brownrice

Hi! I have been to your website and tried to call but couldn't get through on the number....to comment on your post here, I think this is a novel idea because I do believe there are many services being "held captive" by traditional providers. Not that others are not qualified to perform the service, just that no one has really pioneered the idea to do this outside this traditional arena. I can think of pros and cons...pro is that they sell the stuff in the grocery aisle, so it must be pretty darn safe for the FDA to deem that a consumer can apply it. The substance you use may be a bit different from the store, however, I'm sure the agency insuring you has examined the risk of this new service every which way from Sunday, and again, if they gave it the nod, you would think that's pretty safe. Playing devil's advocate, I could say that the service may be applied to teeth that are too fragile to undergo the procedure, etc., and this could be putting your client's teeth at risk. However, you must have an informed consent sheet to cover you for this. I would really welcome a personal email if you would send one. I have some questions you may be able to answer. Thank you, and I wish you continued success with your practice!

The best and only way I know of to get the information regarding the laws in any state is to call the state, department of nursing, and speak with someone about the laws. Ask them to direct you to their website, which will list their respective laws in writing. Just ask them directly "I am a nurse, can I perform aesthetic procedures in this state without a physician? If so, which procedures? Then, find it in writing. You wouldn't want to trust one person's verbal advice this much! Some states allow for an NP to practice aesthetic medicine independently (among them Washington, Arizona, New Mexico). Some states allow RN's to perform aesthetic procedures only if a physician is present--these procedures are usually limited in scope. Other facilities will allow an RN to perform extremely limited procedures if they have a medical director physician who is not ever or seldom present at the facility. So, you see, it can really vary. Finally, an insurance agency working with people all over the US to insure aesthetic procedures will also be well versed in what can/can't happen in the various states.

Hi: Regarding fixing up your place....with some creativity, you can end up with a much cozier, neater feel than the newer, glitzy strip malls!! You need not spend a lot of money, just like Periwinkles is saying--be creative! Now, for your sink: There is a product out there to refinish chipped bathtubs and sinks. You can find it at Home Depot. Just ask them! You basically spray on a new coating of glaze. A friend of mine did it to a bathtub, and you'd never know this now white tub used to be pink!! Get some books from the library on decorated cottage style or "shabby chic", for ideas on how to bring out the unique features of your place. Use live plants!! They bring an ambience and energy to a room that cannot be duplicated with any other material. Nature makes everyone feel good and connected. A small salon I go to (in an old rundown shopping mall) is fixed up really cute. She ripped the formica and other old junk off the wall, and got some plaster at Home Depot. She then used a trowel and put it on sorta unevenly. Then she painted it a soothing, canary yellow. It has a nItalian fresco feel with its uneven, hand crafted appearance. The black picture frames she hung seem to "pop" against this warm yellow color. Best of all, plaster is cheap!! Have fun! Let us know how you're project is going! Tracey

Hi Tanya: I'd love to hear more about your conference, business goals, etc. Didn't see a way to pm you though! Thanks.

I would also move away from the area. Statistics reveal that the midwest is the "armpit" of the nation if you will, for NP salaries/respect. Conversely, both coasts offer much high salaries for NP's/PA's. Perhaps the fact the AMA is centered is Chicago is from where this stench emmanates? If so, I wouldn't expect the air to clear anytime soon. Stay in the area and accept it, or move on.

Was having the MPH degree not marketable in you geographical area? This, ultimately is one of the reasons I have chosen the NP track, which I am currently in. I love epidemiology, prevention, etc. However, unless I was prepared to move to the capitol city of our state, and work with the State Department of Health, or to Atlanta to work for the CDC, it looked like my job prospects were very very slim indeed. So, to the OP, does this help at all? Do a search and look to see where the MPH jobs are located. If you don't mind moving, no problem. For me, it is VERY important to get to choose exactly where I will live. Small towns, clean air, clean water, no traffic or commuting are a priority for me.

