nursing90504

I did actually. I called my co-worker and she phoned it in for the patient, so at the end of the day the patient got what they wanted.... I warned my co-worker tho to still be careful. This patient was on benzos for >1 year which pretty much creates a textbook benzo dependency. I didn't want any part in the management of that patient since I would not prescribe benzos for that long of a duration/ I just hate that feeling of being yelled at, but I refuse to cave in when I know the evidence is against the patient's choice. I'm glad everyone else agrees, but it's still very flustering LOL

So, I am still a bit irritated and anxious at what just happened the other day. Without violating HIPAA, I am an NP and was having a phone consultation with a patient that wanted a refill on a benzodiazepine since the coronavirus case had cause our clinic to close temporarily and to operate on telemedicine. That person has a hx of drug abuse and has been clean for a year and was receiving this benzodiazepine from another provider who also works at this clinic I am at. I saw this patient once and reviewed my prior note and remembered not feeling comfortable sending a prescription for benzodiazepine, but because he has been taking it for so long, the risk of withdrawal was high so I refilled it at the time. This time, I told them that I do not feel comfortable refilling this med over the phone, and since I cannot evaluate that patient in person, they need to talk to the other provider who knows them more and manages their care more than I do. They got really angry, yelled, and threatened to sue and file grievance. I told them you can say whatever you want, but I am not going to refill your medication. Did I do the right thing? How likely am I to get sued for this? I already called my manager and they said don't worry, but honestly things like this gets me really flustered

Hi Everyone, I am a new NP and was just recently offered a job at a home health agency in California. I also work part-time at a family clinic. I have all my credentials like NP furnishing, DEA, AANP certification, etc. The agency wants me to perform these medicare "wellness checks" I just recently started to research on home health and I started to get questions about medicare billing. Do I need need to sign up to be "medicare certified" or will the stuff I do be billed "incident to" to my supervising physician? Also I read that in order to bill incident to in some cases for home health, the doctor has to be at the house as well.... So for all the NPs that work in home health 1) Are you all medicare certified? 2) Do you know if the stuff you do is billed under your name or the physician? If its under the physician, isn't it medicare fraud cause the rules for incident to in homes are so strict? (There is no way a doctor would be at EVERY house watching the NP....thats just redundant)

Has anyone else heard anything from admissions yet besides cnsp and eabaunza? From the other forums, some of us should have heard word by now. SMU is my top school and not hearing anything yet worries me a little. Oh and congratulations btw to both of you :)

Nurses who work in an endoscopy clinic can you guys help me answer a question. Who is the one who handles the biopsy forceps and "opens/closes" it? At the place I just recently got hired at, they used medical assistants for that. Is that legal? This is my first time working in an endoscopy clinic. I have been an MA for a family practice for 2 years. The doctor said that I can be trained to handle the forceps and from the looks of it, it isn't that hard to master, but I am just worried about the legal issues. I don't want to be sued or have a chance of being sued.