NJprisonrn, MSN, NP 5,239 Views
Joined Jul 7, '11.
Posts: 197 (28% Liked)
Sorry, I missed a lot of this thread d/t a crazy week. But I have heard similar things about this company. Wow, 4 years!!! That would be a deal breaker for me. Too bad, because deem is such a great field. I love the idea of the ma doing the main documentation. That's my main time constraint! Well, good luck to you.
Is this offer with DermOne? Considering the training you get, the low intro offer doesn't sound terrible. 4 weeks vaca and the cme are also reasonable. I'm not sure how long it would take you to get to the 200k billing level. How long is your contract? Can you speak to other providers who already work there and can give you insight? Also, 40+ pt/day does sound like a lot, especially for a new provider!!! I thought about going into derm but it never happened. Right now I'm in Occ Med and I see approx 20 pts/day.
Don't worry, you'll do fine. I usually go by at least 65% of expected fev1 on pft and ask for a doctor's clearance if they have extreme heart or lung conditions or a abnormal ekg. But it's up to your judgement. (Again, sorry for late response).
Sorry, just saw this! I'm new to Occ Health, but I have done several onsite projects where we do physicals, mostly for respiratory clearance for respirators. Is that what it turned out to be?
I did clinicals at a health department. It was all pelvic exams one day and STD clinic another. No OB, but something to think about.
My personal feeling is that I worked quite a bit to get my MSN. I'd like to focus on building my professional and clinical skills. In the future I may pursue DNP, but I think it would cheapen the experience to rush through to get it now just because. I have had no trouble finding a job. I see no reason to add to my current student loan debt. As a young provider, I have a lot to learn and many years to practice. I think I have plenty of time to pursue the terminal degree when I am more established.
It was $5 for sick call and $1 for each med ordered when I worked in a state prison. No one ever complained to me about it that much.
It's a big change! My best advice is to keep reading. Go over your notes from school or from your review course. I still listen to the review cds in my car. I also keep journals in my bathroom. Seek out a first job that offers you support. You will have a lot of questions, so don't be afraid to ask them. I totally agree with BostonFNP's recommendations.
I travel to facilities to do wound care. My usual commute is about an hour to the first facility. Sometimes it's 30 minutes between buildings. Then another hour home. It's not my dream set up, but there are other perks that make it worthwhile. The commute is usually during off hours, so traffic isn't often an issue. I'm usually home before 1pm and do my documentation via remote access. I get about 50 cents a mile (whatever the IRS standard is) and the first and last 20 miles are on me.
I definitely agree with using the time wisely. I have lectures and other education stuff on my my phone that I listen to while driving. Or I make bluetooth calls to my out of state family members. I haven't driven over an hour yet, but I'm sure that some days that will occur if I am covering someone's building who is on vacation. It's not a typical 9-5 job, but I am enjoying it.
I'm in Southern NJ, not too far from Philly. I made 25-35/hr as an RN (doctor's offices and prison, never hospital). I make WAY more as an NP. I have an FNP but I'm mostly working with adults in a wound care practice.
To be honest, I was never bothered by the term mid-level provider. I don't feel like it speaks about RNs or LPNs at all, only PAs and NPs, who generally have a shorter education than their physician counterparts. I'm not saying that it's a great term, but it doesn't fill me with righteous indignation. Yet, physician extender really gets under my skin, as if I am some sort of lackey sent in as a last resort. As a provider, I do my best to educate my patients and fellow staff members about my role. There will always be someone with a different opinion. But as long as I do my best, I feel pretty good at the end of the day.
I've only been an NP for a few months, but I must say that it is probably the best decision I ever made. I feel extremely lucky to have had the opportunity to go to school with my husband's support and blessing. I can't imagine ever regretting making this career choice. Even if I was in a position that I hated, I could take a different position. There are opportunities to change and grow all the time. No regrets here.
Don't worry, even the best clinician won't get the cervix every time. I wonder if you'll get to see that person's results to see if you got the transition zone. I was always excited to see how I did!
I just used free apps on my phone such as Medscape or Epocrates. I did buy the EMRA Abx app for $15. It's ok, but not as useful as I had hoped. There is no room in my pocket for another book, so apps are the way to go for me.
I think it's wonderful to shadow first. Every place is different. I'm so glad that I shadowed with two different providers (same type of job, different companies). One was a much better fit for me.
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