Hello to all! I've been busy googling nurse practitioner positions lately to see if I could find a job somewhere. I had two interviews and hadn't heard anything back until today. I'm supposed to go to one place with my credentials and we'll see what the offer is. In the meantime, I was offered a part time position with a specialty here in town and am supposed to work Mondays and Fridays and then IF I do okay, I will get more hours. I really liked what I saw today (lots of procedures) and the follow ups are easy. I hope I can talk him into a full time position. I would rather not drive 40 minutes to work one way if I can help it. Who knows, maybe I can talk them both into doing part time so I can figure out which one I like better. My main problem is that I need insurance. I'm the only provider for the family because my hubby is disabled.
It was nice feeling productive today. I've been out of work for a solid month and Christmas is coming fast!
With Nurse Practitioner Week starting on November 11th, you can buy your favorite nurse practitioner something nice like a watch or a charm from my store or maybe a nice NP T-shirt from my store
The proceeds may just help out your favorite online Nurse Practitioner! Keep your fingers crossed for whatever permanent job offer I may receive. Thanks!
A nurse practitioner blog/website. Information relevant to nurse practitioner practice. Links to other nurse practitioner, nurse, and medical professional sites.
Monday, October 29, 2007
Monday, October 22, 2007
The New and Improved Scrubs Gallery
Hello there from The Nurse Practitioner's Place! I was busy looking over my links and visiting several that I have neglected due to school issues. Now that I've finished, you will all be getting a visit from me soon!
While I was clicking, I also visited The Scrubs Gallery (that nice blue ad over there on the sidebar). I was very surprised at it's freshness of appearance and it's ease of use. I recently had need of a lab coat for my other job and decided to give them a try. You can enter by company name ( I like Cherokee) and all products will come up for your perusal. It even has a button on some that you can click to find matching pants or tops which is pretty cool.
I especially liked that you can get a close up look at the colors and prints before you buy. They even have some really nice white uniforms for those of us who like the "old style look" with a nice, new flare. (Whoops! Not dating myself, just think white looks slightly more professional)
So, for your scrubs needs, go on over and check them out! I'm sure you won't be disappointed.
While I was clicking, I also visited The Scrubs Gallery (that nice blue ad over there on the sidebar). I was very surprised at it's freshness of appearance and it's ease of use. I recently had need of a lab coat for my other job and decided to give them a try. You can enter by company name ( I like Cherokee) and all products will come up for your perusal. It even has a button on some that you can click to find matching pants or tops which is pretty cool.
I especially liked that you can get a close up look at the colors and prints before you buy. They even have some really nice white uniforms for those of us who like the "old style look" with a nice, new flare. (Whoops! Not dating myself, just think white looks slightly more professional)
So, for your scrubs needs, go on over and check them out! I'm sure you won't be disappointed.
Sunday, October 21, 2007
Sample Nurse Practitioner/Doctor Protocol
ARNP Protocol
Requiring Authority:
A.Nurse Practice Act, Florida Statutes, Chapter 464
B.Florida Administrative Code, Rules Chapter 64B9-4 Administrative Policies Pertaining to Advanced Registered Nurse Practitioners
Parties to Protocol:
Your name, license number and Practice address
The doctor’s name, license number and practice address
Nature of Practice:
This collaborative agreement is to establish and maintain a practice model in which the nurse practitioner will provide health care services under the general supervision of Dr. XXX. This practice shall encompass family practice and shall focus on health screening and supervision, wellness and health education and counseling, and the treatment of common health problems.
Description of the duties and management areas for which the ARNP is responsible:
A. Duties of the ARNP:
The ARNP may interview clients, obtain and record health histories, perform physical and development assessments, order appropriate diagnostic tests, diagnose health problems, manage the health care of those clients for which she has been educated, provide health teaching and counseling, initiate referrals, and maintain health records.
B.The conditions for which the ARNP may initiate treatment include, but are not limited to:
Otitis media and externa, Conjunctivitis, URI, UTI, Sinusitis,
COPD, Asthma, Bronchitis, Diabetes Mellitus, CHF, HTN
C.Treatments that may be initiated by the ARNP, depending on the patient condition and judgment of the ARNP:
1.Mole removal
2.Incision and Drainage of abscesses.
Duties of the Physician:
The physician shall provide general supervision for routine health care and management of common health problems, and provide consultation and/or accept referrals for complex health problems. The physician shall be available by telephone or by other communication device when not physically available on the premises.
Specific Conditions and Requirements for Direct Evaluation:
The ARNP will maintain open and regular communication with Dr. XXX regarding the practice and patients and consult with Dr. XXX for conditions falling outside the scope of her ability to manage.
All parties to this agreement share equally in the responsibility for reviewing treatment protocols as needed and no less than annually. Practicing ARNPs must file a protocol at the time of renewal or when there are changes with the Board of Nursing. Alterations or amendments should be signed by all parties and filed with the Board within 30 days. Each party should keep a copy for each review period for a period of four years. The supervising physician is responsible for submitting a notice to the Board of Medicine that they have entered into a supervisory relationship with an ARNP.
