core0

Member

  • Content

    1,831

  • Visitors

    18,278

  • Followers

    0

  • Likes

    48

All Content by core0

  1. core0

    Doctoral degree to become an NP???

    core0 replied to VickyRN's topic in Doctoral Nursing Degrees

    Actually the mandate is that all NPs and CNS needed to have a masters (with some grandfathering). The method chosen to enforce that mandate was to change Medicare billing rules after other methods...
  2. core0

    Tying gowns after the spin card has dropped

    core0 replied to linda2097's topic in Operating Room

    I've never seen this. What I've had happen is the scrub hands the end to the circulator and then the circulator ties it behind the scrub so the knot is directly behind. It leaves the gown a little...
  3. core0

    Serious illness: More seen by NP or CNS?

    core0 replied to Joe NightingMale's topic in Clinical Nurse Specialists, CNS

    Our ACNPs manage patients in the ICU along with the resident team. Basically some of the sickest patients in the house. Of course this is in a state where CNS is not an APN outside of PMHCNS. The one...
  4. core0

    question: who can a Psychiatric Nurse Practitioner delegate?

    core0 replied to Akercat's topic in General Nursing

    Tasks in medical parlance have a fairly broad reading. For example according to Medicare gathering the patient history is a task and may be delegated to someone else. Physicians in particular have a...
  5. core0

    question: who can a Psychiatric Nurse Practitioner delegate?

    core0 replied to Akercat's topic in General Nursing

    A. You might try asking this in the NP forum where you may get more answers. B. Its going to be state dependent based on what the nurse practice act allows. David Carpenter,
  6. core0

    Who should get a transplant?

    core0 replied to diane227's topic in General Nursing

    Right now thats kind of how it works. Basically the first part is binary. Is this person an acceptable candidate or not. Once they are deemed acceptable (physically, mentally and financially) then...
  7. core0

    Who should get a transplant?

    core0 replied to diane227's topic in General Nursing

    By law liver and heart transplants (and I believe lung) transplants go to the patient who is sickest in the OPO then region where the organ is procured. All of these organs are relatively insensitive...
  8. core0

    Who should get a transplant?

    core0 replied to diane227's topic in General Nursing

    Substance abuse treatment in Europe is similar to what we have here. The issue is they are much less likely to put someone in jail for possession instead choosing treatment (at least from my...
  9. core0

    NNP and RNFA

    core0 replied to ezxoxo322's topic in Nurse Practitioners, NP

    Yes. This is however a very small field and someone with an extensive pediatric RNFA background who then got their PNP would have an advantage for example. I don't know your experience but if you...
  10. core0

    NNP and RNFA

    core0 replied to ezxoxo322's topic in Nurse Practitioners, NP

    There is really no such thing as neonatal surgery. Most surgery on neonates is done by pediatric surgeons (or general surgeons if there is no peds surgeon available). Given that your scope would be...
  11. core0

    Question on FNP subspecialties

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

    PNP David Carpenter,
  12. core0

    Who should get a transplant?

    core0 replied to diane227's topic in General Nursing

    Its a different paradigm. In some ways its a lot like surgical oncology. Even if you do everything right a percentage of your patients will be dead by the end of the year. On the other hand the...
  13. core0

    Who should get a transplant?

    core0 replied to diane227's topic in General Nursing

    Monitored programs are also big. A lot of places use a system similar to what the courts use. If you are in treatment you have a color. Every day you call up and find out what the color of the day is....
  14. core0

    Who should get a transplant?

    core0 replied to diane227's topic in General Nursing

    There is no absolute standard for alcohol. Most centers use the six month rule but there is actually little evidence to support this. A few centers use one year and some use a short as three months....
  15. core0

    Captain of the Ship doctrine and NPs.

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

    Both PAs and NPs are reimbursed the same. When I speak about reimbursement I am talking for the most part about Medicare reimbursement. For private payors most reimburse at 100% of the physician rate...
  16. core0

    Captain of the Ship doctrine and NPs.

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

    I'll let the NPs address the rest, but you should realize that CRNA reimbursement is completely different from other APN reimbursement. CRNAs are reimbursed at 100% of the physician rate. In addition...
  17. core0

    Captain of the Ship doctrine and NPs.

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

    I think that what the OP was asking was could an NP replace a physician specialist. Ie instead of the EM group, the hospital contracts or hires ENPs (whatever they are) to replace the physicians and...
  18. core0

    RNFA, NP, or both?

    core0 replied to JockoJohnson's topic in Operating Room

    Its hard to describe a particular PA jobs since there is so much variation. Basically there are three practice patterns that you see. There are a few surgical PA jobs that only involve assisting....
  19. core0

    Causes of chronic nausea?

    core0 replied to mommy2boysaz's topic in Gastroenterology

    If this is your kid then you need to see the appropriate health care provider (TOS). The differential is long but Celiac Disease, Peptic ulcer disease and eosinophilic gastritis would have to be on...
  20. core0

    Captain of the Ship doctrine and NPs.

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

    First you have to differentiate between independence and autonomy. There are no independent PA practices. An NP can practice with no collaborative agreement for prescribing, diagnosis or treatment in...
  21. core0

    ENP programs

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

    Do they still have their post master's program? David Carpenter,
  22. core0

    discussion regarding education of NP (DNP) and PA compared to MD/DO

    core0 replied to RN to Medschool's topic in Nurse Practitioners, NP

    actually as far as i know all of the cc programs have the ability to offer a masters or a bachelors depending on what degree the student has on entering. this is usually done through an affiliation...
  23. core0

    How much is malpractice insurance for a CRNA (Nurse Anesthetist) per year?

    core0 replied to radtech's topic in Certified Registered Nurse Anesthetist, CRNA

    There are a number of states where an NP can practice substantially independently (only needs physician collaboration for Medicare/Caid billing). The issue is not independence. Its commonality of...
  24. core0

    How much is malpractice insurance for a CRNA (Nurse Anesthetist) per year?

    core0 replied to radtech's topic in Certified Registered Nurse Anesthetist, CRNA

    I'll let some of the NPs that do expert witness chime in, but in doing expert witness work I've found that this is incorrect. There is a community standard of care regardless of whether you are a...
  25. core0

    ENP programs

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

    Which post are you talking about? The Emory grads sit for the FNP cert: "Multiple opportunities for graduates exist in emergency departments and urgent care centers. Certification is...