So How Has Your Day Been Going At Work?
I was thinking of something to blog about and the following question popped into my head!How has your day been going at work? Are you satisfied with the time you get to spend with your patients? Do you have enough time to chart properly? Do you often take work home to complete? Do you feel that your staff helps you get through your day and that the front desk staff respects you as a provider? Does your employer treat you as a valued provider and include you in decision making? I think that many NPs are struggling with the above issues. I see many NPs complaining on the boards about all of these issues. How are you dea...
Source: The Nurse Practitioner's Place - October 13, 2015 Category: Nursing Authors: NPs Save Lives Source Type: blogs

Johnson and Johnson Must Be Really Anti-NP
Well, I got to work today and received a notice from our Patient Assistance Program rep who informed me that effective immediately today that only a MD may sign the scripts and paperwork for their program. Wow... So all of the independent Nurse Practitioners who don't require any collaborative agreement with any physician can no longer get their patients meds through the program. Talk about being anti-NP! Such a delay in care for our patients. This will even possibly make patients have to schedule an additional visit with a doctor in order for them to complete this requirement. When are the big pharma companies going ...
Source: The Nurse Practitioner's Place - September 8, 2015 Category: Nursing Authors: NPs Save Lives Source Type: blogs

How Do You Feel About Being Called A "Mid-level"?
Hello all,It's been a while since I've posted. First off, an update on my sister Denise who is doing well and made it back home due to a few donations on Go Fund Me. I really appreciated the donations. Keep them coming if you have an inkling.Back to the subject at hand.. How many of you NPs are bothered by the term "mid-level". It personally drives me bananas! I think we need to come up with an alternate term. My collaborating MD asks why I'm bothered by it since that's what I am...I just wonder if I am "mid-level, who's the "low level provider"? I don't feel that I give "mid care" to my ...
Source: The Nurse Practitioner's Place - April 26, 2015 Category: Nursing Authors: NPs Save Lives Source Type: blogs

Help My Sister Get Home To Florida
Hello to all of my readers. My sister Denise is currently stuck in Seattle, Washington in a hospital post quadruple bypass surgery. She's hanging in there but needs a plane ticket home and money during her recovery period. I appreciate any help you may be able to provide. Please share this link!Dimes For DeeDee http://t.co/IyQqKtfghP via @gofundme This is my younger sister who is 42. Please help me get her home to Florida.This is one reason why it's so important to understand your genetic potentials for bad health issues.My mother also has had a quad bypass and my sister's father died of a myocardial infarction. I speak to...
Source: The Nurse Practitioner's Place - April 9, 2015 Category: Nursing Authors: NPs Save Lives Source Type: blogs

Ramblings of A Nurse Practitioner
Often people ask me what I missed the most while I was in NP school. I would have to say my family time and my hobbies. I used to read voraciously,  but now find myself playing on Facebook and reading other people's comments on posts there rather than picking up a book and plucking myself in a cozy chair next to my husband while he watched TV.I also didn't realize that it would continue into my career. It is what we do as providers. We sacrifice so that others can be healthier people and hopefully they listen to our advice. Unfortunately, some won't and we lose them along the way. Hard to watch at times and so hard no...
Source: The Nurse Practitioner's Place - February 28, 2015 Category: Nursing Authors: NPs Save Lives Source Type: blogs

