core0

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All Content by core0

  1. core0

    Pupillometer

    core0 replied to kdneal's topic in Neurological

    We use it our acute hepatics to assess for ICP elevation. A level below 3 or a change of more than 1 in an hour gets a call to one of the NPPs. Usually run up the Na+ to decrease ICP. We check every...
  2. core0

    Sick of the Certs!!!!! Just let 'em be an NP!

    core0 replied to bsnanat2's topic in Nurse Practitioners, NP

    I agree somewhat. The ANCC is trying to play both ends against the middle. If you look at the FNP blueprint from the ANCC six or seven years back it clearly stated the scope of practice for the FNP...
  3. core0

    Sick of the Certs!!!!! Just let 'em be an NP!

    core0 replied to bsnanat2's topic in Nurse Practitioners, NP

    I am a PA that is involved in workforce research. The states if I remember correctly are Texas, Maryland and Pennsylvania. Texas does this by fiat. Maryland prohibits non ACNPs from treating patients...
  4. core0

    Sick of the Certs!!!!! Just let 'em be an NP!

    core0 replied to bsnanat2's topic in Nurse Practitioners, NP

    It all depends on where you practice. I'm aware of at least three states that mandate (in different ways) ACNP for inpatient practice through the board of nursing. It can also be mandated by the...
  5. core0

    Sick of the Certs!!!!! Just let 'em be an NP!

    core0 replied to bsnanat2's topic in Nurse Practitioners, NP

    Actually this is quite incorrect. Every physician matches into a residency. Broadly there is medicine, surgery and other. Last year there were 24,000 PGY-1 (intern) slots. Of those around 5000 were...
  6. core0

    Orthopedic FNP Texas

    core0 replied to littlebelle1293's topic in Advanced Practice

    Its all going to depend on your risk tolerance. If you were in New Mexico for example where the BON interprets the roles quite liberally and no collaboration agreement is required then you would...
  7. core0

    Orthopedic FNP Texas

    core0 replied to littlebelle1293's topic in Advanced Practice

    ONP isn't a recognized certification. You can look at the Texas BON to see what they recognize. As far as working in the clinic you could conceivably do that, however you would have to worry about...
  8. core0

    Orthopedic FNP Texas

    core0 replied to littlebelle1293's topic in Advanced Practice

    Read the quote above. Texas requires RNFA course and either a CNOR or NP. CMS is completely different. On the other hand its relatively easy (although expensive) to get the RNFA training. The...
  9. core0

    Orthopedic FNP Texas

    core0 replied to littlebelle1293's topic in Advanced Practice

    Two problems. First you are correct you would need an RNFA to work in the OR: Q: What requirements need to be met for advanced practice nurses who want to first assist and be reimbursed for their...
  10. core0

    invasive lines

    core0 replied to MLB55's topic in MICU, SICU

    We get similar patients all the time. Usually anesthesia uses a triple lumen and a Cordis. If you've ever looked at the vessel with a catheter in it after placed with US there is actually quite a bit...
  11. core0

    ANP vs ACNP

    core0 replied to Barbrn1002's topic in Advanced Practice

    Our institution recently told any non-ACNP that worked more than 50% of their time in the ICU that they had one year to get their ACNP. They are looking at other areas to move to
  12. core0

    Interesting Physician Perspective On NPs

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

    There is a listing but its password protected and costs $35 per year: Physician Assistant Programs Directory As for what the letter mean take for example NY. There are a number of entry level program...
  13. core0

    Interesting Physician Perspective On NPs

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

    You would be incorrect. http://www.aapa.org/uploadedFiles/content/The_PA_Profession/Federal_and_State_Affairs/Resource_Items/Rx%20Chart%201-12.pdf PAs and NPs have prescriptive authority in all 50...
  14. core0

    Interesting Physician Perspective On NPs

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

    Physician Assistant Programs 170 programs. Eight cert or associates. Another 15 or so Bachelors. The rest are Masters. Most of the Bachelors and Associates programs offer a distance learning masters...
  15. core0

    Help! Case log!

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

    We bill for these. So I pull the billing information every year for
  16. core0

    Benefits

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

    We have PTO which is combination vacation/sick time. All employees get the same amount based on years of service. We get Certification and licensing covered. We also get $2000 and 40 hours of time for...
  17. core0

    Why is it so hard to find a preceptor?

    core0 replied to WRNCEN's topic in Student Nurse Practitioner

    Fundamentally its an accreditation problem. Accreditation exists for two reasons. To protect the public from inept programs and to protect students from programs that do not educationally prepare...
  18. core0

    Inpatient Certification Requirements By State

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

    there are actually quite a few hospitalist fellowship programs | society of hospital medicine they generally fall into two tracks. im is for academics has minimal clinical time with a lot of research....
  19. core0

    Inpatient Certification Requirements By State

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

    Juan made a great post. I can add a little bit. Colorado does not currently require a certain certification to do a job, however, many of the hospitals require ACNP for inpatient work. Pennsylvania is...
  20. core0

    DO (school) in anesthesiology or CRNA school

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

    I think that you have a poor understanding of the nuances of residency. Both Osteopathy and Allopathy have separate residencies. They are either intership (medicine, transitional, surgery or Tri...
  21. core0

    AST and ALT levels after open heart surgery

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

    This actually sounds a little suspect. If they are talking about shock liver then AST usually rises first but ALT isn't normal. If they are talking about low flow state in the setting of AVR then...
  22. core0

    Texas FNP Scope of Practice

    core0 replied to jennylynn_1983's topic in Nurse Practitioners, NP

    Texas is very straight forward. The NP can't work outside their training which is defined by: Advanced practice education in a role and specialty Legal implications (e.g. compliance with the Nursing...
  23. core0

    Can someone PLEEEEASE explain INSULIN DRIPS?

    core0 replied to H_2_O's topic in MICU, SICU

    Umm all patients on an insulin drip should have a glucose source. If you turn off the D5 they will invariably bottom out once you get the BG down to "normal". The problem you describe seems to be a...
  24. core0

    A landmark decision in my workplace

    core0 replied to BlueDevil,DNP's topic in Nurse Practitioners, NP

    Diagnoses do not trigger risk adjustment. The risk adjustment is made up of all the ICD-9 diagnosis that are made in Medicare claims for the entire year. Since, for the most part a provider is...
  25. core0

    A landmark decision in my workplace

    core0 replied to BlueDevil,DNP's topic in Nurse Practitioners, NP

    A a 99213 pays the same regardless how its coded. The diagnoses and the order are important in auditing. The diagnosis along with the time and the level of critical thinking are what determine the...