casias12

casias12 has 30 years experience and specializes in Cardiology nurse practitioner.

Latest Activity

1. Suturing class near Schaumburg, Illinois.

   casias12 replied to nurselove757's topic in NP

   My favorite video. I close all the time, primarily using interrupted buried sutures, or simple interupted sutures. Sometimes a mattress suture if the patient is kind of big. No class can teach you what you need. Just get in and do it.

2. Is this Fraud?

   casias12 replied to Bonosgrrl's topic in NP

   This is not correct. Incident-to billing allows for billing under the physician NPI at a higher rate as long as the NP/PA is following the alread-established diagnosis. Adding something new requires billing under your own number. Here is an article l...

3. Compensation for Call Pay

   casias12 replied to Alicia777's topic in NP

   I guess it depends on a few "professional" factors. 1) How confident are you that you can handle situations appropriately. If you can handle most things until sun-up, and avoid bothering the on-call surgeon, you are worth more. 2) How long have you b...

4. Liability insurance

   casias12 replied to NewbieFNP's topic in NP

   What a ridiculous thing to say. OP. If you are in a clinic and provide your own insurance, of course they need to verify this. It is their right to know that you are covering the patients you see with malpractice insurance. . In most states, you al...

5. Capitalization of Advanced Practice Nurse / Advanced Practice (speciality) Nurse, etc

   casias12 replied to LessValuableNinja's topic in Advanced

   I do all caps. ARNP.

6. Do NPs get training?

   casias12 replied to EagerToBeFNP's topic in Advanced

   Someone once said a cardiologist could be replaced with an app, a primary could be replaced with a Wal-mart greeter. I took that to mean that PCP's just refer patients out, loosely, by the body system, and specialists get so used to seeing the same ...

7. Do NPs get training?

   casias12 replied to EagerToBeFNP's topic in Advanced

   "I have visited some of the best and the worst prisons and have never seen signs of coddling, but I have seen the terrible results of the boredom and frustration of empty hours and pointless existence." Warren Burger was a man with many statements,...

8. Do NPs get training?

   casias12 replied to EagerToBeFNP's topic in Advanced

   Welcome to the real world. Most provider groups are small, and can't afford the luxury of extended training for someone who has been trained to a Master's degree level. I imagine he is putting you under a "stress test" to see if you will sink or swim...

9. UHC NP job info

   casias12 replied to Jamijlewis's topic in Advanced

   As Flipper points out, they are going through "structural changes", but they are usually in a state of confusion. Most of their "programs" come and go because they are all pilot programs. I worked with a section of United Health Group doing home visi...

10. RN to PA

    casias12 replied to RNPA93's topic in Advanced

    Any NP practicing independently in an indepent state. I know several. Is that enough?

11. RN to PA

    casias12 replied to RNPA93's topic in Advanced

    You are entitled to your opinion, but you are wrong on a few key points. How do they say it? You don't know what you don't know?”. Anyway. Training is only a tiny portion of becoming an advanced clinician. PA's are presumed to hit the ground runnin...

12. RN to PA

    casias12 replied to RNPA93's topic in Advanced

    You are much better off going from RN to NP. A nurse practitioner will always be a better degree. PA's will never operate independent of physicians in any state.... ever. NP's, on the other hand, have independent practice in many states now, and wil...

13. To Float a Swan

    casias12 replied to rhinoroc's topic in CRNA

    Ummm.Ok.No. It doesn't pass through the right atrium into the PA. It goes from RA to RV then to PA. ECG waveforms don't change when it passes through. You read the pressure from the tip of the catheter to see determine when you pass from RA, to RV, t...

14. How not to suck!

    casias12 replied to NP2bman's topic in NP

    I feel the same way. I was a nurse for 15 years, and worked closely with physicians to gain trust and write "verbal" orders for things that made sense. As time went on, I think autonomy and involvement dwindled. Making the jump to nurse practitioner ...

15. Urine Drug Screen ....surprise!

    casias12 replied to casias12's topic in Advanced

    It wasn't a surprise to me. I just wanted to present it that way to see what comments would be generated. This was a fictitious patient, but it did present several legitimate scenarios. 1) Trading drugs for something else. 2) Over-using pr...