Penguins10 MSN, RN, NP

Penguins10 is a MSN, RN, NP and specializes in Primary care.

Latest Activity

1. Washington DC adding certification to license

   Penguins10 posted a topic in Nurse Practitioners, NP

   Hello, I am licensed as an NP in DC and adding a second NP certification. I am trying to determine if I need to apply for an additional license to cover the second certification. I have not been...

2. New NP - Balancing What I Know and What I Don't Know

   Penguins10 replied to OncRN2015's topic in Nurse Practitioners, NP

   Same here. I don’t have to look up as many things now as my first year, but I frequently look stuff up in the room or tell people I am going to go look something up if I want to check a book....

3. Probable HIPAA violation. How to proceed?

   Penguins10 replied to djmatte's topic in Nurse Practitioners, NP

   Sorry, missed that part in my response. You're probably correct about sending identifiers to people not involved in

4. Incentive bonus for nurse practitioner

   Penguins10 replied to maywah21's topic in Nurse Practitioners, NP

   Why does the fact that patients have paid for unlimited access preclude a productivity metric? They need to be seen and if you don’t someone else will have to I imagine? Are you involved in...

5. Probable HIPAA violation. How to proceed?

   Penguins10 replied to djmatte's topic in Nurse Practitioners, NP

   If it’s a G suite email product Google will sign a business associate agreement so with that and appropriate encryption in place this could be a compliant

6. Full Practice Authority

   Penguins10 replied to rkealy's topic in Advanced Practice

   Had similar questions as a new grad, now think FPA makes sense. The NP model has been around since the 1960s and tested extensively. I have not seen a study showing NP care is unsafe (happy to see if...

7. New NP Blues

   Penguins10 replied to malapata's topic in Nurse Practitioners, NP

   I think that your experiences are not unusual as a new grad in a primary care setting. The fact that you are concerned is healthy. Your use of appropriate resources and seeking advice show good...

8. Experience Before Becoming NP

   Penguins10 replied to Fiddlesticks27's topic in Nurse Practitioners, NP

   I did volunteer and career fire/EMS before nursing school, which was useful background, then worked in sub-acute care, primary care, and emergency medicine as an RN prior to taking an IM/nephrology...

9. Why preceptors don't precept

   Penguins10 replied to sauce's topic in Nurse Practitioners, NP

   I like Diagnosaurus DDx. It is easy to use and helps to broaden my thinking. In addition to ddx for symptoms it provides ddx for various lab abnormalities which is helpful. I downloaded DDx Teacher. I...

10. Nephrology NPs

    Penguins10 replied to Penguins10's topic in Advanced Practice

    trauma: Our office manager claims we'll get a raise, but, because of how our billing is organized, I'm not sure that the hospital system will think we're all necessary. It'll be interesting to see how...

11. Nephrology NPs

    Penguins10 replied to Penguins10's topic in Advanced Practice

    Wow, you guys are in big groups and it is interesting to see the ratio of MDs to NP/PAs. We have three nephrologists and four NP/PAs. One MD does CMR each month and does PD/HHD clinics. We see...

12. Nephrology NPs

    Penguins10 replied to Penguins10's topic in Advanced Practice

    Thanks for the replies, it's interesting to hear how others work! We have folks at three clinics. One is about 35 miles away, one is about 25 miles, and the other is in the same town as our office....

13. Nephrology NPs

    Penguins10 posted a topic in Advanced Practice

    For those of you rounding on chronic hemodialysis patients, how many patients are you seeing per hour (or whatever other patient to time ratio you want to use)?

14. PhD timing/focus

    Penguins10 replied to Penguins10's topic in Nursing Educators, Faculty

    Hi llg, Thanks for your thoughtful response, that gives me plenty to think through. Is fundability something to consider when weighing areas of interest at this stage or should I just assume that if...

15. Doctoral degree and NP employment

    Penguins10 replied to Penguins10's topic in Nurse Practitioners, NP

    Thanks everyone! It is helpful to hear multiple