[NPInfo] RE: NPInfo Digest, Vol 25, Issue 31
Anne Chamberlain
aec417 at comcast.net
Sun Apr 6 22:28:15 PDT 2008
I've been reading the DNP thread with curiosity. I have another question
regarding the DNP to throw in the pot. So, does one have to get the degree
in their state of licensure or can one do it partially via the web with
local clinicals, etc. (if clinicals are required)? Is there a way to not
have to re-locate if there isn't a program near you? Since states vary so
much on levels of NP training, how is this accounted for? It seems to me
that since it's not required for licensure and practice, the rules in how
you earn the degree (and later apply it) should also be more flexible. What
do those of you in the know say? I have no intention of going back to
school AGAIN, if I don't have to. I already have twelve years of college
and quit that "career" a few years ago. Except for the first two years, my
schooling is all directly in nursing. If I had gone the medical school
route, I WOULD have been done much sooner, but I LOVE nursing. Almost
couldn't help myself. It's now time to live life instead of reading about
theories, etc.. I learn new stuff almost every day still, in daily
practice, but enough is enough (school)! I get how the others are done. At
some point we want to just be working and enjoying our families and friends
like 'regular' people.
-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of npinfo-request at nurse.net
Sent: Sunday, April 06, 2008 8:02 PM
To: npinfo at nurse.net
Subject: NPInfo Digest, Vol 25, Issue 31
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"Re: Contents of NPInfo digest..."
Today's Topics:
1. Re: home visit question (Carla Anderson)
2. Re: CACC and AACN-READ BETWEEN THE LINES (np at c-zone.net)
3. home care NPs (Rose Moran-Kelly)
4. Re: CACC and AACN-READ BETWEEN THE LINES (mfnp at cox.net)
5. RE: DNP Program - University of Tennessee (Dena)
6. "...line that has been drawn, but it's not between the NPs &
Physicians" (Nbalkon at aol.com)
7. Re: "...line that has been drawn, but it's not between the
NPs & Physicians"-Yes it Is! (mfnp at cox.net)
8. Re: "...line that has been drawn, but it's not between the
NPs & Phy... (EPartinFNP at aol.com)
----------------------------------------------------------------------
Message: 1
Date: Sun, 6 Apr 2008 15:17:52 -0700 (PDT)
From: Carla Anderson <carla_rayne at yahoo.com>
Subject: Re: [NPInfo] home visit question
To: NP Info <npinfo at nurse.net>
Message-ID: <84193.71310.qm at web50010.mail.re2.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1
Hi,
New patients: 99341 15-20min Estab: 99347
99342 25-30min 99348
99343 40-45 99349
99344 60min 99350
With Medicare you need to state that patient is unable to travel due to
illness or transportation. Each of the other insurance companies may have
different requirements.
Hope that helps, Carla/Oregon
tabbytomey at aol.com wrote:
Apologies for adding on to a previous topic--I'm not sure how to start a
new one.
I'm trying to find the codes?& requirements for making home visits. Could
those who are already making them please respond? Thanks for your help.
Susan Tomey, ACNP-BC
Trinity Family Medicine
Meridian, ID
-----Original Message-----
From: Dena
To: 'NP Info'
Sent: Sun, 6 Apr 2008 1:55 pm
Subject: RE: [NPInfo] DNP Program - University of Tennessee
I researched the UT program and thought it had an excellent and unusual
curriculum-- certainly different than the majority of DNP bridging programs.
Dena Galler
-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of Amelie Hollier
Sent: Sunday, April 06, 2008 11:50 AM
To: NP Info
Subject: Re: [NPInfo] DNP Program - University of Tennessee
Scott-
I graduated in December, 2007 from UT with the DNP in the family
track. I'm happy to speak with you. My program had 4 clinical
semesters, very valuable to me----- and also very different than the
DNP programs people on the list are talking about that had no clinical.
Feel free to email me.
Amelie
amelie at apea.com
Amelie Hollier, DNP, FNP-BC, FAANP
Family Nurse Practitioner
President, APEA
www.apea.com
aahollier at apea.com
800-899-4502
On Apr 6, 2008, at 9:46 AM, Scott wrote:
> Anyone having any knowledge of the University of Tennessee's DNP
> program
> please contact me I have a few quick questions.