Am I Invisible Or What?
Just a question... How many NPs have been excluded from company parties that Docs are invited to? I would certainly hope not many. Do you get included in company meetings? This still boggles my mind considering that NPs bring in quite a lot of revenue for practices and have very high patient satisfaction scores.Are you included in your company or do you feel like your input makes no difference?I've heard various responses from full involvement to none. Where do you land in the spectrum? Do you feel like it matters? How would you go about changing the perceptions?Go! (Source: The Nurse Practitioner's Place)
Source: The Nurse Practitioner's Place - November 19, 2014 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Nurse Practitioner Burnout
Why do NPs burnout? Much the same reasons as Doctors. Constant pressure to produce and keep everyone happy including patients, their family members, our bosses, our co-workers, insurance companies, and our own families. At the same time, trying not to kill anyone. The good thing is that has resolved itself with a job change. I just spent a long weekend at the beach and never  opened my computer to work. For the first time in 6 years...That's not saying that I haven't taken time off, just that I've always had to open my computer and work at some point during the event. You need to find ways to unstress your l...
Source: The Nurse Practitioner's Place - May 26, 2014 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Once Again FL Is Behind The Times
Unless there is a special session, once again Florida Nurse Practitioners have been left in the Dark Ages of medicine. I have been watching the House and the Senate closely during this year's sessions. I was so hoping that this would be the year prescription authority at least would be granted. After all, we are the LAST State left! Really! Do you actually think that we will start running willy nilly writing narcotics for every patient who asks for them? Am I that stupid and untrained that I can't figure out who truly needs pain medications? You don't think that I can tell when patients are trying to pull a fast one? ...
Source: The Nurse Practitioner's Place - May 3, 2014 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Changes in Practice Locations
Apparently, after I left my previous employer to go to Shand's Primary Care West in Lake City, I have been "just booked up, sick, or out of the office." I understand that the previous practice does not want to tell my patients where I went in order to try and keep them from following me. But it's pretty sad when they lie to patients and not just tell them that I've moved on. Don't they realize that it makes people mad and make them want to leave? I have always thought no compete clauses were stupid anyway. Adults will follow a provider if they can because they have built a relationship and trust. I can'...
Source: The Nurse Practitioner's Place - February 22, 2014 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Cha Cha Cha Changes!
It's been a while since I've posted due to some changes in my career setting. I'm still a FNP but moved to an office closer to home with better hours. This was a sudden thing as the opportunity fell into my lap. This is the first chance I have had to blog in a bit that didn't feel like a complaint yet again. I had a wonderful weekend without my computer attached to my hip and wasn't quite sure what to so with myself. I'm sure the quiet timd will once again be few and far between but I'm catching up on some reading.I plan to go through my links and clean those out and pop over to some of my old blogger haunts and say h...
Source: The Nurse Practitioner's Place - December 22, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Should You Shadow At A Location Before Working There?
Some NP new graduates are asking whether or not to shadow at a location before accepting or talking terms with an employer. I say yes because it can give you an invaluable look at a practice and it's style before you commit. I would not do it for more than a few days and be very specific about what constitutes shadowing. In my view, it means that you follow the different providers in the practice on their busiest days and see how they interact with patients and staff members. Don't pass up a chance to eat lunch with the nurses as they will usually give you the real lowdown. If the provider wants to use your services, make ...
Source: The Nurse Practitioner's Place - October 27, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Why A NP Thinks ObamaCare Will Not Work
Everyone is yelling and screaming about the government shutdown over the Democrat's and Republican's refusal to come to an agreement regarding the funding of ObamaCare. So.....what are we going to do about all of this. As a health care provider, I agree with some of the basic ideas. Patients should be covered by insurance regardless of previous medical conditions. I agree that everyone should be able to be covered by some form of medical coverage. We must make it affordable. How do we do this? The problem universally is two fold. 1. Can and should we force people to be covered? Some say that we live in a free society and ...
Source: The Nurse Practitioner's Place - October 13, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Getting A Second Wind
I have been dealing with some issues at work lately but I think that things are going to improve. It's amazing how tension can effect people and how both positivity and negativity can impact your life. Most of my patients are very astute to my moods as well though I try to hide it. I have always been positive in the room and try not to bring outside influences into the exam room. Patients also try to hide when things are bothering them. Often, after a few minutes, I can pick up on it and some have broken down and admitted that there are pretty bad stressors in their lives. A lot of medical providers don't car...
Source: The Nurse Practitioner's Place - July 29, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Oregon Working Toward Equal Pay For Equal Work
Oregon will become the first state to require insurance companies to pay at the same reimbursement rate once it gets signed into action. The biggest amount of complaint will of course be from doctors who are going to be unhappy about the situation.The issue is that we are doing the same exact visit with the same exact treatment plan. So why wouldn't we be eligible for the same pay? Well. Doctors say its because they have more education and training and that if we wanted to practice medicine that we should have gone to medical school. My mindset is why does medical school have to be so long if NPs and PAs can do the sa...
Source: The Nurse Practitioner's Place - June 15, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs

IRS Steals Medical Records
The article below concerns me a lot and I hope that the doctors wins his lawsuit and I hope patients find out and sue as well. If you had asked me if I thought that this could happen with the privacy restraints that we have, I would have said no!The House Energy and Commerce Committee sent a letter Tuesday to acting  IRS Administrator Daniel Werfel requesting information about a 2011 agency search and seizure of as many as 60 million medical records from a California health care provider.The letter follows a recent lawsuit regarding the legality of the seizure of more than 10 million American patients’ medical i...
Source: The Nurse Practitioner's Place - June 11, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs

How To Deal With A Hostile Work Environment
How to deal with a hostile work environment? This is a touchy subject in the medical world. Nurses are often subjected to harsh working environments of forced overtime and heavy patient ratios. More experienced nurses often "eat their young" in the hospital arena. One way to improve this is to further your education and move out of those areas of practice into a realm that offers more autonomy like becoming a Nurse Practitioner. This is the track that I took to improve my nursing career almost 6 years ago. For the most part, I have enjoyed my job taking care of patients and their families and watching the childr...
Source: The Nurse Practitioner's Place - June 7, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Turn Us Loose And Let Us Fly
Nurse practitioners can practice independently in 17 states. Slowly, over time, things will change. Many doctors will comment saying that "if you wanted to practice medicine, you should have gone to medical school". Well, I went to nursing school and it involved a terminal degree of NP at the time and I can diagnose, treat, and manage MY patients without a MD behind my name just fine. Most doctors are used to working with us on an equal footing, especially in rural settings. The company that I work for treat us all the same. It's been over a year since they have been recruiting another family doc with no success...
Source: The Nurse Practitioner's Place - May 27, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs

