jer_sd

jer_sd

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All Content by jer_sd

  1. DEA number?

    jer_sd replied to yelper42's topic in Nurse Practitioners, NP

    California is kinda wierd NP must have 6 month experience post graduate to obtain a furnishing number to order medications and devices. As long as you are allowed to prescribe in your state you can...

  2. AMA must be disturbed

    jer_sd replied to ERNP's topic in Nurse Practitioners, NP

    Sorry for the confusion. When I said I would have dr. And credentials, I meant that it would clarify what type of practitioner I am. This will likley never happen since I have no desire to go for a...

  3. AMA must be disturbed

    jer_sd replied to ERNP's topic in Nurse Practitioners, NP

    There is more to health care than the inpatient setting. ODs are considered primary care providers for visual health, DCs also function as primary care providers with direct patient access for...

  4. The Doctors Want Me...LPN and Labs

    jer_sd replied to MYRN2016's topic in Nurse Entrepreneurs, Innovators

    This could be a good idea. Both phlebotomy and urinary cath have CPT codes so it is a billable service. Since you would only br preforming these tasks after receving a order from a doc there should...

  5. AMA must be disturbed

    jer_sd replied to ERNP's topic in Nurse Practitioners, NP

    I think it is also targeting ODs and DCs. Both of these proffesions are frequently called doctor. In addition the part where if you are not a MD/DO/DDS you can not claim to have equivilent training....

  6. Ultrasound for art lines

    jer_sd replied to PICC ACE's topic in Certified Registered Nurse Anesthetist, CRNA

    I have use a site right and sonosite for venous and arterial access. The sonosite is much better for imaging quality, site right easier to

  7. what barriers to practice can you think of?

    jer_sd posted a topic in Nurse Practitioners, NP

    Ok so lets exclude MD colaberation, and being listed on insurance pannels, and dea registration limitations what other barriers do you experience in your state? Here are 3 that came to my mind today....

  8. no RN in the OR just techs

    jer_sd replied to gooch951's topic in Operating Room

    Go to the california medical board website and lookup the position on ambulatory surgical centers. I believe off the top of my head that is they provide concious sedation or anesthesia in an...

  9. OR nurses operating C-arm Fluoro?

    jer_sd replied to peddler's topic in Operating Room

    Depends on state law. In cose to 13 states radiologic technologists are not certified or licensed by the state so the administration of ionizing radiiation is not a controlled act and anyone can do...

  10. ER RN to EMT?

    jer_sd replied to ERRN629's topic in Emergency

    Not to give shortcuts but rns in california can challange the emt basic exam. I did a full emt course about 10 years ago and let my certification expire. I may challange to reinstate the...

  11. Ultrasound vs. Nursing

    jer_sd replied to Yannie021's topic in General Nursing

    Ok here is my disclamer I am not a sonographer I am a nurse practitioner for a radiology group and the director of a nuclear medicine school. I preform and interpret ultrasound examinations as part...

  12. Residencies

    jer_sd posted a topic in Nurse Practitioners, NP

    Ok here is a question I have been wondering about. Why do NPs have so few residency options available? Physical therapists, optometrists, pharmacists, physician assistants all have optional...

  13. Business Ideas

    jer_sd replied to TRAUMARN96's topic in Nurse Entrepreneurs, Innovators

    Well here is one that might work with your cath lab background. Offering a mobile nurse seadation service, contract with various providers to go to there office and provide moderate sedation including...

  14. Peels and micro together

    jer_sd replied to mharrah's topic in Nurse Entrepreneurs, Innovators

    If you want to supress melanocytes there are some rx and otc products availiable. hydroquinone 4% is an rx i write a lot, 2% is otc. Kojic acid also can work if someone wants a more natural...

  15. asa/plavix resistance

    jer_sd posted a topic in Nurse Practitioners, NP

    Hey everyone here is a question that is comming up in my practice: Should we screen all PVD patients for asa/plavix resistance? My isue is if they are resistant then I would need to change...

  16. Peels and micro together

    jer_sd replied to mharrah's topic in Nurse Entrepreneurs, Innovators

    Depending on how agressinve you are it may increase the risk of hyperpigmentation especially in skin type 4 and above. Are you placing patients on melanocyte supression prior to treatment if so this...

  17. NPs doing Botox

    jer_sd replied to Missy84770's topic in Nurse Practitioners, NP

    I have included botox into my practice so here is what I have found... Allergan is not midlevel friendly they need an MD unless you are an NP in arizona (that is what they told me why did they pick...

  18. NP vs MD Pay

    jer_sd replied to cgfnp's topic in Nurse Practitioners, NP

    Well in that case more agressive NPs should look into employment contracts that pay according to RVUs rather than just a set salary. Keep in mind E+M reinbursement looks ike it will be going up this...

  19. Anyone know about PMHNP to Psy.d/Ph.d?

    jer_sd replied to 91W's topic in Student Nurse Practitioner

    In california NPs do not have a seperate scope of practice from a RN. Nursing functions can be preformed without physician collaberation. Making a medical diagniosis, and RX require MD/DO...

  20. Hospital FA Preference: PA versus RN

    jer_sd replied to Kabin's topic in Operating Room

    One issue that may cause a prefrence is billing for assistant services. RNs and RNFAs are extremly hard to bill for from Medicare. Private insurance varies greatly. NPs and PAs are easy if they have...

  21. More aesthetic roadblocks

    jer_sd replied to mharrah's topic in Aesthetics

    Well since you are licensed as a nurse you fall under the nursing board. As long as you are allowed to preform your procedures in your state you should not have to deal with the cosmetology board....

  22. Do you think NP independance push may backfire on us?

    jer_sd replied to PNP2005's topic in Nurse Practitioners, NP

    You bring up some good issues to consider. Looking back to nursing we all diagnose and treat existing or potential health issues, and the responce to illness. As much as I hated learning nursing...

  23. Doctoral degree to become an NP???

    jer_sd replied to VickyRN's topic in Doctoral Nursing Degrees

    when i read the vision paper i was supportive of this new change. look at many of the doctorial programs now are 6-8 years (you can still get into med school with 2 years college same with...

  24. How long before NPs will be able to do surgery solo?

    jer_sd replied to platon20's topic in Nurse Practitioners, NP

    10 years f on the job training is great I am sure you are an expert at your job and excell at your field. But that woudl be different than if a nurse were to actually be in a residency or fellowship...

  25. How long before NPs will be able to do surgery solo?

    jer_sd replied to platon20's topic in Nurse Practitioners, NP

    Well if I read this thread correctly we are all in agreement that if an advanced practice nurse would ever do selective surgeries solo they would need further education and training. If a nurse has...