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MedictoRN

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  1. One must never bill under anyone else. An NP has their own NPI number and MUST, per Medicare guidelines bill under that. Doing anything else is representing that the service was provided by another person when in fact it wasn't. That by definition is clearly fraud. Be very careful.
  2. Hallmarks of mainstream media in general.
  3. 4 weeks is customary, but have a backup plan as I've seen a number of instances where colleagues have given 4 weeks and not been allowed to finish them out
  4. Not really a consensus then is it…
  5. I get inundated with survey requests all the time. Perhaps somebody should put out a survey of all of us to decide what we think the official title ought to be. Personally I think NP is just fine, though it does exclude our nurse midwife and clinical nurse specialist colleagues. But I think that they are practicing in most places in a different role than that of a nurse practitioner.
  6. I see where you could think this from the article but the AANPCP us retiring the Adult NP exam and not the Family NP exam. I found this on their website. http://www.aanpcert.org/ptistore/control/faqs#c5
  7. You would have to maintain both national certifications (FNP, ACPNP). As for licensing you would have to keep your RN and NP licenses. I highly doubt that you would have 2 separate NP licenses to maintain. Here in Michigan all APRNs (NP, CNM, CNS,etc) hold the same license. Scope of practice us based on your national certification(s). It should be pretty easy to keep up on CEs as most will count for all three certifications (RN, FNP, PACNP). USA's program is well respected. I would go for it. Good luck!!
  8. In short become an Nurse Practitioner get at least 2 years experience in the ER along with make a significant contribution to the profession in some way then get the certification that validates your expertise, in spite of those who may disparage it because they didn't pass.
  9. Portfolio review is an objective evaluation that has been psychometrically validated. While it may not validate that you are a good ER provider (no measure short of actually watching you work does), it does demonstrate rigorous expertise and leadership as an Emergency Nurse Practitioner. None of my MD or PA peers have laughed at it. I hardly think that the requirements for the PA CAQ are any more rigorous than the ENP portfolio. Again, tests are not the end all and be all of validating proficiency. You said you failed the Professional and Ethical Nursing Practice section. If you read the quote below you will see that the evidence for certification can come from the CV, certifications, professional development record AND/OR exemplar for all but one of these sections. The section that says that it can only come from the exemplar and not elsewhere is highlighted below. This is the case study. The rest of this section discusses such things as prioritization, regulatory guidelines, ethics, developmentally appropriate care, public health, prehospital care, peer review, process improvement, rapidly changing physiologic status, MSE, decompensation, etc. These all seem pretty important for an ENP to have the ability to demonstrate sufficient achievement in at least a majority of. I agree you seem well qualified. The exemplar is NOT 52% of the total score. Professional and Ethical Nursing Practice is. Again this can come from a variety of areas in the application and not just the exemplar, in fact only a small part of it seems to come from there. As for the AANP creating a certification exam, I highly doubt it. The ENA and ANCC considered this and found that the demand was insufficient to warrant the costs associated with test generation. I doubt the AANP will find differently. I fully support this certification.

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