TX RN

TX RN

ICU, CV-Thoracic Sx, Internal Medicine

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All Content by TX RN

  1. What were your "dealbreakers" or "must haves" with your first job?

    TX RN replied to lynnaprn's topic in Nurse Practitioners, NP

    Most won't "give" you anything. I remember when I first started out feeling "honored," for a lack of a better word, that I even was offered a NP position. I was too quick to take the offer without...

  2. Benefits

    TX RN replied to RN97MSN10's topic in Nurse Practitioners, NP

    In my practice the docs and NP's/PA's get the same amount of vacation time and sick leave. The break down is kind of like this: 1. Sick leave = 7 days/year 2. Vacation = 3 weeks/year 3. CME = 1 week +...

  3. What were your "dealbreakers" or "must haves" with your first job?

    TX RN replied to lynnaprn's topic in Nurse Practitioners, NP

    I'll start with the deal breakers. 1. uncompetitive pay 2. taking call without call pay 3. lack of orientation time 4. practice with no prior history of NP (IMO, newb NP's need an established practice...

  4. AST and ALT levels after open heart surgery

    TX RN replied to cruisin_woodward's topic in Nurse Practitioners, NP

    All just comes down to perfusion. Valvuloar disorders like any other cardiac related disorder places pt's at risk for "low flow," i.e., decreased perfusion. You can read up on De Ritis raito. This is...

  5. Should i become a nurse practioner or wait?

    TX RN replied to lolalola1's topic in Nurse Practitioners, NP

    This thread is

  6. Lifestyle/ what to expect

    TX RN replied to lolalola1's topic in Nurse Practitioners, NP

    Comfortable. Not extravagant but it's "good." Mon - Fri = 0700 early hospital rounds then clinic work by 0900. Out by 5pm or 6. Moonlight every other weekend with a different group. Inpatient care...

  7. Is this acceptable behavior I think not

    TX RN replied to pedspnp's topic in Nurse Practitioners, NP

    +1 Couldn't have put it better myself. Only thing I would add is to remind this individual that the patients are who we are there for. I can not generate revenue without patients. Meeting their needs...

  8. A proposal for the future of advance nursing practice

    TX RN replied to hoosier guy's topic in Nurse Practitioners, NP

    Great! Tone is so important in getting a point across that sometimes I feel my posts lack clarity and leave the door open for misinterpretation. I too get tired of the PA vs NP comparisons. Both...

  9. A proposal for the future of advance nursing practice

    TX RN replied to hoosier guy's topic in Nurse Practitioners, NP

    Unwritten requirement? That sounds really official. We wouldn't want to go not meeting all the requirements, written or not, now would we? LOL Just messing with you. Sounds more like what you're...

  10. A proposal for the future of advance nursing practice

    TX RN replied to hoosier guy's topic in Nurse Practitioners, NP

    Your post here is somewhat laughable. Sorry but there is just so much fail here that I'll have to go line by line and point things out. I couldn't have made myself more clear when I posted that I...

  11. A proposal for the future of advance nursing practice

    TX RN replied to hoosier guy's topic in Nurse Practitioners, NP

    Please don't misunderstand my intentions in posting my comments regarding clinical experience comparisons between PA and NP applicants. Let me be very clear, my post is not intended to say one is less...

  12. Texas Children's Hospital

    TX RN replied to Amoeba09's topic in Texas Nursing

    I'm going to tell you how to land a spot at TCH. You have to call HR directly and be persistent. Do not ask if you can interview. You must ask WHEN you can come in to interview. I know it's still...

  13. A proposal for the future of advance nursing practice

    TX RN replied to hoosier guy's topic in Nurse Practitioners, NP

    I wonder if the patient contact hours are region specific. I'm familiar with the two local PA programs in the Galveston and Houston, TX area (Baylor and UTMB). Neither of which require PA applicants...

  14. A proposal for the future of advance nursing practice

    TX RN replied to hoosier guy's topic in Nurse Practitioners, NP

    Keep in mind that PA applicants are not required to have any clinical experience/exposure. A bulk of the disparity between program credit hours between PA and NP programs is in the clinical hour...

  15. Would you do it over again?

    TX RN replied to Brittany2206's topic in Nurse Practitioners, NP

    I would have gone the med school route. But, I love being an NP. So don't misunderstand me as saying that I regret my decision. I think PA's have a great educational program structure. You can't go...

  16. Your thoughts on specialty clinical sites.....

    TX RN replied to studentANP's topic in Nurse Practitioners, NP

    New Mexico eh? We'll have to chat zenman. I'm considering making a move to a different state in the next 2-3 years. Scope of practice will play a big role in decision making. And yes, once again I...

  17. Your thoughts on specialty clinical sites.....

    TX RN replied to studentANP's topic in Nurse Practitioners, NP

    If you plan on taking a job in primary care, I would also recommend psych. Like zenman recommended. Reasons, #1. Endo, cardio, renal, ob/gyn, etc.,: Making referrals to these specialists is easy. A...

  18. NPs and ACOs

    TX RN replied to shannonFNP's topic in Nurse Practitioners, NP

    I think this was decided when Patient Centered Medical Homes (PCMH) were defined as physician led only. Legislation for ACO's had to follow what the "standard" was/is at the time, given that medical...

  19. Appropriate starting NP wage

    TX RN replied to DuckFan23's topic in Advanced Practice

    So are you employed by Evercare? I see Evercare patients now, combo Medicare state Medicaid policy

  20. A landmark decision in my workplace

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

    ^^ Core0 Sorry, don't mean to get into a back and forth about coding. As it's unrelated to the OP thread. I brought it up as a question since OP mentioned seeing a lower volume of patients compared to...

  21. A landmark decision in my workplace

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

    Coding and reimbursement is not that simple. I wish it was. But let me back up a bit. I'm speaking in terms of Medicare/Medicaid reimbursement from CMS. Although this also includes the "commercial"...

  22. Relatively New FNP in Urgent Care Setting

    TX RN replied to DuncanBella2012's topic in Nurse Practitioners, NP

    1. Splinting 2. Suturing simple wounds 3. Joint aspiration 4. Trigger point injections 5. + A few others I'm sure I'm forgetting........ Do what you're comfortable with. Funnel the rest to the other...

  23. A landmark decision in my workplace

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

    Regarding billing: Does your employer review with providers how much their individual billing codes bring in? My understanding is not all coding is created equal. Meaning one 213 from one pt may...

  24. Calling in abx for yourself

    TX RN replied to pedspnp's topic in Nurse Practitioners, NP

    #1. Get a new MD. #2. State boards frown upon self-diagnosis and treatment. I know it seems trivial, but don't put yourself out there like that. Get someone else to call that in for

  25. Just saying no to drugs.

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

    ^^^It's "clinical discretion," that drives decision making in conjunction with EBM or the lack there