From SamaraFNP at aol.com  Thu Apr  1 04:48:43 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Thu, 1 Apr 2004 07:48:43 EST
Subject: [PrvPracNP] bipolar
Message-ID: <127.3d9a448d.2d9d69ab@aol.com>


I had a woman (age 21) who came to me for something else (pap) and was on 
topamax and had gained 25 lbs in 6 months on it.  If there is no wt. gain, I 
agree, without the blood draws it is great.
Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From psumner2 at yahoo.com  Thu Apr  1 08:01:38 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Thu, 1 Apr 2004 08:01:38 -0800 (PST)
Subject: [PrvPracNP] bipolar
In-Reply-To: <20040401052408.RHP1797.imf22aec.mail.bellsouth.net@nina>
Message-ID: <20040401160138.86036.qmail@web41609.mail.yahoo.com>

Nina,
Is caring for PMI pts within your FNP scope of Practice in LA?
As discussed a lot earlier, you can get a psych NP training online at U of Alabama. Seems like a good program
 Paula

Nina Ravey <nravey at bellsouth.net> wrote:
Thanks to ya'll for clarifying information for one who is not a psych nurse,
but quickly learning in the school of hard knocks how to care for bipolar
and schizophrenia patients.
Nina

Nina Ravey, RN, MSN, CNS, C-FNP
Family Nurse Practitioner
Shirley Medical Clinic
711 N. Main St.
Jennings, LA 70546
337-824-2002
Fax:337-824-2004
www.shirleymedical.com
Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
Management, Physical Medicine and Rehabilitation, Diabetic Education
Classes, Walk-ins, Appointments


"It never ceases to amaze me how being a good nurse is often in direct
opposition to being a "good employee."




-----Original Message-----
From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
Behalf Of Pr. Pamela A. Provost N.P.
Sent: Wednesday, March 31, 2004 10:55 PM
To: Private Practice NPs
Subject: Re: [PrvPracNP] bipolar

Depakote requires blood draws and teenagers as well as children, balk
greatly at this necessary intervention. In addition, the added weight gain,
a significant side effect in Depakote, effects the ego status of the child
and teenager as well as the health status.
It is definitely a good mood stabilizer, but Topamax is far superior in
effect, compliance, no need for blood level monitoring and lack the side
effects that impact weight gain .
Sincerely,
Pamela A. Provost N.P.
Psychiatric Provider
Neuroscience Consultant

~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: "Nina Ravey" 
To: "'Private Practice NPs'" 

Sent: Wednesday, March 31, 2004 11:01 PM
Subject: RE: [PrvPracNP] bipolar


> Just went to a seminar where psychiatrist talked about anti-psychotics and
> Seroquel was suggested as one of the safest with out black box warning,
not
> tounted to cause diabetes. Works well if you start with 100mg bid and
> titrate up every day by 100 until you reach the 800 dose range.
> I've used it and it works well on bipolar. Depakote also works well.
> He also explained that the drugs may be used in children and adolescents.
> Nina
>
> Nina Ravey, RN, MSN, CNS, C-FNP
> Family Nurse Practitioner
> Shirley Medical Clinic
> 711 N. Main St.
> Jennings, LA 70546
> 337-824-2002
> Fax:337-824-2004
> www.shirleymedical.com
> Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
> Management, Physical Medicine and Rehabilitation, Diabetic Education
> Classes, Walk-ins, Appointments
>
>
> "It never ceases to amaze me how being a good nurse is often in direct
> opposition to being a "good employee."
>
>
>
> -----Original Message-----
> From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
> Behalf Of Alex Wagner
> Sent: Wednesday, March 31, 2004 8:00 PM
> To: prvpracnp at nurse.net
> Subject: [PrvPracNP] bipolar
>
> I need some suggestion for a teenage diagnoses by psychiatrist for bipolar
> is very dizzy on Lithium. What else are you guys using for this in this
> age group with less side effects.
>
>
> ---
> [This E-mail scanned for viruses]
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp

_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp

_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp

Paula Joan Sumner RN, MSN, FNP-BC
Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
For Peak Performance Issues, Stress Management, Pain Management, Weight Management and  Smoking Cessation.
Durham, NC 27707

http://paulajsumner.byregion.net member# 10102918

919-490-4656, #8

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From psumner2 at yahoo.com  Thu Apr  1 08:05:21 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Thu, 1 Apr 2004 08:05:21 -0800 (PST)
Subject: [PrvPracNP] Psychotropics et al/risk vs benefits
In-Reply-To: <15c.30f1a29c.2d9cda71@aol.com>
Message-ID: <20040401160521.31439.qmail@web41606.mail.yahoo.com>

Marla,
NC has regs about providers self-treating.  You might want to check out you state's reg on this.  I know it is easy to self-medicate, but most times it is not the safest or wisest thing to do.
Paula

SamaraFNP at aol.com wrote:
I have a pat statement in my notes in the computer that says, pat has been informed etc etc.  Some patients, I have actualy sign my statement in thier note if hand written.  I don't give all the side effects as patients will have them.  Well, yes, I did take serzone.  I put myself on it 5 months before my mother died from ovarian cancer.  I was the only child taking care of her with her fear, my fear etc and sleep became impossible.  I took 150mg bid for those months and then for 6 months after she died and then slowly weaned myself off it.  outside of dry mouth which did not impact me as a singer (I sing with the roanoke symphony), I had no side effects.  It enabled me to sleep, to feel like I could cope and help my early alzheimers' dad cope and make all the arrangements that I had to and still work full time etc.  I only needed meds for under a year but I'm greatful to serzone for helping me get thru.  That was in 1999 before all the controversy.  
 
Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp


Paula Joan Sumner RN, MSN, FNP-BC
Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
For Peak Performance Issues, Stress Management, Pain Management, Weight Management and  Smoking Cessation.
Durham, NC 27707

http://paulajsumner.byregion.net member# 10102918

919-490-4656, #8

---------------------------------
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From psumner2 at yahoo.com  Thu Apr  1 08:10:29 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Thu, 1 Apr 2004 08:10:29 -0800 (PST)
Subject: [PrvPracNP] Antidepressant Concentrations
	inCordandMaternalSerumShow S...
In-Reply-To: <167.2d7a880c.2d9cc569@aol.com>
Message-ID: <20040401161029.15596.qmail@web41607.mail.yahoo.com>

also, tagamet potentiates many drugs in case you weren't aware. The psych MDs i had worked with won't touch it.
Paula

SamaraFNP at aol.com wrote:
Oh, sorry for coming back again.  Serzone was out a long time before this warning came out with it.  I had no problems with about 60 people on it.  The ones who went off it out of fear were about 10.  The others are happy on it.  As for Seroquil, it may yet get some kind of study that shows some long term effects.  What doesn't have side effects.  But, like I tell my patients, the side effects of depression are suicide, unhappiness, inability to work, to carry on relationships etc.  You know I had so many patients call me who took themselves off lipitor when they heard about the rare side effects of liver disease and rhabdomyolysis,  When I told them the side effect of being OFF lipitor was heart attack, stroke etc, they went back on.  You know now they say lipitor and other statins like zocor can actually predispose people to heart disease.  WHo knows.  I know seroquil can depress bone marrow, but this is rare and if it is the drug your patient needs, again the risk/benifit ratio
 must be considered.  I always inform my patients that all drugs have side effects and that it cannot just "fix your arthritis in your knee and not go to any other part of your body>"  
Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp


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From ccreel at rochester.rr.com  Thu Apr  1 08:17:03 2004
From: ccreel at rochester.rr.com (C Creel)
Date: Thu, 1 Apr 2004 11:17:03 -0500
Subject: [PrvPracNP] Antidepressant
	ConcentrationsinCordandMaternalSerumShow S...
References: <20040401161029.15596.qmail@web41607.mail.yahoo.com>
Message-ID: <00c201c41804$c5b62180$6601a8c0@rochester.rr.com>

<<When I told them the side effect of being OFF lipitor was heart attack,
stroke etc, they went back on.  You know now they say lipitor and other
statins like zocor can actually predispose people to heart disease.  WHo
knows>>


   **  WEll, when a drug depletes CoQ10 which is present in every cell in
the body and most abundant in the heart, the results of this can't be good.


   I think we have to remember that the pharmaceutical industry's first
responsibility is to shareholders.  They've proven this repeatedly with the
way they hold back unfavorable data and massage the data they  have.


    They knew the dangers of Baycol (a number of other countries had banned
it) but continued to milk everything they could out of it.  This is not an
exception to their practices.

Regards,
Catherine



From pamme at sbcglobal.net  Thu Apr  1 08:52:25 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Thu, 1 Apr 2004 11:52:25 -0500
Subject: [PrvPracNP] bipolar
References: <127.3d9a448d.2d9d69ab@aol.com>
Message-ID: <03c201c41809$b6ceb970$209cfea9@VAIO>

Topamax side effect profile is weight loss, not weight gain.
Perhaps, before she was not eating during her manic stages as is common.
With improved mood stability, the metabolism slows and the patient returns to a "normal" eating pattern.  
With that steady weight gain over 6 months, I would check her eating patterns.  Bipolars love junk food.
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: SamaraFNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Thursday, April 01, 2004 7:48 AM
  Subject: Re: [PrvPracNP] bipolar



  I had a woman (age 21) who came to me for something else (pap) and was on topamax and had gained 25 lbs in 6 months on it.  If there is no wt. gain, I agree, without the blood draws it is great.
  Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)


------------------------------------------------------------------------------


  _______________________________________________
  PrvPracNP mailing list
  PrvPracNP at nurse.net
  http://lists.nurse.net/mailman/listinfo/prvpracnp
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From pamme at sbcglobal.net  Thu Apr  1 08:55:19 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Thu, 1 Apr 2004 11:55:19 -0500
Subject: [PrvPracNP] bipolar
References: <20040401160138.86036.qmail@web41609.mail.yahoo.com>
Message-ID: <03dd01c4180a$1e837dd0$209cfea9@VAIO>

Or you can externship as I did.  That was 7 years ago.
They are starting to establish psych np programs, but unfortunately, there still does not exist a board certification in the field for psych np.
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Paula J. Sumner 
  To: Private Practice NPs 
  Sent: Thursday, April 01, 2004 11:01 AM
  Subject: RE: [PrvPracNP] bipolar


  Nina,
  Is caring for PMI pts within your FNP scope of Practice in LA?
  As discussed a lot earlier, you can get a psych NP training online at U of Alabama. Seems like a good program
   Paula

  Nina Ravey <nravey at bellsouth.net> wrote:
    Thanks to ya'll for clarifying information for one who is not a psych nurse,
    but quickly learning in the school of hard knocks how to care for bipolar
    and schizophrenia patients.
    Nina

    Nina Ravey, RN, MSN, CNS, C-FNP
    Family Nurse Practitioner
    Shirley Medical Clinic
    711 N. Main St.
    Jennings, LA 70546
    337-824-2002
    Fax:337-824-2004
    www.shirleymedical.com
    Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
    Management, Physical Medicine and Rehabilitation, Diabetic Education
    Classes, Walk-ins, Appointments


    "It never ceases to amaze me how being a good nurse is often in direct
    opposition to being a "good employee."




