penniv

penniv

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About penniv

penniv has 13 years experience.


I am an Adult Nurse Practitioner in an integrated medical practice. I primarily function under the Physical Medicine & Rehab umbrella, however, my background is orthopedic surgery.

Latest Activity

  1. Nurse Entrepreneur Roll Call!

    Update: August 1st will my first day seeing patients in my new practice. I am opening an integrated medicine clinic. I have hired a chiropractor I know well as an independent contractor. I will be doing cognitive behavioral therapy, injections, physi...
  2. Questions about the NP role? (Required for NP class-please help!)

    1. I think the requirement for a DNP is a long shot. As someone who will have a DNO in2 months, I personally don't feel it is necessary. For me, it was about a promise to myself to take my education as far as I could. 2. As one of the only orthopedic...
  3. Salary Negotiation Ortho Hospitalist APRN

    No, I am an adult NP. If you were to actually look at my licensing it says "Primary Care Adult Nurse Practitioner." I knew I never wanted primary care and since my RN background is 100% ortho that's where I have stayed.
  4. Salary Negotiation Ortho Hospitalist APRN

    I have been an ortho NP for 6 years. I doubt you will find literature supporting the salary. If possible, find out what the PAs are making since unfortunately they usually get higher pay. I think you'll just have to come up with a number and know t...
  5. Salary Negotiation Ortho Hospitalist APRN

    As an ortho NP I would not settle for less than $120/year. They will likely offer you something significantly lower so be prepared to defend your rate. The surgeons are making close to, if not over one million annually!
  6. NPs in Ortho or Sports Med?

    I have been an Adult Nurse Practitioner with a specialty in ortho for 6 years. My RN background was 100% ortho as well. I have my own clinic time and have been a surgical first assist in 100's of surgeries. I absolutely love ortho! Now, with that bei...
  7. Final semester nursing school is desperate

    My background as a nurse practitioner is hand and shouldersurgery. Shame on any provider who did not splint what sounds like a Colles' fracture! I would inquire about an Exos wrist splint if your fracture is stable and does not need to be re...
  8. Integrated Physical Medicine Models

    Jeremy, I have spent the 5 years in Orthopaedic Surgery. Prior to that I tried my hand at the Chiro/Medical model. I found out very quickly that it was all about making the DC money and not about helping my medical patients. My DC was insisting that ...
  9. Nurse Entrepreneur Roll Call!

    I am getting ready to start my own House Calls practice in South Carolina. It will be a fee-for-service, so no insurance to deal with.
  10. First Assist billing

    You need more information on his billing before you can make a decision. You also need to find out what the laws are in your state regarding billing of a RNFA. In South Carolina I am paid 85% of the eligible reimbursement rate of the first assist pay...
  11. How do NPs use statistics in their practice?

    I personally catch myself saying "statistically speaking, you're more likely to..." to my patients. In that sense I am referring to how they compare to the larger volume of patients I see with same condition.
  12. Advanced Degrees for O.R. Nurses

    As previously stated, I am an orthopedic NP. I split my time between clinic (90%) & OR (10%). Most of the PA's in my department split 60/40 though. Salary is very variable. I will just say that I make a base that is in the low 100k plus a product...
  13. Personal Internet Access and NP programs

    You'll want a VERY reliable internet. Broadband is typically preferred especially during exams. You may want to take exams somewhere you have a reliable access. I graduated from UAB in 2010 and found that my broadband was the best. Hope this helps.
  14. Advanced Degrees for O.R. Nurses

    I have a couple of things in mind. The first is a RNFA. This would allow you to work more advanced role in the operating room which it sounds like you want to do. The other option is to go ahead and get your NP and find a surgical group to work with....
  15. Question for those of you who precept NP students

    I think as preceptors we have a responsibility to our patients, peers and the public to produce the best students we can. That being said, we are dealt the hands we are dealt. I'm an Ortho NP and so it is a rare day that I get a student with Ortho e...