Cindy-20

Thank you so much for holding my hand through this process @bostonfnp. So to be clear, I should be getting occurrence coverage period, correct?

@bostonfnp Thanks so much for the explanation. So just to clarify I don't need to get tail coverage with occurrence based insurance???

Should I be selecting claims-based or occurrence? Also there is no way to select tail coverage and I would like that also...

Just wondering what company people have chosen for np liability insurance? I'm looking to carry my own in addition to what the company I will be working for will cover. I'm not looking to spend a fortune. I've been checking companies for rates and it seems all over the place, but they are basically providing the same service. It's confusing. If anyone is willing to share their experience, I would greatly appreciate. Many thanks!

So I don't remember reading a policy about per diems cancelling or the requirement on the hospital's end. Would I just call HR and get those details?

Wow, I'm thinking I want to shadow another NP there before actually taking the job. Thanks for your constructive feedback.

Anyone??

Hi all, Anyone worked for a weight loss clinic as an NP (eg, Medi Weight Loss)? Pros/cons...I realize this may be a limited scope of practice, but the schedule works and considering it as a first job. I spoke with the owner and he said lots of counseling, prescribing phentermine and phendiemetrazine primarily. What have your experiences been?

This is the response I received and now seem to be more confused... The Massachusetts Board of Registration in Nursing (Board) is created and authorized at General Laws (G.L.) chapter 13, sections 13, 14, 14A, 15 and 15D, and G.L. c. 112, ss. 74 through 81C to protect the health, safety, and welfare of the citizens of the Commonwealth through the regulation of nursing practice and education, and the issuance of advisory rulings. The Board has legal authority to promulgate regulations that govern nursing practice and nursing education. These regulations are contained at 244 CMR 3.00 - 9.00, and are available on the Board's website (Nursing - Health and Human Services - Mass.Gov) for your review and reference. The scope of Advanced Practice Registered Nurse (APRN) practice is reflective of standards for the provision of health care services to individuals throughout the lifespan, including health promotion, disease prevention, health education, counseling and making referrals to other members of the health care team, as well as the diagnosis and management of acute and chronic illness and disease. The Board authorizes APRN by clinical category - (1) Certified Registered Nurse Anesthetist (CRNA); (2) Certified Nurse Midwife (CNM); (3) Certified Nurse Practitioner (CNP); (4) Clinical Nurse Specialist (CNS); (5) Psychiatric Clinical Nurse Specialist (PCNS) - not by a specialty designation. An APRN in Massachusetts may provide health care services to individuals for which he/she has attained and maintained the competency to do so. A personal recommendation would be for each APRN to maintain a portfolio demonstrating how he/she attained and maintained the competency to assess, diagnose and treat patients that are not typical to his/her certification specialty designation. Keep in mind that payers of services may require specific certification for clinicians in order to reimburse for services. Effective August 1, 2014, the Massachusetts Board of Registration in Nursing (Board) promulgated revised regulations governing the practice of the Advanced Practice Registered Nurse (APRN). The amended regulations at 244 CMR 4.00 are intended to reflect the enactment of new laws as well as to make the regulation of Advanced Practice Registered Nurse (APRN) practice more consistent with the national APRN Consensus Model. The revised regulations at 244 CMR 4.00: Massachusetts Regulations Governing Advanced Practice Registered Nursing include, but are not limited to: Clarification that guidelines are written instructions and procedures describing the methods that an APRN with prescriptive practice is to follow when managing medications. Guidelines and physician supervision are required only for the prescriptive practice of a Certified Nurse Practitioner (CNP), Certified Registered Nurse Anesthetist (CRNA), or Psychiatric Clinical Nurse Specialist (PCNS) who registers for prescriptive practice. The methods and timeframes for prescriptive review are determined by the APRN and the supervising physician. There is no physician supervision or guideline requirement for an APRN who does not register for prescriptive practice. The specifics for guideline development have changed significantly and I would suggest you review the audit tool at https://www.mass.gov/files/documents/2016/08/xx/apnaudit.pdf for a complete synopsis; Clarification that CNM are no longer required by law at MGL c. 112 s. 80G to have guidelines or a supervising physician for any aspect of practice; Enforces that APRNs are responsible and accountable for his or her nursing judgments, actions, and competency. A discrete scope of practice section for each category of APRN is located at 244 CMR 4.06; Referencing M.G.L. c. 112 s.80I, which authorizes CNPs to sign or certify documents that previously only a physician could sign provided that the signature, certification, stamp, verification, affidavit or endorsement is consistent with established scope of practice standards, and does not expand the scope of practice of a CNP; and The creation of the non-psychiatric Clinical Nurse Specialist (CNS) category of APRN practice. The CNS is not authorized to prescribe and therefore is never required to have guidelines; and The addition of a requirement for professional malpractice liability insurance for all APRNs with direct patient care responsibilities. Please be advised that the response of the Board to individual practice inquiries represent the Board's interpretation of the legal scope of nursing practice. This response is valid only in the context in which it is rendered; it does not have general applicability, as do statutes, regulations and advisory rulings.

I'm in MA. I sent an email to the BON as I was unable to find specifics.

I didn't at the time. Do I go in for the interview and get clarification or forget about it all together?

