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Heart2015FNP, BSN, MSN, RN, APRN 3,098 Views

Joined: Jun 22, '12; Posts: 63 (44% Liked) ; Likes: 67

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  • Mar 2 '13

    I've alert the insurance company and the pharmacy. Where I'm at we can put an alert at least at the pharm most often used so they cant get narc refilled early and have me contacted if pt start gets narc from someone else. Agree with another poster Im not a cop. I dont want to do the paperwork. I do however want to cover my butt and alert other prescribers, pharmacist to the issues as much as I can.

  • Feb 11 '13

    Why do you call it "Obamacare"? Why not call it the Affordable Care Act? :P:***:

    From what I've learned, it's only going to be BENEFICIAL! Those involved with primary care are going to get a 10% pay increase, the pay scale for medicaid is increasing, and QUALITY of care (not QUANTITY of care) is going to be rewarded slightly. There are also going to be more health community centers built (possibly hospitals?) due to the increase in demand and scholarships given for those interested in the health field (RNs, nurse practitioners, physicians, PA's, ect) to increase the number of professionals. They're also encouraging more professionals to provide care in undeserved areas.

    It's all on the website timeline for the Affordable Care Act: Key Features of the Affordable Care Act, By Year |

    • Rebuilding the Primary Care Workforce. To strengthen the availability of primary care, there are new incentives in the law to expand the number of primary care doctors, nurses and physician assistants. These include funding for scholarships and loan repayments for primary care doctors and nurses working in underserved areas. Doctors and nurses receiving payments made under any state loan repayment or loan forgiveness program intended to increase the availability of health care services in underserved or health professional shortage areas will not have to pay taxes on those payments. Effective 2010 .

    Increasing Payments for Rural Health Care Providers.
    Today, 68% of medically underserved communities across the nation are in rural areas. These communities often have trouble attracting and retaining medical professionals. The law provides increased payment to rural health care providers to help them continue to serve their communities. Effective 2010. Learn more about Rural Americans and the Affordable Care Act.

    • Linking Payment to Quality Outcomes. The law establishes a hospital Value-Based Purchasing program (VBP) in Traditional Medicare. This program offers financial incentives to hospitals to improve the quality of care. Hospital performance is required to be publicly reported, beginning with measures relating to heart attacks, heart failure, pneumonia, surgical care, health-care associated infections, and patients' perception of care. Effective for payments for discharges occurring on or after October 1, 2012.

    Encouraging Integrated Health Systems. The new law provides incentives for physicians to join together to form "Accountable Care Organizations." These groups allow doctors to better coordinate patient care and improve the quality, help prevent disease and illness and reduce unnecessary hospital admissions. If Accountable Care Organizations provide high quality care and reduce costs to the health care system, they can keep some of the money that they have helped save. Effective January 1, 2012. Fact Sheet: Improving Care Coordination for People with Medicare
    Increasing Medicaid Payments for Primary Care Doctors. As Medicaid programs and providers prepare to cover more patients in 2014, the Act requires states to pay primary care physicians no less than 100% of Medicare payment rates in 2013 and 2014 for primary care services. The increase is fully funded by the federal government. Effective January 1, 2013. Learn how the law supports and strengthens primary care providers.

    • Paying Physicians Based on Value Not Volume. A new provision will tie physician payments to the quality of care they provide. Physicians will see their payments modified so that those who provide higher value care will receive higher payments than those who provide lower quality care. Effective January 1, 2015.

    So, no I do not believe it is a "fallout" but more of a "benefit"

  • Dec 9 '12

    I did file a formal incident complaint with management because she threatened me and screamed at me in front of coworkers and patients, who saw the whole thing and signed the complaint along with me. I can't change the fact that's she's lazy and rude but she's not going to be aggressive towards me. I don't deserve that. No matter what I do she has no right to yell at me. And what am I supposed to do? Just do all the work and get screwed over forever because she's lazy and never say anything? Ugh.

  • Oct 16 '12

    From what I can tell, you want us to base all concrete evidence only on your particular situation?
    I don't think anyone cares that much....especially with how you have portrayed yourself and responded to others. There's a difference between being classy and knowledgeable and being argumentative and condescending.

