Rnis

Rnis BSN, DNP, APRN, NP

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All Content by Rnis

  1. Medical billing and coding for NPs

    Rnis replied to Azureshunter's topic in Nurse Practitioners, NP

    My work paid for us all to take a

  2. Dumb Newbie

    Rnis replied to rapids123's topic in Doctoral Nursing Degrees

    Good luck to you! I think it is common for nursing students to consider their clinical experience "unpaid RN" work. But to be honest, it's not even close. You have the patient's RN and your...

  3. Do not understand scheduling issue

    Rnis replied to SoundofMusic's topic in Advanced Practice

    This is our scheduling practice where I work. We do not work on RVUs so the expectation is that Dr. 's can take patients off our schedule and they get to fill first. Thankfully they usually take...

  4. Thoughts on doctors and management styles

    Rnis replied to SoundofMusic's topic in Advanced Practice

    One thing I have learned in the NP role is that "performance reviews" aren't really a thing. Our organization requires quarterly reviews and they literally just throw the numbers/print outs (RVUS...

  5. Requirements for nursing faculty

    Rnis replied to saheckler's topic in Doctoral Nursing Degrees

    I don't think so. You could perhaps teach as an adjunct for community health nursing but I can't imagine that you would be able to teach nursing in other

  6. Domestic violence

    Rnis replied to ehcaseyAPRN's topic in Advanced Practice

    I don't believe this for a second. That is not holistic care to try and dictate who a person can and can't bring with them to an appointment. A lot of people have anxiety about medical professions...

  7. Domestic violence

    Rnis replied to ehcaseyAPRN's topic in Advanced Practice

    You will likely hear a totally different story from him. I have had this happen before and I generally try to direct to counseling (from the perspective of marital counseling) when I can but I...

  8. Should I sign other NP's order

    Rnis replied to lisazhang's topic in Nurse Practitioners, NP

    I think somebody has to provide the continuation of care. I always read previous notes if I'm unsure but I generally refill medications . I also provide refills for narcs for the mds and pa on my...

  9. What diagnostics can NPs order independently

    Rnis replied to DelightfulNP's topic in Nurse Practitioners, NP

    Um I order pretty much anything...... definitely CT's and

  10. DNP program cost.

    Rnis replied to wayemika's topic in Doctoral Nursing Degrees

    I have been doing a little bit of research on this. I am not going to the cheapest program because I like how the program I selected achieves the 1000 clinical hours (if you are a NP, you can count...

  11. My first contract!

    Rnis replied to ddzdenise23's topic in Nurse Practitioners, NP

    your counter sounds good. I think their vacation was too low (especially without CME or time off for it) . Best

  12. Terminal diagnosis

    Rnis replied to NervousNP's topic in Nurse Practitioners, NP

    It's hard....but that responsibility as a PCP is as a liaison. They trust us to be honest and forthcoming. I wouldn't be able to give prognosis , treatment advice for the hepatic carcinoma.....so...

  13. Functional Medicine/Trigger point injections

    Rnis replied to Cindy-20's topic in Nurse Practitioners, NP

    I see these jobs posted a lot, I haven't personally met someone who does this role. I would not have a concern about trigger point injections (as long as you received training) but prescribing...

  14. How often are you asked for opiates?

    Rnis replied to bryanleo9's topic in Nurse Practitioners, NP

    I prescribe daily, I say no daily. I follow current guidelines with how I prescribe. Most of my prescriptions I write are refills for physicians that I work with who are out for the day . I am not...

  15. FP Notebook

    Rnis replied to aerorunner80's topic in Nurse Practitioners, NP

    Not even close. I think FP notebook is fine for a quick lookup but up to date is best when you really need guidance on challenging case. My work pays for

  16. Thinking of giving up FNP program

    Rnis replied to Guest838984's topic in Student Nurse Practitioner

    I love my job. I do make more than i did as an RN. More importantly i have normal hours and I am treated as a professional. I wouldn't want to go back to floor nursing

  17. Quit my job

    Rnis replied to Mcmtg's topic in Nurse Practitioners, NP

    Are you even doing incident to billing??? (it has nothing to do with who is listed as the pcp) That is not something we ever do where I work. That being said, I think your reaction is really...

  18. Stress level: RN vs. NP

    Rnis replied to NEMurse95's topic in Nurse Practitioners, NP

    I see about 13-16 patients a day in primary care.. i close my charts at the end of the day without a lot of issue. I usually have down time. hands down my job as a NP is less stressful than when...

  19. Question about first job

    Rnis replied to Shawna82's topic in Advanced Practice

    I don't think it is an option where we work , it is just the expectation....but we have so many physicians in our dept alone that there is always someone to ask questions

  20. new grad NP contract negotiation

    Rnis replied to travelRN555's topic in Nurse Practitioners, NP

    That is a nope..... they are only offering you 20 hours a week of work..... they don't get to say you don't work elsewhere. by saying they have to approve it they would be essentially freeze you out...

  21. Dislike ER nursing, FNP still good choice?

    Rnis replied to Nurseof10years's topic in Student Nurse Practitioner

    Primary care isn't like an er at all. somewhat controlled environment in that you only have so many appointment slots. most things are things you see day in and day out. I do a lot of MSK...

  22. Discouraged FNP student

    Rnis replied to Missybaby36's topic in Student Nurse Practitioner

    It's hard to know since I don't know the details of your specific program. I think it's normal at this stage to be a little terrified and to have the imposter phenomena (there are articles written...

  23. Jobless FNP

    Rnis replied to Nicola301975's topic in Nurse Practitioners, NP

    This! This isn't going to solve your problem. I understand your frustration but definitely don't lock yourself into a 2 year contract. At 40 patients a day.......they are making a killing off you...

  24. Leaving new position

    Rnis replied to escapebigd's topic in Nurse Practitioners, NP

    I have never started a new job that i don't have buyers regret 1-2 months in. That is kind of normal. I have always stayed and ended up liking the job in the end. At my current job, the other...

  25. Regret Becoming an NP

    Rnis replied to psych.nurse's topic in Advanced Practice

    At the school district my child used to attend the majority of the school nurses were nurse practitioners. I am not sure how that worked but i know from talking to the nurse at his assigned school...