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JeanettePNP MSN, RN, NP

Pediatric Pulmonology and Allergy
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JeanettePNP has 8 years experience as a MSN, RN, NP and specializes in Pediatric Pulmonology and Allergy.

JeanettePNP's Latest Activity

  1. JeanettePNP

    How far would you drive?

    Im in a similar situation, we are moving to pa but the closest job I could find was 40 miles away. The road is not high traffic and its a pretty easy drive. I already spend over an hour commuting by public transportation in my current job. Only disadvantage is that my commute is by turnpike and the toll is nearly $3 each way on top of gas. If I took a non-toll road it would add 20 minutes each way and my time is worth way more than the $3. I am working 4 days and also weighing going 1099 because then my transportation expenses are deductible. Not sure if it's worth it though all else considered.
  2. JeanettePNP

    APRN role in specialty clinic

    if the attending wants to bill under his/her name (incident to) then the initial visit must be completed by the attending. If you are billing under your own name there is no reason you can't see the patient initially. I work in a specialty and when we see new patients I usually take the h&p and then the attending will speak to the patient and make the plan of care. At this point unless it's a complex case I can usually make the plan of care for new patients myself but patients feel better that they were seen by a specialist, not an NP.
  3. JeanettePNP

    Does anyone do medical writing?

    Goldenrod, you plan to write articles on the topic of your choice and then submit them for publication? I guess my first step would be getting my paper from school published... It was rejected from the first journal i submitted to and then i started my first job and never got around to polishing it and submitting it again.
  4. JeanettePNP

    Does anyone do medical writing?

    I have extensive freelance writing/editing experience but not in the medical field. How do I break in? I'd like to work on a freelance basis. I actually interviewed once for a clinical editing job with a major publisher but they required full time and I would have had to give up clinical practice, which I was not willing to do.
  5. JeanettePNP

    NPs in the Emergency Department

    I do not work in an ER but I did do clinical rotations in an ER so I will try to answer some of your questions. - What level ESIs do you see? Do you see only 4/5s? Or all acuities? As a student I only saw 4-5's but I shadowed on more acute patients as well. There is a collaborative approach in the ED so basically the next available provider takes the next patient, and if a patient is more acute then it's "all hands on deck." The physicians and NPs work together, consult with each other on cases or call in specialists as needed. Defniitely the NPs I shadowed took care of higher acuity patients as well. - Does every patient who walks through your door have to be seen by an attending physician or are there some patients who are handled 100% independently by the PA/NP? The NPs/PAs handle their cases independently. If they decide they want a consultation/referral they will initiate that on their own. - What procedures do you do? I have heard that there are very few NPs/PAs who intubate, run codes, place central lines etc but I know there are "residency" programs that teach this so it must be done in some places? I don't care so much about being able to do procedures but I would like to be involved in the decision-making process for complex patients. All depends on your training/comfort level but generally they are happy to train you in these skills. I was just talking to a critical care MD who told me that a child needed a central line placed. The parents said they were not sure if they wanted an NP to place the central line. The MD said, trust me, you want this NP to place your child's central line. - What are your hours like? Do you work rotating shifts like MDs or strictly days/nights? The NPs in the particular site I was in with were either straight days or straight nights but that can differ depending on the hospital. I interviewed for a different job where they had rotating shifts. And any other general insight would be great. Sorry about the length of this post ... am very curious!
  6. JeanettePNP

    Salary negotiation when relocating

    I am practicing as an NP in NYC for 2.5 years. I am working on relocating to PA. I know salaries in NYC are significantly higher than in PA. Do I use my current salary as the basis for negotiation? Or do I have to expect to take a cut? How much of a cut? I have seen listed salaries as low as $85K in PA but I would not relocate for that rate.
  7. JeanettePNP

    Family outraged when NY Med broadcasts father's death

    Wow, I was thinking of similar stories but I had no idea it was the SAME hospital. What rank hypocrisy.
  8. JeanettePNP

