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Search Results Type: Posts; User: core0

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  1. wRVU bonus - am I calculating this right??
    This seems somewhat doable. Its going to depend on your case mix. If you are being shunted all the URIs etc then you won't have as many RVUs as if you have more complex patients (although if you can...
    Jan 22
    Forum: Nurse Practitioners (NP)
  2. North Atlanta Market?
    The market is pretty limited up there. There is only one hospital in Cumming and its a smaller community hospital that does a lot of L&D. You have to go a ways toward the perimeter to find more...
    Jan 1
    Forum: Student Nurse Practitioner
  3. OGT securement in intubated patients
    Why does anesthesia get any say in an ICU patient? How does anesthesia secure OGs when then send them from the OR? I would bet its taped to the ETT. We have a tube holder to secure the tube and then...
    Dec 21, '14
    Forum: Critical Care Nursing
  4. Should I take a job that pays less in order to be home at night with my child?
    One of our centers now has a night shift. It goes from 10 to 3 AM or so. The thought is people can sleep in the chair and still get to work.
    Nov 20, '14
    Forum: Nurse Practitioners (NP)
  5. FNP or AGNP
    I was actually replying to a previous post that listed ER and hospitalist. Our hospitalist group only uses ACNPs. There are a few family medicine programs out there that admit adults and kids to the...
    Oct 31, '14
    Forum: Advanced Practice Nursing
  6. FNP or AGNP
    ACNP can't see kids.
    Oct 30, '14
    Forum: Advanced Practice Nursing
  7. NP Salary
    This is how our MAC interprets it. It is inline with what you see here: [FONT=ArimoRegular]There must have been a direct, professional service furnished by the physician to initiate the course of...
    Oct 16, '14
    Forum: Student Nurse Practitioner
  8. NP Salary
    Umm that is a gross oversimplification of incident to rules. The rules require the physician see the patient and give a plan of care. The NPP then follows the plan of care and bills incident to as...
    Oct 16, '14
    Forum: Student Nurse Practitioner
  9. Common meds in transplant ICU
    Fundamentally, the ICU care of transplant patients is critical care. The patient population depends on how the ICU is run. For our ICU you would be dealing with pre liver transplant patients, post op...
    Jul 26, '14
    Forum: MICU / SICU Nursing
  10. Contract negotiation
    There is a huge difference between net profit and RVUs. It all depends on which end takes the risk. If you are bonused on RVUs then you get your bonus regardless of collections. If collections suck...
    Jul 25, '14
    Forum: Nurse Practitioners (NP)
  11. I need to vent...politics of private practice
    I think that you are missing Juan's point. You are living in the land of ACOs and managed care organizations. If the patient was in an ACO for example, the referrals to neurology and pain cost them...
    Jul 24, '14
    Forum: Nurse Practitioners (NP)
  12. Contract negotiation
    The key would be the contract. There are three issues that would change the reimbursement: 1. How are new patients allocated. New patients reimburse more. If the other positions cherry pick the new...
    Jul 23, '14
    Forum: Nurse Practitioners (NP)
  13. Rehashing the 2015 DNP Requirement Debate
    Doesn't medicare require it to get an NPI?
    Jul 18, '14
    Forum: Advanced Practice Nursing
  14. NP vs PA vs CNS
    Really this would imply that you are wrong: Supervision must be continuous but does not require the personal presence of the physician at the place where health care tasks are performed if the...
    Jul 12, '14
    Forum: Advanced Practice Nursing
  15. Orthopedic FNP Texas
    I'm going to let the NPs comment on whether you are within your scope of practice as an RN rounding, admitting, consults, ED closed reductions etc. I can't imagine you are in any state or hospital...
    Jul 5, '14
    Forum: Advanced Practice Nursing
  16. Insurance credentialing for CNS
    This is pretty normal. Its really a two step question. First do they credential NP/PA/CNS? If the answer is no then the second question is how do you submit billing for a CNS? The usual answer is...
    Jul 5, '14
    Forum: Advanced Practice Nursing
  17. NP clinicals vs PA clinicals
    For PAs the standards are found here: Clinical rotations start on page 16.
    Jun 11, '14
    Forum: Student Nurse Practitioner
  18. NP vs PA vs CNS
    So the direct entry NPs have BSN and experience? PA schools have a variety of entry requirements including experience. I doubt anyone got in with just a history degree considering the pre reqs....
    May 9, '14
    Forum: Advanced Practice Nursing
  19. NP's in Non-academic Medical Center ICU's
    Take a serious look at IO's. Super easy to do. We are using them in all our code situations. They are good for 24 hours. Put one in at night when you can't get access. You can run just about anything...
    May 5, '14
    Forum: Nurse Practitioners (NP)
  20. NP's in Non-academic Medical Center ICU's
    Umm not what I would use. First APN is not the same in the US as Australia. Second the paper deals primarily with PICCs and single lumen CVLs which is very different than what is placed here in the...
    May 1, '14
    Forum: Nurse Practitioners (NP)
  21. NP's in Non-academic Medical Center ICU's
    This should be doable. While most of the studies on this have take place at academic medical centers in response to loss of resident work hours, a number of community hospitals use PA and/or NP...
    May 1, '14
    Forum: Nurse Practitioners (NP)
  22. "A Case of Bad Blood"
    This also points out a problem if you work at a tertiary medical center. These are the hospital that gets the oldest blood. We turn over our blood bank every few days. On the other hand a small...
    Apr 25, '14
    Forum: Critical Care Nursing
  23. "A Case of Bad Blood"
    It can happen to anybody. The hard part is distinguishing it from pulmonary edema or ARDS. In a case like Juan's its more straight forward. When someone has been in the hospital a while it could be...
    Apr 24, '14
    Forum: Critical Care Nursing
  24. "A Case of Bad Blood"
    I think the real take home here is don't give blood products that aren't indicated. Clearly in the absence of coagulopathy the FFP was never indicated. I would be willing to bet the PRBCs transfused...
    Apr 23, '14
    Forum: Critical Care Nursing
  25. NP residency/fellowship
    Thats your choice. You are also presumably being compensated enough to afford it. I have a fair amount of experience with post graduate programs and this is definitely out of the ordinary.
    Mar 10, '14
    Forum: Student Nurse Practitioner

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