Pachinko

Pachinko

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  1. Transitioning Back to Bedside

    I’ve been an FNP for about 8 years. Love my job, decent pay, stable as of now. But with the over-saturation of NPs here and the possibility of lower wages and worsening working conditions, I have to keep open the possibility of transitioning back to ...
  2. This thread is not about debating the merits or risks of single payer/socialized medicine in the US. It is about impact on pay for providers. I was reading a thread about this topic on another site, and a poster suggested searching federal NP jo...
  3. Veganurse, I spoke to ***** at the number you provided and it helped a lot. I answered my own question as well, so, for others' reference...she advised completing the fingerprint requirement before renewing. You request the Livescan paperwork from th...
  4. THANK YOU. Posting this was very generous because my head is spinning with conflicting information. This helps. So I am supposed to submit my application to renew first with a "no" for completing the fingerprint requirement, then submit the Livescan ...
  5. Would you be willing to walk away?

    The question is too vague to answer well, but I would be hesitant to leave a profession that requires giving up a license. Renewing your NP requires a certain number of direct patient care hours per annum I believe. At least now, that license entitle...
  6. Full Practice Authority

    Very true. And yet, multiple studies show that NPs provide quality primary care. Why is that? It’s an interesting question. I used to work bedside in a unit with lots of NPs. In that setting, roles were sharply demarcated, with MDs directing the care...
  7. Everyone is different in terms of learning needs, but I would strongly recommend working in a hospital before doing FNP. ICU is the best because so much happens at bedside; you get to see diagnostics done and resulted and see how medications and inte...
  8. RPRs driving me crazy

    I have a patient with a positive RPR, titer 1:4, and a negative confirmatory test (FTA-ABS). I do not think that it needs follow up. One of my colleagues does, as does another, but they do not agree on the follow up. Pt is asymptomatic. What would yo...
  9. I say, no problem! I will offer to see the patient for this appointment only or to simply schedule with MD. I would rather know up front if a patient has a problem with NPs so we are both spared problems.
  10. Low Salary @ the VA as NP

    I looked at pay for LA and not only are NP jobs insanely low, but I make more as an NP than their starting physicians do! Sorry, but you're not going to attract talent that way. It's crazy, and a bummer--I would like that population.
  11. Oversupply of Nurse Practitioners

    Sorry, I would edit my post above to include this but don't see an edit button The majority of my real education came from bedside. The hospital is also where MDs receive their real, experiential education. I worked in different ICUs for about 8 ye...
  12. Oversupply of Nurse Practitioners

    In this climate, I would not become an NP unless I got into a school with name recognition. It gives you an edge not only because of reputation, but because those programs are more likely to set you up with clinicals instead of making you find your o...
  13. Weird constellation of symptoms. Thoughts?

    I have a 60 yo Indian male experiencing chronic itching in his ears, recurrent angular cheilitis, hair loss, eye watering, and scalloped tongue. All of this has developed within the last year. All B vitamins and thyroid are normal. He is a controlled...
  14. When to use Quantiferon?

    Apparently there is a new Quantiferon test that is less time intensive to perform (not cheaper though). It's new to our clinic system at least. I am not able to find guidelines for determining whether to use PPD or Quantiferon with patients. Quant is...
  15. Question about insurance coverage and FQHCs

    Just curious, why do you have it? It's my understanding that the gov takes over and defends cases of malpractice leveled against a clinic.