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Sheri FNP-C

Sheri FNP-C

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Sheri FNP-C's Latest Activity

  1. Sheri FNP-C

    FNP hours

    I am a newer NP. My first job was in primary care. I thought I would love my 4 day work week (8-5) with no weekends or holidays. However, I still took call and made hospital rounds. I thought running into the hospital would be so much better than working an entire 8 or 12 hour shift. It was better, but still took much more of my day than I wanted. I have to get ready, drive there, drive back, etc. I couldn't go in my gardening apparel. I rarely left late, but the job was so mentally draining trying to see patients in a 7 1/2 or 15 minute spot while still needing to look things up several times a day was too much. I came home and just could crawl in bed everyday. Luckily, I got approached by an agency I had previously applied with and ultimately took that job. I am so glad I did. Work/family balance is important and I finally (for the first time in my life) feel that I have attained it. My new job is in a small, rural school. The hours are approximately 8:30-3, but there is flexibility...just flip the sign to open when you stroll in and closed when you leave for lunch or the day. I see walk-in sick visits and when there is a lull, my nurse calls down a student that is on her list of those who need a physical. The school kids need to be on the bus by 2:55 so I never have to stay late. The other benefit is that my children could transfer to the district I work in since I am an employee. I love the school they attend though, so they won't be moving. Summers off, school breaks off, it almost sounds too good to be true! To answer your question, I think you will be able to find an opportunity that meets your needs.
  2. Sheri FNP-C

    DEA Question

    I have a dilemma. My state provides official state issued prescription pads. The address printed on the scripts is the same one you have registered with the DEA. I will briefly be working at two different practices. Any idea how I should handle this? Do I just pre-order a bunch of scripts for my current employer before I change my address to my new employer? Any advice would be appreciated. :)
  3. Sheri FNP-C

    what to ask at the interview

    Really??? That is shocking to me. Maybe because my experience has only been at a regional high risk OB center with a level IV NICU. However, it just seems like general peds doesn't even begin to cover the potential acute care needs of say the baby born to a 23 week pregnant woman that strolls in fully dilated and delivers without time for a transfer to occur. I thought completion of a neonatal fellowship was required of NICU MDs! Thanks for the insight.
  4. Sheri FNP-C

    Does anyone have an Epocrates Essentials coupon?

    Thanks so much, it worked perfectly!
  5. Sheri FNP-C

    what to ask at the interview

    I live in NY. Here, the pediatricians do not go to the OR under any circumstances! I worked in maternity for several years before becoming an NP and the only peds people we saw were NICU.
  6. I feel so guilty asking, but I really want this expensive program. Unfortunately I am still weeks away from a paycheck and don't feel right about spending much more of our savings on my work related stuff. I hoped someone might have a coupon laying around that they weren't going to use.
  7. Sheri FNP-C

    Insurance Credentialing. . .HELP!

    Not so fast Violet29:wink2:, I work in a peds practice and needed to be credentialed with Medicare. I believe some disabled children are eligible for Medicare.
  8. Sheri FNP-C

    what to ask at the interview

    I made a lengthy list of interview questions. At my first several interviews I would jot down notes to answer my questions. On my final interview, I asked a very few basic questions because I just knew it was the job I wanted and everything else would work out. Many questions depend on your specific circumstance. I asked things like: Generally, the hours and on call responsibilities Number of patients seen per day and how much time for well child checks vs. sick visits If they could accommodate a 4 days per week schedule, but still offer medical insurance What type of person would be a good fit for the practice Their feelings about working with an experience RN, but brand new NP Until I found "the one" I was asking quite a bit about specific hours, who I would go to with questions, how insurance credentialing was handled, the typical patients I would be seeing (at one internal med office NPs weren't allowed to do physicals only interval visits), etc. Details about what I would and wouldn't be doing. The list went on and on. Good luck at your interview. Is this a pediatric surgeon? You could always say that you have no recent OR experience, but you would love to go observe. They would think you are observing the surgery, but instead observe how everyone interacts with the Dr. and you may get some interesting insight into the kind of person they really are rather than seeing only their best interview behavior. Have you looked into jobs at pediatric clinics near you? In my area, they have a really hard time finding people willing to work with the medicaid population. The job I accepted is a private peds office, but they do take medicaid so we have about a 50/50 mix of Medicaid and non-Medicaid patients. I love it, but they told me recently that even being 50/50 they have a hard time recruiting for all positions.
  9. Sheri FNP-C

    Stick it out or bail? 1st NP job-Please help!?!

    Is it an option to go with your supervising physician? I am brand new so I don't know that my opinion is the most valuable, however, I can tell you that I am extremely overwhelmed feeling as well. I can't even think about the fact that I am seeing about 1/2 the number of patients a day that I am ultimately expected to see as I get more experience. It is a rude awakening to go from being a student that could take time to make sure all your i's are dotted and t's crossed to someone trying to figure out a multitude of vague complaints, examine an uncooperative child, establish a plan, thoroughly document and fill out the billing slip in just 15 to 30 minutes! In my opinion, the overwhelmed feeling and feeling like you could be responsible for causing harm to a patient because you felt rushed are normal. You are not alone, I feel this way and several other new NPs that I have talked to feel this way too. However, so far I have supportive physicians. I had a practice agreement months before I started. I only get double booked when the doctor is double booked for every slot. I guess I am trying to say that they are super supportive so far. That is a huge difference between our situations. The mere fact that the new MDs aren't thrilled about mentoring and helping you grow as an NP would be enough to make me start looking.
  10. Sheri FNP-C

