ggoodman

NP"s can get G11 step 10 with 4 years exsperiance as a NP. Benefits includes time off, Student loan repayment, and Leo retirement pension which is 1.7%x 20 years then 1% for 21+ years. There are also other options you can choose such as retaining bonus, hiring bonus. In my opion this makes it close to what one can make at private office. However one gets to retire in 20 years with a pension instead of working 30+ years. if you have more questions feel free to PM me.

Currently a NP, work 40hrs per week. Great benefits. 12 patients per day. please send me PM if you have other questions.

Hello I am working in Pain management and completing other injections My supervising physician and I are getting a C-ARM. Were discussing training me to do epidural and facet injections. I was wondering if you guys would talk to me bout the training credentialing process. Please PM me. I live in N. Florida. Trying to identify rules regulations which would cover this.

Thank you for posting information like this I am a year out from finishing but I believe that the pay in my area is so wide spread due to negotiating ability. We are not informed about physician pay structures in school hence we do not know how to negotiate appropriately.

well this thread has gotten very interesting. As an end result the hospital backed down and is only requiring FA training for RN's understandably to open and close. The you cant do it as your school didn't train you argument is ludicrous. I am an OR nurse manager something I received no training for in RN school, yet I can scrub and circulate. The same argument would hold true for ER, endo, radiology, cath lab, neuro lab and any other procedural area. It's called OJT and there is only one way to get it.

I was told it was a national Law. I live in Florida so I am trying to find the statute with no luck.

I work in a busy level two trauma center's operating room and I am also in school to be an ARNP(finish in 17 months) My faciliting is enacting a rule they say was in a law passed in 2015 requiring ARNP's to have a first assist certification in order to assist in surgery. Has any heard of this requirement for ARNP's

Each of us get to know our service, the doctors their preferences, you are relied upon and counted on. unlike the floor there is direct communication with the MD. when something goes wrong or is delayed they don't call your boss they call you and ask WTH, we form a team some even take call together this leads to a tight bond. This tends to make the OR a little hard to get into. Most of us are type A control freak. What I look for in a new team member is: are you self motivated, can you keep up with the pace, and can you learn. I am happy to teach some one the same thing one twice, three times number four i'm frustrated and the doctor doesn't want you in the room. I have yet to find a surgeon unwilling to teach. While your new, you should NEVER be sitting there is always something to do if you have nothing to do watch the surgery until you KNOW what comes next. Stick it out and you'll find your nitch, at some point you'll fiend that work is not work and it's hanging with friends. I'm on a first name basis with a few of my doctors and all of them know when I tell them it cant happen it cant, and when I bring something to their attention they need to address it. This can be a great job but it comes with a hell of a learning curve. one more thing, stand up for your self. Dont be rude but show your confident and you'll find people will treat you like it. Sorry for ranting.

I ran an open heart room for while before I became a nurse manager, if you want to work hard and be a part of something life saving amazing and challenging at times go OH. We really save lives as in if we are not successful the patient dies. Sometimes this happens despite our best efforts.

Thanks for the responce, I see my ignorance of the situation has led me to make assumptions that may not be. I get the omission of counts when we are doing true life saving procedures where minutes make the difference the counts go out the window and we shoot an x ray at the end.

after lots of talking with the wife and the recruiter I am planning on going into the reserves after I pass my boards. Wife does not want to move the kids. Id get the higher rank, train locally, and the opportunity to VOL for deployments. And uncle sam would chip in to the debt I've now acquired, while I get to serve those who serve our country.

There is no central command presence, It is apparent they have not worked together, the tech has to be told how to use the drapes. It seems there is discussion about sututre/ silk ties. The Docs are not doing there part (IE mask your self, gown and glove yourself, assess patient develop mental plan). Nurses job should be Airway secure, prep drape patient, start. Tech should open laps, sharps, instruments, drapes while airways is secured, patient is prepped. We practice this for trauma cases. This weekend we had unrestrained MVC with rollover and extended extrication patient. From in the room to start we are a ~15 min for a propper sterile set up and less than 5 for quick and dirty fix it or they die type stuff. We operate on OR tables and have done cases on stretcher as there was not time for transfer. I came from a large militaristic metro fire department and expected the same structure and cooperation from the military. especially for what is seems to be a dedicated team who sole function is rapid deployment with rapid initiation of life saving surgical procedure. I realize this is all armchair quarterbacking, and rather than ***** about the system I should work to change it. Which I have started, I have contacted the local Reserve office and have begun the process or joining with the intent to join and FST, or at least get involved in the training process.

Tell me what you do Weekend nurse manager, Whatever needs to be done How do you start your morning, or night? Coffee, oatmeal Do you ever assist? Clamping? Suture? Intubation? Yes to all What kind of surgeries do you see on a daily basis? Gen, ortho trauma, hearts, neuro How do you feel at the end of your shift? tired

in researching FST's, which in talking with a recruiter I would be eligible to join given my background. I found a youtube video posted in late 2016 of a field training excersize and I must say it pissed me off. Is this considered par? I am a nurse manager and run the show when it comes to acute surgical trauma and what I see in this video disappointed me and prompted me to follow through with my plan of finishing grad school and then signing up to serve as an OR nurse in the reserves. I am not trying to bash anyone this just pissed me off.

From my perspective, if you are new to the OR and are not in your heart rotation is is not worth my time to really get into every aspect of an open heart case, you wont remember it. Hearts can be very busy and for the most part I am acutely attentive to the needs of the field and the status of the patient. The OH room is not the place to learn the basics of circulating. I always start my OH orientees when they are in their OH rotation watching the first day at the head of the bed. I exspect them to watching every part of the procedure from the intiall intubation to the transfer of the patient to ICU. IMO a good or nurse is two steps ahead of the field and can see things coming. When the **** hits the fan I have serve not only the surgical team but also perfusion, and anesthesia team. our basic OH rotation is 3 weeks and by the end I expect my orientees to not only be able to run the room but be able to tell me about the soft goods and instrumentation as well. When I am in the charge role I keep tabs on the heart and I am always available to those rooms when it gets bad as in this room it is truly life and death. Sorry for ranting.