ruralnurs

Yes I know that the term "midlevel" bothers many people. A CNM friend was once at a social gathering and introduced by a doc (that she felt she had a very good, respectful relationship with ) as a "physician extender". I think midlevel sounds better ...

Hi, I am currently working in an in patient psych unit and we are looking at creating a "midlevel service". I work with another NP and a PA. We have a hospitalist psychiatrist and the administrators are looking at ways to improve. Currrently the doc ...

CharmedJ7, Thanks for the response. It looks as if we are going to have a service where we will be given between 4 and 6 pts to be responsible for. We will still do rounds for some of the other pts and have responsibility for all the admision H&P...

"I suppose one could refund their money if they do not Rx an ABX. This would satisfy the customer monetarily and increase trust in the clinic, but then the NP is not making the clinic money, and less business income means over time equals closed door...

As mentioned in a post above, people are TRAINED to use the ED for primary care. I used to do ED and loved it and saw the same thing. If EDs used EMTALA the way it was designed it would eventually work. If a person come in for a non-emergency, like ...

I was not sure how to name this topic. I am an FNP and just recently a psych mental health NP. I have been approached by the state university where I live to help consult on improving the mental health education of the non-psych (mostly family) NPs....

yelnikmcwawa, Thanks for your response. I just don't know if I buy it. I agree that all women should be given all options to them, but in my limited experience I just see our nation has become a people that want things easy and fast and with minimal ...

This is somewhat dependant on the state you live in. A FNP has a very broad scope of practice, birth to death and in my state an FNP can practice in specialty areas (I have FNP friends that work just in mental health, obstetrics, pediatrics and ED)....

I was an RN at a very small hospital that did not do high risk OB, so the two docs that did OB really tried to keep things as low risk as possible. They DID NOT do elective inductions and God forbid an elective C-section. I seldom saw internal monito...

Thanks for the input BCGradnurse. I think that one of the things I hope to put into the program is simple tips and pearls. I have read someplace (don't remember where) that about 70% of anxiety and depression is treated by primary care providers. So ...

I drive 75 miles one way. If I am lucky and there is no snow or ice and the deer stay off the road I can do it in an hour and 20 minutes. If not it takes longer. I left a job that I could walk to in 90 seconds for this job and it is well worth it. ...

Thanks for the response Zenman. I do think that more indepth psychological disorder education as well as psychopharm. I feel evidenced based medicine is so important and so many non-psych providers (in my experience) don't do evidenced based care b...

I looked for info on the NP section but found nothing so thought I would post here. I am an FNP and recently graduated with post masters psych NP. I have a great job that allows me two 5 day stretches off in a row each month. I am thinking of star...

I recently graduated as an FNP in 2006 and just last week finished my post masters as a psych NP. I have had way more interest in me as a psych NP than an FNP. I wanted to work in out patient family medicine but got a much better offer as a hospita...

We have it in MT and NPs can sign for the "Green card" (as it is known here). http://www.flatheadbeacon.com/articles/article/whitefish_doctor_fined_over_medical_marijuana_clinic/17859/

A doc in Montana getting in trouble for prescribing practices in relation to MMJ (AKA the "Green card" here). http://www.flatheadbeacon.com/articles/article/whitefish_doctor_fined_over_medical_marijuana_clinic/17859/

For those that are on salary...if you need a whole day off for whatever, do you have to take PTO (or wathever it is called in your organization) or do you just take the day off and you still get your regular salary? Also...how many hours do you norma...

coreo, thanks for taking the time to respond. the time off is as you explain it. if i work 2 hours i get paid for the whole day but if i need a whole day off i have to take pto. as far as 8s or 10s. i am not sure… my pa colleague that i mention sees...

when i was looking for preceptors i would find someone through advertisements (yellow pages, google the area for nps, etc.) and send them a nice letter introducing myself (resume, some personal info, contact info for my clinical instructor at my scho...

"By placing marijuana on another scheduled medication list, doctors could more easily prescribe the potentially useful substance". But then insurance companies, and taxpayers (you and I) will be paying for some one to get high. If it needs to be le...

Would we save money? It would be taxed and expensive we know that. And most of the folks that would "need" it would be chronic pain, cancer what have you and they would probably be on Medicaid, Medicare, Disability, etc. and then guess who pays for i...

not sure how i made two posts, but this one has been spell-checked! the other piece (after thinking a bit more on this) is that the way the new guidelines are, if a person does not have a uti when they come in to the hospital and they get one while t...

ooops

There is research out there (don't have a reference right now) that periodic strait cathing is less likly to cause infection than an indwelling catheter. This is a big thing in OB as some docs want a mom to have a foley as soon as an epidural is pla...

This is so true. The PA I work with (in a small rural clinic that has an MD come a couple times per month) x-rayed a guy with suspected pneumonia. The radiologist read it as having a "rounded pneumonia." The PA did not buy it, he has been a PA for 1...