travelRN555

travelRN555

ER/Trauma

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All Content by travelRN555

  1. Primary care in urgent care

    I recently started what I thought was going to be my dream job- Working in an urgent care with another provider with me as the clinic is typically busy. The reality is I’m often alone and see 35-50 patients in a day with limited support staff. Door...
  2. Primary care in urgent care

    This is just solely an urgent care system with an EHR designed specifically for urgent care. Most of the time the MAs don’t enter the proper history and there has been more than one occasision a provider has prescribed a medication that the patient i...
  3. ED case-manager as NP? Advice?

    It seems like an odd position... Why can’t the admitting provider put their own orders in? If you have no contact with the patients how do you know what orders are or are not appropriate?
  4. Primary care in urgent care

    Djmatte- I think you are absolutely right about the money..... we were also told we have to check in EVERYONE, even if we know we can’t treat them in the clinic and then bill them for a visit even though we are sending them to the ER- because ‘it’s ...
  5. Primary care in urgent care

    No, most have insurance, they just aren’t set up with primary providers. These diagnoses would be made from incidental findings during an urgent care visit- ie they came in for bronchitis, but have a high blood pressure reading —>check CMP because...
  6. Primary care in urgent care

    They are to come back every 2-3 days for blood pressure monitoring and adjustments and same for blood sugars and then every 2 weeks for fructosamine levels - which I had never heard of before our lecture. But they could, and will most likely, see a d...
  7. Just got an ED RN position, Advice needed PLS!

    Learn to go with the flow, adapt quickly, and constantly reprioritize. In the ER there is no refusing to take a patient/report from the new EMS that just arrived, and it's not uncommon to get 2-3 new patients land in your rooms at the same time. The...
  8. Walden University FNP

    Yes, but it took forever. I got hired at a brand new urgent care. I have yet to start though because they are still finishing construction.
  9. Good school that offers FNP programs online

    Hospitals are beginning to crack down on the hiring of online program graduates. Hospitals in my area won't even bother looking at your application if they see that you went to an online only school. I went to a 100% online program and while I passed...
  10. no contract job offer

    OK... So I've been on the struggle bus trying to get a new grad NP job. I had an offer back in February and turned it down because of bad contract terms. A couple weeks ago, I was offered another job and accepted it at a brand new facility. They sent...
  11. no contract job offer

    I'm just worried that if I'm on salary they can make me work a billion hours a week (the clinic will be open 24/7) or change up their medicial benefits Bc initially they said they wouldn't offer any, but then the medical director said they would have...
  12. guaranteed hours?

    I work in ER and we never get called off and it's extremely rare that we are flexed when it's a slow day because you never know what will walk through the doors. My agency guarantees my pay, but not my hours and there are stipulations. For example, t...
  13. Travel nurse insurance revoked

    My agency offers day 1 medical and you can take up to 2 weeks off between assignments without losing coverage. You can stretch it to 3 week with creative scheduling, but I've only ever had one assignment start on a Friday. If you take approved time ...
  14. Walden University FNP

    I graduated from their program last year. There is a lot of 'busy work' with papers and discussions. If you want to get the most out of the program I would not advise doubling up on courses as you are responsible for teaching yourself all of the mate...
  15. New nurse practitioner

    You just need to keep at it... I graduated last August and just finally got a job this week. I think I applied to 100-150 jobs and only had 1 other legitimate offer that turned out to be super sketch when it came to contract review - and that was onl...
  16. FNP Board Prep - pretest scores

    I personally would advise more than just skimming the Liek book. I passed the boards last September and feel that her content and questions were the most related to the exam. Good luck!
  17. Nursing Certs as APRN

    Does anyone maintain their nursing certifications as an NP? For example, I have my CEN, CPEN, TNCC, ENPC which are all nursing specific... should I bother to renew these now that I'm an NP?
  18. recruiter contract/finder's fees

    I spoke to a company who wants me to sign a basic contract so that they can "begin looking for placements and disclose their opportunities". The contract seems rather benign except for a clause that says that they get 25% of the provider's salary if ...
  19. working alone as a new grad

    Hey all... just wanted to get some feedback on people's experience with working alone as a new grad NP. I recently turned down a job offer (for many reasons), but one was that they changed the schedule and I was expected to work alone straight out of...
  20. working alone as a new grad

    Yes. This is exactly what I'm talking about. I know what I need to do as far as care, but it's knowing how to specifically go about it. Like, how do I arrange the PT, how do I go about getting prior authorizations from insurance companies for medicat...
  21. working alone as a new grad

    Only provider in the clinic.
  22. working alone as a new grad

    That seems like a great orientation period. But the sense I get from many of these jobs is that I would be solo from day one. One physician said that he needed weekend coverage the day after I finished my current travel assignment and would have to s...
  23. new grad NP contract negotiation

    The offer is for a single physician primary care clinic, with one other PA working there. The MD wants me to work part-time and initially wanted that to be in the form of half days, M-F 1-530pm. When I went back for a second "interview" they introduc...
  24. new grad NP contract negotiation

    Thanks! I'd rather hold out a little longer and take a job I feel good about, rather than jump at the first offer I get and be miserable just for the sake of 'getting my foot in the door'.
  25. new grad NP contract negotiation

    I officially turned it down about an hour ago. I spoke to the manager today regarding the schedule and what they had come up with to replace the M-F 1-530 was 3 days 1-7, a full day on Friday and 1-2 Saturdays per month. They said they would be keepi...