>
>
>
> Thank you in advance,
>
>
>
> Scott W. Governo MSN, FNP/PNP
>
>
>
> _______________________________________________
> NPInfo mailing list
> NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
> *****************************
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Carla R. Anderson, FNP-C
Healing Presence Family Practice, PC
carla_rayne at yahoo.com
503 819 9726
------------------------------
Message: 2
Date: Sun, 6 Apr 2008 18:02:43 -0500 (CDT)
From: np at c-zone.net
Subject: Re: [NPInfo] CACC and AACN-READ BETWEEN THE LINES
To: "NP Info" <npinfo at nurse.net>
Message-ID: <1207522963.v2.fusewebmail-272674 at f>
Content-Type: text/plain;charset=utf-8
With the proliferation of these DNP & similar programs there will be, after
a few years, NO choice at all- it will become a done deal & NPs as now exist
will cease to exist as a practical matter. Doctors fear their erosion of
power & have been fighting to retain turf and revenue sources for many
years. It is going to only get worse. Academics who colloborate with the
medical establishment/political power base only make this worse, and are
contributing to the demise of the NP concept as a viable practice model. It
is too bad that there is no equivalent of the National Rifle Association for
NPs to fight degree inflation, national certification, etc. they way the NRA
fights gun control! The NRA does not 'go along to get along', it draws a
line, fanatically hangs tough on its core values, and actively fights anyone
who does not support their positions.
----- Original Message -----
Subject: Re: [NPInfo] CACC and AACN-READ BETWEEN THE LINES
Date: Sun, April 6, 2008 13:40
From: Nbalkon at aol.com
>
> In a message dated 4/6/2008 11:11:48 AM Eastern Daylight Time,
> Margienp at aol.com writes:
>
> Amen also!
> NP for 20 years. I have no intention of that torture again.
>
>
>
>
>
> NANCE WRITES: You need not be tortured again... Only by choice! :-)
>
> Nancy Balkon, PhD, ANP-C, APRN-CS, NPP
> Southern New York State Representative -- AANP
> Clinical Associate Professor, Stony Brook University School of
> Nursing
>
>
>
> **************Planning your summer road trip? Check out AOL Travel Guides.
>
>
(http://travel.aol.com/travel-guide/united-states?ncid=aoltrv00030000000016)
> _______________________________________________
> NPInfo mailing list
> NPInfo at nurse.net
> http://lists.nurse.net/mailman/listinfo/npinfo
> *****************************
>
>
------------------------------
Message: 3
Date: Sun, 6 Apr 2008 19:51:55 -0400
From: "Rose Moran-Kelly" <rosemorankelly at gmail.com>
Subject: [NPInfo] home care NPs
To: "NP Info" <npinfo at nurse.net>, "NP Clinical"
<np-clinical at nurse.net>
Message-ID:
<402635820804061651s752c32cfpfac183b6bbadd585 at mail.gmail.com>
Content-Type: text/plain; charset=ISO-8859-1
Hi, Do we have any NPs who work for home care on list?
Rose
------------------------------
Message: 4
Date: Sun, 06 Apr 2008 18:14:21 -0700
From: mfnp at cox.net
Subject: Re: [NPInfo] CACC and AACN-READ BETWEEN THE LINES
To: npinfo at nurse.net
Message-ID: <47F9756D.2050108 at cox.net>
Content-Type: text/plain; charset=UTF-8; format=flowed
There is a line that has been drawn, but it is not between the NPs and
Physicians, it is between the NPs that only do clinical,and the "Ivory
Tower" crowd. The fight is becoming more prominent and the gap seems to
be widening and there is no communication between those that support and
those that do not. NPs, it appears, as a whole, that are not in favor of
these new guidelines and were not addressed as either individuals or a
group, are going to get stuck with guidelines, tests, etc., that once in
place will not be reversed.
Maybe, this will also be used to divide the NP field into levels of
those that have the DNP, and those that have been practicing and are not
going to spend the money to go back to school, and take another board
exam. It is being shoved down our throats, and those of us that did not
know about this, will eventually have to meet these new guidelines, or
leave the profession. Like I have said many times, lets just thank the
few that are making policy for the many. I have not heard, but do we
have to bow or curtsy to these new "leaders", or do we go back to the
days when nurses gave up their seats when a "doctor" was present? Marty
np at c-zone.net wrote:
> With the proliferation of these DNP & similar programs there will be,
> after a few years, NO choice at all- it will become a done deal & NPs
> as now exist will cease to exist as a practical matter. Doctors fear
> their erosion of power & have been fighting to retain turf and revenue
> sources for many years. It is going to only get worse. Academics who
> colloborate with the medical establishment/political power base only
> make this worse, and are contributing to the demise of the NP concept
> as a viable practice model. It is too bad that there is no equivalent
> of the National Rifle Association for NPs to fight degree inflation,
> national certification, etc. they way the NRA fights gun control! The
> NRA does not 'go along to get along', it draws a line, fanatically
> hangs tough on its core values, and actively fights anyone who does
> not support their positions.
>
>
> ----- Original Message -----
> Subject: Re: [NPInfo] CACC and AACN-READ BETWEEN THE LINES
> Date: Sun, April 6, 2008 13:40
> From: Nbalkon at aol.com
>
>> In a message dated 4/6/2008 11:11:48 AM Eastern Daylight Time,
>> Margienp at aol.com writes:
>>
>> Amen also!
