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Search Results Type: Posts; User: core0

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  1. 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
    Forum: Nurse Practitioners (NP)
  2. 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
    Forum: Advanced Practice Nursing
  3. FNP or AGNP
    ACNP can't see kids.
    Oct 30
    Forum: Advanced Practice Nursing
  4. NP Salary
    This is how our MAC interprets it. It is inline with what you see here: There must have been a direct, professional service furnished by the physician to initiate the course of treatment of which...
    Oct 16
    Forum: Student Nurse Practitioner
  5. 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
    Forum: Student Nurse Practitioner
  6. 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
  7. 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)
  8. 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)
  9. 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)
  10. Rehashing the 2015 DNP Requirement Debate
    Doesn't medicare require it to get an NPI?
    Jul 18
    Forum: Advanced Practice Nursing
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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)
  17. 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)
  18. 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)
  19. "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
  20. "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
  21. "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
  22. 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
  23. 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
  24. 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)
  25. 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)


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