    Family outraged when NY Med broadcasts father's death

    I don't know the legalities. I know that if I or a loved one were in the hospital I wouldn't want a camera crew poking around or doctors giving them updates on my condition without my consent, even if my name and image were not used. In this case the harm to the individuals exceeds the public benefit. And while these shows may seem to be educational they are actually exploitative and using other people's trauma and tragedy for entertainment. Sickening. It's bad enough when news crews are banging on the doors of family members who've just suffered tragedy. I think it's up to us as nurses and patient advocates to raise our voices against this outrage.
  9. JeanettePNP

    Family outraged when NY Med broadcasts father's death

    I don't know the exact legal definition of news vs documentary. My understanding is that anything that happens in a public place is fair game. If you're injured on the street and a film crew captures it, there is no right to privacy. But in an ER you do have an expectation of privacy. It's not a public place. Hospitals can make a choice about who they allow in. Very, very poor judgment on the hospital's part (and they were cited for HIPAA violation, which apparently didn't have enough teeth to make them pause).
  10. JeanettePNP


    We had a suturing workshop in NP school but I didn't have an opportunity to practice the skill in clinicals. During my ER rotation they mostly used glue. In my workplace suturing doesn't come up.
  11. JeanettePNP

    Family outraged when NY Med broadcasts father's death

    I find this story appalling too. Especially considering the many stories I've read of nurses who posted something foolish on their Facebook page or blog and lost their jobs as a result... Even when the violation of privacy comes nowhere near broadcasting someone's final moments on national TV.
  12. If you are in SI or don't mind traveling to SI, there is an opening for an RN part-time. Office based. Great opportunity for new grad. Please PM me for more details.
  13. JeanettePNP

    Online Schools--Is it a "jungle out there"?

    I got my first bachelor's through an online school, which I was then able to use to get into an accelerated nursing program (I did science pre-reqs at a brick-and-mortar). My experience with them was very good. I had an advisor who was very supportive and helpful in thinking through what I wanted to do with my degree and what I needed to do to get there. I happen to be a very independent, self-motivated learner and classroom learning is just not for me. I do most of my learning on my own, through reading books and articles, not through listening to a lecturer. I also have kids and was trying to minimize time away from home. Going the online route probably cut a few years off my schooling because I took the maximum course load each semester. Being able to take classes from home enabled me to complete many more credits than I would have been able to otherwise. For the actual nursing and masters' programs though I went with highly regarded traditional nursing schools. I gained a lot from collaboration with fellow students which just isn't possible in an online setting, not to mention that you can't learn clinical skills online. I also don't think students should have to arrange their own preceptors and when they do schools have little control over the quality of students' clinical experience. I think though that they could have offered more online courses for things like nursing research, nursing theory, healthcare economics etc.
  14. JeanettePNP

    How did you celebrate passing your boards?

    Drove to Ohio for a job interview. drove back. Didn't get the job. went to a job fair. No leads. sent out more resumes made more calls went on more interviews lather, rinse repeat for three months until BINGO
  15. JeanettePNP

    Physician Extender ???

    Why not? I am proud to use the term nurse and I always consider myself a nurse first and foremost in the way I approach and relate to a patient.
  16. JeanettePNP

    First Job for New Grads

    My first job is in pediatric pulmonology. Pros: 1. an area where there's a lot of need (where I live has one of the highest rates of asthma in the country) and you can really see your work making a difference in kids' lives 2. Lots of autonomy, I work in my own office 2 days a week and it's basically up to me how I want to grow my practice. 3. Great doctor to work for, congenial work environment. Cons: 1. Limited skill set, I know a lot about asthma and sleep medicine but would like to expand. 2. First NP hired by the practice so a lot was trial and error, figuring out my role, salary, benefits etc. 3. Long hours, we work evenings to accommodate kids after school and it's hard as a working mother not to be home for supper/bedtime 3 nights a week. What I would have done differently: Nope. It was my first job offer and I grabbed it. I have no regrets.