____________________________/ ________________ License # ARNP
XXXXX, ARNP-BC
____________________________/____________ License #ME___________________
Dr. XXX, MD DEA # ________________________
Requiring Authority:
A.Nurse Practice Act, Florida Statutes, Chapter 464
B.Florida Administrative Code, Rules Chapter 64B9-4 Administrative Policies Pertaining to Advanced Registered Nurse Practitioners
Parties to Protocol:
Your name, license number and Practice address
The doctor’s name, license number and practice address
Nature of Practice:
This collaborative agreement is to establish and maintain a practice model in which the nurse practitioner will provide health care services under the general supervision of Dr. XXX. This practice shall encompass family practice and shall focus on health screening and supervision, wellness and health education and counseling, and the treatment of common health problems.
Description of the duties and management areas for which the ARNP is responsible:
A. Duties of the ARNP:
The ARNP may interview clients, obtain and record health histories, perform physical and development assessments, order appropriate diagnostic tests, diagnose health problems, manage the health care of those clients for which she has been educated, provide health teaching and counseling, initiate referrals, and maintain health records.
B.The conditions for which the ARNP may initiate treatment include, but are not limited to:
Otitis media and externa, Conjunctivitis, URI, UTI, Sinusitis,
COPD, Asthma, Bronchitis, Diabetes Mellitus, CHF, HTN
C.Treatments that may be initiated by the ARNP, depending on the patient condition and judgment of the ARNP:
1.Mole removal
2.Incision and Drainage of abscesses.
Duties of the Physician:
The physician shall provide general supervision for routine health care and management of common health problems, and provide consultation and/or accept referrals for complex health problems. The physician shall be available by telephone or by other communication device when not physically available on the premises.
Specific Conditions and Requirements for Direct Evaluation:
The ARNP will maintain open and regular communication with Dr. XXX regarding the practice and patients and consult with Dr. XXX for conditions falling outside the scope of her ability to manage.
All parties to this agreement share equally in the responsibility for reviewing treatment protocols as needed and no less than annually. Practicing ARNPs must file a protocol at the time of renewal or when there are changes with the Board of Nursing. Alterations or amendments should be signed by all parties and filed with the Board within 30 days. Each party should keep a copy for each review period for a period of four years. The supervising physician is responsible for submitting a notice to the Board of Medicine that they have entered into a supervisory relationship with an ARNP.
____________________________/ ________________ License # ARNP
XXXXX, ARNP-BC
____________________________/____________ License #ME___________________
Dr. XXX, MD DEA # ________________________
Thursday, October 18, 2007
Nurse Practitioner Job Interview Process
I have been to two different nurse practitioner interviews in the last week and am waiting to hear the results. One practice is approximately 40 minutes from my house and deals with mostly preventative care. They don't take Medicare or Medicaid and usually only see patients from children to 60 years or so. They don't boot you out if you are already in the practice and reach that age. That could smack of Logan's Run! I'm dating myself. ARGH!
The second practice is a rural health clinic and takes Medicare and Medicaid. It is about 30 minutes from my house in the other direction. The staff seems nice and it's advantage is that I could qualify for Federal Loan Repayment if I agree to work in that environment for 2 years but the application isn't ready until the Fall for the next year. So really, I would have to work there for almost three years.
The big problem during both interviews is ALWAYS the dreaded question, "So, why did you leave your other employer?" Immediate embarrassment, even if it's not really your fault. I haven't parted ways with anyone unless I chose to leave for the last 20 years!
What do you say?
Here's the pat answer. We decided to part ways mutually. We remain friends to this day. I have a nice reference letter to show you.
What you really want to say, "Actually, he fired me out of the blue with some bullshit excuses blah, blah, blah.
But one must always be the consummate professional and try to maintain some semblance of composure and remember that you really do know what you're doing and that someone will realize your potential.
The second practice is a rural health clinic and takes Medicare and Medicaid. It is about 30 minutes from my house in the other direction. The staff seems nice and it's advantage is that I could qualify for Federal Loan Repayment if I agree to work in that environment for 2 years but the application isn't ready until the Fall for the next year. So really, I would have to work there for almost three years.
The big problem during both interviews is ALWAYS the dreaded question, "So, why did you leave your other employer?" Immediate embarrassment, even if it's not really your fault. I haven't parted ways with anyone unless I chose to leave for the last 20 years!
What do you say?
Here's the pat answer. We decided to part ways mutually. We remain friends to this day. I have a nice reference letter to show you.
What you really want to say, "Actually, he fired me out of the blue with some bullshit excuses blah, blah, blah.
But one must always be the consummate professional and try to maintain some semblance of composure and remember that you really do know what you're doing and that someone will realize your potential.
Wednesday, October 17, 2007
Emergiblog Always Has The Coolest Stuff!