Notice the wording is medical doctors. Not just doctors. They are opposing nursing doctorates or "doctors of nursing". The AMA is not just now setting out to quash the scope and rights of midlevels. It's a little late for that.

Okay, this is pretty clear to me. It is saying that if you are not an MD, OD, or DDental med/Dental surgery, that you cannot imply, advertise or connote to the unsuspecting public that you are a doctor ready to practice to heal someone under the guise of being a "doctor". They are looking for a legal provision here....a legal right to put the hurt on anyone who might be doing this. It is obviously directed as a precautionary strike against DNP's.

Cyndee MSN RN: What is a "top tier" university doing hiring NP instructors who were "never RN's?" And what does this say about the quality of education you received from this "top tier" university?

Just wondering, did any of you consider an online program? I'm now in a grad program (FNP)...switched from WSU in a hurry--just did it initially because it was here in the state and didn't think there would be that much difference in programs, boy was I wrong. Anyway, just a warning to give it some thought if it's not too late, or if you find yourself frustrated later on. There are BSN online options out there!

Ch123 Hello! I'm cruising the website and came across your question. I'm an FNP student with a year to go (43yrs old, if that matters at all)...but I couldn't resist offering my 2 cents. If this is what you want to do, of course you need to go for it!! Here is a point to consider as well. Since the average age of the population out there is older rather than younger, you automatically have an advantage when building rapport with patients. If I were 40, 50, 60 >, I want you treating me. I can relate to you and the life skills and wisdom you bring, as opposed to a 23 yr old. It is comforting to have someone near your own age attending to your care. And "comfort" is a HUGE part of the nursing paradigm. I hope you will follow this if it is your dream to do so.

Dear Catch33er: I empathize with your plight. I will be an FNP in a year, and could just as well be facing this issue. As you remember from the pm I sent, I'm about an hour away from you geographically. I emailed one of my favorite NP professors PhD/ARNP to pick her brain about your issue. She is very active politically in Washington state and knows legislation pertaining to nurses, healthcare, insurance, extremely well. She works in a small practice for underserved part-time, and teaches part-time. She is a very intelligent, nice person. This is her message: Unfortuantely, as limited as mental health care is for insured people it is almost non-existent for the uninsured unless there is a volunteer staffed clinic. I am not familiar with the resources in Walla Walla and suspect this NP knows better than I. One thing she may want to do is set up a mechanism for consulting on cases and do some CE on psych issues. Also, people who have severe mental health issues may be directed to apply for disability on the basis on their psych problems which then can gain them access to mental health services if they qualify for Medicaid or Medicare. If there is anything I can do to help her - even just talking through ideas about how to approach the problem - she should feel free to contact me. So, If you would like her email address, just pm me, and I'm happy to pass it on.

If nurses continue to refuse to unite and organize, demanding better pay/respect commensurate with the level of education and responsibility they shoulder, they will only continue to work crappy hours, holidays, nights and weekends, passing out meds like a bandit as they max nurse/patient ratio.

CGFNP: Amen! You are RIGHT ON with your message. Some may not like the direct approach, but yes, XXXXXXXXXXX. Those that can't stand the heat need to get outta the kitchen. There is something to be said for those with the courage to say it like it is, rather than back stab or complain behind someone's back about issues that can be dealt with head on. Perhaps this is why men seem to have better luck rising to the top? As for Theory, APA papers and the like, it's a ridiculous waste of time.

"People with true mental illness need to be managed by a psychiatrist and manage is the key word here." Germanicus, regarding your statement above regarding psychiatrists: Please don't forget about Psych NP's!!!!!!!!!!!!! They can manage this patient load just as well, and are doing so as we speak. If you look at the number of psychiatrists available per density of population, it's abyssmal. Psych NP's have been and will continue to fill this gap. ESPECIALLY for the rural areas. The state university here has been given a large grant by the state/federal government to expand/give tuition grant assistance to psych NP students here. This NP specialty is doing a beautiful job supplying NP's to fill in where the Psychiatrist either doesn't exist, or doesn't have time to handle. Any psych NP's out there want to add a word or two?