casias12

casias12

Cardiology nurse practitioner

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All Content by casias12

  1. Suturing class near Schaumburg, Illinois.

    casias12 replied to nurselove757's topic in Nurse Practitioners, NP

    My favorite video. I close all the time, primarily using interrupted buried sutures, or simple interupted sutures. Sometimes a mattress suture if the patient is kind of big. No class can teach you...

  2. Is this Fraud?

    casias12 replied to Bonosgrrl's topic in Nurse Practitioners, NP

    This is not correct. Incident-to billing allows for billing under the physician NPI at a higher rate as long as the NP/PA is following the alread-established diagnosis. Adding something new requires...

  3. Compensation for Call Pay

    casias12 replied to Alicia777's topic in Nurse Practitioners, NP

    I guess it depends on a few "professional" factors. 1) How confident are you that you can handle situations appropriately. If you can handle most things until sun-up, and avoid bothering the on-call...

  4. Liability insurance

    casias12 replied to NewbieFNP's topic in Nurse Practitioners, NP

    What a ridiculous thing to say. OP. If you are in a clinic and provide your own insurance, of course they need to verify this. It is their right to know that you are covering the patients you see...

  5. Capitalization of Advanced Practice Nurse / Advanced Practice (speciality) Nurse, etc

    casias12 replied to LessValuableNinja's topic in Advanced Practice

    I do all caps.

  6. Do NPs get training?

    casias12 replied to EagerToBeFNP's topic in Advanced Practice

    Someone once said a cardiologist could be replaced with an app, a primary could be replaced with a Wal-mart greeter. I took that to mean that PCP's just refer patients out, loosely, by the body...

  7. Do NPs get training?

    casias12 replied to EagerToBeFNP's topic in Advanced Practice

    "I have visited some of the best and the worst prisons and have never seen signs of coddling, but I have seen the terrible results of the boredom and frustration of empty hours and pointless...

  8. Do NPs get training?

    casias12 replied to EagerToBeFNP's topic in Advanced Practice

    Welcome to the real world. Most provider groups are small, and can't afford the luxury of extended training for someone who has been trained to a Master's degree level. I imagine he is putting you...

  9. UHC NP job info

    casias12 replied to Jamijlewis's topic in Advanced Practice

    As Flipper points out, they are going through "structural changes", but they are usually in a state of confusion. Most of their "programs" come and go because they are all pilot programs. I worked...

  10. RN to PA

    casias12 replied to RNPA93's topic in Advanced Practice

    Any NP practicing independently in an indepent state. I know several. Is that

  11. RN to PA

    casias12 replied to RNPA93's topic in Advanced Practice

    You are entitled to your opinion, but you are wrong on a few key points. How do they say it? You don't know what you don't know?”. Anyway. Training is only a tiny portion of becoming an advanced...

  12. RN to PA

    casias12 replied to RNPA93's topic in Advanced Practice

    You are much better off going from RN to NP. A nurse practitioner will always be a better degree. PA's will never operate independent of physicians in any state.... ever. NP's, on the other hand,...

  13. To Float a Swan

    casias12 replied to rhinoroc's topic in Certified Registered Nurse Anesthetist, CRNA

    Ummm.Ok.No. It doesn't pass through the right atrium into the PA. It goes from RA to RV then to PA. ECG waveforms don't change when it passes through. You read the pressure from the tip of the...

  14. How not to suck!

    casias12 replied to NP2bman's topic in Nurse Practitioners, NP

    I feel the same way. I was a nurse for 15 years, and worked closely with physicians to gain trust and write "verbal" orders for things that made sense. As time went on, I think autonomy and...

  15. Urine Drug Screen ....surprise!

    casias12 posted a topic in Advanced Practice

    I thought I would present a case that occurred recently at our practice. For the purpose of anonimity, we can assume that all of the identifying details have been changed. A very pleasant 68-year-old...

  16. Urine Drug Screen ....surprise!

    casias12 replied to casias12's topic in Advanced Practice

    It wasn't a surprise to me. I just wanted to present it that way to see what comments would be generated. This was a fictitious patient, but it did present several legitimate scenarios. 1)...

  17. Keeping your maiden name

    casias12 replied to orangepink's topic in Nurse Practitioners, NP

    I had a friend who was going to become Shiela Long-Dong. She decided to stick with Shiela Long (First name changed to protect the innocent). But her husband remained Dr. Dong, instead of becoming Dr....

  18. How not to suck!

    casias12 replied to NP2bman's topic in Nurse Practitioners, NP

    You are way too nice Jules. Dude, if you are this far in and feel like, this....do us all a

  19. Current ACNP job market for new grads

    casias12 replied to Motherofcorgis's topic in Advanced Practice

    I would be reluctant to pursue acute care NP as a primary graduate degree. If you have that much time, and are already an RN, go for FNP as the primary degree, and possibly pursue acute NP as a...

  20. Urine Drug Screen ....surprise!

    casias12 replied to casias12's topic in Advanced Practice

    Not trying to be insensitive, but this just doesn't happen in the real world. A $55 office visit just doesn't cover all of that, and it happens often enough, a clinician just has to have a plan ready....

  21. Urine Drug Screen ....surprise!

    casias12 replied to casias12's topic in Advanced Practice

    I did. As others have said, we sent out the urine for confirmation and I gave her the one week refill and a follow up. I don't jump to any conclusions on a dipstick test, unless it shows an illegal...

  22. Urine Drug Screen ....surprise!

    casias12 replied to casias12's topic in Advanced Practice

    All good answers and queries. We use a contract, and check the PDMP database every time we see a patient for a controlled substance refill. There were no benzo prescriptions on the list for her. A...

  23. Need tips on where to look for backup, please.

    casias12 replied to AngelfireRN's topic in Advanced Practice

    I am kind of late to this conversation, but why are NP's so brainless when it comes to this contract stuff? Honestly, NP's are operating at a high professional level, but many don't have a clue what...

  24. Moving Florida ARNP

    casias12 replied to doodledome's topic in Advanced Practice

    Thread is over a year

  25. DEA #

    casias12 replied to sc0811's topic in Advanced Practice

    Trying to understand your question. 1) You are in a state that requires collaboration or supervision 2) Your physician/physicians does/do not want to cover you for writing controlled substances...