TammyG

TammyG

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All Content by TammyG

  1. NPI number?

    TammyG replied to rnkaytee's topic in Advanced Practice

    NPI numbers are usually generated same day. I haven't heard of one taking 30 days. Without an NPI number, you are limited in your ability to bill. So whether you can work or not depends on what you...

  2. NP salary too low?

    TammyG replied to abcdefg's topic in Nurse Practitioners, NP

    I was offered 90 K in North Carolina as a new grad, no on-call, no overtime, 22 days PTO, really nice benefits. I took it. Friends of mine from grad nursing school were offered anything between 80k...

  3. Palliative Care NP job

    TammyG replied to kbj1125's topic in Advanced Practice

    Hospice and palliative care are very different. In hospice, the NP's mainly do face-to-face visits (repetitive and boring) with some on call and symptom management. You cannot bill your time except...

  4. new grad np contract negotiation help

    TammyG replied to samanthanp's topic in Advanced Practice

    Two things stand out in your offer. One, it is really expected that you will receive health insurance as an employee benefit. Health insurance is extremely expensive, in North Carolina the cheapest...

  5. Clinicals....how do you do it?

    TammyG replied to Jessann5's topic in Advanced Practice

    I worked weekends (12 hour shifts) and did my clinicals and classroom Monday through Friday. Ugh. It was a very long haul and I was pretty miserable. I had no choice due to a number of circumstances,...

  6. Attorney to Nurse Career

    TammyG replied to Brett73's topic in Legal

    Kala, I practice law for almost 20 years before I quit to go to nursing school. I did not like it anymore, had not for a long time, it was stressful and I was working around the clock. I wanted a...

  7. Not abusing, medicating

    TammyG replied to Colpn71's topic in Nurses Recovery

    I would think that this would be an ADA violation. Every employer must hire people with disabilities or medical conditions if a reasonable accommodation renders them fit for

  8. TPN in hospice?

    TammyG replied to Stcroix's topic in Hospice, Palliative

    I have had many TPN patients in hospice, but I am pretty sure that they all came in already receiving TPN. There are many reasons why TPN might make sense, even in the long term. For example, we had...

  9. What would you do if you knew someone was actively using

    TammyG replied to run.for.the.roses's topic in Nurses Recovery

    I would run, not walk, to the DON or employee health or whatever and tell them of your suspicion. They will keep it anonymous. They will pull her in and do a drug screen. You cannot let this nurse...

  10. Wound care certification exam

    TammyG replied to homehealthWCN's topic in Wound, Ostomy, Continence

    Woo hoo! Congratuations homehelathWCN. I am curious -- do you do just home health wound nursing, and how were you so lucky to find such a job? I would love to do

  11. non-emergencies

    TammyG replied to Fruit Sucker's topic in Hospice, Palliative

    I worked on call for several years for a large hospice that had a good triage desk. RNs would take the calls and walk the patient through whatever the problem was. Only if the triage RN really...

  12. Another new grad looking for your expertise.

    TammyG replied to Dogen's topic in Nurse Practitioners, NP

    You didn't mention if you are getting health insurance. what about vacation and sick

  13. Path to Wound Care

    TammyG replied to Fiddlesticks27's topic in Wound, Ostomy, Continence

    I have worked in several wound care clinics and none of the nurses were certified. The thinking was that the facility did not want to pay the money they would have had to pay for certified nurses. So...

  14. Wound care certification exam

    TammyG replied to homehealthWCN's topic in Wound, Ostomy, Continence

    I took the wound exam about three years ago, and yes I found it very hard. I passed by the skin of my teeth. Normally I pass those certification exams with plenty of room to spare. I did very well on...

  15. Attorney to Nurse Career

    TammyG replied to Brett73's topic in Legal

    I went to a four- semester accelerated BSN program. It does not exist anymore, recently having been changed to a four semester generalized MSN program that prepares you for the RN exam. I then...

  16. Impaction question

    TammyG replied to feelix's topic in Hospice, Palliative

    I agree with pbrown here that I have never known a hospice to refuse a patient on tube feeding. This is fairly routine at the hospices that I have worked for. However, no patient has a right to care...

  17. How much is too much

    TammyG replied to Shortone7's topic in Hospice, Palliative

    HHAs must be provided as part of the hospice benefit, if the family chooses. The HHAs are usually the most stable employees -- it has always been the nurses who leave quickly in my

  18. Is it bad or unprofessional to hide from drug company reps

    TammyG replied to Goldenfox's topic in Nurse Practitioners, NP

    Use them as a resource. They will often do research for you or make recommendations. If I have time I will talk to them, but if I don't I don't feel

  19. Productivity, 21 point per day? What does this mean?

    TammyG replied to matthdrn's topic in Advanced Practice

    Psych practices are notorious for having high productivity requirements. An MD for one of those practices told me that the practice initially asked him to sign a contract with a 30 patient minimum...

  20. Liaisons/Non-Clincial..Never seen this before!!!!

    TammyG replied to CHPNRNTX's topic in Hospice, Palliative

    Our liaisons do just about everything mentioned by the OP, and I do not see it as either illegal or unethical. Families are not contacted for consents without an MD order. Patients are not admitted...

  21. Bullying + hospice

    TammyG replied to cubelle's topic in Hospice, Palliative

    This kind of thing happens ALL THE TIME in facilities – both those run by competing hospices and often in your run-of-the-mill ALF or SNF that are more closely affiliated with another hospice....

  22. Nursing Board troubles

    TammyG replied to pwNPstudent's topic in Nurse Practitioners, NP

    What exactly is the "supervising physician issue"? You did not describe the nature of the psychiatric complaint filed against you so it is difficult to assess whether the Board's actions are...

  23. LVAD and heart failure help

    TammyG replied to doctorwhofan's topic in Nurse Practitioners, NP

    I love the cardiac modules in Up To Date, which is my go-to source for everything. It is well-written and gives you enough info to act intelligent on any level. I just read their LVAD article and it...

  24. MD gossip

    TammyG replied to orangepink's topic in Nurse Practitioners, NP

    I agree with TraumaRUs. It is best to take a good attitude about this and consider it as a learning opportunity. I would beg for my MDs to spend time watching me do exams. I get no attention at...

  25. DEA

    TammyG replied to goatmicp's topic in Advanced Practice

    The DEA sends the number to your employer via US mail. In my case, the licensing guy at my practice went on vacation and did not tell me it had arrived. I called the DEA and they would not give it...