blusueNP

I am primarily a locums FNP and was recently presented to Zoomcare (in Portland OR) for an assignment . Anyone out there have experience with this company?

I live in Muskegon Grand Have area

Having some difficulty finding a job as FNP in Michigan - seeing many jobs that do not offer benefits! Numerous ways to work around the law such as 7days on, 7 off so that you would only be working 20hrs/week and not qualified for offer of benefits. Looks like I will need to take a job that I'm not in love with - so does any NP out there have experience with in-home Medicare assessments?

Well... I guess everyone experiences it differently. Things have changed since the pandemic started in 2020. Many places got rid of departments or cut staffing and didn't see fit to rehire these people when things returned to "normal". So instead of 2-3 weeks to credential, it now takes 3months. Make sure they pay you top hourly wage and it is not all-inclusive (you pay for lodging/mileage or rental car/gas). Getting a hotel room that has a kitchenette sounds good, but in reality, these are not quality living arrangements. Think extended stay hotels - lots of truckers and section 8 government housing. Better to ask for Air B&B. You WANT a W/D..believe me. Staffcare, Consilium, ICON, Barton Associates Currently with Consilium and working IHS in MT. Takes 45 days initially through any IHS if you've never worked at a reservation before because you are being screened through federal and IHS. You better have money put aside or have a job because it will take 90 days before you start. Many IHS facilities are 200 miles from NOWHERE and you will have to drive in from wherever they put you. That also goes for rural clinics. Many IHS clinics are in areas that have high poverty/drug/ETOH. Rez (reservation) dogs are a problem. Starving, neglected dogs that don't belong to anyone, roam in packs on the reservation and bite/maul people. Just say no - go work somewhere else - certainly not worth the insane amount of time to get approval or the job itself. Was with Staffcare the longest (9 years) they are the NP branch of AMN and I was a travel RN for them also. Got consistent work through them. But that stopped 2/2020. I just finished working as WHNP for Keiser in Napa CA (nightmare job -nobody that works for Keiser FT is a happy employee). I was already to get next assignment and they pulled all the contracts because of COVID - no more full waiting rooms and no work. I did online welcome to medicare assessments for 3 months. I did a pop-up COVID testing clinic in Seattle for 2 months. Barton Associates are like dealing with a high-pressured salesman, so ardent are they in getting you to sign a contract but be careful with them.

Howdy all! Long time no write:) So I am moving to the west side of Michigan to live with a cousin and have never practiced there but I see it is a restrictive practice state. I had some experience with this when I did perm and locums work in CA. What I remember unfortunately was being treated very poorly as a provider by the physicians. The fact that I won't be able to write for chronic pain meds is actually music to my ears! Been there, done that in OR and WA . Although we all know that I can take care of a patient from birth to death and never need to write an RX that requires said DEA number, not having it.. somehow decreases my chances of landing a job. I would appreciate some advice on job hunting (perm) and really - what is it like practicing in Michigan? Please, the good, the bad and the ugly - don't be shy:)

That's quite a jump from not have prescriptive authority for schedule 2 drugs. It has to pass the senate too. In CA - it was passed by the senate but not the house, so there it sits. Don't hold your breath.

Tell them to kiss your ass in Macy's window.

I work in research - no Rx here

Residency Programs for Nurse Practitioners

He is ignorant and makes inflammatory remarks - hallmarks of his base audience

Many many moons ago a conservative right-wing republican senator presented a bill that would have given Florida ARNP's prescriptive authority for scheduled drugs - and it still has not passed. No surprise there. I started my RN career in that state in 1996 and began my NP degree there too, but soon left - screw Florida (they are stuck in the "Dark Ages") and the FMA - they can have it.

Megan5183, who is your post directed at?

"Ummm, wouldn't it be a better idea to eliminate the substandard NP programs, instead of trying to "fix" people after they graduate from those programs?" Ummm, you state the obvious.., but I don't see that happening..Too much easy money to be made from student loans. Until somebody throws the hammer down and shuts these "schools" down, there should be something in place that safeguards public safety. NP students need solid educations, not shortcuts, and that education should extend out to residencies.

I am new to the PCP game, (Graduated 1/22 with FNP post-master's cert. WHNP-BC in 2010) what I am referring to however, is the comfort level of the new NP upon graduation and certification as a clinician. I am appalled that NP residencies are not routinely offered. Of course NP's have been doing without them for years. But with the influx of substandard NP programs out there - it should be mandatory. The second statement was something I witnessed at the clinical site (as a student) before graduation. The NP was flustered and did not know how to interact with the pt (who was scared out of her wits!) The woman had been to UC the day before for the same complaint, and was told to f/u with PCP - I don't know what went on at the UC, but the woman told us that she had chest pain and heavy pressure and that it had increased from the day before. There was nitro at the clinic, but not readily available.

Yes, I am absolutely appalled that residencies are not mandatory. There are approximately 24 sites around the country - each with 2- 6 slots for applicants and everyone and their mother is applying for them. A good number are associated with universities and the associated hospital/clinics. They have so many people applying that they have their choice of candidate. Many of the FNP residencies want you to be bilingual.