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Kaepora last won the day on January 1 2019

Kaepora had the most liked content!

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  1. The NPs are definitely trying to capitalize on this. Tennessee just granted FPA because of the pandemic. I wouldn't be surprised if other states do the same before this is all over.
  2. I work critical care and I'm on remicade infusions. No option to stay home. I wear a PAPR if SARS-CoV-19 is suspected and when intubating go straight to glidescope. I would say if this person is primary care and there is no PPE available, should any of you be there? How critical is this practice? I would contact your prescriber before stopping. Keep in mind if you take a break from a biologic, it might not work as well, or at all, when you start again. And the risk of a relapse or flare may be just as serious depending on what autoimmune disease you have.
  3. Originally it had no mention of PAs, so after it was tabled and reintroduced, PAs were able to find inclusion to at least some degree. Looks like Desantis signed it. The NPs seem to be happy. Baby steps. Doesn't include all NPs is the problem.
  4. Looks like HB 607 is going to the governor.
  5. Yeah, I think they are of the mindset that baby steps are still forward progress, while the other organizations are thinking more "go big or go home".
  6. NP and nursing organizations are opposed to this bill because it actually adds regulation to NP practice. It is not FPA. The current version of the bill moves NPs away from core principles and national standards for NP regulation. As amended, the bill moves NP regulation out of the Board of Registered Nursing, creates a new regulatory board that includes physician oversight, regulates NPs by setting, and establishes new barriers.
  7. I'm CCM and we do 6x12s and 1x8 (that is always a 12) each 2 week pay period. The hospitalist APPs do 4x10s. We get 26x8 hour shifts, or 17x12 hour shifts of PTO each year.
  8. My acute care NP program included many hours covering POCUS, with didactic and hands on content with hired "models" to let us practice. FAST scan, abdominal, lung / thorax, vascular access, the 4 main cardiac views, etc. Definitely an exception, not the rule, but certainly not the only NP program doing this.
  9. CRNAs are not NPs, but they are APRNs. CNMs are not NPs, but they are APRNs. CNS are not NPs, but they are APRNs. PMHNPs, PNPs (both acute and primary care), FNPs, ACNPs, WHNPs, AGPCNPs, etc are all NPs and APRNs. DNP is a degree, and does not specifically refer to a NP. A RN, CRNA or CNM can be a DNP, but not be a NP. For the past many decades, FNPs were really the only track/certification on the block so they were found in every specialty. Most state BONs (really all of them) still allow this. The National Council of State Boards of Nursing created the Consensus Model for APRN regulation in an attempt to align each NP's licensure, accreditation, certification and education with their population/specialty practice. This remains a guideline, rather than a legally adopted regulation. It is still hotly debated (mostly by FNPs) and also remains a point of contention among NP specialty tracks (i.e. psych NPs don't believe FNPs should practice psych, ACNPs don't believe FNPs should be in the hospitals, etc). The main problem is, however, that FNPs still dominate the NP landscape. For example, ACNPs only make up about 7% of the NP workforce. Further, employers largely do not know the difference. This is changing. My hospital system now requires the ACNP certification. It'll take time but it'll happen. Generally, it is true though, that if I, an ACNP, wanted to work in psych, I would need to go back and do a PMHNP program to get my psych certification. So that would be another "x" number of didactic semesters and at least 500 hours of clinical. If i wanted to get my pediatric NP, same deal. FNPs "should" do the same, but that hasn't been an option for decades so, even now, they don't see the point.
  10. I prefer small to medium sized health systems. I currently work at two hospitals - one is a bit less than 400 beds, and the other is around 150. Like the poster above me, I feel like I make more of an impact. Bigger fish in a smaller pond, I suppose. But I do think as PA/NPs we are generally on a bit more of a level playing field with physicians in smaller systems. Our opinion matters more, and typically, we can actually do more.
  11. Good luck. Pittsburgh (and the surrounding suburbs) is completely saturated with PA programs. Between the MD (medical students and residents), PA and NP programs, there aren't many open slots.
  12. Is the patient registered as an oupatient procedure? Because if so that should be fine. Our IR APPs do thoras that have been ordered by other providers. The patient comes to the hospital, is registered as an outpatient, the PA/NP does the thora, they go home. The collaborating MD is not involved. Just make sure you are privileged to do this.
  13. I would not do this. I'm in Pennsylvania, and PAs here can't write for more than a few days of Sch IIs. Back when I was practicing in surgery, and a patient required a script for longer, the group said the NPs (there were 2 of us) would help the physicians and write the scripts for the PAs - even if it was a patient we weren't involved with at all. We refused. The surgeons were the supervising physicians. Not us. That is their "burden".
  14. It is significantly cheaper for NPs. One of the local PA programs is >$100,000 for the program. And it is not even a big name. Very few NP programs have tuitions anywhere close to that. Plus, the reasons stated above. I was able to pay off all debt within 6 months of starting my first NP job, without changing my standards of living. The hospital system where I worked as a RN gave me 25% off tuition. I dropped to "casual" so couldn't even take advantage of their tuition reimbursement.
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