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Hey, how are you? Finally someone else interested in Hospitalist practice. Where are you located? I work in Eastern KY and we typically have about 60-70 patients on our census. I probably round on 15-20 patients daily and admit 3-5. I work 5 days a week right now and 12 hour days. Call is dispersed to each of us as to the patients we saw. Also, we generally work on a dedicated floor or unit, but unfortunately I sometimes work on all units. We work with split billing meaning that the physicians provide minimal face to face time and documentation along with mine to achieve 100% billing for the patients. I would actually like to work on a block schedule (7on-7off or whatever), but I am the only NP in the group. We have a total of 5 physicians in our practice and myself. Any questions, Id love to try to answer them.
What are some good bedside resources to have on you when rounding in the hospital? Give me a routine how you would see a new patient? I am with a hospitalist also but have to wait for my privileges. How did you adjust to call and what helped get you through your first months of call. Were you on call for ICU also? Does your hospital have electronic medical records? Please give any other tips and suggestions in rounding in a hospital. I am due to start my position next week. Thanks
Hey guys, sorry for the delay there. Heres some answers to some of those questions:
What are some good bedside resources to have on you when rounding in the hospital?
Hospitalist handbook, Washington Manual, ACC guidelines, Epocrates, etc.
Give me a routine how you would see a new patient?
I go to the floor and ask the nurse what they know about the patient. I then review old electronic charting or any information on the chart about the patient. Then go and do H & P with patient...not sure what else you want to know on that...just let me know.
How did you adjust to call and what helped get you through your first months of call. Were you on call for ICU also? I usually admit a few a day and do a few consults. The only real call is during the day at work. I have no problem with that and no adjustment has been necessary. We have intensivists who cover ICU.
Does your hospital have electronic medical records? No. We use physicians portal but do not have the progress notes yet.
Other suggestions would be to get started as early as possible, make sure to allocate time prioritizing to the acuity of the patient, and get your rounding done ASAP to get ready for call because it is unpredictable.
Can you let us know if you are a FNP, ACNP or ANP?
Im AANP certified as FNP. I did however do the majority of my training in the clinical setting in Internal Medicine and Acute Care. Also, I previously did Neuro Trauma ICU when I was nursing.
Sorry one more question I know each state/area is different, but what is the ballpark pay for hospitalist NP's?
I think consistently 80-100k. I work lots of overtime, so I am 100k+ but anyone could do that with the hours.
Again, sorry for the delay, but dong get on here alot because of work. Hope to hear further input or ideas. Wouldnt mind hearing others experiences if willing.