I went on campus once a month. As a previous poster suggested, talk with some NPs in your area about where the...
  13. RatchedAfterMidnight

    Mental heath tech interview help!!

    I would not bring up personal health history in an interview. Think about what you like about psychology, specific conditions you are interested in, why you want to work in the hospital, and what personal qualities you possess that make you a good ca...
  14. RatchedAfterMidnight

    Texas Residency Program Dates

    THR, Baylor, JPS and others have a Fall, Winter, and Summer Cohort. JPS’s application period ends in 2 days. If you do not secure placement soon, you will have to find an RN job without a residency. Most programs have date cutoffs for when you gradua...
  15. RatchedAfterMidnight

    Blacklisted from HCA

    Group One is a “credit check” agency that was founded in part by HCA. Includes manager comments that can be trivial. DFW area hospitals are notorious for blackballing people with a GroupOne report which is why I’m familiar. HCA is rumored to have use...
  16. RatchedAfterMidnight

    Struggling between ER travel and PMHNP.

    Only you can decide between ER and Psych, I don’t know your personal preferences. If you like to travel there are PMHNP Locums positions all across the country. If you like the rush of ER consider a psychiatric emergency room as a PMHNP. These are tw...
  17. RatchedAfterMidnight

    Blacklisted from HCA

    Google HCA and Group One. Ever consented to a “credit report” by chance?
  18. RatchedAfterMidnight

    What NP specialty offers the most flexibility?

    Make sure you pick a track that aligns with your goals to work inpatient and outpatient with your state's scope of practice regarding an NP specialty. Population specific specialties like Adult-Gerontological NP, Psych NP have some of the most flexib...
  19. RatchedAfterMidnight

    Reporting a Patient to Police?

    Psychiatry is a specialty where there is a high rate of workplace violence. I have found the expectations for dealing with a violent incident differ by the facility I have worked at. Currently, I work in an environment where assault on staff is taken...
  20. RatchedAfterMidnight

    Mental health nursing and cover letter

    Rather than including personal medical issues, you could address mental health diagnoses/causes that are important to you. There are a wide variety of focuses in mental health and you could use the cover letter to discuss what interests you the most ...
  21. RatchedAfterMidnight

    UTA Fall 2020 PMHNP

    I had a job before graduation and so did many others. The people that had difficulty finding preceptors and obtaining employment after graduation had no psych experience prior to the PMHNP program. I had years of networking in the psych world to draw...
  22. RatchedAfterMidnight

    UTA Fall 2020 PMHNP

    I am a UTA PMHNP grad. UTA graduates have an excellent reputation in the community. For the first year- patho, pharm, theory, role etc. you are grouped with Pediatric/Neonatal NPs, Geriatric NPs, FNPs. For assessment it splits off and you will be gro...
  23. RatchedAfterMidnight

    New Nurse having trouble finding job in Dallas

    https://www.wfaa.com/article/news/health/baylor-scott-white-health-lay-off-1200-employees/287-fdf574be-d8d0-411e-b549-fb5652a0b2c6?fbclid=IwAR11iDmzUDq2Ax2jAwEMnNMTSpR0QHMIZkXhVUY6gusxjbeKqAMU7qar2D0 Hospitals are starting to furlough, lay off, and c...
  24. RatchedAfterMidnight

    First year nurse. Thinking about leaving field altogether.

    A lot of hospitals have positions for RNs as Case Managers or Utilization Review Specialists. You would be advocating for patients in a different way without the constant anxiety of giving the wrong medication. There is a need for clinical staff in U...
  25. RatchedAfterMidnight

    Stop Hating on Psych Nurses

    “To not crave the approval of others but to let it come from within is true freedom” -anonymous But we’re also better