NPinWCH

NPinWCH

Family NP, OB Nursing

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All Content by NPinWCH

  1. Change of Name.

    NPinWCH replied to SkiBumNP's topic in Nurse Practitioners, NP

    We are primary providers, but what are we the primary providers of is the question. If we say medicine, then we are going down a path that leads us to be controlled by the MD/DOs, the AMA and the...

  2. American Academy of Family Physicians thoughts on NPs

    NPinWCH replied to SkiBumNP's topic in Nurse Practitioners, NP

    I want to clarify some of my statements. The PAs I know want independent practice. They don't want to be called Assistants anymore, they want independence, freedom and the ability to practice like...

  3. Front desk people giving medical advice

    NPinWCH replied to pedspnp's topic in Nurse Practitioners, NP

    First, there should be a policy for documenting all phone calls and messages. We've all been taught, if it isn't documented, it isn't done and that includes any advice given by any person the...

  4. American Academy of Family Physicians thoughts on NPs

    NPinWCH replied to SkiBumNP's topic in Nurse Practitioners, NP

    First, your assumptions are probably incorrect. If you are calling to see the NP for an acute issue, you'd be fine seeing the NP. I'm sure they could diagnose and treat you just fine. I see acute and...

  5. Psych Meds

    NPinWCH replied to newnp2012's topic in Nurse Practitioners, NP

    As for where I am, it's rural Ohio, not too rural. I'm within 1 hour of Columbus and Cincinnati. The problem is there are still too few psych providers even in the city and when we do get one, they...

  6. Psych Meds

    NPinWCH replied to newnp2012's topic in Nurse Practitioners, NP

    I totally agree with the collaborating MD idea, but I also totally get where the OP is coming from. If I had a resource to send my psych patients to then I wouldn't have to treat them beyond my...

  7. How to get triple board certified

    NPinWCH replied to austinj97's topic in Advanced Practice

    The only way is to complete the course work for all three and take 3 certifications. So, get a masters in one and pass the exam and then go back and finish up the other course requirements to get the...

  8. What kinds of patients do you see?

    NPinWCH replied to %63theend's topic in Nurse Practitioners, NP

    I'm an FNP, with now 1 yr experience as such, but I had 15 yrs experience as an RN. Most of my RN experience was in L&D. I work in a busy family practice with 3 MDs and one other FNP. I see...

  9. A couple questions

    NPinWCH replied to Lev's topic in Nurse Practitioners, NP

    I'll touch on your second question by saying check with your state BON. Independent practice for ANY NP varies by state. The acute care vs. family/primary care debate continues to argued, so I don't...

  10. I have a problem........

    NPinWCH replied to bsnanat2's topic in Nurse Practitioners, NP

    BlueDevil, how long did you practice as an NP with your MSN before getting your DNP and it what way do you feel the DNP made you a better provider? I also agree that one certifying body is needed and...

  11. I have a problem........

    NPinWCH replied to bsnanat2's topic in Nurse Practitioners, NP

    The ONLY reason there is no longer a differentiation between MD and DO is that the DO programs changed to mimic the MD programs. They just included their osteopathic theory and manipulation...

  12. A proposal for the future of advance nursing practice

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

    Well said and I couldn't agree

  13. A proposal for the future of advance nursing practice

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

    I only want to add that even if/when DNP becomes the standard, MSN prepared NPs won't have to worry about "salvaging" their careers as long as they keep their certification up to date. Believe it or...

  14. A few questions for current NP's

    NPinWCH replied to stephljudy's topic in Nurse Practitioners, NP

    Like other posters mentioned, it does depend on your job market, but I'd add also on your own willingness to do certain work. I've seen plenty of retail quick care clinics that offer PT or even per...

  15. Vent about healthcare

    NPinWCH replied to MomRN0913's topic in Activism, Healthcare

    I'm an FNP in family practice with another FNP and 2 MDs. I provide annual well visits for women on a regular basis and have found early, and not so early cervical cancers and breast cancers. Myself...

  16. How many ARNPs get administrative time?

    NPinWCH replied to lizfnp's topic in Nurse Practitioners, NP

    I chart as I see patients as well, but that doesn't leave much time for answering messages, going through transferred records, dealing with labs, dx results, writing and reading referral letters,...

  17. How many ARNPs get administrative time?

    NPinWCH replied to lizfnp's topic in Nurse Practitioners, NP

    I'd love to get admin time, but I don't. I'm expected to see patients for 40 hrs/week. This aggravates me since the docs in our practice get 4 hours/week and I usually see more patients than they do....

  18. Are online ANP degrees destroying our credibility?

    NPinWCH replied to jilljw's topic in Student Nurse Practitioner

    For the record, I have my MSN from an online program from a brick and mortar school and I've been actively recruited by the military and yes they do use FNPs, CRNAs, Psych NPs and I believe CNMs as...

  19. Can NPs prescribe meds for off label purposes?

    NPinWCH replied to Cessna172's topic in Nurse Practitioners, NP

    I'm in Ohio and as long as my collaborating agreement states that I can prescribe medications for off label uses, then I can. I do it all the time. I'll use gabapentin for pain syndromes (already...

  20. OB as new grad possibly interested in FNP?

    NPinWCH replied to ktliz's topic in Ob/Gyn

    I don't have much to add, but will say that out of my 15 years of nursing experience prior to becoming an FNP, the last 14 years were in OB. I won't say that med surg/ICU/ER experience wouldn't have...

  21. Advance Practice Nurses and Pain Management

    NPinWCH replied to bsnanat2's topic in Nurse Practitioners, NP

    I don't work in pain management, but due to lack of this specialty in my very rural area see way more of these patients than I would like. Most of the time a referral to pain management gets a patient...

  22. Shoulder Dystocia Drills

    NPinWCH replied to feisty's topic in Ob/Gyn

    I worked OB in a rural hospital with the same staffing you mention for 15 years. We did drills. It was part of our yearly re-orientation/safety training. It's like any other mock code and we used the...

  23. AANP Certification process?

    NPinWCH replied to FNPdude74's topic in Student Nurse Practitioner

    They need your FINAL transcript. You said you sent one August 1, but finished August 12, they need a transcript from after you

  24. Why is it too soon to pursue FNP, My Plan......

    NPinWCH replied to jaznia15's topic in Nurse Practitioners, NP

    Wow! I'd LOVE to only be expected to see 70-80 patients/week. I see between 20 and 25 patients a day, with an occasional slow day of 15-18. At my current rate of seeing patients I might make the first...

  25. Why is it too soon to pursue FNP, My Plan......

    NPinWCH replied to jaznia15's topic in Nurse Practitioners, NP

    I want to point out a couple of things. First, you sound like you will have to be working and going to school at the same time. You may not be at work for 60 hours, but you will be working for AT...