RN Nursing Graduation
Last night was my soon to be daughter-in-laws's RN pinning ceremony. It's hard to believe that it was all the way back in 2001 that I received mine. I was so proud and nervous. I had no clue what my career and life would be like as a nurse and now as a nurse practitioner. I have formed several friendships over the years as a nurse and a nurse practitioner blogger. Surprisingly enough, most have been through the blogosphere. I have always loved surfing through my nursing buddy's blogs and seeing how their careers and lives have been going. Unfortunately, for me, blogging has been put on the back burner for far too long. S...
Source: The Nurse Practitioner's Place - May 4, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Nurse Practitioners Walk The Line
I often find myself wishing for the good old days when your family doctor was truly a part of your community. Back in the prairie days, docs and teachers would rotate staying in family's homes and often ate dinner with people in their community. People appreciated their care and the medical provider had a vested interest in helping people. Too often, many health care providers don't really know anything about their patients and aspects that influence the decisions they make in life. We are such a litigious society and providers are all about the numbers game. I have socialized with patients outside of taking care of them a...
Source: The Nurse Practitioner's Place - March 22, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Top 25 Websites For Nurse Practitioners & Nurse Practitioner Students
I love when I find my blog listed as one of the top NP blogs on the net! I am really trying hard to get back to blogging and finding my voice again. The office has been really busy and we still haven't found another MD to work in our small town. I'm getting tired but am hanging on! Enjoy looking through their links and I will be doing it too so I can find some more great NPs to follow myself! Top 25 Websites For Nurse Practitioners & Nurse Practitioner Students (Source: The Nurse Practitioner's Place)
Source: The Nurse Practitioner's Place - March 15, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Top 25 Websites For Nurse Practitioners & Nurse Practitioner Students
I love when I find my blog listed as one of the top NP blogs on the net! I am really trying hard to get back to blogging and finding my voice again. The office has been really busy and we still haven't found another MD to work in our small town. I'm getting tired but am hanging on! Enjoy looking through their links and I will be doing it too so I can find some more great NPs to follow myself! Top 25 Websites For Nurse Practitioners & amp; Nurse Practitioner Students (Source: The Nurse Practitioner's Place)
Source: The Nurse Practitioner's Place - March 14, 2013 Category: Nursing Authors: NPs Save Lives Source Type: blogs

Speaking about Cold and Flu Differences On The Radio
Hello to all who are reading my Nurse Practitioner blog! I had a busy week at the office and helping my husband on The Retro Club Show on 96.5 The Jet Saturdays from 1-3. To listen, go to the Retro Replay tab and click on the links. I've been enjoying myself and hope to get some feedback on the website from listeners. I am trying to be totally conversational like I am in the office. What is your style in the office? Most NPs are interested in the entire patient. This makes me run behind in the office. I guess as long as I'm worth the wait, I will continue to do it. I tell my patients to tap their watch at the beginning of...
Source: The Nurse Practitioner's Place - March 4, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Geez At The Spam!
Great Gatsby! I turn my back for a second and my comment box is FULL of spam comments! Doesn't anyone leave legitimate comments anymore? It seems like most of coming from overseas too. Ugh! Since I haven't personally updated about me in a while, here goes.... I am to be a Noni again soon and it's a girl! My daughter has picked out Virginia Lynn as the name so far. She's due on her brother's birthday. Work is a crazy as ever and we are still looking for a physician to join the practice but haven't found any that want to work in a small rural town. Since we are one of two offices that are left, we are getting swamped with...
Source: The Nurse Practitioner's Place - February 20, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Certified Medical Assistants Calling Themselves Nurses
I was recently seeing  a patient in my office and a family member was in during the visit and was asking some very interesting questions. Since she was knowledgeable, I asked if she was in the medical field somewhere. She said that she was a nurse. I asked her what type of nurse she was and she told me that she was a CMA (certified medical assistant). "Ah, I said, you aren't actually a nurse," and I told her to be very careful about giving the impression that she was one without an actual degree as such. I explained, in a nice way, that it is illegal to portray yourself as a nurse when you are not and that y...
Source: The Nurse Practitioner's Place - January 15, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs

Standing Guard on the Front Line of your Patient ’s Health
Standing Guard on the Front Line of your Patient ’s Health Not only does a nurse practitioner play a vital role into the wellness of their patients, but also their passion for the field keeps them abreast on the latest and greatest resources that their patients can benefit from. When patients begin the search for a family care physician , knowing the candidates, their personalities, reputations, backgrounds and the amenities and services provided by their hospitals will help nurse practitioners pair patients with the perfect match. Top of the Class May Be Bottom of the Barrel Finding a great physician is not as ea...
Source: The Nurse Practitioner's Place - December 18, 2012 Category: Nursing Authors: NPs Save Lives Source Type: blogs