I'm a new RN, but I had a great teacher who was a psych NP. I am an RN who was a school nurse and an elementary school teacher. Oh, also, editing to add that I am *really* committed to working with under-served populations. I have the statistics and developmental psych, as long as they aren't required to be in the last 10 years. NY state. I am now practicing as a PMHNP and haven't regretted the decision to pursue this educational pathway for one moment (other than perhaps because of the cost associated with completing two bachelor's degrees and two master's degrees). Since 1997, allnurses is trusted by nurses around the globe. The position would have been a joint appointment, teaching part-time and practicing part-time in a local outpatient MHC. I worked in a number of different settings as a clinical social worker (outpatient, treatment foster care, community mental health, inpatient, emergency department) while working toward my BSN. I think you should go to PA school. 24 October 2018. Plus there are still states that really don't give NP's and CNS's much support or are not recognized as highly as in other states. Because most of the psych NPs I have encountered work as assistants to the psychiatrists (I'm speaking of inpatient settings); they manage the clients' physical illnesses/complaints and do some initial/admission psych evals and lots of daily rounds -- which means, basically, that they talk to the client for as short a time as necessary to figure out which meds to order for them (time is money for psych NPs as well as MDs). employers is that they can write scrips (and cost less than an MD). In terms of pursuing nursing school while attending graduate school for your MSWâ€¦one word - IMPOSSIBLE. I've been a psych CS (Master's prepared, but different from a psych NP; I'm not sure how familiar you are with the different roles) for ~10 years (and a psych staff nurse for ~10 years before that). Specializes in Education, FP, LNC, Forensics, ED, OB. I have read the previous entries and they all have good advice. CNS's route will be a little more academic in that their roles can be more in the psych or specialty educator role. i could be completely off-base here, so i am very interested in hearing what real professionals in the field have to say about this notion. It also seems that there is also the potential to take some pharmacology classes later and take the NP test if I wanted (in some places anyhow - I think Colorado allows this?). However, because my organization is urban and located between 3 major health networks/hospitals, their HPSA score is 0, leaving me with little chance of being awarded loan repayment. thanks Krisssy, everyone's opinion. A large part of my issue with the docs who are poor prescribers is that they overprescribe. The nursing profession and psych nursing specifically is in need of practitioners who feel the sense of purpose and passion your post clearly expresses. You'll also most likely be more employable if you're seen as an experienced nurse, but that is a guess based on my experiences at the BSN level. More power to them. In addition to earning a MSW degree, I am also interested in pursuing a MSN degree, to ultimately become a PMHNP. I took a refresher course and did very well. I think you're doing the wrong thing. I practiced for two years from 1969-1971. Many states will allow you to do the CNS program and then take an additional three classes to sit for the NP exam also. job, nobody would hire me because of lack of med surg experience. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. I'm sure that there are lots of psych NPs out there who have created their dream jobs and are loving what they're doing. While not always necessary, some nurse practitioners go on to earn doctoral degrees. :uhoh21: ) When I questioned this and explained that my real interest and training were in psychotherapy, the psych nursing department head who was showing me around for the day told me flat out that no one in that state would hire me to be a therapist, because I was much more "valuable" as someone who could write Rxs, and the only jobs I would get offered would be doing med management. The med management issue is something I really struggle with. Of course I work on an inpatient unit and so much of our work is insurance driven...time is of the essence and so that is a huge factor in med titration. Just one more thing...the initial shock of nursing school w/buttwiping and some aweful smells sights may scare you away, but I tell you the more you get exposed to it the more desensitized you'll become because most likely you'll have to go through this in becoming an RN initially. Each state is different and can go as far as the state doesn't allow prescriptive rights to full rights as an completely independant practitioner. You'll have a much better grasp on the medications, etc. They will be able to offer great advice. I will let everyone know what she says. Then *hopefully* an accelerated BSN program, and then into a DNP program for three years. I think you're doing the wrong thing. In fact, earlier this year, in one of the facilities that I work in, they reassigned the PAs working in the psychiatric emergency department to other units because the medical executive/credentialing committee felt that PAs lacked the appropriate training to work in psychiatry. Ultimately, I would recommend spending some time working as an MSW and then decide if nursing/PMHNP is right for you. Hopefully someone would not mind educating me regarding this. In general I find meds overprescribed and I find that decisions regarding meds to be a little too hastey. Anyone have experience with loan forgiveness programs for PMHNP work? The market is really good for LCSWs right now and wages are quite high (at least in my area). allnurses is a Nursing Career, Support, and News Site. These programs are very high paced and it would be redundant with your original nursing school training. My prior work history includes running a DV shelter, working in boys' residential treatment and therapeutic foster care, ER social work (which I loved, loved, loved! They, too, thought it would be ridiculous to repeat everything. The argument I have always heard is that the entirety of a pmhnp clinical hours are spent in psych, vs a PA's more generalist training. :). A nurse practitioner is a clinical degree. You could potentially work part-time as an MSW while you attend an associates/BSN program (I did this). Hi all- I was particularly struck by elkparks' concise answer. There's something for everyone in nursing. But at this point, I figure I'll be in student loan debt until I die regardless of whether or not I pursue more education. Best wishes on whatever you decide! I would appreiciate everyone's opinion. I'm an autodidact. A couple of the programs that I applied to were willing to consider my work as a social worker as "hands on" health care experience, while a couple of others did not. I never intended to be "that annoying lady who tells you how to parent your kid but doesn't have any of her own.". However, I really think the PA route will teach you what you're wanting to know. I've always found the medication issues so boring that it's perfectly fine with me to leave that to the docs, and I appreciate them taking care of the scutwork for me. So I will obviously have my hands full with prerequisites for a while. I would not go for option #1. I do not want to work med surg. with an advisor from a state school which offers an online psychiatric nurse practitioner program. I'm interested in psychiatry and don't want to do anything hands on with patients, but I WISH I had gone the PA route instead with a psych residency. Regarding salary. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Any advice for me??? I have thought about grad-entry programs, but I'm not sure how they differ from the plan I'm looking at... except that the grad entry program nearest me (Seattle you) leads only to a master's and not a doctorate. Thank you very much for your time and resources! allnurses.com, INC, 7900 International Drive #300, Bloomington MN 55425 I know this can be a controversial issue and my motive is just to get some honest opinions from nurses in the field. You'll only need a PA and a doctor willing to give you a job. Thanks again for your advice. Is that what you're looking for when you write about taking "a more comprehensive approach to patient care?". nursing, especially np, would allow you to treat the whole person, disease entity, etc. I do very much agree with what she said.
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