1. background (number of years in advanced role, rational for becoming cns0
19 years as a nurse: 2 years lpn, 12 rn, 5 apn
rationale - it was the degree that my hospital-affiliated college of nursing taught (not a good rationale, believe me)
2. what is your work environment
i work for a private nephrology practice: 15 docs, 5 mid-levels (fnps, pas, me). i do dialysis rounds and i also take call in several hospitals.
3. organizational structure related to the advanced practice position
hmmm - not sure what you mean by this. since i'm not employed by a hospital, we work with physicians but are very autonomous.
4. roles and responsibilities
medical management to include htn, some cardiac dz, infectious diseases, etc., of chronic dialysis patients. i round on approx 250 patients/week in four geographical locations ranging from 9 to 62 miles from my home.
5. perceptions of licensure, certification, and reimbursement issues in current role
i'm a member of my state's apn organization and live in a state where cns is an apn with the same scope of practice as an np. my practice bills the usual 85% of the md rate for services.
6. any continuous professional development?
well, in order to keep your certifications current, you must have cme. since i completed the adult cns in 2006, i have gone back to school for a peds cns too. i also keep current as a cpr/acls, enpc instructor and attend cme.