Penguins10 MSN, RN, NP

Penguins10 is a MSN, RN, NP and specializes in Primary care.

Latest Activity

1. Washington DC adding certification to license

   Penguins10 posted a topic in NP

   Hello, I am licensed as an NP in DC and adding a second NP certification. I am trying to determine if I need to apply for an additional license to cover the second certification. I have not been able to get a response from BON and wondered if any...

2. New NP - Balancing What I Know and What I Don't Know

   Penguins10 replied to OncRN2015's topic in NP

   Same here. I don’t have to look up as many things now as my first year, but I frequently look stuff up in the room or tell people I am going to go look something up if I want to check a book. Especially if we’re talking drug doses. If anything I thin...

3. Probable HIPAA violation. How to proceed?

   Penguins10 replied to djmatte's topic in NP

   Sorry, missed that part in my response. You're probably correct about sending identifiers to people not involved in care.

4. Incentive bonus for nurse practitioner

   Penguins10 replied to maywah21's topic in NP

   Why does the fact that patients have paid for unlimited access preclude a productivity metric? They need to be seen and if you don’t someone else will have to I imagine? Are you involved in advertising/recruiting patients? If not how does your work i...

5. Probable HIPAA violation. How to proceed?

   Penguins10 replied to djmatte's topic in NP

   If it’s a G suite email product Google will sign a business associate agreement so with that and appropriate encryption in place this could be a compliant system.

6. Full Practice Authority

   Penguins10 replied to rkealy's topic in Advanced

   Had similar questions as a new grad, now think FPA makes sense. The NP model has been around since the 1960s and tested extensively. I have not seen a study showing NP care is unsafe (happy to see if someone has one), if someone disagrees then do the...

7. New NP Blues

   Penguins10 replied to malapata's topic in NP

   I think that your experiences are not unusual as a new grad in a primary care setting. The fact that you are concerned is healthy. Your use of appropriate resources and seeking advice show good insight and desire to learn that will serve you well. Go...

8. Experience Before Becoming NP

   Penguins10 replied to Fiddlesticks27's topic in NP

   I did volunteer and career fire/EMS before nursing school, which was useful background, then worked in sub-acute care, primary care, and emergency medicine as an RN prior to taking an IM/nephrology job as a new NP. I work in primary care now. Whateve...

9. Why preceptors don't precept

   Penguins10 replied to sauce's topic in NP

   I like Diagnosaurus DDx. It is easy to use and helps to broaden my thinking. In addition to ddx for symptoms it provides ddx for various lab abnormalities which is helpful. I downloaded DDx Teacher. I haven't used it much, but I like the concept and ...

10. Nephrology NPs

    Penguins10 replied to Penguins10's topic in Advanced

    trauma: Our office manager claims we'll get a raise, but, because of how our billing is organized, I'm not sure that the hospital system will think we're all necessary. It'll be interesting to see how it shakes out. I like the fact that we do IM as w...

11. Nephrology NPs

    Penguins10 replied to Penguins10's topic in Advanced

    Wow, you guys are in big groups and it is interesting to see the ratio of MDs to NP/PAs. We have three nephrologists and four NP/PAs. One MD does CMR each month and does PD/HHD clinics. We see in-center hemo patients the other weeks and trouble shoot...

12. Nephrology NPs

    Penguins10 replied to Penguins10's topic in Advanced

    Thanks for the replies, it's interesting to hear how others work! We have folks at three clinics. One is about 35 miles away, one is about 25 miles, and the other is in the same town as our office. We see about 155 people in 3.75 days (we spend the ...

13. Nephrology NPs

    Penguins10 posted a topic in Advanced

    For those of you rounding on chronic hemodialysis patients, how many patients are you seeing per hour (or whatever other patient to time ratio you want to use)? Thanks!

14. PhD timing/focus

    Penguins10 replied to Penguins10's topic in Educators

    Hi llg, Thanks for your thoughtful response, that gives me plenty to think through. Is fundability something to consider when weighing areas of interest at this stage or should I just assume that if I can find faculty doing work related to my area o...

15. Doctoral degree and NP employment

    Penguins10 replied to Penguins10's topic in NP

    Thanks everyone! It is helpful to hear multiple perspectives.