core0

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All Content by core0

  1. core0

    "express care guidelines"

    core0 replied to das264's topic in Nurse Practitioners, NP

    I'm assuming you mean guidelines on who can be referred to urgent care? Most hospitals use either the ESI system or the CTAS. For most places ESI 4 and 5 go to fast track (you can argue that most ESI...
  2. core0

    help i am torn between a job offer

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

    There are a couple of issues you have to consider. One is that you are presumably making a transition from an hourly profession to a salaried profession. The average FP physician works more than 50...
  3. core0

    Insurance reimbursement

    core0 replied to T9458's topic in Nurse Practitioners, NP

    Interesting question. Short answer is that from my understanding fraud has to either have active participation or complicity. So merely hearing that someone is billing Medicare fraudulently would not...
  4. core0

    Insurance reimbursement

    core0 replied to T9458's topic in Nurse Practitioners, NP

    There is a guy named Michael Powe who is the director of health systems and reimbursement policy for the AAPA. He maintains that if he does nothing else, he can continue to be gainfully employed just...
  5. core0

    Insurance reimbursement

    core0 replied to T9458's topic in Nurse Practitioners, NP

    You can only bill incident to if the physician is present in the same suite of offices and did the initial encounter for that particular problem. Here is an article that discusses it (registration...
  6. core0

    organ donation

    core0 replied to june2009's topic in Certified Registered Nurse Anesthetist, CRNA

    Our program doesn't do NHBOD. We are in an area with relatively low MELD to transplant so it doesn't make as much sense. It seems to be more common in high MELD areas such as the Northeast or...
  7. core0

    organ donation

    core0 replied to june2009's topic in Certified Registered Nurse Anesthetist, CRNA

    \Actually it was invented in this country: http://www.medscape.com/viewarticle/563803_2 David Carpenter,
  8. core0

    How do I handle nurses not following orders?

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

    When I re-read this I agree. I don't think I've ever stated it this way exactly (although I've certainly thought it). I educate when I can but if I run into one of the few nurses that just don't care...
  9. core0

    Becoming an NP with little to no nursing experience??

    core0 replied to Blurr156's topic in Student Nurse Practitioner

    In theory. However, who would an endocrinologist hire. Presumably an ANP since this is an outgrowth of internal medicine. However, the ACNP claims this as their domain also. Also what about EM. Urgent...
  10. core0

    Grandfather clause for DNP?

    core0 replied to forpath's topic in Doctoral Nursing Degrees

    Actually I don't think this is completely accurate. There are still a number of NPs that are practicing without any degree. Depending on what source you use the percentage of NPs that do not have an...
  11. core0

    Malpractice Premiums

    core0 replied to arak1547's topic in Nurse Practitioners, NP

    The other issue is that most of these policies are claims made policies. In claims made policies the premium starts low and rises every year until it stabilizes. This is because the first year...
  12. core0

    Becoming an NP with little to no nursing experience??

    core0 replied to Blurr156's topic in Student Nurse Practitioner

    TX isn't that different than any other state. All of them generally follow the State BONs recommendations. TX is unusual in that they actually enforce the recommendations for scope of practice. I...
  13. core0

    VENT: My Frustrating 1st ACNP Job

    core0 replied to DaisyRN, ACNP's topic in Nurse Practitioners, NP

    good luck. my prediction is that if she goes off on her own the practice would be bankrupt in less than a year. much less if there is competition. david carpenter,
  14. core0

    Differences (Educative/Clinical) between NP & PA

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

    If CRNAs were NPs that would be true. Or you could include CNS in the equation and then the NP average salary would be less. David Carpenter,
  15. core0

    Hep C+ and organ donation

    core0 replied to annmariern's topic in General Nursing

    The HIV exclusion is pretty universal. Even programs that transplant HIV positive recipients will not take HIV positive organs. However, the decision on HCV positive organs is made by the receiving...
  16. core0

    Hep C+ and organ donation

    core0 replied to annmariern's topic in General Nursing

    Here are the guidelines from the CDC. http://www.cdc.gov/mmwr/preview/mmwrhtml/00031670.htm Drug OD is not a contraindication. IVDU is. A lot of donors are because of stroke secondary to cocaine...
  17. core0

    How do I handle nurses not following orders?

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

    A business card is a very nice way of letting a patient know who is taking care of them. I hand them out to every patient so they know who is seeing them. To follow up on TraumaRus' statement. Go to...
  18. core0

    please help this LOST nursing student w/ laboratory studies!

    core0 replied to lorenwithano's topic in General Nursing

    You really can't claim anemia based solely on RBC. Anemia is technically a deficiency in hemoglobin. If you look at the CBC there are three values that essentially measure the same thing in different...
  19. core0

    VENT: My Frustrating 1st ACNP Job

    core0 replied to DaisyRN, ACNP's topic in Nurse Practitioners, NP

    you wrote your first post in march and you are still having problems in june. i hope this works out but in my opinion the practice shows classic signs of not understanding npp practice. they knew you...
  20. core0

    ANP vs. FNP for cardiology?

    core0 replied to Angie O'Plasty's topic in Nurse Practitioners, NP

    This is actually becoming an issue for FP. Most FP programs traditionally have spent their intern year doing inpatient medicine. This gives them a good background in inpatient medicine. However, some...
  21. core0

    Emory NP student help pls?

    core0 replied to 1775jr's topic in Nurse Practitioners, NP

    The ACNPs here said that most students have 1-2 years critical care experience before applying. I would call the PD if you have any questions. David Carpenter,
  22. core0

    ANP vs. FNP for cardiology?

    core0 replied to Angie O'Plasty's topic in Nurse Practitioners, NP

    This is very region dependent. It depends on how closely the BON adheres to its own rules. It also depends on other outside factors. There are essentially three entities that can limit scope of...
  23. core0

    Advantages/Disadvantages of NP vs PA

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

    yes this just drives the pas crazy. what ever will we do. oh yeah we'll just have to fall back on 40 years of proven clinical competency regardless of the degree given. this is one of the basic...
  24. core0

    what if you dont like the job offer? do you negotiate?

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

    For that amount of patients thats a pretty good salary. Unless you are doing a lot of cosmetics they are probably going to lose money on you. The benefits are OK but toward the bottom end (pretty...
  25. core0

    Is this bonus offer far fetched?

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

    If you're not going to the OR it will be very difficult if not impossible to get your billing over $210k. This is especially true if you are seeing post op follow up patients as you cannot bill for...