    Do most NPs start working after licensure?

    i did speak with a marsh representative online and by phone. the one month timeline was recommended by the online rep, the phone rep recommended that i obtain the rn ins. and upgrade only once i had my license. i applied for the insurance early july to be effective 7/15. i ended up being licensed a couple days before then so it was a non-issue. my marsh policy was exactly the same as the nso policy i had. it is occurrence based. in my state, nso lost money so they were now transitioning into "excess lines" policies here. i don't know exactly what that is, only that it is not the best thing. i saved a few hundred dollars and ended up with a normal policy by switching from nso to marsh. i had posed a question here before i switched and the few replies i got all recommended marsh. i had absolutely no role in the hospital before i was credentialed. they only allowed credentialed folks and students to see patients. it was completely non-negotiable. am i remembering correctly that the md wants you to follow him as an orientation? i can't see how following him would be out of your rn scope. until you have the np license though, you are required to practice as an rn. if an rn can't do it, neither can you! no medical diagnosing, ordering tests, prescribing, etc. for me, i felt like my scope was much smaller than it was as an np student. however, things may be different in your state if the hospital is going to allow you to be credentialed before you are even licensed.
  11. Sheri FNP-C

    Do most NPs start working after licensure?

    Sorry for the delay in replying. I haven't had time to check in very often lately In my situation the insurance carrier I used, Marsh, allowed me to get NP insurance as long as I had met the requirements for state licensure and expected my license within a month. Otherwise they suggested I get RN malpractice insurance for the time being and would upgrade my policy to an NP policy when I was actually an NP. Long before I was officially an NP I also started the credentialing process at the hospitals in my area. Since the reference checks can take 6 weeks or longer, they were more than willing to begin the process. I was not able to actually be credentialed until I had my license, NPI, insurance, etc. Actually, I am still waiting to get credentialed at one hospital though everything has been in for months now. Keep us posted!
  12. Sheri FNP-C

    Insurance Credentialing. . .HELP!

    Hi there. I recently accepted my first NP job in a small pediatric office. Luckily there billing company takes care of all credentialing. As I replied to a similar post previously, just getting them the necessary documentation and signing all the applications has been very time consuming and overwhelming. I would not suggest taking on this endeavor on your own. Also, the signed employment contract was one of the documents required by most insurance companies. It seems like it would be impossible to get credentialed without that. The billing company did say that lots of NPs have their charts co-signed by MDs and bill under the MDs credentialing. My practice did not want to do that, fearing that it isn't completely legal/ethical. Some insurers such as BCBS don't credential NPs unless they are independent practitioners, so there isn't any credentialing involved, you just bill under the MD. I accepted this job around June 1st. I am currently credentialed with only about 1/2 the necessary ins. companies. It really is a lengthy process. If you aren't committed, there is no harm in continuing to look even if you decide to attempt to work through the credentialing process.
  13. Sheri FNP-C

    Sigmoid volvulus anyone?

    Stool for O&P? and of course CA as David mentioned. Interesting, let us know!
  14. Sheri FNP-C


    I don't know much about Maryland or ENT, but as a new grad I was offered a f/t position in OB/GYN that also required call (phone only) and payed $62k although I would have been doing procedures that make big money for the practice. They said my salary would be in the low $70s within a couple years, but even that is a far cry from $85k. I would think it depends on the going rate for your area and how much experience you have. Let us know what you decide and congrats on the offer!
  15. Sheri FNP-C

    Do most NPs start working after licensure?

    I graduated in May. I had a total of 4 job offers, 2 came before graduation and 2 immediately after. I got the AANP authorization to test at the end of June and took the exam early in July. I got my official certificate last week. I got licensed mid July (my state does not require certification for licensure). I then had to apply for an NPI number and DEA number. NPI was issued the same day, DEA took about 3 weeks. Once that was all in place, along with NP malpractice ins., the practice needed to work on getting me credentialed with insurance companies and the hospitals I will be rounding at. So far I am credentialed with less than 1/2 of the ins. companies and only 1 of the 2 hospitals I need privileges at. I started working around 8/1 only part-time as an orientee. The doctor working with me comes in after I see the patient, does a quick exam, and signs the scripts. I think this is necessary or they couldn't bill under their name. I will officially start in September seeing 20 patients a day. I am a bit nervous...20 seems like a lot to start, but we will see how it goes. It is so much more of a process than I ever imagined. Had I known, I don't know if I would have started looking for a job so early. However, I am lucky to have worked in hospital management so I had a lot of connections in the community. Otherwise, I am quite sure I would not have had such good luck finding a job. Also, I am lucky that the practice was willing to wait for me to finally be able to work. All I can say is hang in there! Something will come along.
  16. I have tons of software on my PDA. In school I used 5 minute pediatrics and the free epocretes quite a bit along with the free CDC immunization schedule download. Now that I am practicing, I have found the epocretes that you pay for to pretty much cover almost everything I need to look up. I probably could have gotten through school with that alone. You didn't ask, but I will add anyway that the AAP book that has screeing guidelines and normal development was also great. Good luck.