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I am a NP in Georgia, Augusta. Just recently moved here from South Ga where I practiced as NP and was able to see all sorts of patients and loved it. The ER that I'm in now has just started using NP's and I feel lucky to be here but we are going thru some real growing pains. I need some advice on how you all are handling medical screening exams, are you charging the patient?? Also, does your departments have protocols in place and how much autonomy do the NP's have?? Is there something in place if the NP has a question about something, like a "go to doc"??
Also, we have found ourselves in a position in which some of the docs are on board and see us as an advantage and not so good reception with the others. The physicians are paid by fee for service and I think feel like we are taking some of their patients. I feel like my skill is being under utilized. We have found ourselves bringing patients back and starting a work up on a patient,but having to do the entire nursing forms in addition to our write up. Needing some advice. I feel like this is a work in progress but would like to see things happen a little faster.
Thanks for any input.
npingeorgia
37 Posts
Any ER's out there using NP's in your department???