>> NP for 20 years. I have no intention of that torture again.
>>
>>
>>
>>
>>
>> NANCE WRITES: You need not be tortured again... Only by choice! :-)
>>
>> Nancy Balkon, PhD, ANP-C, APRN-CS, NPP
>> Southern New York State Representative -- AANP
>> Clinical Associate Professor, Stony Brook University School of
>> Nursing
>>
>>
>>
>> **************Planning your summer road trip? Check out AOL Travel
Guides.
>>
>>
(http://travel.aol.com/travel-guide/united-states?ncid=aoltrv00030000000016)
>> _______________________________________________
>> NPInfo mailing list
>> NPInfo at nurse.net
>> http://lists.nurse.net/mailman/listinfo/npinfo
>> *****************************
>>
>>
> _______________________________________________
> NPInfo mailing list
> NPInfo at nurse.net http://lists.nurse.net/mailman/listinfo/npinfo
> *****************************
>
------------------------------
Message: 5
Date: Sun, 6 Apr 2008 18:31:30 -0700
From: "Dena" <galdena at sbcglobal.net>
Subject: RE: [NPInfo] DNP Program - University of Tennessee
To: "'NP Info'" <npinfo at nurse.net>
Message-ID: <005301c8984f$1c1ab5d0$e68ab545 at Dena>
Content-Type: text/plain; charset="us-ascii"
Gaylene--
Now, let's think about this for a minute... do you really think that a
community college would be offering a doctorate program? I kind of doubt it.
Dena Galler
-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of GAAdams at aol.com
Sent: Sunday, April 06, 2008 2:38 PM
To: npinfo at nurse.net
Subject: Re: [NPInfo] DNP Program - University of Tennessee
Amelie What program in UT? University of UT or another program-- I just
received a flyer for a program out of I think a Communty college Gaylene
In a message dated 4/6/2008 12:55:52 P.M. Pacific Daylight Time,
galdena at sbcglobal.net writes:
I researched the UT program and thought it had an excellent and unusual
curriculum-- certainly different than the majority of DNP bridging programs.
Dena Galler
-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of Amelie Hollier
Sent: Sunday, April 06, 2008 11:50 AM
To: NP Info
Subject: Re: [NPInfo] DNP Program - University of Tennessee
Scott-
I graduated in December, 2007 from UT with the DNP in the family
track. I'm happy to speak with you. My program had 4 clinical
semesters, very valuable to me----- and also very different than the
DNP programs people on the list are talking about that had no clinical.
Feel free to email me.
Amelie
amelie at apea.com
Amelie Hollier, DNP, FNP-BC, FAANP
Family Nurse Practitioner
President, APEA
www.apea.com
aahollier at apea.com
800-899-4502
On Apr 6, 2008, at 9:46 AM, Scott wrote:
> Anyone having any knowledge of the University of Tennessee's DNP
> program
> please contact me I have a few quick questions.
>
>
>
> Thank you in advance,
>
>
>
> Scott W. Governo MSN, FNP/PNP
>
>
>
> _______________________________________________
> NPInfo mailing list
> NPInfo at nurse.net
> http://lists.nurse.net/mailman/listinfo/npinfo
> *****************************
_______________________________________________
NPInfo mailing list
NPInfo at nurse.net
http://lists.nurse.net/mailman/listinfo/npinfo
*****************************
_______________________________________________
NPInfo mailing list
NPInfo at nurse.net
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*****************************
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*****************************
------------------------------
Message: 6
Date: Sun, 6 Apr 2008 21:34:05 EDT
From: Nbalkon at aol.com
Subject: [NPInfo] "...line that has been drawn, but it's not between
the NPs & Physicians"
To: npinfo at nurse.net
Message-ID: <c18.30cb62ec.352ad40d at aol.com>
Content-Type: text/plain; charset="US-ASCII"
In a message dated 4/6/2008 9:15:19 PM Eastern Daylight Time, mfnp at cox.net
writes:
There is a line that has been drawn, but it is not between the NPs and
Physicians, it is between the NPs that only do clinical,and the "Ivory
Tower" crowd. The fight is becoming more prominent and the gap seems to
be widening and there is no communication between those that support and
those that do not. NPs, it appears, as a whole, that are not in favor of
these new guidelines and were not addressed as either individuals or a
group, are going to get stuck with guidelines, tests, etc., that once in
place will not be reversed.
NANCE RESPONDS:
As a member of the "ivory tower" crowd and practicing NP [I wouldn't be
nationally board certified if not] I agree that a line's being drawn. The
line
occurs because there IS communication and opportunity to comment, be heard,
remain informed.... however... there are NPs who choose not to partake of
the
opportunity in forums where voices count. Local, state, national
organizations.
