Neuro Guy NP

Yes, having an office staff had nothing to do with the collaborator. The collaborator is there only for your medical decision making, not your business decisions. Business decisions include whom to employ, etc. Do yourself a favor and consult a nurse attorney to ensure all aspects of your NP business conform with Georgia law. You unfortunately don't work in an autonomous practice state, so the investment is worth the money to spare misery later. Check out TAANA to find a nurse attorney.

Agree with above. Also, do yourself a favor and stop using the term mid-level. The quality of care you give is not mid-level, right? You strive to give top notch care according to your training as an APRN, I'm sure. Remind him of the policy and speak with the chair of emergency medicine about the issue and see what he or she advises. Frame it as a quality issue. You could say something like: 'So and so changes orders without communicating with me. This results in me being unaware of the change in plan of care and unable to properly follow up on tests and manage the patient. Additionally, if he disagrees with my management, per the policy, he needs to assume management of those patients.' You could also go over a couple cases and see if your chair gives you any feedback. Ideally, you could have a conference including the problem physician and your department chair and see why he finds this behavior necessary. Does he believe you need to develop your knowledge base more? Why does he believe that and what evidence is there to refute or support that assertion? Or does he do it just because he believes he can and he has some axe to grind with nurse practitioners and physician assistants? P.S. Work with him as little as possible!

I've held an appointment at a medical school. Taught lecture in the classroom and also clinical teaching as well. It was very fun experience, but I was the only nurse faculty member. I taught in the same fashion as physician faculty in the phase 1 part of the curriculum, but did perceive my professional growth would be limited beyond the level of faculty, so I returned to Nursing education. I wanted to progress into leadership roles - and have now in nursing education - but this was not going to be permitted in the medical school. For example, to progress to Assistant or Associate Dean, all required an MD or DO degree. And I knew that I could do those administrative roles as well as anyone else, so I chose not to stay where I'd be hampered. Best of luck to you

No, there are 26 U.S. states with FPA PLUS certain U.S. overseas territories with FPA as well. I think that's what you're thinking of with the higher number. Guam is an FPA territory and maybe Northern Mariana Islands I don't think Puerto Rico and American Samoa have FPA. Also unsure about the Virgin Islands.

There are ENP programs at certain schools. They're often labeled 'FNP in Emergency Care' program, though sometimes dual FNP/ACNP. Either way you have dedicated ED rotations plus either family med rotations or ACNP rotations if a dual ACNP program. Rutgers has an ENP program.

Yep. People need to familiarize themselves with the consensus model.

I can't help but notice you are posting multiple questions that revolve around the same topics. I think you and I have conversed before about fellowships too. I'd suggest you just do some research on this site and elsewhere. This and several of your other questions have been discussed ad nauseam.

Agree this is absurd. Don't even think about it. And how confusing it must be for fellow staff RNs who can't keep straight what role you're performing in, and now throw in being an RN and NP in same day! Nonsense. Agree with another poster, go get another job at another facility where there will be no role confusion.

Been discussed here multiple times. Do some research by searching the site and you'll find plenty of answers.

I suppose the OP could just start criticizing the wife when she comes home complaining about coworker "xyz" did at the office. What's sauce for the goose is sauce for the gander...... ? of course that may not end well for the OP. But seriously speaking, I agree with a previous poster about not being the wife's teacher, etc but at the same time it's very important to have someone to come home to and be able to vent about your day and trust that you have a compassionate ear, even if they don't understand the medical field completely. So it can't hurt for the OP to try to explain what NPs do. It can be demoralizing to have a really good (or bad) day and have NO ONE with whom you can debrief. Many times we don't get that at work because at the end of the day everyone is just ready to get out of dodge and get to their own families. So ultimately, I'd say my scales tip towards the OP and that maybe the wife could try being more understanding, with the caveat that the OP not be too antagonistic or patronizing.

It's $888 as of this renewal cycle ?

I'd say precept with whomever holds the appropriate work experience and willingness to precept. Of course you can do a rotation with a physician. That should never be a question. As for others, keep in mind that ACNPs make up only about 7% or so of the total NP population, last I recall. Most I believe are clustered in urban areas. So your pickings are a little slim depending on where you live in terms of finding another ACNP. So I think any NP working in the inpatient environment should be fine, given this fact.

They take a long time. Trust me, I know as I'm also licensed there. It's a chronically understaffed board, from the board members themselves (several vacancies) down to lack of administrative staff. It doesn't help that when you call you aren't actually talking to BON staff. Rather,, you're actually talking to customer service reps in the Division of Consumer Affairs that essentially triage issues for the various professional boards, etc... Keep harassing them.

It would seem to me that marketability might suffer a bit starting in Hospice. Your skills and knowledge managing acute medical issues and working them up will atrophy because your focus in hospice isn't aggressive medical care, "just" promotion of comfort. It may be wise to do hospitalist to start and then transition. At least later you can point to at least having done something acute later if you want to go back to acute care environment.

Depends in hospital bylaws, which usually covers this. It also depends on whether you're credentialed to bill and if the hospital wants to collect 100% by having the surgeon write an addendum documenting his participation in the patient's care. Otherwise, with NP care only it's 85%, full practice authority state or not. It's not generally legally required to have the cosignature, but the above factors that come into play.