core0

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All Content by core0

  1. This eventually does lead back on to topic. I think the point I was trying to make is that because of the educational model, an NP without significant nursing experience will be at a disadvantage. The...
  2. i'll admit this was an extreme example. I can't remember all the details ,but the crux was that the board had tried an number of other methods including dictating etc and none of them had worked. He...
  3. Sorry, we're talking contact hours here. PA school is full time usually 6-8 hours per day 5 days per week. NP programs are usually run on an academic semester system with 6-16 hours per week. The...
  4. yes, actually i can do you one better. our state medical board ordered an md to hire a pa to do his notes since his handwriting was so illegible. i hope that he retired rather than do this and i hope...
  5. core0

    How much to pay a collaborating doc

    If the physician is smart he will look at it as time (revenue) and risk. How much time does it take and what additional liability do they incur by signing up. For example if there is a requirement to...
  6. You speak of NP "specialty". From a medical standpoint these are not specializations. A specialization in medicine is additional training that occurs off a base residency such as GI from internal...
  7. core0

    How much to pay a collaborating doc

    Nobody has answered your original question so I'll take a crack at it. It really depends on how much you need from the physician. If there is onsite responsibility or true supervision it will be one...
  8. The problem is that there is no consistency in NP education. You state that in you program you spend thousands of hours in clinical time, but this is far from the norm. Most programs have around 500...
  9. We used to use IV poles with an apron on it and then a sterile mayo cover over it. Just hide behind that on a long case or if someone decides they need C-arm after the case starts. David Carpenter,...
  10. Medicare will pay all NPP's (non physician providers) to first assist. NPP's are defined as CNS, CNMW, NP and PA. The surgery has to be one that is authorized for an assist. The pay is 18% of the...
  11. core0

    Pay for NP Independent Contractors

    I work in specialty care so we don't see as many patients per hour. I wonder how you can see 48 patients in a day and do a good job. For the homecare the reimbursements are significantly better. A...
  12. core0

    Do Endo RN's give anesthesia ??

    once again i would ask you to show me any outcome studies that show that propofol on the hands of a well trained rn in moderate sedation is any different from that of a anesthesia provider? i am not...
  13. core0

    Do Endo RN's give anesthesia ??

    There are two issues here. One is the use of medication to give "conscious sedation". Multiple BON's have determined that the use of Propofol follows this protocol. There is a fair body of evidence...
  14. core0

    can gallstones return?

    usually the internet is a bad place to get medical advice. from a scientific standpoint gallstones can originate after a cholecystectomy through two mechanisms. the first is described above, that the...
  15. I'll agree with that. What I find maddening is that when trying to research NP's there is no single organization that represents them. With PA's, it is really well defined. We have the AAPA that...
  16. core0

    states NP's practice solo?

    Here is a list of states that allow independent practice (this is way harder to find than it should be). NP Scope of Practice - American College of Nurse Practitioners David Carpenter,
  17. Good points. Part of the reason that more PA's are involved in surgery is that all surgery is function of training. After 2007 all PA students must have surgical experience with operative experience....
  18. core0

    Can NPs work as RN's?

    Since you asked for it, this is the best explanation that I have seen: "I am a family NP (FNP) and am wondering if I can work as a non-advanced practice RN at a local nursing home? I plan to function...
  19. core0

    Can NPs work as RN's?

    good notes are helpful for documentation for charges, but they are just to support the level of care. the level of care is really determined by the medical decision making, level of complexity and...
  20. Where are you looking? If you are looking in the newspaper then probably not. Look at the various California nursing sites and some of the headhunter sites. I get a couple of E-mails a week that...
  21. core0

    Can NPs work as RN's?

    I don't understand how you can charge for seeing the patients. If I understand the Physicians are hospital employees (or more likely employed by a physician group that has a contract with the...
  22. Yes this is the way that it works. The discussion here is about becoming an NP without experience working as an RN. My point, if this is not necessary to have experience working as an RN, then the RN...
  23. core0

    Can NPs work as RN's?

    More likely more money for the doctors. Most NP's work for medical practice. I have not seen any absolute statistics, but I would guess less than 10% of NP's own their own clinics. Most of these are...
  24. I've been thinking about this a little more and some of the responses. I think that in answering the original poster, some divisions have been exposed. When looking at this I think that I have heard a...