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MikeFNPC MSN

FNP
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MikeFNPC is a MSN and specializes in FNP.

MikeFNPC's Latest Activity

  1. MikeFNPC

    What's the least saturated specialty in APRN?

    I think what you're really asking is where are the most opportunities with an FNP degree. It would have to be in primary care clinics. Because there are a gazillion of them and you can start your own if you want too. Similarly, working in a nursing home setting, since there are so many of them also.
  2. MikeFNPC

    5 8s, no thanks!

    You definitely need to know what you're getting into before finishing, otherwise you'll despise the profession. I'm starting to see several opportunities to work from home such as tele-medicine. Maybe there are longer shift/fewer day options there. I hear what you say about M-F 8-5, it's what I do now. I'm stuck because of how much I make. Good luck finding what you want.
  3. MikeFNPC

    Return to the bedside

    Is this even a real thread? I know about 75-100 NP's and not one is even close to wanting to go back to RN. Most are getting 150-200k and work about 50% of what they did as an RN. I'm sure that there are less than desirable jobs out there, and have heard from some NP's that they have changed jobs due to the working conditions. But, overall, being an NP doesn't compare to RN, it's just awesome.
  4. MikeFNPC

    HUGE step forward for NP's!!!

    Great conversation, we don't have to agree. Where I work the're having a difficult time finding physicians, even with trying to get them several years before they graduate and targeting the ones retiring from the military. The only options are NP's. The docs where I work are getting at least double pay and benefits. I'm not asking for equal pay, but half is ridiculous.
  5. MikeFNPC

    I dont speak spanish

    Probably not, I've been to PR, Spanish is necessary.
  6. MikeFNPC

    Would you stay?

    I'd pile the work on the problem ones and report them if necessary. But you'd better keep your nose clean and don't give anyone any ammunition to report you on.
  7. MikeFNPC

    Would you stay?

    The MA's have a job, and the provider has a job. Everyone should do their job and leave it at that. If you need an MA to do something and they don't, report them. Two can play the game that they appear to be playing with you. Treat all patients like a patient and do favors for only those who deserve the favor. Several providers from the company I work for come and see me for Rx's, injections, imaging, ect... I may not see them for everything, but I definitely leave a paper trail in the EMR. I've never had a situation like you're describing, but I've had a MA with an attitude work with me. I worked him into submission, then it was better.
  8. MikeFNPC

    Be careful people.

    The owner of an Eagle River medical clinic has been arrested on federal narcotics charges. According to a press release by U.S. District Attorney Bryan Schroder, nurse practitioner Jessica Joyce Spayd, 48, of Anchorage allegedly distributed “large amounts of opiods and other powerful narcotics by writing prescriptions for ‘patients’ without medical examinations and lacking medical necessity.” Spayd owns the Eagle River Wellness clinic in Eagle River. She was one of two people arrested in unrelated cases, Schroder wrote. Also arrested was Soldotna doctor Lavern R. Davidhizar, 74. According to the criminal complaint, drugs — including oxycodone, methadone and hydromorphone — prescribed by Spayd led to the death of at least two people. https://www.alaskastar.com/2019-10-09/owner-eagle-river-medical-clinic-arrested-federal-drug-charges Alaska nurse practitioner, doctor charged in opioid distribution scheme.
  9. MikeFNPC

    HUGE step forward for NP's!!!

    I agree with comments above. However, you don't need a medical degree to take care of 90% + of what walks in my clinic. If you get paid for what you do, then sure, the docs will lose out on the low hanging fruit, but will benefit from the complex higher acuity through billing and coding correctly. No doubt, healthcare is complex, but this is definitely a step towards the solution.
  10. MikeFNPC

    HUGE step forward for NP's!!!

    Massive step forward for NP's. WASHINGTON — President Donald Trump today ordered federal officials to consider pegging Medicare reimbursement more closely to time spent with patients, seeking to address potential pay disparities between physicians and other healthcare professionals. President Donald Trump These directives are among the tasks Trump gave to the Department of Health and Human Services (HHS) in an executive order. The order also demanded HHS develop several proposals related to insurer-run Medicare Advantage, including one regarding payments for new technologies. Trump signed the executive order after giving a speech at a rally in Florida. The executive order gives HHS a 1-year deadline to propose a regulation that Trump describes as intended to let healthcare professionals spend more time with patients. This regulation is meant to ensure that services, whether done by physicians, physician assistants (PAs), or nurse practitioners, "are appropriately reimbursed in accordance with the work performed rather than the clinician's occupation," the order said. The order also tasks HHS with proposing a regulation to end what Trump called Medicare's "burdensome" requirements that are "more stringent" than federal and state laws require. The president intends to remove barriers that keep some personnel "from practicing at the top of their profession." https://www.medscape.com/viewarticle/919415
  11. MikeFNPC

    How long it took you to find your first NP job

    I had several offers before graduating.
  12. I'm not one to complain. However, I feel the need after my experience at Capella. I'm a preceptor and currently have 3 students (not at once, they're spread out) from different schools. As all preceptors know, with each school, there are various requirements. One of my students, who I've yet to meet, goes to Capella University. That school has a set of requirements that only the preceptor can perform that would best be described as tedious, time consuming, and plainly ridiculous. I've reached out to them with this issue and let them know that I will not be a preceptor for another student from Capella U unless the process has changed. This is a sad topic for me to share, as that I'm passionate about the NP profession and know that it is the future of healthcare. Read my previous posts. I've tried hard to post nothing but encouraging to students because of all the negative rhetoric that is out there about NP's. All I can ask is for forgiveness if this post in anyway deters anyone from pursing a career as an NP. It has been the most rewarding job I've had. But the school you go to matters. And while Capella may very well be a fantastic school. The burden placed on the preceptor, who gets absolutely nothing in return other than the satisfaction of helping others, is unsatisfactory.
  13. MikeFNPC

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

    I try and research the problem before walking in the room. But that would depend on how well the person scheduling the appt words the chief complaint. Of course you're going to be blind-sided by the "list" people. And, then it depends on the patient. You're going to find that there are pt's who won't be satisfied with whatever you do. Sometimes I try and wing it, or keep asking questions while trying to quickly look it up. Don't be afraid to say something like, "let me grab something off the printer" related to another problem the pt has. Then, saying something like, "sorry about that, someone asked me a question when I was out there", to explain a delay. You'll find your rhythm after a while. Good luck.
  14. MikeFNPC

    First NP Job

    It sucks when you're not supported by those above you. It makes for unnecessary fatigue and disgust. You may have to look for another job, or be miserable. Hope you find some way to work it out.
  15. MikeFNPC

    Full Practice Authority

    I work with an MD who doesn't follow guidelines, leading to frequent adverse reactions, poor outcomes, and even hospitalizations. If it weren't for my nursing background (all nurses are type A it seams, lol) and my preponderance to follow national guidelines, I'd get pushed around to treat patients like the MD does. Yes, it matters what education you get before treating patients. But as the adage goes, they still call the last graduate in medical school doctor. Anyone who practices medicine has to know they're own limitations and when to refer. And, that is a personal matter. We don't need a medical degree to treat a sore throat, but we do need to know when that sore throat needs to go to ENT because it could be cancer (as what happened to one of my patients). Full practice authority is where this country is heading, we get to participate in what that looks like.
  16. MikeFNPC

    NP to NP , question on colleague to colleague advice

    The only suggestion I can think of would be to connect with NP's in your area such as a local professional group and exchange contact information. For example, in my area we have SANAP.org (the website is temporarily down for the next 7-10 days).
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