allennp

No, it was a closed complaint, and he said it was never even brought up.

I think there is so much varability you can not average what a NP does, plus just pulling data from folks complaining on a Internet forum skews the data a bit also... I have a totally cool job flex hrs, great team, mostly inpatient, bit of clinic, OR...

I used to be 12's, 10'sand 8's in a busy UC. Working 12-15,shifts a month, but lots of evenings, and weekends, holidays. Now in a academic center 4 days a week combination of hrs with a total of 80 hrs every two week. Painful part is doing rounds at ...

I think Boston frames it well, it's a problem of some inconsistent preparation with some schools not prepared to develop the NP role fully in my opinion. Related is my opinion that we should have more clinical hrs mandated, 1000 at least. This seems ...

I work in a academic trauma (level1) center with lots of residents/interns/ fellows. The system uses NP's more than PA's for the benefit of our independence and billing ability. Pretty much no NP's in the ICU's in my center, the interns and residents...

On my list of 10 things I worry about, this is around 14 or so........ - but I will rise to the bait! I suppose provider works in the ED/UC, it's also easier on staff to just say .....the provider will be in... Rather than worry about if it a PA, NP ...

As bio said collaboration is the key. You are much as I was when I started, i had been a airlift/ED/icu RN, then became a FNP and soon was in my neighborhood UC, I could ID sick folks but it was those in between and I soon found that it was a bit of...

I recently changed positions and my contract was for two months which I did not disagree with. As a provider we are important to the success of the system we are with and not easily replaced. Plus once accepting a position it takes at least a couple...

Well I think you are taking the best step now by identifying the problem and searching for solutions. You can have a contract that can say most anything, I knew of someone who had her own drawn up. I do not know what state you are in and the level of...

As far as ID goes there is a travel medicine cert throughout the international society of travel medicine (ISTM) pretty tough cert. i I

Well I have no collaborating MD or anyone, I am in a major academic center. We have a NP over all the NP's .....maybe 160? She just processes admin stuff, has no interest in our clinical practice...at least mine it seems. I am as appropriate part of ...

Practice I was in before now was hourly and paid for time charting. It was a busy UC in support of a hospital and large private practice primary/speciality group. Busy with complex workups at times. They would rather have us spend time doing good doc...

http://www.merriam-webster.com/dictionary/cocommoditized i looked it up!!!!! :-) good points I like it clean it up and should could be inserted into a syllabus for many a NP program. A

Great conversation. I struggle with this issue. In my state which has independent practice for NP's I am aware of schools that push folks with a BS or a MS thru a RN program then two more yrs to sit for FNP boards, then they are out practicing? After...

As Juan said in here in WA state we see very few ACNP, and most.... All??? Of inpatient positions are held by FNP at least In The university and level 1 centers. Mostly the same in the private hospitals around that I am aware of. The larger center...

Toradol and zofran, then maybe some prednisone. IV benerdryl but with caution as I have heard that it can be problematic with causing euphoria. Rarely narcs......very rare. Never tried Iv dex.....might give that a try!

well stick with it! I have no ability for precognition here! and sorry I have no advice on schools. cordially a

I am going to be a fly in the ointment here....hopefully respectful and advise you: 1. if you need to work full time, you are not ready to commit to being a FNP student. 2. A brick and mortar school though no guarantee of success offers a more profes...

Charting question to me? I use templates (otitis is a good example, fairly basic similar exam), in Epic, also use dragon voice dictation which helps, always.....almost knock out at least my HPI may defer my medical decision making note till later, t...

Well I see a similar issue in my practice. I think a bit of it is experience, also though in a way I think it might reflect somewhat the difference between the medical model and nursing model that as a RN for so long I still retain. I know docs that ...

It's a bit of balance with acuity. I am in a UC and see 2-5 a hr, I have CT/US with RN staff and the workups can get occasionally a bit complex and with arranging follow up. I have fellow providers who may hammer thru 35 pts in a ten hr shift and the...

Good article I agree here is the link,. http://www.ftc.gov/system/files/documents/reports/policy-perspectives-competition-regulation-advanced-practice-nurses/140307aprnpolicypaper.pdf#page1 a

Consensus model rather poorly named, for a number of states its a reduction in ability to practice and in my opinion a continued fragmentation of the the NP role that confuses the rest of our medical colleagues and restricts my ability to practice. S...

The easier nut to crack in my area is urgent care. We have far more FNP/PA to MD/DO ratio in the urgent care clinics in my area, close to 2:1, and there are more NPs than PAs currently. I think this is because the urgent care clinics are less resista...

I see very few ACNP if any as inpatient, almost all are FNP or ANP. Plus most hiring teams want a FNP type to have a comprehensive overview so as to integrate families/discharge/ admission issues, as well as the multitude of chronic and acute medical...