core0

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All Content by core0

  1. core0

    American Journal for Nurse Practitioners

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

    Try emailing the author. She shows up on Linkedin and
  2. core0

    Central Line Air Embolism

    core0 replied to Amistad's topic in Critical Care

    .Two different theories. 1. Most guidelines recommend tredenelberg when placing or removing a CVL. Mostly this has to do with increased right sided pressures making embolism less likely. 2. If there...
  3. core0

    Bedside Nurse Practitioners

    core0 replied to matthewandrew's topic in Advanced Practice

    I'll speak strictly about the ICU since that was the original problem (if you have a patient in step down that needs one on one NP care then you have a different problem). First look at your problem...
  4. core0

    Inpatient NPs - what is your patient load?

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

    So I've done a job similar to yours but it seems to me we have more help. When I did liver transplant we each carried 12 or so patients. We generally got in around 7am. Got sign out, looked through...
  5. core0

    Please help decide between Internal Med Clinic Vs Minute Clinic

    core0 replied to APN Under Construction's topic in Nurse Practitioners, NP

    As a 1099 you have to pay taxes quarterly (all taxes including employer and employee payroll). As far as deductions the rules are very complex. Unless you have a lot of equipment to depreciate or a...
  6. core0

    Please help decide between Internal Med Clinic Vs Minute Clinic

    core0 replied to APN Under Construction's topic in Nurse Practitioners, NP

    The real issue is legally can you be a 1099 employee? Take a look at this article: http://www.learnvest.com/knowledge-center/the-difference-between-a-1099-and-a-w-2/2/ If you're an independent...
  7. core0

    Please help decide between Internal Med Clinic Vs Minute Clinic

    core0 replied to APN Under Construction's topic in Nurse Practitioners, NP

    I'm a little confused. A 1099 is an independent contractor. The employer pays you a salary, but generally you are responsible for your own benefits and taxes. I'm not an expert but how does a 1099 get...
  8. core0

    Ativan IVP vs Propofol gtt

    core0 replied to General E. Speaking, RN's topic in MICU, SICU

    One of the overlooked parts is you need to have a policy, which is essentially a template to start with. One thing you need is a scoring system to determine if someone is adequately sedated. This puts...
  9. core0

    PA-C or NP? What would you do?

    core0 replied to Guttercat's topic in Student Nurse Practitioner

    What makes you think you can reach either
  10. core0

    PA-C or NP? What would you do?

    core0 replied to Guttercat's topic in Student Nurse Practitioner

    So how do physicians control PA practice if you are such a good
  11. core0

    Abandoned Patients?

    core0 replied to Cardiolyte's topic in MICU, SICU

    Radiology has an ICU run nurse that takes the patient down to radiology. If the patient really unstable they are 1:1 and usually the nurse will go with. Occasionally one of the PAs or residents goes...
  12. core0

    HELP with ABGs and Correction by Ventilatory Settings

    core0 replied to nursingitup9's topic in Critical Care

    It depends on the disease process. The OP stated the patient has PNA and acute respiratory failure with a history of COPD. I would agree that the gas wasn't that bad but if the patient was struggling...
  13. core0

    HELP with ABGs and Correction by Ventilatory Settings

    core0 replied to nursingitup9's topic in Critical Care

    Umm if you can't get the PaO2 above 100 on an NRB then yes the P:F ratio would apply to them. Can you explain this. We don't use much SIMV but the principle is similar to (S)CMV. You do an...
  14. core0

    HELP with ABGs and Correction by Ventilatory Settings

    core0 replied to nursingitup9's topic in Critical Care

    Think about ventilation and oxygenation separately. While this is an over simplification, ventilation (CO2 exchange) is a function of minute ventilation which is made up of tidal volume and rate (rate...
  15. core0

    Work as NP and bedside nurse

    core0 replied to DrkCocoMurse215's topic in Nurse Practitioners, NP

    It actually does matter what the BON says. It also matters what the collaborative environment is. If the board holds you to the highest license then yes that matters. However, if you work in a state...
  16. core0

    New NP mistake

    core0 replied to jamiejo05's topic in Nurse Practitioners, NP

    Sounds like this one would misclassified. Most tooth abscesses rate ESI 2 with the severe pain/high risk. Some places would classify it as an ESI 3 because of resources but I would wait and downgrade...
  17. core0

    New NP mistake

    core0 replied to jamiejo05's topic in Nurse Practitioners, NP

    It really depends on the expectation. For our ICU if you are going to be there alone at night our orientation is eight to nine months. If you come out of a critical care post grad program its two...
  18. core0

    New NP mistake

    core0 replied to jamiejo05's topic in Nurse Practitioners, NP

    First question would be where are you in orientation? If you have worked 5 shifts I would assume that you are still on orientation. The expectations are lower here. However, as Juan stated when you...
  19. core0

    Question about post-op patient scenario

    core0 replied to ChipNurse's topic in MICU, SICU

    We see this all the time. Post transplant patients will continue to accumulate ascites for a period of time after transplant. The ascites can accumulate in pockets and be mixed with blood from the...
  20. core0

    ICU NP hours, salary, program info

    core0 replied to CNogues's topic in Student Nurse Practitioner

    Critical care codes and procedures have to be billed under the NPI number of the person who performed them. E/M can be billed under the physician NPI as long as the requirements are met:...
  21. core0

    ICU NP hours, salary, program info

    core0 replied to CNogues's topic in Student Nurse Practitioner

    Shared billing can be done like this as long as the requirements are met. Actually re-reading the OPs note, if you are seeing the patient and billing under the physicians NPI without them seeing the...
  22. core0

    Continuous Renal Replacement Therapy Guidelines

    core0 replied to HLS2010's topic in Critical Care

    We use Schoen dialysis catheters for the most part. If a patient is sick enough to get a dialysis catheter then they have a CVL which are all pressure compatible. We occasionally put in the trialysis...
  23. core0

    Continuous Renal Replacement Therapy Guidelines

    core0 replied to HLS2010's topic in Critical Care

    They all have their own uses. There are two processes in dialysis. Fluid removal and solute removal. Here is a Baxter page which explains it:...
  24. core0

    NP vs PA vs CNS

    core0 replied to OriolesMagic's topic in Advanced Practice

    There used to be a couple of programs where you could go part time the first year (essentially split the first year into two years). I don't know if they still exist. The second year you will...
  25. core0

    NP vs PA vs CNS

    core0 replied to OriolesMagic's topic in Advanced Practice

    Do you actually have experience with any of this? The awesome 30 CE requirement, does that apply to every state? You are also assuming that PAs don't have CME requirements (it would be 50 per year for...