Jump to content
2019 Nursing Salary Survey Read more... ×
MikeFNPC

MikeFNPC

FNP
advertisement

Activity Wall

  • MikeFNPC last visited:
  • 172

    Content

  • 0

    Articles

  • 5,271

    Visitors

  • 0

    Followers

  • 14

    Likes

  • 0

    Points

  1. MikeFNPC

    Ok TEXAS NP's, wake up and smell the coffee!!!

    We take flat films at our small (MD and me) clinic. All films go out for radiologist read, even stats take time. According to this rule, I can't even make a no-brainer read, I would have to wait for the interpretation to come from radiology. And as said previously, I've had to make several calls to the radiologist to amend a read due to dumb errors. I'm not taking away from the value of the radiologist expertise, likewise, don't insult me either. This rule is insulting. Anyone in medicine has to know their limitations. If you can't read a film because your green, then wait to get the read. How about requiring all films to be read by a radiologist. If that were the case, I'd have no argument. But after over 25 years under my belt, I've got more experience than many doctors. Be honest, this has nothing to do with skill.
  2. MikeFNPC

    Ok TEXAS NP's, wake up and smell the coffee!!!

    Example letter that anyone (MD, DO, PA, NP, person in general from any state) can send to rules.development@tmb.state.tx.us. Texas Medical Board, I am licensed as a nurse practitioner (APRN) in Texas, and I oppose the Texas Medical Board adopting rule 193.21 as published in the Texas Register on January 25, 2019. This rule would severely limit the practice of APRNs who have safely and regularly read and interpreted radiologic studies, and also diagnose and treat patients based upon these radiologic studies. It also unfairly restricts physicians who wish to delegate this ability to APRNs they trust and work with daily in order to provide the best team-based care possible. For example, in my practice, the clinic is in a rural community, it’s myself and an MD. Regularly, the MD takes 2 weeks off for CME and vacation. During that 2 weeks, this is a sole NP clinic. We have x-ray at the clinic, and do several a week. Not only does this ability prevent unnecessary hospital and ER visits, but it provides urgent/emergent treatment to be initiated without delay. If this rule passes, then I can assure the TMB that the Texas residence of this community will suffer not only delay of care but feasibly even death especially in the case of acute heart failure, bowel obstruction, and pneumonia. There is no evidence that APRNs who read, interpret and diagnose medical conditions based upon radiologic studies has resulted in increased danger to Texas patients. Imposing arbitrary and punitive regulatory restrictions on the physicians I work with and at the same time restricting my role on the health care team will disrupt the lives of the patients I care for every day. I beseech the Texas Medical Board to reject rule 193.21 for the good of all Texas patients. Respectfully, Michael Ryan MSN, APRN, FNP-C
  3. TMB Proposes Harmful Radiology Rule Monday, February 4, 2019 (3 Comments) Posted by: Erin Cusack Share| The Texas Medical Board (TMB) recently proposed a new rule that could dramatically impact the practice of APRNs in Texas across all settings – from hospitals in urban areas to the most remote rural clinics. The rule proposal says: §193.21.Delegation Related to Radiological Services... (d) The following acts have been determined to be the practice of medicine under the authority of the Act, §157.001(b)(1), and cannot be delegated to a midlevel provider, certified radiological technologist (MRT and LMRT), or non-certified radiological technologist (NCT): (1) the reading and interpretation of the radiological studies; and (2) rendering a diagnosis based on the radiological studies. Nurse Practitioners and Clinical Nurse Specialists regularly use x-ray and other imaging for everything from mammograms to broken bones. Certified Registered Nurse Anesthetists use fluoroscopy for central line placement and other procedures. Certified Nurse Midwives use ultrasound to ensure the health of mother and baby during pregnancy. By adopting this rule, physicians on the TMB are prohibiting an essential part of APRN practice and forcing their competition to practice blindfolded. While almost all APRNs would be affected, APRNs who own or work in small and micro businesses will no longer be able to provide certain treatments. Rural communities that do not have a physician to read and interpret these studies will have to seek care elsewhere. TNP Members received a call to action on Friday. If you are a TNP member, be sure to check your email. If you didn’t receive it, feel free to email admin@texasnp.org. If you are not a TNP member and are interested in receiving these important updates that impact your profession, join TNP today. Comments on Rule §193.21 can be emailed to rules.development@tmb.state.tx.us or mailed to Ms. Rita Chapin to P.O. Box 2018, Austin,Texas, 78768-2018. Comments are effectively due on February 22. Earliest date of adoption of this rule is February 24. https://www.texasnp.org/news/news.asp?id=436888 It's coming because we aren't paying attention. Please make comments on the site, and send an email to the TMB, the link is on the site. (Admin comment - I added the contents of the link as well as the contact info)
  4. MikeFNPC

