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Ashley_113

Ashley_113

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Ashley_113's Latest Activity

  1. Ashley_113

    Adjunct Instructor

    Hi everyone, I’m a Family Nurse Practitioner with 9 years nursing and 2 years of advanced practice experience. I currently work in sports med and have a specialty certification as an othopaedic NP by the ONCB. I have always wanted to teach on the side. I have applied to several online adjunct positions for anything from test prep to MSN programs and I’m getting absolutely no replies. I am currently enrolled in a DNP program and also getting a teaching certification along with it. I don’t understand why I’m having such difficulties? Is it because I’ve only been an APRN for two years? I graduated with a high GPA and I have no disciplinary actions so I just can’t seem to figure out why I have no luck. I even listed myself to be a preceptor for NP students to the college I am currently enrolled in my DNP program. I remember how hard it was for me to find a preceptor. Any recommendations? thanks!
  2. Ashley_113

    Orthopaedic Certification

    Hi, chiromed0 how did you do on the ONP exam and what did you use to study? I’m taking my exam next month and was curious if just studying the recommended materials was enough or If you did the study course offered by NAON. I am trying to decide if it’s worth it to buy or not. thanks
  3. Ashley_113

    OR Nurse to FNP?

    Hi there, I did this. There definitely isn't a lot of bedside as an OR nurse, you're right. However, I don't think it inhibited me a lot in school. I did FNP also and really I feel FNP is so much different than many RN positions because most FNP positions are geared toward outpatient and primary care. I wouldn't let it deter you from moving forward in your career. Just try to take advantage of your clinical sites to learn as much as you can.
  4. Ashley_113

    Administrative Duties

    Hey everyone, I was just curious if many of you are required to do administrative duties in your practice. I am a new NP, accepted my first position. In my contract it does state I am to do "some" administrative duties and goes on to state approximately 1-2 hours a week. Which I felt was reasonable. He had me think it was more just working on updating EMR templates. However, I've been here for 6 months now and I'm in charge of submitting payroll, staffing, hiring, firing, reviews. I do all our EMR templates and was the one to gather the info to send to Medicare for MIPS this month. I am keeping up with our certifications for the office (x-Ray, FWA, HIPAA training). We do not have an office manager and I do feel like he is dumping this on me. I have told him I'm not familiar with a lot of this work, and I was not planning on the job being like this...but nothing has changed. I do also still see patients on top of this. I don't think it's newbie nervousness, I'm really comfortable with the patients, and I enjoy being a NP. However, it's been 5-6 months. Should I stick it out for a year (9/2018) or you think it's too early to jump ship since I'm new to the profession?
  5. Ashley_113

    Maintaining NP status when not using NP license

    It depends on who you are certified with. You should be able to go to their website and easily see how many CEUs as well as practice hours are required.
  6. Ashley_113

    Doc on Vacation

    Hi, I am a newer NP. I work in a small practice with one physician. I am in the process of being credentialed with the insurances (I am fully licensed in my state with prescriptive authority). My doctor is wanting to go away for a day or two around the holidays and have me see some follow ups. (Only straight forward patients that I approve of) and he will be available to be reached by telephone. I am aware I cannot do incident to billing because he will not be in the office. Can I even see the patients if I am not credentialed by that time though? I stated my concern and he said something in regards to "if we don't get paid for the service, I'm okay with it...I just want the patient to have someone available if needed". Can anyone clarify further? I really just don't want to get into any issues legally thank you!
  7. Ashley_113

    Independent Practice

    Hello, just curious as to any independent NP practices out there. My state is an independent NP state. I am considering it down the road. Are there any NPs that don't do traditional Primary Care? I work in physical medicine and rehabilitation right now. We see a good variety....pain management, DOT physicals, workers comp injuries. I just didn't know if any NPs had tried opening an occupational medicine practice or even pain management as I am very familiar with both. I still need to look into insurances in my area to see if I would even get reimbursed as a independent NP. I am planning on getting my DNP first which will take a couple years. So this is a bit premature, but simply curious as to what ventures everyone is taking. Thank you!
  8. Ashley_113

    Does this sound feasible?

    I would check and see if financial aid will pay for an LPN to BSN program. I know they have programs out there for it because I too was an LPN first and I almost took the LPN to BSN route. Indiana State has an online format I believe. If you don't do it this way, you are looking at a lot of extra time in school. If you can't do an LPN to BSN program then I would stick with the biomedical science degree and gear it towards going to PA school. Additionally, if financial aid wont pay for RN classes now would it pay for them after ypur biomedical degree? A pre-req for NP school is that you are an RN. So regardless if you take the RN classes now or later I think youll still run into that problem. I think those are the most efficient ways to go about it. I hope all works out!!
  9. Ashley_113

    NP in Pain Management Specialty: Any NPs in pain?

    I worked at a Brain and Spine Institute for 2 years in their pain clinic. We had two NPs that saw patients on an outpatient basis. They really seemed to enjoy it and I have considered this specialty as well. One nurse had a background in ICU and the other had a background in LTC. They were both standard FNPs. They may have been board certified in PM but I'm not 100% sure. Basically they saw any patient except the new patients. They would do trigger point injections and occipital nerve blocks. They also ordered epidurals for the physicians to do at our ambulatory center. They also followed up on treatments, ordered MRIs, and referred to neurosurgery if needed. They did follow up and regulate chronic pain medications, but they never changed or refilled the narcotics without the doc signing the script. They managed a lot of non-narcotic meds like Lyrica, gabapentin, muscle relaxers, etc. Over all it was a pretty relaxed atmosphere.
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