mammac5

mammac5

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All Content by mammac5

  1. Adult NP asked to cover call for Endocrinology

    mammac5 replied to leahvonleah's topic in Nurse Practitioners, NP

    If it's something you're interesting in trying, you can't wait for the practice to discuss adjustments to your pay - you're going to have to bring it up. Get your numbers together (what is the going...

  2. AGNP unemployable?

    mammac5 replied to jeffsailing's topic in Nurse Practitioners, NP

    I am an ANP working in the Southeast. There are jobs advertised for AGNPs here in my area...but this is a big retirement area so that may not be the case across the

  3. New NP, ? or job search

    mammac5 replied to lynn5707's topic in Nurse Practitioners, NP

    I am in a smallish medical community and would not, personally, sign a noncompete. Otherwise it sounds like you don't yet have enough information to make a good decision. I would think you need...

  4. NP, hospital or doctors office?

    mammac5 replied to karaleighNP's topic in Nurse Practitioners, NP

    I would hate the

  5. DM II Med question....

    mammac5 replied to TennesseeNP123's topic in Nurse Practitioners, NP

    Increasing A1C on triple therapy begs for more investigation. Is she actually taking them meds? Has she made some appropriate changes to activity and nutrition? Has she gone for outpatient diabetic...

  6. Which specialty compensated the most financially?

    mammac5 replied to hik9258's topic in Nurse Practitioners, NP

    As far as I am aware, the CV surgery NPs/PAs earn the most here in my area. They work their hind ends OFF for that money, but most of them seem to enjoy being at the hospital to round before 6:00 and...

  7. FNP vs Adult NP

    mammac5 replied to Jgrill21's topic in Student Nurse Practitioner

    In my particular case, I knew I would NEVER want to treat children for anything, anywhere. Well, okay, if there was an MVA and a child needed emergency treatment until EMS arrived, I'd definitely...

  8. Different MDs. Same NP. Does anyone know the rules?

    mammac5 replied to RBull74's topic in Nurse Practitioners, NP

    Depends whether Stardust is billing his/her own patients and using his/her own numbers for insurance, Medicare, Medicaid, etc. If Stardust is billing "incident to" then the MD must see the patient...

  9. Antipsychotics and increased BG

    mammac5 replied to mtgirl81's topic in Diabetes, Endocrine Nursing

    Has this pt gained weight? The antipsychotics (Zyrexa, Seroquel, etc.) are well known to cause/contribute to metabolic disarray of all sorts, including leading to T2DM. They do not have a known tie...

  10. hypoglycemia question...

    mammac5 replied to sweetiepeas's topic in Diabetes, Endocrine Nursing

    15 g of carbs and recheck the CBG in 15 min. Four ounces of juice usually does the trick. The problem comes when the patient keeps asking for and drinking juice until he/she FEEL better...if you let...

  11. Dietary Information

    mammac5 replied to 84RN's topic in Diabetes, Endocrine Nursing

    Anything in print from the ADA is easy to find and follow...you can probably request booklets from their site or ask any endocrinology practice in your area to share. The family could also attend...

  12. Pap guidelines...

    mammac5 replied to TennesseeNP123's topic in Nurse Practitioners, NP

    Yeah, I hear ya. One preceptor was upset with me a few years ago when I looked up the ePSS guidelines for a young woman seeking birth control...she wasn't interested in doing anything other than what...

  13. Trust yourself and all you've learned

    mammac5 posted a topic in Nurse Practitioners, NP

    That's the lesson I got at work this past week. I thought a colleague was incorrect about something ordered for a patient, but didn't question it since certainly he knows better than I do because he...

  14. Questions involving a recent job change...

    mammac5 replied to har031's topic in Nurse Practitioners, NP

    Your situation is so particular and could have such financial consequences that you may not want any of our answers! I think your best course of action would be to sit down with a business/tax...

  15. Time between graduation & NP job

    mammac5 replied to luv2yoga's topic in Student Nurse Practitioner

    I took some time to remodel my closet and my office at home. Cleaned - which I hadn't really done in any serious fashion since I'd started school - and took walks almost every day. Cooked real food...

  16. Scheduling?

    mammac5 replied to Lovanurse's topic in Nurse Practitioners, NP

    In my opinion, open access scheduling should drop the no-show rate dramatically. If I call in at 10:00 for an appt today, I obviously know it's going to fit into my schedule, I have transportation...

  17. Time between graduation & NP job

    mammac5 replied to luv2yoga's topic in Student Nurse Practitioner

    Depends on where you work. I've heard of some employers actually seeing each of the new NPs patients, signing of on the chart notes, and then billing under the doc's name. Not sure how kosher that...

  18. Why do we use insulin drips?

    mammac5 replied to EGVnurse's topic in Diabetes, Endocrine Nursing

    I treat inpatient diabetes, almost exclusively for pts requiring IV insulin. We use it for pts in metabolic disarray...even those who are not diabetic! Those having major chest surgeries, pts having...

  19. oncall NP compensation

    mammac5 replied to kaylie1's topic in Nurse Practitioners, NP

    The going rate for telephone call responsibility (we don't go in to see patients, but answer after-hours calls from RNs) is $3 hour where I

  20. NEED HELP!

    mammac5 replied to Jrah's topic in Nurse Practitioners, NP

    My comments are in bold along with your original

  21. MD versus NP as a primary care provider

    mammac5 replied to icelind's topic in Nurse Practitioners, NP

    There have been several discussions here about the naming of our professions and they usually get pretty heated - we are all passionate about this, but we don't agree. My own preference is to use NPP...

  22. MD versus NP as a primary care provider

    mammac5 replied to icelind's topic in Nurse Practitioners, NP

    Time...definitely a challenge. I've been working with some educational material for practices going to the PCMH model and NPPs should have more time under that model. Chronic conditions will be...

  23. MD versus NP as a primary care provider

    mammac5 replied to icelind's topic in Nurse Practitioners, NP

    I like NPPs in primary care, particularly nurse practitioners. I realize many here will not agree with me, and that's fine, but let's not fight about it! There have been studies that show NP care is...

  24. NP program cost. Your input please!

    mammac5 replied to hik9258's topic in Student Nurse Practitioner

    In my case I had to look beyond price alone and consider how much time various programs would take. I chose an expensive program in the end because a much less expensive program close to home...

  25. Is this covered? How many units would you give?

    mammac5 replied to Kidrn911's topic in Diabetes, Endocrine Nursing

    I think the way the order is written includes what we would call at the hospital where I work Meal+Correction. The correction is for the high CBG and then the meal order is to cover the carbs that...