    What is the best way to look for jobs?

    I did a quick search of the Lubbock area. Looks like Covenant Health Medical Group is a big player there. I'd also contact several of the urgent care centers, hospice groups, local insurance marketers (they tend to have a good grip on the local needs), even reach out to some of the family practice clinics. Additionally, I've found good opportunities when looking at Craigslist. In my area, I'm noticing a surge in NP owned clinics, some are owned by friends of mine who have asked if I'd like to work with them. Every time I start discussing this topic, I'm amazed at the growing opportunities with NP's. My wife is about to start NP school and I couldn't be more excited for her. Again, good luck with your searching and I'm sure you're excited to be closer to your spouse. Mike
  5. MikeFNPC

    Continued good outlook for NP job opportunities in Texas

    I work in a rural clinic with only one physician. We have a great working environment but the company I work for doesn't allow for NP's to have their own panel, so there is some influence that the MD has over me. The good thing though is I have more experience and the MD comes to me everyday asking me my opinion. It'll be nice when Texas comes out of the stone age and passes full practice authority. Unfortunately, not really LOL, my company has given me several incentives that would make it financially dumb for me to leave.
  6. MikeFNPC

    What is the best way to look for jobs?

    Where in Texas? I'm in San Antonio and there's a lot of jobs. Join the local professional APRN group. At ours, we present new job opportunities at every meeting. You could also go to the TNP website. Let me know if you need help in my area.
  7. "By 2030, the Texas health services department is projecting a shortage of 3,375 primary-care doctors throughout Texas, up from 2,002 in 2017. It is projecting a shortage of 694 primary-care doctors in the 16-county Gulf Coast region, up from 196 in 2017. That is the highest increase in the state." State report projects primary-care shortage to get worse - HoustonChronicle.com
  8. MikeFNPC

    Very very nervous ANCC

    That's awesome, congratulations. Now get to work, lol. Mike
  9. MikeFNPC

    Very very nervous ANCC

    I'd be more worried if you had high confidence. In my experience, arrogant students are usually the ones who need to study up. A little fear is healthy. After reading your post, I'm sure you'll do fine. Try and get a good nights sleep, take a little break the day before, and some caffeine can help. Good luck.
  10. MikeFNPC

    UTEP spring 2019 FNP

    It's my wife, Sandy. She's flying and staying with a relative. Look for her at the orientation. Good luck! Mike
  11. MikeFNPC

    UTEP spring 2019 FNP

    Anyone going to orientation from San Antonio?
  12. MikeFNPC

    UTEP spring 2019 FNP

    She just got her acceptance email. I'm so excited for her. I love being an NP. There's so much you can do with it.
  13. MikeFNPC

    UTEP spring 2019 FNP

    Not yet. Have you?
  14. MikeFNPC

    NP Jobs still looking pretty good.

    All great comments about Psych, but I really wanted to give a little encouragement to counter some of the negative rhetoric that seems to be common on the NP threads. NP is a great field that will only continue to thrive. I have yet to see any NP who has regretted their decision to enter this profession. I LOVE BEING AN NP!
  15. MikeFNPC

    NP Jobs still looking pretty good.

    These 5 jobs boast a six-figure salary and a slew of openings | Fox Business
×