Pachinko

Latest Activity

1. Transitioning Back to Bedside

   Pachinko posted a topic in NP

   I’ve been an FNP for about 8 years. Love my job, decent pay, stable as of now. But with the over-saturation of NPs here and the possibility of lower wages and worsening working conditions, I have to keep open the possibility of transitioning back to ...

2. Federal NP pay. Is this what it would look like under single payer?

   Pachinko posted a topic in Advanced

   This thread is not about debating the merits or risks of single payer/socialized medicine in the US. It is about impact on pay for providers. I was reading a thread about this topic on another site, and a poster suggested searching federal NP jo...

3. Fingerprinting requirement for Renewal of license CA license with the BRN (2014)

   Pachinko replied to veganurse's topic in California

   Veganurse, I spoke to ***** at the number you provided and it helped a lot. I answered my own question as well, so, for others' reference...she advised completing the fingerprint requirement before renewing. You request the Livescan paperwork from th...

4. Fingerprinting requirement for Renewal of license CA license with the BRN (2014)

   Pachinko replied to veganurse's topic in California

   THANK YOU. Posting this was very generous because my head is spinning with conflicting information. This helps. So I am supposed to submit my application to renew first with a "no" for completing the fingerprint requirement, then submit the Livescan ...

5. Would you be willing to walk away?

   Pachinko replied to Rnis's topic in Advanced

   The question is too vague to answer well, but I would be hesitant to leave a profession that requires giving up a license. Renewing your NP requires a certain number of direct patient care hours per annum I believe. At least now, that license entitle...

6. Full Practice Authority

   Pachinko replied to rkealy's topic in Advanced

   Very true. And yet, multiple studies show that NPs provide quality primary care. Why is that? It’s an interesting question. I used to work bedside in a unit with lots of NPs. In that setting, roles were sharply demarcated, with MDs directing the care...

7. Experience/work setting prior to becoming a Family Nurse Practitioner

   Pachinko replied to Tinybutmighty's topic in NP Students

   Everyone is different in terms of learning needs, but I would strongly recommend working in a hospital before doing FNP. ICU is the best because so much happens at bedside; you get to see diagnostics done and resulted and see how medications and inte...

8. How do you deal with patients who don't want to be seen by an NP?

   Pachinko replied to Angeljho's topic in NP

   I say, no problem! I will offer to see the patient for this appointment only or to simply schedule with MD. I would rather know up front if a patient has a problem with NPs so we are both spared problems.

9. Low Salary @ the VA as NP

   Pachinko replied to BermudaTriangle's topic in NP

   I looked at pay for LA and not only are NP jobs insanely low, but I make more as an NP than their starting physicians do! Sorry, but you're not going to attract talent that way. It's crazy, and a bummer--I would like that population.

10. Oversupply of Nurse Practitioners

    Pachinko replied to guest416560's topic in NP

    Sorry, I would edit my post above to include this but don't see an edit button The majority of my real education came from bedside. The hospital is also where MDs receive their real, experiential education. I worked in different ICUs for about 8 ye...

11. Oversupply of Nurse Practitioners

    Pachinko replied to guest416560's topic in NP

    In this climate, I would not become an NP unless I got into a school with name recognition. It gives you an edge not only because of reputation, but because those programs are more likely to set you up with clinicals instead of making you find your o...

12. When to use Quantiferon?

    Pachinko posted a topic in NP

    Apparently there is a new Quantiferon test that is less time intensive to perform (not cheaper though). It's new to our clinic system at least. I am not able to find guidelines for determining whether to use PPD or Quantiferon with patients. Quant is...

13. Will malpractice insurance cover you for past misconduct?

    Pachinko posted a topic in NP

    If I buy malpractice insurance today, will it cover me if I'm sued in the future for something that happened before I had the insurance? I'm not talking about buying insurance when you are under investigation or a lawsuit has been filed. I mean buyim...

14. Yale GEPN 2018

    Pachinko replied to rls2018's topic in School Programs

    Is tuition for this program $135K total?

15. From NY to California, LA?

    Pachinko replied to supernursejason's topic in NP

    Dranger is correct. You might find something cheaper if you scour Craigslist, but a 1 bedroom in a decent area will be around 2k, a 2 bedroom 2.5k. S/he's also correct about salaries of 120-140k. If you decide to rent, try to find a rent-controlled b...