All Content by AnnaN5
-
ER pain treatment after accident without ID on the person?
I think she was referring to a discharge script for controlled substances. I have heard that being practice to not give scripts for controlled substances without identification
-
Should I just go with this expensive college?
You can not use your grandparents information if your mother claims you, even if you live with your grandparents. Much like even if you live independently if you are under 24 you still have to provide your parents financial information.
-
NP clinical what to expect
My first clinical course was focused on H&P's so we were expected to spend most of our hours doing that. I did my hours with a cardiology NP so spent a lot of time doing admission H&Ps and also rounding on the floor. We had a head to toe physical assessment check off prior to the start of the rotation so we were expected to hit the ground running at clinical.
-
PTO for CME?
Unfortunately $1500 doesn't go far if you want to go to a major conference. The AANP yearly conference is around $700 plus additional fees for workshops. Adding in airfare, hotel, etc adds up. If you are lucky enough to have some local conferences that helps on the costs.
-
PTO for CME?
My current position is $2000 and 5 days for CME plus 4 weeks PTO. My previous position was $3,000 and 5 days for CME plus 6 weeks PTO. Does your DEA/certification/licenses etc also come out of that $1500?
-
New NP-Negotiating a Salary
Did the offer of 86,500 include any incentive bonuses? I think that would make a big difference in the overall package. I recently made the switch to a family practice office with a similar salary but I have the ability to make up to $25,000 more based on productivity. I also received a sign on bonus, relocation package, 4 weeks PTO, 1 week CME plus $2,000 for CME and benefits. The salary is unfortunately pretty standard for my area but feel the rest of the package helps.
-
Are people getting meaner, or am I just going soft?
Had the same type of day earlier this week. Had a patient tell me "that's why I didn't want to see you, I wanted to see a real doctor" when I refused to give her narcotics. Told her I would gladly consult with another provider in my office who also refused to give her narcs.
-
Head to toe assessments?
https://batesvisualguide.com/ Videos on that site and they also have a print book
-
Insurance & Weight Loss Meds
I understand that but unfortunately insurance companies don't care so if they have that requirement they won't pay for any meds until it is completed. You have to figure out what rules they have or what hoops they make people jump through
-
Insurance & Weight Loss Meds
Have you called your insurance and find out what they do cover or look in the formulary? Contrave is a combo pill and Saxenda is an injection so your insurance may require other medications to be tried first before they will cover those. Or they may not cover obesity medications at all. Some insurances require you to do a certain amount of time with weight watchers (that they pay for) before they will cover further therapies
-
Are you listed as a PCP?
I am in Michigan. Have my own panel of patients, am listed in the chart as the PCP. We do not do incident to billing in our office.
-
Jane Doe, RN, AAS, BSN, MSN, CCRN BFD
I agree you should just list your highest degree and then your license. The license (RN) gets listed last because that is the only thing you can lose - at least that is the way I was always taught. Ex. BSN, RN not RN, BSN
-
Potential Nursing student in the dark
All of those colleges require you to be licensed as an LPN or RN first because they only do bridge programs. They do not have programs (as far as I am aware) for people who do not have prior LPN or RN experience. You won't be able to find an online nursing program that isn't a bridge program (LPN to RN or RN to BSN)
-
Follow up after annual physical
It can be a hard situation. I see the office's point of view. I recently made the switch to family practice so am seeing a lot of patient's new to our office. Many of them are "well controlled" on their HTN, lipid, etc medications and want a year's worth of refills at their initial visit because they are about to run out. I order lab work and give them refills but then of course they never go get the labs done. I personally don't feel considerable continuously prescribing meds when I don't have any labs to review. That provider may have been burned by the same type of situation in the past.
-
Any HRSA 2015 Applicants?
Mine is still under review What is the score of the facility you work in?
-
Would you be willing to do this?
Sounds like he is looking for someone to do the 500 AHA forms for free. I've recently made the switch from inpatient to outpatient setting so I'm not even sure what an AHA form is. I do not do a ton of paperwork in my new role. Is this even a form that has to be completed by a provider? How is filling out forms going to show him your clinical skills/knowledge? I'd run far far away
-
Adult Gero NP wants to become FNP
I am an AGNP as well. 2 classmates did the post masters FNP through UMass Boston. It is 12 credit hours and 300 clinical hours
-
What is your biggest struggle
My collaborating physician and I were just talking about the certification exams the other day. I mentioned that I was surprised that ANCC and AANP haven't moved towards re certifying by exam since that is the norm for PAs and physicians. Not that I want to go through that but it would help in making NPs a little more respected maybe. I recently switched from working for a hospitalist group to working family practice and nursing home rounding. Even though I have only been a NP for a little over 2 years a lot of knowledge got rusty in my brain so my textbooks are getting a work out again!
-
Working while getting my NP
Do you know the breakdown of how many clinical hours you have to complete per semester? That would be helpful. We didn't have clinical the first semester so I continued to work full time. The other 3 semesters we had 200ish clinical hours to complete. I dropped down to per diem because I also had a baby the first semester.
-
Interview next week....UM/UR
Sounds like you will be reviewing documentation to justify the DRGs and other codes being billed. Hospital I previously worked at had a similar position. These were also the people who would leave notes for the providers in the charts asking them to specify type of heart failure, why they may not be on appropriate medications for a certain diagnosis, etc
-
Another "Find Your Own Preceptor" Thread
Unfortunately people should not pursue schools that provide no assistance in finding preceptors. I went to an in state school's hybrid program. We had topic feelers out for preceptors but they had a long list of preceptors that have been used in the past and were willing to take students. I lived on the opposite side of the state of the university so they didn't have many existing agreements with preceptors on my side of the state but were very helpful with resources and setting up the contracts. I used a large health system they had never used before so the contracting back and forth between the school & system's legal departments took awhile but I didn't have to do anything with that piece. For the students who have to find their own preceptors, does your school contract with the provider/office/health system?
-
Graduating with $15K in debt and they wont let me sit for boards :(
Do you need the transcripts from the other school to send to the BON? I had a previous degree then graduated from an ADN program. Some of my credits transferred over to my ADN but I never had to send my first degree transcripts to the BON. You would have already had to send the transcripts to your current school if they were allowing some transfer credits so I'm a bit confused how this is becoming an issue now. Also how did you not know you owe that large sum of money?
- Need some help from my fellow APNs - interviewing for hospitalist position....
-
MSN then obtain FNP certification?
I agree to just do the FNP from the start. If you do a post masters FNP that will still require ~30ish credit hours and 500-700 clinical hours.
-
NP replacing RNs in ER?
I think it is more than just NPs not wanting to do bedside care. Would you expect the MD/DO/PA to be the provider and bedside caregiver for patients in the ED? No so why would anyone expect that of NPs?