core0

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All Content by core0

  1. core0

    FNP in hospital

    core0 replied to AbeFrohman's topic in Nurse Practitioners, NP

    There are only two for sure. There are another 5-6 BONs that are looking at this issue right now. The issue is that even if you make a decision now, it could change dramatically in the next 2-3 years....
  2. core0

    FNP in hospital

    core0 replied to AbeFrohman's topic in Nurse Practitioners, NP

    Maryland (ACNP for any monitored bed) and Texas are the only ones that I know of for sure. A lot of times the state BON is non-committal but hospital bylaws or malpractice rules will prevent NPs...
  3. core0

    PA's rounding on patients

    core0 replied to TJFRN's topic in Nurse Practitioners, NP

    there are no new regulations. either they were doing something incorrectly and got caught or they want to increase reimbursement as below. the rules for nps and pas for inpatient work are essentially...
  4. core0

    Admitting Privileges

    core0 replied to ILoveIceCream's topic in Nurse Practitioners, NP

    If you look back a year of so you will find this exact same discussion. Basically it boils down to your definition of admit. I have admission privileges as do all the NPs and PAs that I work with. Its...
  5. core0

    PT/INR help!!!!

    core0 replied to Dixiecup's topic in Nurse Practitioners, NP

    First of all here is the best guideline I have found for INR adjustment (courtesy of UCLA): http://medres.med.ucla.edu/Practices/Guidelines_anticoagulation.pdf You are really asking three questions:...
  6. core0

    Nurse Practitioner

    core0 replied to ttpurtee's topic in Nurse Practitioners, NP

    it gets a little more twisted than this. generally physicians have an unlimited license to practice medicine and surgery. in theory this allows them to see any patient and do any procedure. in reality...
  7. core0

    My employer doesn't hold out taxes.

    core0 replied to Dixiecup's topic in Nurse Practitioners, NP

    You can take a look at this. One of the issues is you have to pay both halves of Social security....
  8. core0

    Nurse Practitioner

    core0 replied to ttpurtee's topic in Nurse Practitioners, NP

    Correct. There are a few states that require the physician to be present in the building a certain percent of the time (just as some states do for NPs). All states allow general supervision (physician...
  9. core0

    Nurse Practitioner

    core0 replied to ttpurtee's topic in Nurse Practitioners, NP

    In some states NPs work independently. In reality the vast majority work for health care organizations or physician practices. The best data shows the same percentage of PAs as NPs own their own...
  10. core0

    Percentage of Nurse Practitioners per specialty...?

    core0 replied to rn2msn's topic in Nurse Practitioners, NP

    There are two sources for this. One is the National Survey Sample of Registered Nurses: http://bhpr.hrsa.gov/healthworkforce/rnsurvey04/3.htm#cns Specifically you want this (Tables 14 and 15):...
  11. core0

    PT/INR pt Values question

    core0 replied to soren1813's topic in General Nursing

    The PT is listed as the normal range. Ie if someone is healthy the PT should be between 10 and 13.5 seconds. The normal for INR is listed assuming that someone is on Coumadin. Ie the therapeutic range...
  12. core0

    New idea for NP/PA to MD

    core0 replied to FNPinKS's topic in Nurse Practitioners, NP

    There is probably some element of the guild system involved. Especially for the more prosperous specialties there is an incentive to limit the number of new members in order to maintain a hold on the...
  13. core0

    New idea for NP/PA to MD

    core0 replied to FNPinKS's topic in Nurse Practitioners, NP

    There are a number of problems with your proposal that make it unlikely ever to happen. The first is the structure of medical school. The LCME and COCA accredit medical school in the United States....
  14. core0

    What's your hospital policy on blood transfusions?

    core0 replied to ADNRN1410's topic in General Nursing

    Pump on the floor. Pump or pressure bag in the ICU. Special blood tubing either
  15. core0

    Funny doctor orders

    core0 replied to laurenicoleRN's topic in Nursing Humor

    Wound care to lower extremity. Sadly I can figure out what they
  16. core0

    Why are so many Doctors hostile towards the DNP?

    core0 replied to Meesterjojo's topic in Doctoral Nursing Degrees

    So a four year professional post baccalaureate degree that leads to a doctorate is an undergraduate degree? In what universe? In reality you are correct that Medical school is not considered graduate...
  17. core0

    Which NPs don't deal with dozens of patient per day?

    core0 replied to Joe NightingMale's topic in Nurse Practitioners, NP

    I can say that the last time that I worked in a NICU thats not the way it worked. The RNs may be 1:1 with the preemies but the NNPs certainly aren't. The unit I worked in had 40 beds. There were two...
  18. core0

    Can I bolus this patient? A legal / practice question about sedatives and narcotics

    core0 replied to simvee's topic in MICU, SICU

    We have this problem in our SICU. Our order sets have a bolus dose for Ativan and Versed. There is a drip order and a PRN order. For example Agitation bolus ativan 1 mg and increase ativan drip xx per...
  19. core0

    Why are so many Doctors hostile towards the DNP?

    core0 replied to Meesterjojo's topic in Doctoral Nursing Degrees

    Most medical schools are going to a different model. They do the basic science year (or the first six months) and then intersperse clinicals with the next three years. In PBL programs the students do...
  20. core0

    CO / WA / OR - What's the climate for new grad NPs?

    core0 replied to mom2cka's topic in Nurse Practitioners, NP

    I can't speak for Oregon or Washington. In Colorado most of the opportunities are on the eastern plains. There are some at clinics within the Denver/Boulder metro area but they are hard to get without...
  21. core0

    Which NPs don't deal with dozens of patient per day?

    core0 replied to Joe NightingMale's topic in Nurse Practitioners, NP

    The issue for me and the reason that I don't have any interest doing primary care is the variability. Lets say you are in an ICU. There are a fixed number of beds, there are all the resources that...
  22. core0

    Which NPs don't deal with dozens of patient per day?

    core0 replied to Joe NightingMale's topic in Nurse Practitioners, NP

    In the end its going to be about the money. You don't get paid as much for healthy patients as for sick patients. You get paid more for procedures than for taking care of patients. For example...
  23. core0

    Which NPs don't deal with dozens of patient per day?

    core0 replied to Joe NightingMale's topic in Nurse Practitioners, NP

    In the ICU we take 5-7 patients during the day. Evening and nights you split the management with the resident so you have two people taking care of up to 20 patients +/- admits. When I worked...
  24. core0

    DEA Number Question

    core0 replied to LSUCRNP's topic in Nurse Practitioners, NP

    I don't think that being a contractor counts as being a government employee. David Carpenter,
  25. core0

    HELP SOON, Need immediate help with contract negotiations

    core0 replied to johnson0424's topic in Nurse Practitioners, NP

    In urgent care usually things are dealt with right there. It would be unusual to have to follow up labs or xrays (except for final read). Nursing home is different. I would insist that they put a...