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Cardiac-RN

Cardiac-RN

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Cardiac-RN has 8 years experience.

Cardiac-RN's Latest Activity

  1. Cardiac-RN

    Business Card Credentials

    My state accepts both APRN and CNP, so my lab coat says 'cardiac, CNP' but I do include my degrees/ other credentials on my business cards. Cardiac
  2. Cardiac-RN

    I PASSED the AANP certification today!!!

    Congrats! Looks like your hard work and preparation paid off.
  3. Cardiac-RN

    Did you keep your RN certifications?

    If there is an 'advanced practice' version of your RN certification I would make the switch to that, but if there is not, I would definitely keep your RN certs up to date. It marks you as an expert in your field and gives you more street cred : ) Might just be what 'one ups' you over another candidate for a position/ promotion/ etc. Cardiac
  4. Cardiac-RN

    Call pay

    No pay for 'on-call' or telephone calls, but if I have to go in and round on patients in hosp on evenings or weekends (new consult etc) then it is $70/hr for worked time. Cardiac
  5. Cardiac-RN

    DEA question

    DEA # is issued to you specifically, so it 'belongs' to you whether you stay or go as long as you pay to keep it renewed. But like a previous poster said, if your practice location changes you will have to update them. Also, DEA is state specific so you will need one for each state you plan to practice in (not sure if this is an issue for you, but if you live on a border it might be good to know). Many employers will assist with the initial registration/ pay the fee based on your contract terms, but it definitely is yours once it is issued. The employers who are asking you to have it in hand probably either don't want to have to pay for it or wait on you to get it for practice. It is worth asking potential employers who request this if 'DEA eligible' would keep you as a viable candidate. Good luck, Cardiac
  6. Cardiac-RN

    Phone/I-PAD/Laptop/Tablet???

    I had a combo of smartphone/ tablet/ laptop. Used the tablet in class for presentations/ reading, used the laptop at home for papers and assignments just because it was easier to work with that keyboard. Smartphone was invaluable during clinical rotations- loaded it with a bunch of free & paid apps. Still use it daily at my current NP job. Apps I really like: medscape, epocrates, eOpioid, NEJM, CDC antibiotics, EMRA Abx Guide, ICD9consult, PalmEM, Pain Guide, & AHRQePSS. We have UpToDate at work or I would have paid for the mobile app/ yearly fee for that as well. Cardiac
  7. Cardiac-RN

    Time gap between school and starting work??

    I also worked as an RN after graduating while waiting to take boards and right up until the day before I started my NP position. It was about 6 weeks from the time I graduated until I sat for my boards, another 3-4 weeks for my state license to go through. I had a great offer within the next 2.5 months, and before I accepted that I had turned a few down that either were not strong offers or didn't feel like a very healthy work environment after a shadowing experience. I would recommend applying to jobs you are interested before graduation. There were many in my class who had jobs waiting for them the moment they passed their boards/ received their license, and they started looking actively 4-5 months prior to graduation. Good luck to you! Cardiac
  8. Cardiac-RN

    Decent new grad pay

    Before you turn them down, I would at least attempt to counter. What were you expecting to be offered as a new grad? Have you checked the salary report for the avg pay/ intro pay for NPs in your area? What benefits are you hoping will be covered? Perhaps one of the three will be willing to meet you halfway if you can convince them that you will be an asset/ they will get a good return on their orientation investment. You may have better luck negotiating with the private practices than the state institution. I think it is totally reasonable to counter a salary-based offer with productivity/ RVU on top of it as a new grad, since you won't be seeing as much volume/ billing for as much as an experienced provider right out of the gate. Good luck & let us know how it works out. Cardiac
  9. Cardiac-RN

    quick question re: patho

    Agree with the above posters. It is a lot of information to be reviewed in one semester. But your real ability to diagnosis is not going to come from patho class alone, it is going to come from your clinical rotations when the pieces of what you have read studied (from patho) fit together with your clinical assessment data for that 'aha moment'. One part of it is going to be repetitions, seeing the same condition numerous times will aid in your comfort with recognizing it for diagnosis, another part is going to be searching out unusual cases/ research for learning opportunities. I think most of us have felt the way you are right now, whether we took it on-line or in class. Things will pull together in your rotations. Some other strategies I would recommend include seeking out some of your own learning opportunities (seminars, podcasts, youtube videos, CEs), & perhaps purchasing and FNP review course early in your program that you can use to supplement your program and continually review ongoing to manage the large hunk of material. Good luck, Cardiac
  10. Cardiac-RN

    NP programs, online vs. in-class - opinions?