    -----Original Message-----
    From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
    Behalf Of Pr. Pamela A. Provost N.P.
    Sent: Wednesday, March 31, 2004 ! 10:55 PM
    To: Private Practice NPs
    Subject: Re: [PrvPracNP] bipolar

    Depakote requires blood draws and teenagers as well as children, balk
    greatly at this necessary intervention. In addition, the added weight gain,
    a significant side effect in Depakote, effects the ego status of the child
    and teenager as well as the health status.
    It is definitely a good mood stabilizer, but Topamax is far superior in
    effect, compliance, no need for blood level monitoring and lack the side
    effects that impact weight gain .
    Sincerely,
    Pamela A. Provost N.P.
    Psychiatric Provider
    Neuroscience Consultant

    ~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
    are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
    Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
    Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
    Cats! Join Care2.com's Race for the Oceans! ! Join Care2.com's Race for the
    Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
    ----- Original Message ----- 
    From: "Nina Ravey" 
    To: "'Private Practice NPs'" 
    Sent: Wednesday, March 31, 2004 11:01 PM
    Subject: RE: [PrvPracNP] bipolar


    > Just went to a seminar where psychiatrist talked about anti-psychotics and
    > Seroquel was suggested as one of the safest with out black box warning,
    not
    > tounted to cause diabetes. Works well if you start with 100mg bid and
    > titrate up every day by 100 until you reach the 800 dose range.
    > I've used it and it works well on bipolar. Depakote also works well.
    > He also explained that the drugs may be used in children and adolescents.
    > Nina
    >
    > Nina Ravey, RN, MSN, CNS, C-FNP
    > Family Nurse Practitioner
    > Shirley Medical Clinic
    > 711 N. Main St.
    > Jennings, LA 70546
    > 337-824-2002
    > Fax:337-824-2004
    > www.shirleymedical.com
    > Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
    > Management, Physical Medicine and Rehabilitation, Diabetic Education
    > Classes, Walk-ins, Appointments
    >
    >
    > "It never ceases to amaze me how being a good nurse is often in direct
    > opposition to being a "good employee."
    >
    >
    >
    > -----Original Message-----
    > From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
    > Behalf Of Alex Wagner
    > Sent: Wednesday, March 31, 2004 8:00 PM
    > To: prvpracnp at nurse.net
    > Subject: [PrvPracNP] bipolar
    >
    > I need some suggestion for a teenage diagnoses by psychiatrist for bipolar
    > is very dizzy on Lithium. What else are you guys using for this in this
    > age group with less side effects.
    >
    >
    > ---
    > [This E-mail scanned for viruses]
    >
    > _______________________________________________
    > PrvPracNP mailing list
    > PrvPracNP at nurse.net
    > http://lists.nurse.net/mailman/listinfo/prvpracnp
    >
    > _______________________________________________
    > PrvPracNP mailing list
    > PrvPracNP at nurse.net
    > http://lists.nurse.net/mailman/listinfo/prvpracnp

    _______________________________________________
    PrvPracNP mailing list
    PrvPracNP at nurse.net
    http://lists.nurse.net/mailman/listinfo/prvpracnp

    _______________________________________________
    PrvPracNP mailing list
    PrvPracNP at nurse.net
    http://lists.nurse.net/mailman/listinfo/prvpracnp


  Paula Joan Sumner RN, MSN, FNP-BC
  Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
  For Peak Performance Issues, Stress Management, Pain Management, Weight Management and Smoking Cessation.
  Durham, NC 27707

  http://paulajsumner.byregion.net member# 10102918

  919-4! 90-4656, #8


------------------------------------------------------------------------------
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------------------------------------------------------------------------------


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  PrvPracNP at nurse.net
  http://lists.nurse.net/mailman/listinfo/prvpracnp
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From pamme at sbcglobal.net  Thu Apr  1 08:56:21 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Thu, 1 Apr 2004 11:56:21 -0500
Subject: [PrvPracNP] Psychotropics et al/risk vs benefits
References: <20040401160521.31439.qmail@web41606.mail.yahoo.com>
Message-ID: <03f201c4180a$42dbfef0$209cfea9@VAIO>

It is usually acceptable as long as controlled substances are not involved.
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Paula J. Sumner 
  To: Private Practice NPs 
  Sent: Thursday, April 01, 2004 11:05 AM
  Subject: Re: [PrvPracNP] Psychotropics et al/risk vs benefits


  Marla,
  NC has regs about providers self-treating.  You might want to check out you state's reg on this.  I know it is easy to self-medicate, but most times it is not the safest or wisest thing to do.
  Paula

  SamaraFNP at aol.com wrote:
    I have a pat statement in my notes in the computer that says, pat has been informed etc etc.  Some patients, I have actualy sign my statement in thier note if hand written.  I don't give all the side effects as patients will have them.  Well, yes, I did take serzone.  I put myself on it 5 months before my mother died from ovarian cancer.  I was the only child taking care of her with her fear, my fear etc and sleep became impossible.  I took 150mg bid for those months and then for 6 months after she died and then slowly weaned myself off it.  outside of dry mouth which did not impact me as a singer (I sing with the roanoke symphony), I had no side effects.  It enabled me to sleep, to feel like I could cope and help my early alzheimers' dad cope and make all the arrangements that I had to and still work full time etc.  I only needed meds for under a year but I'm greatful to serzone for helping me get thru.  That was in 199! 9 before all the controversy.  

    Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
    _______________________________________________
    PrvPracNP mailing list
    PrvPracNP at nurse.net
    http://lists.nurse.net/mailman/listinfo/prvpracnp



  Paula Joan Sumner RN, MSN, FNP-BC
  Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
  For Peak Performance Issues, Stress Management, Pain Management, Weight Management and Smoking Cessation.
  Durham, NC 27707

  http://paulajsumner.byregion.net member# 10102918

  919-490-4656, #8


------------------------------------------------------------------------------
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------------------------------------------------------------------------------


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From pamme at sbcglobal.net  Thu Apr  1 08:57:09 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Thu, 1 Apr 2004 11:57:09 -0500
Subject: [PrvPracNP] Antidepressant
	ConcentrationsinCordandMaternalSerumShow S...
References: <20040401161029.15596.qmail@web41607.mail.yahoo.com>
Message-ID: <040701c4180a$5f920080$209cfea9@VAIO>

Right you are!!  Nor ranitidine.  Both can trigger dopamine casacade resulting in hallucinations and/or delusions.
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Paula J. Sumner 
  To: Private Practice NPs 
  Sent: Thursday, April 01, 2004 11:10 AM
  Subject: Re: [PrvPracNP] Antidepressant ConcentrationsinCordandMaternalSerumShow S...


  also, tagamet potentiates many drugs in case you weren't aware. The psych MDs i had worked with won't touch it.
  Paula

  SamaraFNP at aol.com wrote:
    Oh, sorry for coming back again.  Serzone was out a long time before this warning came out with it.  I had no problems with about 60 people on it.  The ones who went off it out of fear were about 10.  The others are happy on it.  As for Seroquil, it may yet get some kind of study that shows some long term effects.  What doesn't have side effects.  But, like I tell my patients, the side effects of depression are suicide, unhappiness, inability to work, to carry on relationships etc.  You know I had so many patients call me who took themselves off lipitor when they heard about the rare side effects of liver disease and rhabdomyolysis,  When I told them the side effect of being OFF lipitor was heart attack, stroke etc, they went back on.  You know now they say lipitor and other statins like zocor can actually predispose people to heart disease.  WHo knows.  I know seroquil can depress bone marrow, but this is rare! and if it is the drug your patient needs, again the risk/benifit ratio must be considered.  I always inform my patients that all drugs have side effects and that it cannot just "fix your arthritis in your knee and not go to any other part of your body>"  
    Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
    _______________________________________________
    PrvPracNP mailing list
    PrvPracNP at nurse.net
    http://lists.nurse.net/mailman/listinfo/prvpracnp



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From pamme at sbcglobal.net  Thu Apr  1 09:00:31 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Thu, 1 Apr 2004 12:00:31 -0500
Subject: [PrvPracNP]
	AntidepressantConcentrationsinCordandMaternalSerumShow S...
References: <20040401161029.15596.qmail@web41607.mail.yahoo.com>
	<00c201c41804$c5b62180$6601a8c0@rochester.rr.com>
Message-ID: <040d01c4180a$d809b170$209cfea9@VAIO>

Rather it is a statement to our own FDA's policies.
People ask me all the time, how I can continue to support the democratic and
green party candidates, with the tax bracket I am in.
Look what the alternative has done to us.  Look what we have allowed them to
do.
If ever you have specific questions regarding a medication, you can ask for
a white paper from the drug company from it's local rep to request.
I have rec'd a plethora of white papers over the years regarding outcomes,
research, drug interactions, pharmacopathology etc.  The information in the
white papers is quite revealing and not what you find in the PDR.
Regards,
Pamme
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: "C Creel" <ccreel at rochester.rr.com>
To: "Private Practice NPs" <prvpracnp at nurse.net>
Sent: Thursday, April 01, 2004 11:17 AM
Subject: Re: [PrvPracNP]
AntidepressantConcentrationsinCordandMaternalSerumShow S...


> <<When I told them the side effect of being OFF lipitor was heart attack,
> stroke etc, they went back on.  You know now they say lipitor and other
> statins like zocor can actually predispose people to heart disease.  WHo
> knows>>
>
>
>    **  WEll, when a drug depletes CoQ10 which is present in every cell in
> the body and most abundant in the heart, the results of this can't be
good.
>
>
>    I think we have to remember that the pharmaceutical industry's first
> responsibility is to shareholders.  They've proven this repeatedly with
the
> way they hold back unfavorable data and massage the data they  have.
>
>
>     They knew the dangers of Baycol (a number of other countries had
banned
> it) but continued to milk everything they could out of it.  This is not an
> exception to their practices.
>
> Regards,
> Catherine
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp



From LauraHoemanARNP at aol.com  Thu Apr  1 10:01:44 2004
From: LauraHoemanARNP at aol.com (LauraHoemanARNP at aol.com)
Date: Thu, 1 Apr 2004 13:01:44 EST
Subject: [PrvPracNP] Self-prescribing
Message-ID: <88.72e53f0.2d9db308@aol.com>

