Latest Comments by Rnis

Rnis, MSN, NP 3,525 Views

Joined: Jun 22, '10; Posts: 122 (50% Liked) ; Likes: 142

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  • 0

    Are you even doing incident to billing??? (it has nothing to do with who is listed as the pcp) That is not something we ever do where I work. That being said, I think your reaction is really bizarre. Even if you have real concerns I think quitting in such a manner does not reflect well on you for anyone.

    I work at a large organization and my billing is looked over by coding and I am audited regularly to ensure I am billing correctly. I feel very supported and aware of expectations with coding..... I can understand where that would feel overwhelming if I hadn't been given training or communication in these areas...... but the first step is requesting a meeting (and giving the a week or 2 to comply).

  • 1
    Jules A likes this.

    I see about 13-16 patients a day in primary care.. i close my charts at the end of the day without a lot of issue. I usually have down time. hands down my job as a NP is less stressful than when I was an RN on a telemetry floor. I used to work on the a busy med surg floor with 5 patients on days.... this role demanded that I learn to be efficient and flexible....and honestly by the end of my role there most days were pretty stress free too. It's all about efficiency.

  • 0

    I don't think it is an option where we work , it is just the expectation....but we have so many physicians in our dept alone that there is always someone to ask questions too.

  • 4
    Riburn3, Rocknurse, Jules A, and 1 other like this.

    That is a nope..... they are only offering you 20 hours a week of work..... they don't get to say you don't work elsewhere. by saying they have to approve it they would be essentially freeze you out of other financial opportunities.

  • 0

    Primary care isn't like an er at all. somewhat controlled environment in that you only have so many appointment slots. most things are things you see day in and day out. I do a lot of MSK complaints, women's health, AODA, and depression and anxiety..........then there is the occasional patient that is pretty sick. Honestly though...there is only so much you can do in the outpatient or in the primary care setting. It's usually pretty manageable. . I work for a big organization and can always call a specialist to help guide me .

  • 0

    It's hard to know since I don't know the details of your specific program. I think it's normal at this stage to be a little terrified and to have the imposter phenomena (there are articles written on this) . I honestly was stressed for the first year as a new nurse practitioner but that confidence comes with time. Things that used to terrify me when i would look ahead in my schedule now are no biggies. Hang in there.

  • 2
    royaso and Jules A like this.

    HOw many patients would you be seeing a day. I can't imagine you would see enough patients to even make that worth your time.

  • 1
    ICUman likes this.

    Quote from djmatte
    The hard part about specialties is they don't give you any more expertise in family medicine/Primary care than you had before. So later on you will still find the same hurdles you had before. 40 patients per day is excessive and there is genuine concern when it's stated up front the majority of you job will be med refills. As an RN, I've had extensive pain background and I've received many requests to consider pain positions because of this. While they're tempting and could land me some new skills, I'd rather not pigeon hole myself out the gate. I haven't checked Vegas, but as suggested above there are lots of jobs out west. Check out practicelink. That website's been the most productive source for me.
    This! This isn't going to solve your problem. I understand your frustration but definitely don't lock yourself into a 2 year contract. At 40 patients a day.......they are making a killing off you if they aren't providing benefits. If you are willing to move, there are jobs out there. Best wishes.

  • 6

    I have never started a new job that i don't have buyers regret 1-2 months in. That is kind of normal. I have always stayed and ended up liking the job in the end. At my current job, the other providers were great but it took me a few years to win over some of the clinical staff. I just did my job and tried to be friendly. Just like you are adjusting to a new job other workers are adjusting to how you change the culture. While I don't think I would stay at a place that is hostile long term.............i think one month into a new job AND a new profession is too soon to throw in the towel. Good luck!

  • 1
    Dr.Naija_Queen likes this.

    Serving as an advisor for np students. typically it is reviewing their work once a week and doing a site visit. Not a ton of money, but also different and not too time consuming.

  • 0

    Quote from MHDNURSE
    I can't say I "regret" getting my NP, but I definitely would not have pursued the degree if I had been able to foresee the future. I was working as pediatric nurse and loved it and worked with a PA and a PNP who both encouraged me to go for my NP. The thought of having more autonomy was appealing, as was the increase in pay (or so I thought). Fast forward to when I finished my two year PNP program. My RN colleagues who were working in the hospitals were earning significanty more than the NP positions I was looking at. I ended up working as a PNP and a Nurse Manager at the same time so I was seeing patients and acting as Nurse Manager. As stressful as it sounds, it was actually an enjoyable time. I earned only slightly more than if I had been working as a RN. A few years later I had my first child and decided to stay home. I maintained my NP license thinking I would go back as a NP but in the end found more appealing work as a RN. So I ended up "using" my degree for all of 4 years. My pediatric knowledge definitely helps me in my current job (I am a school nurse) but I always have to take a step back and remind myself that as a RN I cannot diagnose so while I will know what a student most likely has, I can only recommend that the child be seen by a provider to "properly" diagnose which is frustrating. If I had known that I would only be using my NP license for 4 years I would not have pursued it, and I have no desire to go back as a NP now since I love my job as a school nurse.
    At the school district my child used to attend the majority of the school nurses were nurse practitioners. I am not sure how that worked but i know from talking to the nurse at his assigned school that was the expectation.

  • 0

    Yes, once I submitted it the results came up within a minute or two. I had not gotten my degree conferred yeat....so they didn't release the results until that was complete. (mine was for aanp, but i believe it is the same)

  • 0

    We do, APs are expected to contribute less than Mds ( i think this year it was just under 100 ) but it is something that is office specific...definitely not mandated by corporate leadership.

  • 1
    FullGlass likes this.

    Congrats! most people i know that have struggled to find positions weren't willing to re-locate, It's great you are so flexible! Good luck on your new adventure.

  • 8
    Oldmahubbard, ICUman, Tony1790, and 5 others like this.

    I became an APN on the spur of the moment.....was literally a few months away from starting grad school to be a nurse educator and changed my mind at the urging of a colleague who was also in grad to be an FNP with the idea that being an FNP would be more versatile in terms of the job market when i graduated. Once I started the advanced study and practicums....I fell in the love with role and haven't looked back. I don't think there is a "right" or "wrong" motivation as long as you are capable of providing quality care and performing the role you aspire to. My program was tough and there was no "churning" out Nps.

    To touch on what op stated, I have seen time and time again that nurses are toughest on fellow nurses. Whether it be the new grad struggling to acclimate to a new floor.... or the new advance practice nurse trying to navigate the complexities of transitioning to a very different role. NP's succeeding and becoming more utilized in the healthcare system is a positive thing for the nursing profession as a whole..... I love that I make better money, have better hours, and am treated better than i was in the bedside nursing role.....I don't think those are bad motivations for directing your career path.


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