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Search Results Type: Posts; User: core0

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  1. 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
    Forum: MICU / SICU Nursing
  2. 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
    Forum: Nurse Practitioners (NP)
  3. 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
    Forum: Nurse Practitioners (NP)
  4. 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
    Forum: Nurse Practitioners (NP)
  5. Rehashing the 2015 DNP Requirement Debate
    Doesn't medicare require it to get an NPI?
    Jul 18
    Forum: Advanced Practice Nursing
  6. 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
    Forum: Advanced Practice Nursing
  7. 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
    Forum: Advanced Practice Nursing
  8. 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
    Forum: Advanced Practice Nursing
  9. NP clinicals vs PA clinicals
    For PAs the standards are found here: http://www.arc-pa.org/documents/Standards4theditionwithclarifyingchanges9.2013%20FNL.pdf Clinical rotations start on page 16.
    Jun 11
    Forum: Student Nurse Practitioner
  10. 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
    Forum: Advanced Practice Nursing
  11. 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
    Forum: Nurse Practitioners (NP)
  12. 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
    Forum: Nurse Practitioners (NP)
  13. 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
    Forum: Nurse Practitioners (NP)
  14. "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
    Forum: Critical Care Nursing
  15. "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
    Forum: Critical Care Nursing
  16. "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
    Forum: Critical Care Nursing
  17. 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
    Forum: Student Nurse Practitioner
  18. NP residency/fellowship
    Not to be critical, it looks like the residents have to provide their own malpractice insurance. I've never heard of a residency that requires the student to provide malpractice insurance.
    Mar 10
    Forum: Student Nurse Practitioner
  19. Malpractice Insurance Questions
    For claims made policies you have to buy a tail. Ideally you negotiate this to be paid by the employer when you sign a contract. Generally you purchase this from the same company. There is something...
    Mar 5
    Forum: Nurse Practitioners (NP)
  20. Psych NP inpatient per patient fees?
    I'll preface this by saying that I know a lot about billing and coding and very little about how psych billing operates. Looking at the American Psychiatric Association billing section it appears...
    Mar 5
    Forum: Nurse Practitioners (NP)
  21. How do you approach parents who refuse pediatric vaccines?
    We had a well known pediatrics group that would discharge the patient/family from the practice. In their intake material that the parents signed it was stated up front that the parents would comply...
    Feb 26
    Forum: Nurse Practitioners (NP)
  22. Salary for New Primary Care PNP
    Its right as far as it goes. 99213 is 2.13 RVUs so around $73 here. So $511 per day. $2555 per week. 48 weeks (four vacation/CME) comes out to $122640 a year so spot on. Now figure salary at $90k....
    Feb 18
    Forum: Nurse Practitioners (NP)
  23. American Journal for Nurse Practitioners
    Try emailing the author. She shows up on Linkedin and Researchgate.
    Feb 6
    Forum: Nurse Practitioners (NP)
  24. Central Line Air Embolism
    . Two different theories. 1. Most guidelines recommend tredenelberg when placing or removing a CVL. Mostly this has to do with increased right sided pressures making embolism less likely. 2. If...
    Jan 14
    Forum: Critical Care Nursing
  25. Bedside Nurse Practitioners
    I'll speak strictly about the ICU since that was the original problem (if you have a patient in step down that needs one on one NP care then you have a different problem). First look at your...
    Dec 30, '13
    Forum: Advanced Practice Nursing


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