Working before credentialing

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Hi everyone,

Does anybody know if it is legal to begin orienting as an NP in Oregon (learning the EMR and shawdowing other providers) after you're licensed but before you're credentialed and have privileges?

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Specializes in Nephrology, Cardiology, ER, ICU.

We do it, but the deal is the new APRN is SHADOWING, they are NOT responsible for patient care and they aren't allowed to chart except to "pend" the chart for review with the preceptor right beside them.

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Thank you!

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I am doing this now in NC. My boss is an NP as well. I see and document on all the patients, we agree on a plan before the patients leave. She is always in the building and signs all the charts. It is a bit of a slog because we don't always agree on treatment...not right/wrong, just different approaches. However, nice to get paid and have a built in check for a new NP like myself while waiting for the darn insurance companies.

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Thanks!

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Specializes in NP, ICU, ED, Pre-op.

I did this as well, as per my contract I was paid 60% of my NP salary and my preceptor was paid the additional 40%. Then when all of the credentialing went through I got my full paycheck. This worked nicely for me as I didn't have to stay at my RN job, and it "forced" my job to orient me (although this wasn't really an issue). Some would question the 60/40 split, however the 60 was what I made as an RN so no real issue for me.....

:)

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Specializes in DHSc, PA-C.
I am doing this now in NC. My boss is an NP as well. I see and document on all the patients, we agree on a plan before the patients leave. She is always in the building and signs all the charts. It is a bit of a slog because we don't always agree on treatment...not right/wrong, just different approaches. However, nice to get paid and have a built in check for a new NP like myself while waiting for the darn insurance companies.

It sounds like you just admitted to fraud. If you are not credentialed yet and your boss NP is signing all your charts for patients she didn't see. Who is billing for these patients?

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Really no different than a student seeing patients, reporting to a preceptor, and collaborating on a plan...except I get paid. She does not see patients at the same time, but instead works on administrative duties.

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Specializes in Nephrology, Cardiology, ER, ICU.

I don't let students see pts without me being present in the same room.

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