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. I've applied for an FNP program and hope to work in a clinic setting helping underserved populations. I've had five years of bedside nursing, mostly med-surg and cardiothoracic ICU. The prospect of prescribing meds and diagnosing patients is exciting...
  3. 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...
  4. 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...
  5. 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 ...
  6. 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...
  7. 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...
  8. 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...
  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. 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...
  14. If I buy malpractice insurance today, will it cover me if I'm sued in the future for something that happened before I had the insurance? I'm not talking about buying insurance when you are under investigation or a lawsuit has been filed. I mean buyim...
  15. Yale GEPN 2018

    Is tuition for this program $135K total?
  16. From NY to California, LA?

    Dranger is correct. You might find something cheaper if you scour Craigslist, but a 1 bedroom in a decent area will be around 2k, a 2 bedroom 2.5k. S/he's also correct about salaries of 120-140k. If you decide to rent, try to find a rent-controlled b...
  17. Metal worker needs MRI

    I have a metal worker with severe radiculopathy. Has undergone CT, EMG and is being told by both neuro and ortho that he needs an MRI. Ortho apparently told him that he could undergo a simple eye exam and that this would be sufficient for clearing hi...
  18. Metal worker needs MRI

    All very helpful, thanks.
  19. Metal worker needs MRI

    Thanks. What about metal embedded in skin? Is that a concern?
  20. "Noctor?" Offensive title?

    It's better tham "midlevel," which I find extremely offensive. Because, you know, MD=high level, NP/PA= mid level, and RN= low level. It's a political term. Noctor as a combined nurse/doctor is kind of cute, but I've only heard it referenced as a co...
  21. Odd patient medical issue. Help?

    I have a primary care patient who is demonstrating neuro changes. She developed numbness and tingling of fingers bilaterally and slow onset right-sided facial weakness over the past year. When I checked her lab work, she was found to have extremely l...
  22. Odd patient medical issue. Help?

    Thanks for the help.
  23. Future Market Saturation

    I would be careful about doing online/for-profit NP programs. When hiring gets competitive, companies will likely look toward educational background in making hiring decisions. Its similar with law. There's a glut of lawyers, and those from top ten s...
  24. Nurse Practitioners or FNP salary in Bay Area/San Francisco Area

    In the Bay Area, a family of four with an income of 100K annually is considered "low income" and qualifies for low income housing. http://www.cnbc.com/2017/05/12/if-you-make-105000-in-san-francisco-youre-considered-low-income.html
  25. I quit the PA rat race.

    Non Sequitir, you would look much better with some soft curls, and lay off the neck exercises. Your rationale for NP school is good. Working bedside is where you will receive your real education. Start with whatever unit interests you most and will h...