occupational physicals in Pennsylvania - do I need a collaborative physician?

[pennprincess]

Hello,

I will be a new grad NP as of today! I take my last final in 3 hours. Of course I should be studying... but my husband found out two days ago that his company wants to hire me as soon as I get my credentialing and license to do the company's pre-employment physicals and bi-annual physicals for current employees. I am excited to do this!

I just don't know what all this will entail. i will be talking to my instructor/mentor who is in occupational health. She originally said she'll see people and charge them $50 a physical and give the doctor a $10 kickback as part of their collaborative agreement. With people getting new jobs, they might not have insurance and I may need to be prescribing meds/referring them to a PCP.

I was thinking though, if I just refer them to a family practice, and decide not to prescribe if abnormals occur during my physical, would I then even need a collaboring physician? (how often would I find abnormals on these employees? - it might be more efficient to just do physicals and then if I need to refer to a PCP) If so... what are pennsylvania np's charging if they are? or are they just using the incentive of getting more patients to help me out.

I have potential to go to the other brances in lancaster and bucks county like once a month to do this.

Anna

[Spacklehead, MSN, NP]

There are a lot of "it depends" type things here. Is this a company that already utilizes an NP, or would you be the first one they have ever had? Do they already have a occ. med. physician? As the occ. med. NP, would you not be seeing employees if they were to get injured on the job? If you are to see those patients, then I would expect that they would want you to have Rx authority.

[Spacklehead, MSN, NP]

Also, did you already interview with this job?