Procedures as an FNP

Specialties Advanced

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Specializes in MSN, FNP-C, AOCNP.

Hi, I was wondering if anyone who's a FNP has been trained in procedures by the doctor they work with. Any procedures, like biopsies, paracentesis, etc. Thank you! 

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Specializes in Surgery.

I’ve been shown how to perform a knee tap,  place a chest tube and a bedside cystoscopy, although the MDs usually perform themselves. 
 

*I work in an acute care hospital 

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Specializes in Urgent Care NP, Emergency Nursing, Camp Nursing.

I suture (which I did a lab on in school); I also do I&Ds, nail trephination, superficial foreign body removal, and ear irrigation, 

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I used to go to the ACEP conferences and pick up some skills, and the consensus was if you were trained then sure do them and bill for it.

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I do I & D,  suturing if it is very simple,  IUD removals, nexplanon placement and removal,  Candidia injections, cryotherapy.   I could do a lot more....those are just things I chose to get trained in . I don't do toenail removals, Iud placements or knee/shoulder/hip injections

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Specializes in Corrections, Public Health, Occupational Medicine.

I suture, do all joint injections and I & Ds. I was taught joint injections by my supervising physician. I work in occupational medicine and we do joint injections quite frequently. I was also taught how to graft and tie over bolsters. 

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Specializes in N/A.

Can you successfully bill for the procedures that you end up doing?  If so, at what rate?

What procedures can you not bill for?

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Specializes in N/A.
On 8/12/2021 at 3:02 PM, thinbluelineRN said:

I suture, do all joint injections and I & Ds. I was taught joint injections by my supervising physician. I work in occupational medicine and we do joint injections quite frequently. I was also taught how to graft and tie over bolsters. 

Can you successfully bill for the procedures that you end up doing?  If so, at what rate?

What procedures can you not bill for?

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Specializes in Former NP now Internal medicine PGY-3.
On 6/2/2021 at 5:52 PM, Jpiittmann97 said:

Hi, I was wondering if anyone who's a FNP has been trained in procedures by the doctor they work with. Any procedures, like biopsies, paracentesis, etc. Thank you! 

Most of the time IR has mid levels do a lot of the bedside procedures (para/thora). If you like procedures can look into IR. 

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Specializes in N/A.
2 hours ago, Tegridy said:

Most of the time IR has mid levels do a lot of the bedside procedures (para/thora). If you like procedures can look into IR. 

What is IR please?

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Specializes in RETIRED Cath Lab/Cardiology/Radiology.

Interventional Radiology

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Specializes in Corrections, Public Health, Occupational Medicine.
On 11/15/2021 at 8:40 PM, Sun1 said:

Can you successfully bill for the procedures that you end up doing?  If so, at what rate?

What procedures can you not bill for?

I work at an on site occ med clinic so billing is only on paper. My services are paid for in advance for the contractual period- hope that makes sense. 

There are billing levels built into our software that goes by the size of the laceration repair and the type (simple, complex)- hoep that makes sense. 

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