In Washington state, when I graduated from my NP program, I emailed the Board 
of Pharmacy to ask about self-prescribing and prescribing for friends and 
family. I got back an email telling me it's legal here to self-prescribe as long 
as they're not controlled substances, AND it's legal to prescribe for friends 
and family as long as you keep a chart on them and do the appropriate 
exam/assessment.  Since then, two years ago, I have on rare occasions prescribed for 
friends and family, keeping a chart and doing the appropriate assessment. I 
keep it within my comfort zone, strictly with meds I'm very sure of and meds that 
are very appropriate. I've had no problems.  I have self-prescribed for 
myself a time or two. It's very embarrassing at the pharmacy to do this, so I 
prefaced it by telling the pharmacist,"I know it's legal for me to self-prescribe, 
but does your pharmacy have a policy on this?"  That gave them room to tell me 
if they disapproved of it. The pharmacist was very laid-back about it and 
said,"Of course, no problem."  He implied it was done all the time. I still don't 
like to do it, because it's EMBARRASSING.   But many NPs have samples in 
their office, quite legally, and I have heard NPs do occasionally utilize their 
own samples (don't be too shocked).  I try to be very careful with this sort of 
thing, but it is legal in Wash. state, and sometimes we know ourselves better 
than others do. What do others think?--Laura 
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From LauraHoemanARNP at aol.com  Thu Apr  1 10:07:57 2004
From: LauraHoemanARNP at aol.com (LauraHoemanARNP at aol.com)
Date: Thu, 1 Apr 2004 13:07:57 EST
Subject: [PrvPracNP] Antidepressant Concentrations
	inCordandMaternalSerumShow S...
Message-ID: <1e.25d51f81.2d9db47d@aol.com>

There is a board certification for psychiatric NPs.  It is through the ANCC. 
I am a board-certified psychiatric mental health nurse practitioner. My 
certification allows me to treat all ages, including children. My program was at the 
University of Washington.  In days past, there was only the Clinical Nurse 
Specialist certification, but that has changed, and now NPs-to-be in Wash. state 
who want to go into psych. are encouraged to go the nurse practitioner , not 
clinical specialist, route.  I became a nurse practitioner, not a clinical 
specialist, and I've never been sorry.   --Laura
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From SamaraFNP at aol.com  Thu Apr  1 10:22:09 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Thu, 1 Apr 2004 13:22:09 EST
Subject: [PrvPracNP] Psychotropics et al/risk vs benefits
Message-ID: <ba.52ab7fa0.2d9db7d1@aol.com>

Oh, I started using samples of serzone as every doc in my practice did with 
samples at one time or another.  Then I got a script from one of the docs I 
worked with when I told him it was working.  I was just the initial "prescriber" 
for myself, but I never wrote a script for me.  Not possible in va to do that.

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From pamme at sbcglobal.net  Thu Apr  1 10:38:34 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Thu, 1 Apr 2004 13:38:34 -0500
Subject: [PrvPracNP] Self-prescribing
References: <88.72e53f0.2d9db308@aol.com>
Message-ID: <04c701c41818$8aa976a0$209cfea9@VAIO>

I agree 100%.  I have had occasion where I have called my PCP for an antibiotic and only to find out when I reached the pharmacy, that it had not been called in.  I just asked the pharmacist for a script pad and wrote the Rx myself.  The pharmacists had no problem doing this at all.  I have written for Cutivate Cream for my kids (they live out of state), when they came to visit and at the last minute told me they needed the med.  This was at two different pharmacies.  Neither batted an eyelash.  
I have had collaborative physicians tell me to keep antibiotics on hand at home, so that I would not fall sick and miss seeing patients.  It is a standard of practice amongst providers.  
Crossing the line occurs when prescribing controlled substances.
I often prescribed for my sister, her husband and kids when their pharmacy (he works for Pfizer) was closed and they needed to use the local pharmacy.  
In each case, I was familiar with the patient, did an assessment and diagnosis and prescribed accordingly.  
I see nothing wrong with this practice at all.  IN this day of horrible health coverage, I consider it a perk of all that I have had to spend in time, energy, money and talent to achieve the level of expertise and recognition that I have obtained.
Sincerely,
Pamme
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: LauraHoemanARNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Thursday, April 01, 2004 1:01 PM
  Subject: [PrvPracNP] Self-prescribing


  In Washington state, when I graduated from my NP program, I emailed the Board of Pharmacy to ask about self-prescribing and prescribing for friends and family. I got back an email telling me it's legal here to self-prescribe as long as they're not controlled substances, AND it's legal to prescribe for friends and family as long as you keep a chart on them and do the appropriate exam/assessment.  Since then, two years ago, I have on rare occasions prescribed for friends and family, keeping a chart and doing the appropriate assessment. I keep it within my comfort zone, strictly with meds I'm very sure of and meds that are very appropriate. I've had no problems.  I have self-prescribed for myself a time or two. It's very embarrassing at the pharmacy to do this, so I prefaced it by telling the pharmacist,"I know it's legal for me to self-prescribe, but does your pharmacy have a policy on this?"  That gave them room to tell me if they disapproved of it. The pharmacist was very laid-back about it and said,"Of course, no problem."  He implied it was done all the time. I still don't like to do it, because it's EMBARRASSING.   But many NPs have samples in their office, quite legally, and I have heard NPs do occasionally utilize their own samples (don't be too shocked).  I try to be very careful with this sort of thing, but it is legal in Wash. state, and sometimes we know ourselves better than others do. What do others think?--Laura 


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From pamme at sbcglobal.net  Thu Apr  1 10:39:59 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Thu, 1 Apr 2004 13:39:59 -0500
Subject: [PrvPracNP] Antidepressant
	ConcentrationsinCordandMaternalSerumShow S...
References: <1e.25d51f81.2d9db47d@aol.com>
Message-ID: <04dc01c41818$bd8f66b0$209cfea9@VAIO>

Laura,
When did they come out with that?
The practice guidelines were just established and published in the past 6 months by the NCNP and the AANP.
The last I looked, the board certification was for CNS not NP.
Sincerely,
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: LauraHoemanARNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Thursday, April 01, 2004 1:07 PM
  Subject: Re: [PrvPracNP] Antidepressant ConcentrationsinCordandMaternalSerumShow S...