AANP, for example, offers these opportunities... now proudly has 24,000+
active voices who remain abreast of NP practice & education concerns but
also
participate via PAC.
Your comment that follows is a generalization... ie, "...NPs, it appears,
as
a whole, that are not in favor of these new guidelines and were not
addressed as either individuals or a group,...".... "I" take exception to
as an NP
and as a member of the "ivory tower" .... NOT... as the S. NY Rep. of
AANP...
I've been an NP since '77... Board certified as an ANP since '79. Those
that CAN do.... teach.... and,.. teach full-time too!
Nancy Balkon, PhD, ANP-C, APRN-CS, NPP
Southern New York State Representative -- AANP
Clinical Associate Professor, Stony Brook University School of Nursing
**************Planning your summer road trip? Check out AOL Travel Guides.
(http://travel.aol.com/travel-guide/united-states?ncid=aoltrv00030000000016)
------------------------------
Message: 7
Date: Sun, 06 Apr 2008 19:21:05 -0700
From: mfnp at cox.net
Subject: Re: [NPInfo] "...line that has been drawn, but it's not
between the NPs & Physicians"-Yes it Is!
To: npinfo at nurse.net
Message-ID: <47F98511.1090906 at cox.net>
Content-Type: text/plain; charset=ISO-8859-1; format=flowed
Nancy, From the responses you, and I would think many in NY, would be
better informed than most. But, from the responses, it appears the
majority of NPs were caught totally unaware. Speaking for myself, I have
no intention of obtaining another degree, nor do I believe it will make
me any better or worse, as a practitioner. I also do not want to spend
the money, nor sit for another exam, especially one that is made to meet
the level of one aspect of a physician's education. as was stated in the
article. The second that physicians have input into our education and
qualifications, only erodes our own profession, and ability to make
decisions on a nursing level, not in comparison, or competition with
physicians.
One thing that I have never understood is why these additional exams and
educational steps are primarily supported by those that are in, or a
part of, academics, and I would be open if anyone could neutrally
explain this to me and the group?
Marty
------------------------------
Message: 8
Date: Sun, 6 Apr 2008 23:02:06 EDT
From: EPartinFNP at aol.com
Subject: Re: [NPInfo] "...line that has been drawn, but it's not
between the NPs & Phy...
To: npinfo at nurse.net
Message-ID: <d29.20fd51ee.352ae8ae at aol.com>
Content-Type: text/plain; charset="US-ASCII"
Marty,
I have been blasted before on this list serv for speaking out in support of
the DNP, but I will respond again to try to answer your question. I am not
part of any academic group, but I do support the move to DNP as entry to
practice for ARNPs. I do have a DNP degree, but I took the long route,
starting out
as a LPN, then ADN, BSN, MSN and finally DNP. At each step along the way I
learned. (Although, I only obtained my BSN because I thought it was going
to
be required for entry into practice. As an ADN, I thought, wrongly, I knew
all
that I needed to know as a nurse.) Besides the educational value of my
degree, it has brought me additional respect from other professionals. In
my
legislative work, having the title "doctor" lends more weight to what I
have to
say. Like it or not, when I use the title, people are more willing to
listen to
me. In order to gain full reimbursement for what we do and to be accepted
as
a full partner in health care, and not an underling or someone to be
supervised, we need to have equal status with other health care providers.
The move to the DNP must not disenfranchise any currently practicing
masters
prepared ARNPs. I believe strongly that MSN prepared ARNPs are excellent
health care providers.
I do not support the CACC exam for DNP graduates. ARNPs do not need to
compare themselves to physicians and we do not need to pass a test written
by/for
physicians. The measure of quality is not to be like a physician. The
measure
of quality for ARNPs is to be the best of nursing and nursing must
determine
the measure. The current certification exams written by nursing
organizations, should stand as the basis for certification whether the
degree is MSN or
DNP. This new exam only acts as a divider for our profession. Heaven knows,
there is enough divisiveness in nursing without throwing up something else!
Beth Partin
In a message dated 4/6/2008 9:22:04 P.M. Central Daylight Time,
mfnp at cox.net
writes:
Nancy, From the responses you, and I would think many in NY, would be
better informed than most. But, from the responses, it appears the
majority of NPs were caught totally unaware. Speaking for myself, I have
no intention of obtaining another degree, nor do I believe it will make
me any better or worse, as a practitioner. I also do not want to spend
the money, nor sit for another exam, especially one that is made to meet
the level of one aspect of a physician's education. as was stated in the
article. The second that physicians have input into our education and
qualifications, only erodes our own profession, and ability to make
decisions on a nursing level, not in comparison, or competition with
physicians.
One thing that I have never understood is why these additional exams and
educational steps are primarily supported by those that are in, or a
part of, academics, and I would be open if anyone could neutrally
explain this to me and the group?
Marty
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------------------------------
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