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: Nursing Authors: Anonymous 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't make the...
Source: The Nurse Practitioner's Place - February 22, 2014 Category: Nursing Authors: Anonymous 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

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 su...
Source: The Nurse Practitioner's Place - October 27, 2013 Category: Nursing Authors: Anonymous 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

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 tha...
Source: The Nurse Practitioner's Place - October 13, 2013 Category: Nursing Authors: Anonymous 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

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 care to a...
Source: The Nurse Practitioner's Place - July 29, 2013 Category: Nursing Authors: Anonymous 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

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: Nursing Authors: Anonymous 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 infor...
Source: The Nurse Practitioner's Place - June 11, 2013 Category: Nurses Authors: NPs Save Lives Source Type: blogs