scottaprn

scottaprn

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All Content by scottaprn

  1. Reimbursement for NP assisting in surgery working for private physician

    scottaprn replied to indygrl27's topic in Nurse Practitioners, NP

    A lot will deal with what type of orthopedics. Some cases get reimbursed for a first assist while many dont. If your contract is RVU based the RVU for a first assist is 13.6 of the total case if it...

  2. Chronic Pain (as an RN)

    scottaprn replied to fitzfan82's topic in Emergency

    We cant give medical advice but consider a second opinion. Based on the size and symptoms you describe a second set of eyes wouldn't

  3. Does your agency staff private insurance cases before Medicaid cases regardless of acuity?

    scottaprn replied to smartnurse1982's topic in Private Duty

    You have the opportunity to start your own agency and do anything from only accepting Medicaid, to prioritizing Medicaid patients to staffing based on acuity. When you start your own company these...

  4. Chronic Pain (as an RN)

    scottaprn replied to fitzfan82's topic in Emergency

    I try to avoid telling anyone at the ER I am a nurse and when I worked at the ER I never treated any healthcare provider differently than someone else. The ER is still not the place for pain...

  5. Being the "New Girl"

    scottaprn replied to MaggieMaggie's topic in Patient, Colleague Relations

    For times like the dressing change. "I understand your point about not changing dressings too often to help prevent infection. However, in this case when I performed my nursing assessment I believed...

  6. Clinical lesson learned

    scottaprn replied to Cruz.Cookie's topic in General Students

    Starting a thread for sympathy that contradicts your previous statements and claiming you are being attacked for being a minority is not a way to get an uplift. Having witnessed true discrimination...

  7. Clinical lesson learned

    scottaprn replied to Cruz.Cookie's topic in General Students

    I am having trouble reconciling this thread with your previous post. Perhaps you can help me understand. https://allnurses.com/general-nursing-discussion/am-i-capable-975543.html So is it because...

  8. Public Comment on ANA Draft Position Statement: Workplace Violence and Incivility Issues

    scottaprn replied to NRSKarenRN's topic in Activism, Healthcare

    Almost every peer reviewed study says that bullying happens in nursing at a higher rate than the average profession. It is also clear that this leads to staff turnover which plays into short staffing...

  9. Can I still be an RN if I was in a Mental Hospital?

    scottaprn replied to pediatricnurse2016's topic in General Students

    This is true in Ohio. It is one of the questions they ask and you have to give an explanation. I agree with not mentioning it until it comes up but be prepared with your answer and information if it...

  10. Dr's using negative pressure devices (vac's) on closed surgical incision

    scottaprn replied to love2beanurse's topic in Home Health

    We have an orthopod in our group who uses a wound vac on closed incisions if he feels like it is indicated. He is pleased with the results so far. don't feel alone not being used to it OP. He gets...

  11. Fascinating article about male/female nurse pay dfferences

    scottaprn replied to nurseprnRN's topic in General Nursing

    This study was very poorly done. No control for shift differential, controlled for years since graduation instead of years of experience, no control for full time vs. part time, no control for if CRNA...

  12. The HARD Truth for most nurses

    scottaprn replied to Humaneclowninscrubs's topic in Nursing Professionalism

    To the OP. Looking back at your previous post about being fired and how nurses don't do science and "how there are no brains involved" it is probably appropriate to find another career. Because if...

  13. Back Pain in Nursing Student

    scottaprn replied to meganec17's topic in General Nursing

    If your therapist and doctor haven't taught you to avoid lumbar extension (which lying on your stomach creates) and hip external rotation it may be wise to seek additional information. hopefully your...

  14. Back Pain in Nursing Student

    scottaprn replied to meganec17's topic in General Nursing

    We can't give medical advice but PLEASE talk to a knowledgable spine surgeon about your back and learn body mechanics from a physical therapist. There are very good reasons biomechanically that your...

  15. FNP salary?? Productivity stipend?

    scottaprn replied to ked022214's topic in General Nursing

    Around here it is mostly an end of the year bonus. I negotiated to have a very heavy bonus but have friends who don't have any. Find a physician that understands your worth but make sure you keep...

  16. Question from Husband of Night Shift Nurse

    scottaprn replied to ioter's topic in Health, Stress Management

    cainigraduate is on the right path. Nothing in a marriage occurs in a vacuum. Consider marriage counseling. Sometimes a person from the outside is needed to get to the root cause. Marriage isn't...

  17. FNP salary?? Productivity stipend?

    scottaprn replied to ked022214's topic in General Nursing

    75-85000 is the starting range around my area. Some jobs have no bonus structure while others have a very generous

  18. Struggling with Clinical

    scottaprn replied to cherryblossom21's topic in General Students

    First step is to take a second and take a deep breath. In a perfect world we would never have a weakness. In the real world we all have weaknesses and you are in a better place than most because...

  19. Is it bad that I have no interest in working on Med/Surg floor?

    scottaprn replied to spearsfm's topic in First Year After Licensure

    Had no interest in med-surg and looking back I would have been a terrible med-surg nurse. I would have had no passion for that

  20. I fainted today in OR:(

    scottaprn replied to 164centimeters's topic in General Students

    I can't even count the number of people I have seen pass out in the OR. The sights, smells, noise etc can be overwhelming. I scrub cases every week and just a couple months ago I had to tell the...

  21. NCLEX- how many attempts is too many?

    scottaprn replied to dinah77's topic in NCLEX Exam, Programs

    Just to add a different perspective physicians have 6 attempts to pass each step of the USMLE. The pass rate for US trained physician on each step is higher than the

  22. Diluting IVP Natcotics?

    scottaprn replied to _Andvari's topic in Patient Medications

    We did not have a policy when I was at the bedside but I always pushed meds over a couple minutes. If a patient complained I call them out on it. I would tell them the only difference between a...

  23. Do nurses eat their young?

    scottaprn replied to Pumpkinn's topic in Nursing Professionalism

    Where is the love button when you need

  24. Do nurses eat their young?

    scottaprn replied to Pumpkinn's topic in Nursing Professionalism

    I have repeatedly posted sources on previous threads but if we must go through it again. Lets start with Berry et al 2009 The Effects of workplace bullying on the productivity of the Novice nurse....

  25. Do nurses eat their young?

    scottaprn replied to Pumpkinn's topic in Nursing Professionalism

    The published studies overwhelming demonstrate that nurses do bully their young at a much higher rate than other professions. Be prepared to be told from a large group on this site that it isn't any...