To any and all footcare nurse business owners - page 2

Hi there, Gosh I am so excited to be done with my footcare course that I attended in San Diego through Shelly Taylor! The course was awesome and I learned alot. Now just passing the test. I have... Read More

  1. by   lindarn
    Have you presented them with the idea, that your fees are probably less than Podiatrists? Mabe if you can get the idea across that your services are equal to the Podiatrists, that the almighty $ can sway them? Perhaps offer something that they don't?

    Can you combine foot care and diabetic teaching, foot care, etc? Make yourself stand out from the others.

    JMHO and my NY $0.02.
    Lindarn, RN, BSN, CCRN
    Somewhere in the PACNW
  2. by   bizi
    The fact is that I do charge more than a podiatrist, but they may spend 7 minutes with them if that. I provide a much better service, am convinced of this, I know of not one pod who would soak their clients feet and exfoliate their dry skin. I am in the home about an hour.
  3. by   footqueen
    Quote from bizi
    The fact is that I do charge more than a podiatrist, but they may spend 7 minutes with them if that. I provide a much better service, am convinced of this, I know of not one pod who would soak their clients feet and exfoliate their dry skin. I am in the home about an hour.
    I just got asked to come to a facility because the podiatrist they were using was billing Medicare over a hundred $ per resident and he with them for about 5 minutes. The families were not pleased. When I told the director about my services (including foot soak, lower leg assessment, massage), she was thrilled. And, I charge about a quarter what the podiatrist was charging.
  4. by   bizi
    He may be chargeing that amount but he is only reembursed a very small amount...a podiatrist once asked me to not referr any clients to him on medicare because he made so little from them. At least that was a few of years ago.
    Good for you and the new facility awesome! congratulations!
  5. by   lucygotsumsplaynin
    I am looking for work and cruising topics. Your foot care idea is wonderful! I wanted to do this a few years ago, and spoke with a "mobile M.D. " i worked with. We dropped the ball and never met to discusss. When I was a Hospice Case Mngr, I found many a foot in ill repair, and I wanted to be a mobile foot care nurse and didn't know if there was such a nurse.
    I too wonder what the P & P is and who we work under according to the Nurse Practice Act. (CA) I am confident in my marketing and have an excellent network, I just need to know the steps and particulars, mainly, job description and legal limits.
    Do podiatrists hire RN 's for such ministry, I mean , work? A true entrepenuer will research all these topics and brave the unexplored path. Is this the forum to learn of such particulars? I suppose I should make a list of what I need to know. I am not sure what I need to know..... you know?
  6. by   Race Mom
    Ugh, I just typed this long reply and hit the "leave a comment" button on the bottom right. Wrong button.
    I took my training from someone who lives in No. Cal. and she has been a foot care nurse for 17+ years, mostly on her own. Hopefully someone from cali will chime in here and give you particulars since I wouldn't want you to rely on my info.
    I live in Idaho and I work within my scope according to our BON. I am providing for activities of daily living, for which I was taught to do in my general nursing education and I have gained further education to provide for this specialty. I have my own clinic (still working on an opening date though) and provide home care. My business isn't completely off the ground yet, but I expect some problems with Dr.'s questioning my scope. I'm prepared. I want to work along side them, not against them, so we will see how it goes when I go out and market myself to other Dr.'s and podiatrists. That will be a big test. I need pods to refer to though, so hopefully they will accept this nursing venture and come to realize that it is the way of the future!!!
    I highly recommend that you get your CFCN and save up to buy the appropriate tools/instruments. If we want to be taken seriously, we must be as professional as we would expect someone to be for us. Most pods don't even use the podiatry drill that I purchased. They use a dremel which is really not appropriate for health care. I give my clients the best of the best. I have nothing to hide! Good equipment, good instruments (well...those could be better but man nippers are expensive), and good products. People love nurses!
  7. by   bizi
    good luck it is a great business to be in and desperately needed. Your clients will love you. Look to your state board of nursing there may already be regs in place for you to follow. My state requires orders from a physician, so I maintain charts on all of my clients. Good luck
  8. by   Race Mom
    Hey Bizi...if you go to a facility and do group care, does each person get a file that you hold on to? What about senior centers where it isn't a medically based location?
  9. by   bizi
    I don't do group care or senior centers I only do one on one.
  10. by   KeyLimeRN
    Bizi, I live in Louisiana as well and have been tossing the idea of doing in-home foot care around. How do you obtain a physicians order to provide intermediate level care?
  11. by   bizi
    I fax over orders and they sign them and fax them back to me. very easy.
    where do you live? I live in lafayette.
  12. by   Jenlpn2010
    I don't do foot care, but I have my own business taking care of kids with disabilities in their homes. I love it. Although now I feel like I am losing my skills I paid dearly to obtain :/ I'm in school now for my RN and hoping I can do the same business.
  13. by   KeyLimeRN
    I live in Shreveport. Do you fax the orders to the clients primary MD? I think I may go ahead and find a certification course near me, seems like a good place to start..also what types of services do you provide most?