core0

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All Content by core0

  1. core0

    NP's working at teaching hospitals

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

    Thats incorrect. An NP (or PA) cannot bill for the work that a resident does (while a physician can) but there is nothing that prevents them from precepting a resident in a procedure. What is...
  2. core0

    Hemodialysis with low BP on pressors?

    core0 replied to IheartICUnursing's topic in MICU, SICU

    My understanding is that SLED is similar to CRRT but uses conventional HD machines. In an ICU which rarely does CRRT its cheaper to do SLED for the few times that you need dialysis. Basically you use...
  3. core0

    Have you ever infused phenylephrine peripherally?

    core0 replied to nurse678's topic in MICU, SICU

    We can run it peripherally for 24 hours. Usually when someone comes up on peripheral access only or as a pressor while we are getting central
  4. core0

    Blood Transfusion during Dialysis

    core0 replied to Biggirl71's topic in General Nursing

    If you are doing a root cause analysis you have to look at the communication here: 1. What were the dialysis orders? Even if the nurse notes are missing there should be a dialysis orders which state...
  5. core0

    States restricting FNPs rounding on inpatients

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

    Q: I am authorized to practice in a particular specialty area. I want to expand my scope of practice to include a second specialty area. (Examples of this situation include but are not limited to:...
  6. core0

    Struggling NP student

    core0 replied to lvICU's topic in Student Nurse Practitioner

    Another thing that might help is to have a A/P for every system. One of our attendings teaches the residents to have a diagnostic and a therapeutic differential for each system. For example if you...
  7. core0

    Terms used to describe APNs - what do people call you?

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

    Our center uses affiliates which I dislike because it sounds like the greeters at Wal-Mart. We generally use PAs and NPs. The problem with physician extender and mid-level is that they lack...
  8. core0

    Organ donation: cardiac death v. brain death

    core0 replied to canesdukegirl's topic in General Nursing

    Donation after cardiac death is done is cases where the patient does not meet the formal criteria of brain death but there is no chance of recovery. I don't know exactly what the OPO was doing but the...
  9. core0

    Benzocaine-induced methemoglobinemia

    core0 replied to Guest27531's topic in General Nursing

    The PI says .1-.2 mg/kg which is the pretty standard dose. We use doses up to 2 mg per Kg in refractory hypotension so anything in that range should be
  10. core0

    Hospital based NP--useless with image interpretation.

    core0 replied to kanzi monkey's topic in Nurse Practitioners, NP

    We had a 4 hour class in this each week. You can look at some of the state and national conferences. I don't know about NP conferences but most of the PA conferences have a CXR boot camp class. Also...
  11. core0

    compensation for new grad emergency medicine fellowship

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

    Thats in the ballpark for PA post grad programs. Most pay between $40k and $60k per
  12. core0

    Not licensed yet

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

    Actually this is correct and incorrect. For Medicare and Medicaid the only first assists that can bill are physicians, PAs, NPs, CNS and CNM. RNFAs cannot bill Medicare and Medicaid. "Medicare will...
  13. core0

    Whats the most blood products you've given in a shift?

    core0 replied to richard1980's topic in MICU, SICU

    136 units of product in a 12 hour shift. Portal vein came unhooked. Patient walked out of the
  14. core0

    Need some Precedex advise

    core0 replied to EyeSeeYouRnOhio's topic in MICU, SICU

    I'll give my perspective after using it for about a year. First it seems to have a binomial distribution. It either works or it doesn't. Unlike Propofol where you can increase the dose until you get...
  15. core0

    Forensic Nurse Practitoner ??

    core0 replied to Tippy-ta-ta's topic in Nurse Practitioners, NP

    New York City uses PAs and NPs as medical legal examiners: http://thename.org/index.php?option=com_content&task=view&id=758&Itemid=27 There are other states that also use PAs in this role....
  16. core0

    'PA anesthetist'?

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

    Thats the way that its written but its never been implemented. The forms available are for primary care (PAs) and anesthesia (AAs). The problem is that they tried to define medicine by primary and...
  17. core0

    Clinical Experience

    core0 replied to bayouchick02's topic in Nurse Practitioners, NP

    For me it largely depends on where the student is in their training. If this is their first rotation I would expect them to watch for a day then start to see some patients. You should definitely sit...
  18. core0

    RNs to write Diagnoses for medications?

    core0 replied to dinah77's topic in General Nursing

    My question is why are you doing this at all? Is there some rule that requires every medication to have a diagnosis attached to it? Where I work in the hospital the MAR just has the medications no...
  19. core0

    Billing For Nurse Practitioner Services

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

    Two different questions. Medicare: Office - 85% of physician fee for the same service (100% for incident to) Hospital - 85% of physician fee for same service (100% for shared billing) OR - First...
  20. core0

    Surgical first assist as NP?

    core0 replied to BChapp3182's topic in Nurse Practitioners, NP

    Medicare is a Federal program. It applies to all states and most (or all) Medicaid (a joint federal state
  21. core0

    NP VS. PA salary

    core0 replied to Lovanurse's topic in Student Nurse Practitioner

    bottom line the data is probably bad. on the pa side they had a total of 1200 pas which represents less than 1.5% of pas. the aapa census gets around 25% of all pas in practice. the number are much...
  22. core0

    Becoming an NP with little to no nursing experience??

    core0 replied to Blurr156's topic in Student Nurse Practitioner

    Certificate or community college programs invariably require prior healthcare experience. The average for non-masters programs is more than 6000 hours. Non-masters programs tend to be shorter on...
  23. core0

    CRNA VS anesthesiologist MD

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

    The schools that I am directly familar with have completely separate programs for PAs and AAs. They might share a few classes such as anatomy, but most PA schools use a systems based approach which...
  24. core0

    CRNA VS anesthesiologist MD

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

    AAs are not PAs. They are not trained in general medicine. They are trained in a specific area of medicine. Only in Georgia are they referred to as PAs. This is a result of Georgia adopting an already...
  25. core0

    CRNA VS anesthesiologist MD

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

    Just to make it clear AAs are not PAs. The credential PA-C is copyrighted by the NCCPA. It is only available to graduates of an ARC-PA accredited school who pass the PANCE. AAs graduate from a CAHEP...