I had a phone conversation with the medical director for a in-patient psych facility today that wants to bring me in for an interview. I was attracted to the job initially bc the schedule is what I'm looking for (weekends). Job would require f/u of 20 pts/day, med adjustments (did not specify if this was psych meds or other). No admission or discharges. Working with 4 NPs and 1 MD there over the w/e. I explained to provider that I have FNP and this would be new to me and require training. He said with sufficient training, I would be fine. My concern is 1) I do not have psych background and am not a PMHNP. I know he said with adequate training I would be fine, but I also get that a wouldn't have a leg to stand on in court should something go awry. 2) Do I just go in and see the facility and what they have to offer OR forget about the whole thing? Any advice/thoughts appreciated?

So I just got my NPI number and searched it and my home address and cell number come up....how do i change that or make private ?!KL@

Interested too as I am starting the process with a phone interview next Wednesday. Wondering for anyone who works there the pros/cons?

I know I'm late to this thread, but I'm a new np that lives in MA and have been looking at doing in-home medicare assessments for work, but am having a hard time coming across said positions. I've looked at UHC, but are there any other companies I should look into in the Northeast. I know this isn't the idea 1st job out of school, but I have small kids, one of which has some medical issues and I can only work weekends and/or 1 day week. I really want to work as an np, but I'm concerned that it will be difficult to find employment. Any help anyone can provide would be greatly appreciated!

unfortunately, they do not accept students from MA ;(

Hi all, So I'm becoming quite disheartened. I am a new grad FNP and have been searching for jobs since May and am having a difficult time. I know as a new grad you start at the bottom of the barrel (for lack of a better phrase)...I'm ok with that. The only thing is that I have 2 young children (one with special needs) and find myself having to be at home during the week for his therapy. I have childcare during the weekend, but working during the week would be impossible as I want to play a role in his therapy. I've applied and interviewed at CVS Minute Clinics and the schedule just didn't work. I was holding out hope for a minute clinic job when I was in school. I keep looking, but am not sure that I will be able to find something and want to utilize what I went back to school for. Anyone have any thoughts on positions that I could pursue on the weekends. Currently working per diem, weekends at my staff nurse job. TIA

where do you go to school? everything that I've seen is well over $30k

The reason I would be unable to shadow another np is bc I would be working as the only np according to the recruiter.

I'm a new grad NP and am hoping to find someone who does something similar (not the fact that I will not use my skills in the job). I had a phone interview with a 'functional medicine' company's recruiter at Access2integration. While functional medicine interests me, I'm not sure that this would be functional medicine. Has anyone had any experience with this company? The recruiter stated I would be doing mostly trigger point/joint injections, stem cell injections, and weight loss, preventative care after training ( I think only a couple of days) if selected for the position. I would be working under a chiropractor who integrates services with an np and also has a supervising MD as required by law. The draw for me is that it is only 1 day/week and I currently can not commit to more given my child's current medical needs. I didn't go to np school for nothing, but also don't want to make a bad decision. I asked if I could shadow another np and basically that's not an option. Any thoughts/shared previous experiences would be gladly appreciated. Thanks!

I saw a post by you when I was searching about CVS Minute Clinics. I was wondering if you still work there and could answer a couple of questions for me. I had my first phone interview at CVS Minute Clinic this past week and am scheduled to meet with a regional director next Friday for interview 2. I am able to work weekends, but the HR rep told me that I would have to work an additional day during the week. Is that standard? I thought committing to every weekend might be good enough. I'm wondering if they make exceptions. I have 2 small children one of which has some medical issues and I'm having second thoughts about working close to 30 hrs/wk while managing all of my son's appointments. I realize that a Minute Clinic probably gives me the most flexibility in my schedule and as a new FNP out of school and don't want to continue working as an RN after all the work of obtaining the FNP. Anyone have a similar circumstance? I don't want to have to take 2 yrs off right after getting my license and continue working as an RN, but am considered I will not find any other position with the flexibility I am looking for. Thanks!

Thank you for the responses. I found a couple job postings for retail health, but besides that part time seems pretty limited. Update: I have a phone interview with a minute clinic so we shall see. I don't want to put aside my FNP but just thought a psych cert may be helpful.

Hi, I just graduated with my FNP and passed the boards (yay!). Unfortunately, I can only work part time and realize as a new grad I need to be working full time and am at the bottom of the barrel. At any rate, I can't related to medical issues with one of my children. As I look for work, I am seeing numerous part time positions as a psych np. Would it be worthwhile to get back to school and get my post-masters psych certification? I really don't want to go back to school, but am looking to be able to work part time in the np role. I didn't go to school to continue to work as an rn (although I will if I have no choice). Any thoughts are greatly appreciated. Thanks!

I used an in home daycare for the first few months, but I had only one child then and my daughter only went 1 day/week so I could devote that day to school work. We were lucky enough to have the help of my mom who retired early and watches both kids 2 days/week. Without her help and the support of my husband, I would not be able to do it. It's a lot of work, but if its something you want to do, go for it.

Hi, Just curious if any FNPs made the transition to PMHNP or WHNP? Did you obtain a certificate after obtaining your initial FNP? I know the requirements are different for every school, but approx how many credits/clinical hours do you typically have to complete to specialize beyond the FNP? Thanks for any insight!