  There is a board certification for psychiatric NPs.  It is through the ANCC. I am a board-certified psychiatric mental health nurse practitioner. My certification allows me to treat all ages, including children. My program was at the University of Washington.  In days past, there was only the Clinical Nurse Specialist certification, but that has changed, and now NPs-to-be in Wash. state who want to go into psych. are encouraged to go the nurse practitioner , not clinical specialist, route.  I became a nurse practitioner, not a clinical specialist, and I've never been sorry.   --Laura 


------------------------------------------------------------------------------


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  PrvPracNP at nurse.net
  http://lists.nurse.net/mailman/listinfo/prvpracnp
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From emarcz at earthlink.net  Thu Apr  1 10:58:06 2004
From: emarcz at earthlink.net (E  Marciczkiewicz)
Date: Thu, 1 Apr 2004 13:58:06 -0500
Subject: [PrvPracNP] bipolar
References: <20040401160138.86036.qmail@web41609.mail.yahoo.com>
	<03dd01c4180a$1e837dd0$209cfea9@VAIO>
Message-ID: <00fa01c4181b$45951bc0$932cfea9@minenml0wgc2g2>

I'm wondering if you can tell me what you mean by an externship? I am planning to start a psych NP program in the near future with the online program at U of Alabama which someone from this listserve so kindly informed me about.

Do you know the difference between going for CNS in psych vs NP in psych?  I find this very confusing.  I am currently an adult NP practicing primary care with a disabled population here in Boston.  Psych issues are abundant with this group.

Thank you.

Ava Marciczkiewicz, NP
Boston
  ----- Original Message ----- 
  From: Pr. Pamela A. Provost N.P. 
  To: Private Practice NPs 
  Sent: Thursday, April 01, 2004 11:55 AM
  Subject: Re: [PrvPracNP] bipolar


  Or you can externship as I did.  That was 7 years ago.
  They are starting to establish psych np programs, but unfortunately, there still does not exist a board certification in the field for psych np.
        ~:~~:~ 
        GOD BLESS US ALL

        Life may not be the party we hoped for, but while we are here, we may as well dance

        Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
  ----- Original Message ----- 
    From: Paula J. Sumner 
    To: Private Practice NPs 
    Sent: Thursday, April 01, 2004 11:01 AM
    Subject: RE: [PrvPracNP] bipolar


    Nina,
    Is caring for PMI pts within your FNP scope of Practice in LA?
    As discussed a lot earlier, you can get a psych NP training online at U of Alabama. Seems like a good program
     Paula

    Nina Ravey <nravey at bellsouth.net> wrote:
      Thanks to ya'll for clarifying information for one who is not a psych nurse,
      but quickly learning in the school of hard knocks how to care for bipolar
      and schizophrenia patients.
      Nina

      Nina Ravey, RN, MSN, CNS, C-FNP
      Family Nurse Practitioner
      Shirley Medical Clinic
      711 N. Main St.
      Jennings, LA 70546
      337-824-2002
      Fax:337-824-2004
      www.shirleymedical.com
      Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
      Management, Physical Medicine and Rehabilitation, Diabetic Education
      Classes, Walk-ins, Appointments


      "It never ceases to amaze me how being a good nurse is often in direct
      opposition to being a "good employee."




      -----Original Message-----
      From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
      Behalf Of Pr. Pamela A. Provost N.P.
      Sent: Wednesday, March 31, 2004 ! 10:55 PM
      To: Private Practice NPs
      Subject: Re: [PrvPracNP] bipolar

      Depakote requires blood draws and teenagers as well as children, balk
      greatly at this necessary intervention. In addition, the added weight gain,
      a significant side effect in Depakote, effects the ego status of the child
      and teenager as well as the health status.
      It is definitely a good mood stabilizer, but Topamax is far superior in
      effect, compliance, no need for blood level monitoring and lack the side
      effects that impact weight gain .
      Sincerely,
      Pamela A. Provost N.P.
      Psychiatric Provider
      Neuroscience Consultant

      ~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
      are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
      Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
      Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
      Cats! Join Care2.com's Race for the Oceans! ! Join Care2.com's Race for the
      Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
      ----- Original Message ----- 
      From: "Nina Ravey" 
      To: "'Private Practice NPs'" 
      Sent: Wednesday, March 31, 2004 11:01 PM
      Subject: RE: [PrvPracNP] bipolar


      > Just went to a seminar where psychiatrist talked about anti-psychotics and
      > Seroquel was suggested as one of the safest with out black box warning,
      not
      > tounted to cause diabetes. Works well if you start with 100mg bid and
      > titrate up every day by 100 until you reach the 800 dose range.
      > I've used it and it works well on bipolar. Depakote also works well.
      > He also explained that the drugs may be used in children and adolescents.
      > Nina
      >
      > Nina Ravey, RN, MSN, CNS, C-FNP
      > Family Nurse Practitioner
      > Shirley Medical Clinic
      > 711 N. Main St.
      > Jennings, LA 70546
      > 337-824-2002
      > Fax:337-824-2004
      > www.shirleymedical.com
      > Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
      > Management, Physical Medicine and Rehabilitation, Diabetic Education
      > Classes, Walk-ins, Appointments
      >
      >
      > "It never ceases to amaze me how being a good nurse is often in direct
      > opposition to being a "good employee."
      >
      >
      >
      > -----Original Message-----
      > From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
      > Behalf Of Alex Wagner
      > Sent: Wednesday, March 31, 2004 8:00 PM
      > To: prvpracnp at nurse.net
      > Subject: [PrvPracNP] bipolar
      >
      > I need some suggestion for a teenage diagnoses by psychiatrist for bipolar
      > is very dizzy on Lithium. What else are you guys using for this in this
      > age group with less side effects.
      >
      >
      > ---
      > [This E-mail scanned for viruses]
      >
      > _______________________________________________
      > PrvPracNP mailing list
      > PrvPracNP at nurse.net
      > http://lists.nurse.net/mailman/listinfo/prvpracnp
      >
      > _______________________________________________
      > PrvPracNP mailing list
      > PrvPracNP at nurse.net
      > http://lists.nurse.net/mailman/listinfo/prvpracnp