    I agree that depending on what kind of student you are, learning can be achieved effectively in either the traditional or on-line format, because the meat and bones of the learning will be in your clinical experience, which will be live-in-person-training regardless : ) That being said, I took the traditional route because I like to meet people and form ongoing relationships, which I felt would be very helpful getting placed in rotations and getting hired out of school. I graduated in May of this year and am now practicing in a specialty group, but I run into former students (now providers) and faculty members (also providers) all of the time and it is great from a networking/ referral aspect. In the end you should do what makes the most sense for you, knowing that there are pros and cons to both sides. Good luck! Cardiac
  11. Cardiac-RN

    Should I start off in family practice?

    Of the three choices you listed as possibilities, I personally would lean towards the FP practice office. In addition to giving you a well-rounded base, it will make you a strong candidate for a variety of positions in other specialties in 1-2 years. I also think it would be easier to transition from there to a clinic setting in the future that might qualify for reimbursement for your loans. The vein clinic/ medical weight loss clinic might be good positions in themselves, but I just do not see them carrying as much weight as solid FP experience in the eyes of potential future hiring practices. Because of how specialized and narrow the scope of those two is likely to be, I do not think they will be valued as much. Good luck with your decision. Cardiac
  12. Cardiac-RN

    Broke and unemployed

    OP, any updates? Cardiac
  13. Cardiac-RN

    Let's talk orientation...

    Similar to the threads out there regarding employment offers/ compensation, I thought it might be helpful for students and new providers to see what orientation is like (and how it differs wildly) as food for thought when negotiating/ accepting an offer. Any one who would like to weigh in regarding what kind of orientation/ training they received as a new NP, I am sure it will be valued. NP role: outpatient specialty practice with a good percentage of hospital/SNF rounding duties on the group's patients Orientation time: 3 months essentially side-by-side with another provider or hooked very closely with a provider mentor for all needs and questions, split among various providers in the clinic (MDs, PAs, and NPs) and SNFs ; this includes rounding time in the hospitals and facilities, time spent getting to know people in various important supportive roles, and learning modules (computer based, classroom based, and self-study). At the end of this 3 months, I will be evaluated by my collaborating physician, administrative supervisor (on productivity and time management) and be audited by compliance for my documentation (for billing/ revenue metrics). Additionally, routine check in meetings have been built in with my collaborating doc all throughout my first year of employment. I was pretty satisfied with this plan going into the position, and now that I am in it feel that I will be ready to spread my wings at the end, especially knowing that support is only a phone call away. I have heard many stories from NPs I have run into that received essentially very little to no orientation, which is why I wanted to query the group and read about others' experiences. Cardiac
  14. Cardiac-RN

    I passed my AGPCNP certification exam!!!!

    Congrats! I am sure your dual certification will make you marketable indeed. What are your plans for practice? Cardiac
  15. Cardiac-RN

    Failed the AANP twice!!! Now what!?! Need help

    Wakes, I took the ANCC exam this year with the new changes. Keep in mind that the ANCC exam is about 50 Qs longer than the AANP exam- so while it has more 'theory/law' to it than the AANP, it still has a high amount of clinical Qs as well if you look at the test breakdown on the site. There are pictures- which is abnormal, which would you biopsy; Prioritize your interventions 1,2,3; etc. Any laws/ billing reference were at the federal level, there are no state specific questions on the board exam. Think of things like what is covered under the various parts of Medicare, how do NPs bill, etc. Very introductory. I had hardly any theory Qs at all. I took the Fitzgerald online review about 6 months prior to boards and the self-studied with those resources and a Leik review book. Have you taken a review course? What has your study time/ plan been up to this point? Do not be disheartened! You have passed your program, you have the ability to pass the certification exam. Did you receive a post-test assessment that highlighted your weak areas for you to hone in on them? The ANCC website has a test blueprint as well as a list of resources specifically used in the creation of the exam. It would be worthwhile to glance at that and see what can be included in your review. Good luck! Cardiac
  16. Cardiac-RN

    Review of contract before signing

    olvr00, 1. I had a copy of the contract sent to me by email within the week prior to signing so that I had time to review it/ have others review it as necessary (which included my spouse and an NP mentor) 2. If they do not offer to send it to you, it is definitely OK to ask them for a copy to preview. 3. I had my spouse and NP mentor review, it was a pretty straightforward contract. If it had been anything complicated, I would have considered having a lawyer who specializes in medical review. 4. Yes there was a non-compete, 1 year and 20 miles, but only limited to my specialty. 5. Provisions to be reviewed thoroughly- this is not an all inclusive list just off the top of my head: - termination of the contract/ how and when if it can be done by both parties - fringe benefits covered- DEA, CME, licensing fees, malpractice, etc. - non-compete clause - whether you are allowed to "moonlight" with other companies while employed/ approval process Cardiac