DizzyJ DHSc PA-C

What does the job description say?

It was Stahl's Essential Psychopharmacology. Excellent resource!!

PAs have independent practice in North Dakota and fairly close to it in Michigan (no supervision/delegation by a physician, defined as independent prescribers, require a participating physician agreement).....more to come over the next 1-2 years. A ...

The scripts are e-prescribed and I don't believe you can send them ahead of time like that. What I ended up doing was having patients email be directly asking for a refill for ADHD meds and I would give them an off month from coming into the office....

If it is the same place....I worked there for 1 1/2 years when we had just one office....I have many stories. In regard to refill on schedule II....it was a practice policy that we must see monthly and not a state law.

This sounds very familiar to me. . . like I have lived this very same practice. If you don't mind me asking...where do you work? I'm in Ohio now, but spent some time in outpatient psych in Sacramento.

If you want to do minute clinic, then you would need FNP. They see kids 18months and older. If you want to do IM, then AGNP would be fine.

CRNAs have a January 2022 requirement for doctorate degree

I would be sure to do pulm rotation. More then one would be good. Hopefully, mingle with the right pulm office and get a job offer.

You can do pulm without an acute care NP. You could have issue doing inpatient rounding only if the hospital has a restriction that inpatient NPs must be acute care trained.

When I worked outpatient psych I did med management only. The other PA and NP did the same. We had therapists (LMFT, LCSW, and LPC) and recommended to all patients to see one of them.

When I did outpatient psych I worked 9-6. 3 pph 9-10, 4pph 10-12, 3 pph 12-1. Lunch 1-2. 4pph 2-5, 3 pph 5-6. A new patient would take 2 slots during an hour I was seeing 3 pph. When I joined the practice the patients were already used to the pr...

I would sit her down with the office manager and tell her directly that her ordering tests without your direct order to do so can be considered practicing medicine/nursing without a license and this ends now.

Wow...PA looking in from outside perspective, but how can someone become an NP without a clue about any of this? Yes, some states are confusing when applying for a license, but to become an NP without any knowledge you must still maintain your RN lic...

Most providers don't graduate feeling competent practicing. Competence is developed after time in practice. Have you done any clinicals yet?

When I was a student, I signed my notes PA-S I or II, meaning first year or second year. We had to identify who we were. Now-a-days if using EMR it will already be reflected in your electronic signature you are a student. Agree with aok7, about li...

Doubtful a company has a procedure manual stating NPs can't do work that is beneath them. They can have you empty the trash and mop the floor if they wanted. They could have just laid you off, but instead kept you on. Being that you already work a...

**not an NP, but my thoughts** Yes, you can keep your current job. Yes, PNP-AC should manage inpatient peds/ER, but you are also an FNP. So, you will have training for both inpatient and outpatient. I would guess that the program recommended AC be...

I've had jobs require the completion of online training prior to my start date and never was paid. I had a job that required me to spend 2 full days, a so-called "weekend retreat", for orientation without pay. There is no harm in asking for pay, bu...

UpToDate is actually category I for PAs NPs can use them as well per their website American Association of Nurse Practitioners (AANP) UpToDate is approved as a provider of nurse practitioner continuing education by the American Association of Nurse P...

Obviously, you have no understanding of the PA profession and no literature to support your outrageous statement. Endangering patients?!?! A provider who does 500 hours of clinicals, they scheduled on their own, is endangering patients.

I always feel both professions are set back decades when someone says “mid level”. PAs are “generalists”. However, we only practice within our scope of experience, training, and education. So, if one is practicing in derm, then they would have to ...

Many think it makes a very strong argument. Clearly providers can be made independent with less training then a PA. What many don’t realize is that a lot of PAs already practice independently in reality. Having a doc say they looked at 10 charts a ye...

Overall, accurate depiction of the problem. There is absolutely no reason PAs shouldn't gain independence as well.

I would do a lot of review and look into an urgent care conference/boot camp. I would apply for part-time/PRN urgent care position, after finishing a boot camp, and be sure you have good support from other providers in the office. Certainly, it wou...