  • Oct 16 '12

    Quote from andywolfe
    In this country, for every 1 hospital like parkland, there are at least 10 other hospitals that are training med surge nurses in a time period of 6-8 weeks. THIS IS A FACT!!!!
    I must be thankful for attentive nurses like you with your long tenure of experience. You have figured out the inner fiscal workings of hospital networks nationwide. With your keen fiscal sense, you have single handedly uncovered one of the biggest healthcare frauds among us. In your extensive 5 months of medsurg nursing you have been able to adequately research and conclude (through 3 blind samples of hospitals nationwide) the general consensus and accurate representation of all the hospitals in the US that the average training is 6 weeks. Through your excellent deductive reasoning you have found that a hospital cannot spend "thousands" of dollars on training employees and that you are a prime example of how $6000+ does not equate to "thousands" of dollars in training.

    Through your extensive knowledge of healthcare insurance and premiums you have concluded that the average healthcare policy is based on that of yourself (28ish year old) and that every person out there can have a healthcare policy for $500 or less a month. You have also concluded that it makes more sense for healthcare (may as well broaden it to all industries) that it makes more sense to pay hyper-inflated prices for healthcare premiums for their employees to third party insurance companies to have a greater deduction. Im sure your reasoning is it is much better to pay $100 rather than $50 for a product so you can eliminate the $14 in tax savings. I guess Romney should have given another $5M to charity to save $450,000.

    We should not think about other stipulations that corporations must pay for their employees such as income tax contributions, employment tax, 401k contributions, PTO, life insurance, etc. These are not raw costs of having a new hire employee and they should not be considered. We should also exclude liability of untrained nurses.

    Thank you for your excellent research study and definitive conclusion that hospitals cannot spend much money on training new graduates. You have greatly excelled in your 5 month tenure and should be CNO by next week.

  • Sep 29 '12

    I'm somewhat astounded by your own over-reaction to the incident. Nursing has been a female dominated field for so long that it is difficult for males to traverse the arena. While I agree that the picture is inappropriate for a work setting, I often sat in the cafeteria while my female counterparts described their nites out, with some of the vulgarist of terms, only for them to lean over and ask me if they were making me uncomfortable, and then continue with their conversation. This went on in the elevator, in the halls, wherever several nurses were congregated, and I’m certain it still occurs, so please, get over your indignation. Do I think he should have been suspended? NO. Do I think he should have lost two week’s pay? Definitely not. Do I think you should be making Charge Nurse decisions, not if they are anything like that one. Next time, simply inform the person that the pictures aren’t appropriate for work

  • Sep 29 '12

    I can't help but wonder why you asked "is there anything else I can help you with?"

    This statement can come off as condescending if you're not careful, its almost like getting blown off. Also, if the client's family had other concerns they would have raised them without you asking.

  • Sep 27 '12

    The Constitution also used to allow slavery and limited voting rights, so I'd hardly consider it the authority on human rights.

  • Sep 16 '12


  • Sep 16 '12

    Congrats! Yea!

    Sent from my iPad (so excuse any typos and autocorrects!!) using

  • Sep 16 '12

    Congrats!! I too found it one of the harder tests I've taken. For those who haven't taken it yet, it's not just circulating stuff. They test you on anesthesia, pre-op, PACU, legal issues, and central sterile.

    I was so relieved when the window popped up saying that I passed-and I don't usually get test anxiety.

  • Sep 16 '12

    I did the review course sponsored by AORN (was a 2 day weekend class that I dialed in)and found it very helpful. I highly recommend doing some studying 4-6 weeks before the exam and get the basics down (lab values, ABG's, positioning, sterilization parameters. I also liked the test preps to see what areas I needed to focus on and study up on. This fall I am working on a class for colleagues at my facility.

    It was tough and I admit it produced anxiety enough that I will NEVER let it lapse. Congratulations~~

  • Sep 16 '12

    CONGRATULATIONS to you!!!!!

    I passed the CNOR exam about 3 weeks ago and I found it to be much more intimidating than NCLEX!! It was a tough test. The questions questions were structured much differently than I expected. Not just knowing what a condition is, but knowing how you would expect to treat the condition. I am so thankful this experience is over!!!!

  • Jul 22 '12

    I received my acceptance email yesterday...