Jerodcrnp33

That's the thing. Anyone can learn a sugary technique if they assist and watch it enough. It's not difficult to follow steps and know anatomy. I personally wouldn't trust a PA over a surgeon, maybe an ortho surgeon but that's about it. PAs lack critical thinking skills. they come out of school and have zero bedside experience, or independent critical thinking skills, I would trust an ICU nurse over a lot of PAS, not to mention a ACNP who worked ICU and is now covering ICU

That sounds like a stab phlebectomy. Minimally invasive removal of bulging varicosities. I'm A ACNP and have worked with neurosurgery and currently vascular surgery. Yes, you assist in all procedures and operations but the MD should never leave the OR and let the NP perform, only if you are closing the wound. I have started spinal cord stimulator pulse generator insertion with MD not in room but they were either scrubbing in or had already seen the pt and advised me to get started with incision and dissection. It's all experience and the comfort level between you and surgeon. Also you need privileges from medical staff to do anything even with physician supervision. If you like surgery ACNP is the way to go, you get OR time, rounding and clinic, it's nice to follow patients through entire spectrum from clinic until discharge post operativly.

I am a ACNP have worked surgically for neuro and vascular. Track everything you do and ask your hospital for a record of the RVUs you generated this is s good way to have leverage when salary negotiations come up. I have my own clinic and also first assist I do not have a rnfa because that is not necessary for acute care nps. If pt has Medicare you will get decent reimbursement for your services. Nps tend to be detailed especially in clinic notes so bill high level 4/5 for new consults.. Also if you assist in surgery, endoscopic vein harvest, open vein harvest, pulse generator placement wound closure etc, your hospital will bill insurance and you may get paid extra for first assist. I can get up to 50 dollars for general first assist duties per case. we do 20-30 cases per month so it's nice extra money on top of salary.. hospital will pay it out quarterly.