EmpoweredNP

I am a DNP student and very interested in research and transformational leadership in addition to patient care. Unfortunately the program does not provide any additional clinical practice education (ie. pharmacology, health assessment, etc) but it provides the education on how to identify a health care problem, perform an exhaustive literature review, analysis and summary of the evidence, and translating it to practice, and evaluating that change to ensure sustainability. It is a very prescriptive program and I've seen some people do this kind of work without a doctorate in hospitals. There are pros and cons. I think terminal degrees will be required of all nurses in the next 30-50 years. Right now, in NY state, ASN is being phased out and some hospitals are not hiring any RNs with associates degrees. If employees that are already hired only with ASNs, they are being forced to go back to school and get their BSN within 3 years or they will be terminated. I think that will happen with terminal degrees, it's already happening with the switch of BSN--DNP programs (completely surpassing the masters degree). That is why I am going back to school for my DNP and so happy that I will never be required to go back to school at a later age because of this. The education and knowledge learned in a doctorate program (DNP or PhD) is excellent and can never be taken away from you. It is helpful when your employer financially supports you as well. Some hospitals might require a letter of intent to the CNO as a doctorate might not be always covered in the reimbursement policy. Hope this helps :) P.S. I plan on staying in patient care after my DNP. I also would like to be an adjunct professor which most universities require a doctorate level degree now.

I work in Bone Marrow Transplant outpatient and we probably admit about 5-10 patients a week from clinic or home or direct them to go to an ER so the acute triaging/assessment skills is an absolute must. Acute issues occur in all settings and to have that acute background is fantastic. So yes, I think they can. Now in terms of the state board of nursing and the legality part of it is maybe individualized and you would need to confirm that with your state board of nursing.

Thank you so much! I didn't even think of animals. Also I'll ask my company about printouts, great idea, thank you.

Hello! I just saw this message sorry for the late response. They provide minimal training to be honest. I think there are probably continuing education they provide but they pretty much just do a webinar and then ship you out to the field. I'm relying on what I learned and any future queries that I receive and learn from my mistakes. --__-- Can I ask you for any tips you have to make the visit go smoother/more efficient? I was thinking of printing out a list of questions and asking them to review them while I set up my supplies and also review their medications. Then once they are finished, go over their answers and address anything that is positive. That's what we do in the office setting. Any other tips would be greatly appreciated :)

I recently joined a company (third party) that sends out NP contractors to patient's homes in NYC to perform risk adjustment assessments on behalf of patient's insurance health plans. I had my first day this week (woo!). It was a little rocky at first because I just had to get used to all of the system requirements and navigating that in the field was sort of difficult. The assessment piece was easy BUT I did undergo lots of complaining from the patient and long-winded responses to each question asked (which there are a lot that if positive can open up a can of worms). The company really did not go over infection control in the homes which I had to learn on my own... (ie. bag technique). As I go through the process, I am learning what is needed to make this process more efficient as I am only paid per visit (the first visit for me took 1.5 hours which it should have only taken 1 hour but with the patient's long-winded answers and IT logistical issues compounded with it being DAY 1 prolonged the visit). Two questions that I had were: What question do you ask on the confirmation call other than (ensuring patient takes out medication bottles/tubes, PCP and specialist information, pharmacy information, paperwork from hospital and/r doctor, scale to measure weight, immunization status, confirmation of demographics, if someone else will be present for the visit, and if they live alone or with a roommate)? What patient educational information do you provide the patient? I was thinking of creating just a simple "follow up plan" doc on MW word that I can write out the plan at the visit so they have some thing tangible to hold on to and bring to their PCP. Any templates that you have? Thanks all! EmpoweredNP

Beuler???

Hello, I recently graduated from my masters/NP program and have all of my NPI, DEA, License, Certification all set to go. I am starting a new job in Heme Onc (BMT) in a couple of months and have also been offered a position from an advanced practitioner recruitment site I placed my CV on. It seems to be the typical story where the new NP receives the call for either a full time or per diem position to do in home risk assessments to high risk patients for an insurance company. History and physicals, documentation, patient education, and triage. I have read good and bad things about it. I live in NYC so I feel like this would be a good fit provided the schedule is strategically laid out in terms of geography. I do not need a car nor do I have one. I would never do this for less than $100/visit, but I see where this could be cumbersome and where you could get stuck making less if you are not good with time management and quick with the technologic skills for documentation. Would love to hear if anyone has had personal experience with this company or with this kind of job? My first job is primary and will be very difficult, so I am looking really for an easy financial outlet while still optimally caring for patients. --------- I viewed your resume on PAJobsite.com and noticed your experience working at X. ComplexCare Solutions is looking for experienced adult practice NP's interested in conducting in-home health assessments with the geriatric population in New York City (Manhattan). It's a per diem role that is scheduled around your current position and a great opportunity to earn extra income while helping an under-served local population. Our team of in-home clinicians combine the qualities of a friendly confidant, health advisor, motivational speaker, and home inspector all in one. Per Diem - 25 assessments per month – (Scheduled based on your availability) No treatment, no prescribing of medication, and no labs - Physical/History assessment only. Malpractice insurance provided 401k - Mobile phone calls reimbursement Mileage Reimbursement Paid per assessment Per Visit Rates: Per Visit (non- Cigna): 100 Per Visit Cigna with Lumeris: Not Applicable Per Visit Cigna without Lumeris: Not Applicable You will be paid on a bi-weekly pay schedule, Direct Deposit Up to 8 hours paid training at $30 an hour Mileage reimbursement at current IRS rate after 40 miles each day Malpractice insurance will be provided for you Reimbursement $1 per call to confirm appointment with member Eligible to participate in 401k after 90 day