BlueDevil, DNP

BlueDevil, DNP

FNP, ONP

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All Content by BlueDevil, DNP

  1. NPH insulin: why prescribe it?

    BlueDevil, DNP replied to Pachinko's topic in Student Nurse Practitioner

    Because it is cheap and can get the job

  2. Doctorate vs MSN

    BlueDevil, DNP replied to Dr.Naija_Glam's topic in Nurse Practitioners, NP

    The University hospital and it's associated practice groups here pay DNP prepared APRNs more, but I don't know how much more. Not surprising to me, nor do I understand why it would be surprising to...

  3. Where are my rights as a RN? Is this true...

    BlueDevil, DNP replied to SoulSpirit_Rn's topic in General Nursing

    She can be held liable for "failure to supervise" for issues that arise while she is the responsible manager. So I don't blame her for holding staff to higher standards. She may not be a joy to work...

  4. Drug Rep Hassles

    BlueDevil, DNP replied to AngelfireRN's topic in Nurse Practitioners, NP

    I feel bad for them. Spend some time talking to them and you will learn how incredibly high pressure their jobs are. They are just trying to hang onto a job in a very cutthroat business. Can't fault...

  5. PCP burnout...

    BlueDevil, DNP replied to RNfaster's topic in Nurse Practitioners, NP

    It is the same for NPs. Why would it be any different? We do the exact same job. The initials behind our names do not protect us from reality! I've been doing primary care for 6 years. I'll never...

  6. Nurse Practitioners Modernization Act....

    BlueDevil, DNP replied to Barnstormin' PMHNP's topic in Nurse Practitioners, NP

    I agree with the other guys. Collaborative practice agreements are just silly and offer nothing to NPs or our patients. They offer plenty to the physicians getting paid to do nothing, which is why...

  7. Productivity Bonus

    BlueDevil, DNP replied to new_horizons555's topic in Nurse Practitioners, NP

    Capitated patients can be a windfall, but they are often complex and take more time. The goal is to limit their office visits (through provision of comprehensive care), but to code those visits to the...

  8. Would you give PRN percocet and scheduled Oxycodone together?

    BlueDevil, DNP replied to lunaro16's topic in Patient Medications

    Oxycontin is tamper resistant and cannot be broken, chewed or dissolved. I'd probably not hesitate to give them together, but much would depend on circumstances unspecified in the

  9. when patients are prescribed marijuana

    BlueDevil, DNP replied to brownbook's topic in Patient Medications

    Thank you, I was going to say this. The misconceptions about "prescription" MJ drive me crazy, a pet peeve. But health care providers should understand the

  10. Would you be insulted by this?

    BlueDevil, DNP replied to jannjul76's topic in General Nursing

    I think the donation to the education fund is the best Nursing gift idea I have ever heard! That is a thoughtful, meaningful contribution to the enrichment of the Nursing staff. Much better than a...

  11. Shameless Request: What is the easiest NP program to go to? Botox Nurse seeks easy NP

    BlueDevil, DNP replied to BelindaPate's topic in Student Nurse Practitioner

    It is always interesting to me when people pick fights or talk out of their hind quarters about something they don't understand clearly, and then suddenly "don't have time" to continue the discussion...

  12. Productivity Bonus

    BlueDevil, DNP replied to new_horizons555's topic in Nurse Practitioners, NP

    What do you mean by profitable? As in having earned enough to cover your draw, pay for your benefits and costs of recruitment, training, etc? That could take a while because you probably aren't...

  13. VA NPs malpractice coverage question

    BlueDevil, DNP replied to tuscanydreams's topic in Nurse Practitioners, NP

    Government employees (state and federal) have limited liability. I have several friends practicing in the State University system here and they do not carry coverage either. They have been assured...

  14. How many ARNPs get administrative time?

    BlueDevil, DNP replied to lizfnp's topic in Nurse Practitioners, NP

    When I answered the first time, I was working more hours. I work PT now and the arrangement is 1 hours of admin time for every 8 patients seen. I usually take it in comp time because I'm getting fast...

  15. Time

    BlueDevil, DNP replied to Adcallah's topic in Nurse Practitioners, NP

    They are still billed separately. The only thing covered by the "health maintenance" code is the wellness exam. If we discuss your HTN and TSH, I'm going to attach those diagnoses and bill a 99214 for...

  16. Drug Rep Hassles

    BlueDevil, DNP replied to AngelfireRN's topic in Nurse Practitioners, NP

    I don't go to pharma dinner programs, my off hours are family time. I earn a great living and can pay for my own food at any restaurant in town and I'd rather go with my wife/kids. Our evenings are...

  17. Congratulations, NPs of NY!

    BlueDevil, DNP replied to myelin's topic in Nurse Practitioners, NP

    Agreed, better than nothing. I predict by 2020 we will have independent practice in 35 of the 50 states. NY is a pacesetter for the rest of the country. I think we will see the rest of the NE and...

  18. Probationary period

    BlueDevil, DNP replied to pedspnp's topic in Nurse Practitioners, NP

    This sounds more personal to me. Pleasant, cooperative "team players" don't have conflicts of this nature. IME, the provider tells the staff how they want to approach tasks like this and the staff...

  19. Medicare wellness visit

    BlueDevil, DNP replied to new_horizons555's topic in Nurse Practitioners, NP

    MWV for ALL Medicare Advantage plans and some commercial part B plans (for the initial MW visit during the first year of medicare participation) absolutely REQUIRE a CPE. Traditional medicare plans...

  20. NPs and Call

    BlueDevil, DNP replied to new_horizons555's topic in Nurse Practitioners, NP

    Well patients never know who they are going to get when they call, they get our answering service first. So if a previous bad experience with Dr. Meanypants has them feeling a little timid about...

  21. Too many online NP programs

    BlueDevil, DNP replied to laudate's topic in Student Nurse Practitioner

    I lived in Durham and attended class, but took some online courses too, when the schedule didn't work out to attend on campus. I honestly did not find any difference in the rigor of the work, if...

  22. NPs and Call

    BlueDevil, DNP replied to new_horizons555's topic in Nurse Practitioners, NP

    I am an independent provider. There isn't anyone for my patients to complain to about me. We take call for each other in order to help each other out. I don't work for them, they don't work for me....

  23. NPs and Call

    BlueDevil, DNP replied to new_horizons555's topic in Nurse Practitioners, NP

    In my practice it is just part of the expectation to take call every 6th night and every 6th weekend, and there is no extra pay for it. It really is very simple though. I really do not do squat for...

  24. Medicare wellness visit

    BlueDevil, DNP replied to new_horizons555's topic in Nurse Practitioners, NP

    It isn't permissible under medicare regulations. Billing any "G" code for which care was not provided by a MD, DO, NP or PA is

  25. Swallowed foil wrapped pill

    BlueDevil, DNP replied to Rosefrog5RN's topic in Patient Medications

    Well if you didn't specifically tell the aide to remove the capsule from the packaging, I don't see how she can be held responsible. I heated up a Digiorno pizza for lunch yesterday when I was...