Tuesday, October 16, 2007
Nurse Practitioner Has A Job Interview Today
Hello to all! I have a job interview today. Wish me luck! While you wait to hear how it went, check out my husband's blog for some political/news satirical humor.
Friday, October 12, 2007
Sample Business Plan for Nurse Practitioner Independent Practice
Hello again. Does anyone have an example of a business plan for an independent nurse practitioner office that I can use to make one for myself? I also need an example of a collaborative agreement regarding that as well if it is different than the normal one.
Any advice from other independent practitioners would be great!
Any advice from other independent practitioners would be great!
Thursday, October 11, 2007
NP Looking For A Job
Well, the job I was working at in Family practice didn't pan out as planned. It was decided to part ways as friends mutually (more on the doc's part than mine). At first, I was very upset and it shook my confidence a little, but now realize that he probably did me a favor. I will remain professional and not blast the practice on the internet due to the possibility that he may find out and I would be in trouble. Suffice it to say that the environment was not conducive to a new graduate learning experience.
What I'm doing now is turning in applications all over town which are turning up nothing at the moment. I have also completed a travel company application and awaiting word from them for a possible assignment in Florida from Vero Beach north to the state line.
Any openings in Gainesville or Lake City area that anyone knows of would be greatly appreciated. I would prefer not to have to travel but one has to pay the bills since the student loans are coming due quickly.
What a surprise that a NP could be in an area where no one wants to hire or pay well.
I will keep you all posted regarding the job hunting. Who knows? Maybe I will be posting from a town near you somewhere else in FL.
What I'm doing now is turning in applications all over town which are turning up nothing at the moment. I have also completed a travel company application and awaiting word from them for a possible assignment in Florida from Vero Beach north to the state line.
Any openings in Gainesville or Lake City area that anyone knows of would be greatly appreciated. I would prefer not to have to travel but one has to pay the bills since the student loans are coming due quickly.
What a surprise that a NP could be in an area where no one wants to hire or pay well.
I will keep you all posted regarding the job hunting. Who knows? Maybe I will be posting from a town near you somewhere else in FL.
Wednesday, October 03, 2007
Tips On Getting Your Nurse Practitioner NPI Number
Hope this helps other NPs get their NPI number. I got mine pretty quickly. I'm working on Medicare and Medicaid provider numbers now. Lots of paperwork! Breaking news coming!
TO:Florida NP’s
FROM:ANA/FNA
DATE: January 29, 2007
RE: National Provider Identifier (NPI) Deadline Approaching
If you bill for services, you probably need National Provider Identifier (NPI). If you bill Medicare for services, you definitely need an NPI! Getting an NPI is easy. Getting an NPI is free. The first step is to get your NPI. Once you obtain your NPI, it is estimated that it will take 120 days to do the remaining work to use it. This includes working on your internal billing systems, coordinating with billing services, vendors, and clearinghouses and testing with payers. As outlined in the federal regulation, implementing the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you must also share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.
If you delay applying for your NPI, you risk your cash flow and that of your health care partners as well. Providers have until May 23, 2007, before you are required to submit claims with only an NPI. Information available on the CMS website: If you are not sure what an NPI is and how you can get it, share it and use it? As always, more information and education on the NPI can be found at the Centers for Medicare and Medicaid Services (CMS) NPI page www.cms.hhs.gov/NationalProvIdentStand on the CMS website. In addition, a new Special Edition MLN Matters article is now posted on the (CMS) website with important information for Medicare providers, as well as information that may be helpful for all health care providers. Providers can apply for an NPI online at https://nppes.cms.hhs.gov or can call the NPI enumerator to request a paper application at 1-800-465-3203.
TO:Florida NP’s
FROM:ANA/FNA
DATE: January 29, 2007
RE: National Provider Identifier (NPI) Deadline Approaching
If you bill for services, you probably need National Provider Identifier (NPI). If you bill Medicare for services, you definitely need an NPI! Getting an NPI is easy. Getting an NPI is free. The first step is to get your NPI. Once you obtain your NPI, it is estimated that it will take 120 days to do the remaining work to use it. This includes working on your internal billing systems, coordinating with billing services, vendors, and clearinghouses and testing with payers. As outlined in the federal regulation, implementing the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you must also share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.
If you delay applying for your NPI, you risk your cash flow and that of your health care partners as well. Providers have until May 23, 2007, before you are required to submit claims with only an NPI. Information available on the CMS website: If you are not sure what an NPI is and how you can get it, share it and use it? As always, more information and education on the NPI can be found at the Centers for Medicare and Medicaid Services (CMS) NPI page www.cms.hhs.gov/NationalProvIdentStand on the CMS website. In addition, a new Special Edition MLN Matters article is now posted on the (CMS) website with important information for Medicare providers, as well as information that may be helpful for all health care providers. Providers can apply for an NPI online at https://nppes.cms.hhs.gov or can call the NPI enumerator to request a paper application at 1-800-465-3203.
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