      _______________________________________________
      PrvPracNP mailing list
      PrvPracNP at nurse.net
      http://lists.nurse.net/mailman/listinfo/prvpracnp

      _______________________________________________
      PrvPracNP mailing list
      PrvPracNP at nurse.net
      http://lists.nurse.net/mailman/listinfo/prvpracnp


    Paula Joan Sumner RN, MSN, FNP-BC
    Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
    For Peak Performance Issues, Stress Management, Pain Management, Weight Management and Smoking Cessation.
    Durham, NC 27707

    http://paulajsumner.byregion.net member# 10102918

    919-4! 90-4656, #8 


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From emarcz at earthlink.net  Thu Apr  1 10:59:35 2004
From: emarcz at earthlink.net (E  Marciczkiewicz)
Date: Thu, 1 Apr 2004 13:59:35 -0500
Subject: [PrvPracNP]AntidepressantConcentrationsinCordandMaternalSerumShow
	S...
References: <20040401161029.15596.qmail@web41607.mail.yahoo.com><00c201c41804$c5b62180$6601a8c0@rochester.rr.com>
	<040d01c4180a$d809b170$209cfea9@VAIO>
Message-ID: <010a01c4181b$7a425e50$932cfea9@minenml0wgc2g2>

What are white papers?
----- Original Message ----- 
From: "Pr. Pamela A. Provost N.P." <pamme at sbcglobal.net>
To: "Private Practice NPs" <prvpracnp at nurse.net>
Sent: Thursday, April 01, 2004 12:00 PM
Subject: Re:
[PrvPracNP]AntidepressantConcentrationsinCordandMaternalSerumShow S...


> Rather it is a statement to our own FDA's policies.
> People ask me all the time, how I can continue to support the democratic
and
> green party candidates, with the tax bracket I am in.
> Look what the alternative has done to us.  Look what we have allowed them
to
> do.
> If ever you have specific questions regarding a medication, you can ask
for
> a white paper from the drug company from it's local rep to request.
> I have rec'd a plethora of white papers over the years regarding outcomes,
> research, drug interactions, pharmacopathology etc.  The information in
the
> white papers is quite revealing and not what you find in the PDR.
> Regards,
> Pamme
> ~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while
we
> are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
> Climb to End Breast Cancer! Join Care2.com's Race for Children in Need!
Join
> Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
> Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
> Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
> ----- Original Message ----- 
> From: "C Creel" <ccreel at rochester.rr.com>
> To: "Private Practice NPs" <prvpracnp at nurse.net>
> Sent: Thursday, April 01, 2004 11:17 AM
> Subject: Re: [PrvPracNP]
> AntidepressantConcentrationsinCordandMaternalSerumShow S...
>
>
> > <<When I told them the side effect of being OFF lipitor was heart
attack,
> > stroke etc, they went back on.  You know now they say lipitor and other
> > statins like zocor can actually predispose people to heart disease.  WHo
> > knows>>
> >
> >
> >    **  WEll, when a drug depletes CoQ10 which is present in every cell
in
> > the body and most abundant in the heart, the results of this can't be
> good.
> >
> >
> >    I think we have to remember that the pharmaceutical industry's first
> > responsibility is to shareholders.  They've proven this repeatedly with
> the
> > way they hold back unfavorable data and massage the data they  have.
> >
> >
> >     They knew the dangers of Baycol (a number of other countries had
> banned
> > it) but continued to milk everything they could out of it.  This is not
an
> > exception to their practices.
> >
> > Regards,
> > Catherine
> >
> > _______________________________________________
> > PrvPracNP mailing list
> > PrvPracNP at nurse.net
> > http://lists.nurse.net/mailman/listinfo/prvpracnp
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp



From prispunnyfnp at metrocast.net  Thu Apr  1 11:09:51 2004
From: prispunnyfnp at metrocast.net (prispunnyfnp at metrocast.net)
Date: Thu, 1 Apr 2004 14:09:51 -0500
Subject: [PrvPracNP] Reimbursement for wet preps
Message-ID: <293580-2200444119951833@M2W052.mail2web.com>

Please forgive me if this is an inappropriate question (once I was
reprimanded on another listserve about some rule about price setting but
learned that inquiry is fine as I'm new to private practice and have no
idea what fair charges are).  
I'd like to ask if anyone knows what an average reimbursement for wet preps
is?  If patients have no insurance, do you discount?  If this is not kosher
to ask, please just say the word.
Thanks in advance,

Priscilla Merrill, FNP

--------------------------------------------------------------------
mail2web - Check your email from the web at
http://mail2web.com/ .




