myoglobin

myoglobin ASN, BSN, MSN

ICU, trauma, neuro

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All Content by myoglobin

  1. NP Hates from Physicians?

    myoglobin replied to Myec's topic in Nurse Practitioners, NP

    Yes, but telehealth is not limited to Psych NP's. One can also do aspects of FNP on a tele basis. Also, my central thesis is for "NP owned/managed practices" whether they be tele or in person. I...

  2. I Really Do Not Want the COVID Vaccine ?

    myoglobin replied to AspiringNurse94's topic in Disaster Preparation

    Also in addition to seeing your PCP and reporting you should do the things that often help reduce inflammation such as getting at least 7.0 -9.0 hours sleep, daily exercise, and a diet low in high...

  3. The economics of PA vs. NP

    myoglobin replied to subee's topic in Nurse Practitioners, NP

    My assertion for NP quality equivalence is limited to primary care. I believe that the data (even for Psych where I practice) is limited and lacking overall. However, in any case without regard to the...

  4. The economics of PA vs. NP

    myoglobin replied to subee's topic in Nurse Practitioners, NP

    Well, in Washington state where I practice IP I advertise CAM approaches and lifestyle interventions. One could not be much more outside the mainstream unless I started doing energy field manipulation...

  5. The economics of PA vs. NP

    myoglobin replied to subee's topic in Nurse Practitioners, NP

    Again, even in non IP states like Florida (well we technically just became IP) even as a first year NP I found no less than four MD's willing to "sign my charts" for anywhere from 5-10% of gross...

  6. The economics of PA vs. NP

    myoglobin replied to subee's topic in Nurse Practitioners, NP

    We can argue studies all day. Bottom line NP IP is growing and is unlikely to slow let alone reverse. Thus, we are winning and that is a good thing for NP's and probably also for

  7. NP Hates from Physicians?

    myoglobin replied to Myec's topic in Nurse Practitioners, NP

    Yes, but with tele health you don't necessarily have to live where you work. Thus, my clients are in Washington state and my house in Florida. Thus, I have the advantage of my 28K per month in...

  8. NP Hates from Physicians?

    myoglobin replied to Myec's topic in Nurse Practitioners, NP

    Also a "typical" Florida based scenario would be Dr. C (where I did clinical for about a year). There I was offered around 100K with benefits. I would have been expected to see from 25-32 patients per...

  9. NP Hates from Physicians?

    myoglobin replied to Myec's topic in Nurse Practitioners, NP

    Yes, but I was replying to a particular individual who may or may not be in California. In all likelihood one of the jobs that you reference that pays 200K with benefits in California would generate...

  10. NP Hates from Physicians?

    myoglobin replied to Myec's topic in Nurse Practitioners, NP

    Using the "dynamic" at the company I work with you would have been paid $291,000 - 30% or (87,300)- $680X12 or 8,170 (office fee/service fee)= Thus your gross would have been $195,530. The problem...

  11. Nearly impossible to find NP jobs

    myoglobin replied to mrsannRN's topic in Advanced Practice

    Also, if I were to pay myself a "salary" I'm not sure when I would be able to "distribute" the rest of the profits. I pretty much "spend what I earn" throwing a bit towards debt, silver,...

  12. Nearly impossible to find NP jobs

    myoglobin replied to mrsannRN's topic in Advanced Practice

    There is some logic in that, but I think the "self employment" part of the tax ends at around 142K as Social security isn't taxed beyond that amount. Also, I would have to "calculate" the...

  13. Nearly impossible to find NP jobs

    myoglobin replied to mrsannRN's topic in Advanced Practice

    That's the thing "the company" books all of my appointments, schedules followups, bills insurance, collects payments, provides office space. The only thing I do is see patient's, order medicines...

  14. Nearly impossible to find NP jobs

    myoglobin replied to mrsannRN's topic in Advanced Practice

    I use the term 1099. Not sure why you say I could not use S-corp or C corp. Technically, the company I work with requires that you be a PLLC or a C corp but they made an exception and let me be a...

  15. Nearly impossible to find NP jobs

    myoglobin replied to mrsannRN's topic in Advanced Practice

    Results will also differ. Even when I worked W-2 as an RN I didn't get health insurance or vacation paid (I elected for the $8.00/hr bonus pre Health care reform act and they grandfathered me in)....

  16. Massachusetts now has Full Practice Authority

    myoglobin replied to umbdude's topic in Nurse Practitioners, NP

    So Cali will allow IP after three years of Cali MD supervision, but still doesn’t require NP’s to pass ANCC boards? So even if in ten years after building successful practices in Wash, Oregon,...

  17. Yes, Employer Can Require Covid Vaccine

    myoglobin replied to TheMoonisMyLantern's topic in Disaster Preparation

    Well stories like this https://www.bloombergquint.com/politics/norway-vaccine-fatalities-among-people-75-and-older-rise-to-29 are not likely to put your mind at

  18. Yes, Employer Can Require Covid Vaccine

    myoglobin replied to TheMoonisMyLantern's topic in Disaster Preparation

    The bottom line is that unless you want to move to Wyoming and start your own business (and be willing to not fly on planes, hold a passport and do other common things) everyone will eventually...

  19. Yes, Employer Can Require Covid Vaccine

    myoglobin replied to TheMoonisMyLantern's topic in Disaster Preparation

    The person you were replying to was making your point. Their position is that the disease itself is likely to cause more long term issues than the vaccine. If you are concerned about getting this...

  20. Nearly impossible to find NP jobs

    myoglobin replied to mrsannRN's topic in Advanced Practice

    Remember that the reason that employers offer benefits isn’t out of love or generosity, but rather because they can extract more perceived value from the employee for a given expenditure than they...

  21. Massachusetts now has Full Practice Authority

    myoglobin replied to umbdude's topic in Nurse Practitioners, NP

    It makes "logical sense" however it was my impression that it violated the AMA's "soft approach" to opposing IP for NP's rather than outright opposition. The trend in other states (like the recent...

  22. Nearly impossible to find NP jobs

    myoglobin replied to mrsannRN's topic in Advanced Practice

    I would say that 100K with great benefits is more like 150K 1099. Most employers don't contribute more than about 10K towards the health insurance premium. Most other benefits like vacation and...

  23. Question on prescribing controlled substances in California

    myoglobin replied to FullGlass's topic in Nurse Practitioners, NP

    With the E script I use MD Toolbox although my company uses Advanced MD (which I cannot figure out for medication ordering). Anyways, I send three electronic scripts for 30 days, each dated at the...

  24. Massachusetts now has Full Practice Authority

    myoglobin replied to umbdude's topic in Nurse Practitioners, NP

    It's also a very good thing that "one route" to get to the two years is to work under an IP NP. In some other states this is not an

  25. Question on prescribing controlled substances in California

    myoglobin replied to FullGlass's topic in Nurse Practitioners, NP

    I thought that the Stark Act prohibited sending labs to a facility where any of the MD's (and one would presume NP's) had an interest? Also, I don't charge for paperwork. I think as long as you send...