From pamme at sbcglobal.net  Thu Apr  1 11:52:31 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Thu, 1 Apr 2004 14:52:31 -0500
Subject: [PrvPracNP]PSYCH NP
References: <20040401161029.15596.qmail@web41607.mail.yahoo.com><00c201c41804$c5b62180$6601a8c0@rochester.rr.com><040d01c4180a$d809b170$209cfea9@VAIO>
	<010a01c4181b$7a425e50$932cfea9@minenml0wgc2g2>
Message-ID: <052001c41822$df1b00a0$209cfea9@VAIO>

This site:  http://nursingworld.org/books/pdescr.cfm?CNum=20
Will take you to a manual that you can purchase that will endow you with the
necessary information included in the Psych NP exam and also will give you
CE's as well for purchase of the manual and the CE test booklet.
Sincerely,
Pamme
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: "E Marciczkiewicz" <emarcz at earthlink.net>
To: "Private Practice NPs" <prvpracnp at nurse.net>
Sent: Thursday, April 01, 2004 1:59 PM
Subject: Re:
[PrvPracNP]AntidepressantConcentrationsinCordandMaternalSerumShowS...


> What are white papers?
> ----- Original Message ----- 
> From: "Pr. Pamela A. Provost N.P." <pamme at sbcglobal.net>
> To: "Private Practice NPs" <prvpracnp at nurse.net>
> Sent: Thursday, April 01, 2004 12:00 PM
> Subject: Re:
> [PrvPracNP]AntidepressantConcentrationsinCordandMaternalSerumShow S...
>
>
> > Rather it is a statement to our own FDA's policies.
> > People ask me all the time, how I can continue to support the democratic
> and
> > green party candidates, with the tax bracket I am in.
> > Look what the alternative has done to us.  Look what we have allowed
them
> to
> > do.
> > If ever you have specific questions regarding a medication, you can ask
> for
> > a white paper from the drug company from it's local rep to request.
> > I have rec'd a plethora of white papers over the years regarding
outcomes,
> > research, drug interactions, pharmacopathology etc.  The information in
> the
> > white papers is quite revealing and not what you find in the PDR.
> > Regards,
> > Pamme
> > ~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but
while
> we
> > are here, we may as well dance Join Care2.com and The Breast Cancer
Fund's
> > Climb to End Breast Cancer! Join Care2.com's Race for Children in Need!
> Join
> > Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
> > Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for
the
> > Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
> > ----- Original Message ----- 
> > From: "C Creel" <ccreel at rochester.rr.com>
> > To: "Private Practice NPs" <prvpracnp at nurse.net>
> > Sent: Thursday, April 01, 2004 11:17 AM
> > Subject: Re: [PrvPracNP]
> > AntidepressantConcentrationsinCordandMaternalSerumShow S...
> >
> >
> > > <<When I told them the side effect of being OFF lipitor was heart
> attack,
> > > stroke etc, they went back on.  You know now they say lipitor and
other
> > > statins like zocor can actually predispose people to heart disease.
WHo
> > > knows>>
> > >
> > >
> > >    **  WEll, when a drug depletes CoQ10 which is present in every cell
> in
> > > the body and most abundant in the heart, the results of this can't be
> > good.
> > >
> > >
> > >    I think we have to remember that the pharmaceutical industry's
first
> > > responsibility is to shareholders.  They've proven this repeatedly
with
> > the
> > > way they hold back unfavorable data and massage the data they  have.
> > >
> > >
> > >     They knew the dangers of Baycol (a number of other countries had
> > banned
> > > it) but continued to milk everything they could out of it.  This is
not
> an
> > > exception to their practices.
> > >
> > > Regards,
> > > Catherine
> > >
> > > _______________________________________________
> > > PrvPracNP mailing list
> > > PrvPracNP at nurse.net
> > > http://lists.nurse.net/mailman/listinfo/prvpracnp
> >
> > _______________________________________________
> > PrvPracNP mailing list
> > PrvPracNP at nurse.net
> > http://lists.nurse.net/mailman/listinfo/prvpracnp
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp



From pamme at sbcglobal.net  Thu Apr  1 11:53:37 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Thu, 1 Apr 2004 14:53:37 -0500
Subject: [PrvPracNP] Reimbursement for wet preps
References: <293580-2200444119951833@M2W052.mail2web.com>
Message-ID: <052601c41823$06d8f3e0$209cfea9@VAIO>

It's definitely Kosher to ask.  I just have no idea.  Find out what Medicaid
would charge and adjust from there.  It's your practice and it's cash only.
Set your own price.
Sincerely,
Pamme
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: <prispunnyfnp at metrocast.net>
To: <prvpracnp at nurse.net>
Sent: Thursday, April 01, 2004 2:09 PM
Subject: [PrvPracNP] Reimbursement for wet preps


> Please forgive me if this is an inappropriate question (once I was
> reprimanded on another listserve about some rule about price setting but
> learned that inquiry is fine as I'm new to private practice and have no
> idea what fair charges are).
> I'd like to ask if anyone knows what an average reimbursement for wet
preps
> is?  If patients have no insurance, do you discount?  If this is not
kosher
> to ask, please just say the word.
> Thanks in advance,
>
> Priscilla Merrill, FNP
>
> --------------------------------------------------------------------
> mail2web - Check your email from the web at
> http://mail2web.com/ .
>
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp



From curt at performancep.com  Thu Apr  1 12:46:24 2004
From: curt at performancep.com (curt at performancep.com)
Date: Thu, 01 Apr 2004 20:46:24 -0000
Subject: [PrvPracNP] collaborative physician compensation
Message-ID: <20040401205236.52488.qmail@host98.ipowerweb.com>

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From LauraHoemanARNP at aol.com  Thu Apr  1 12:58:34 2004
From: LauraHoemanARNP at aol.com (LauraHoemanARNP at aol.com)
Date: Thu, 1 Apr 2004 15:58:34 EST
Subject: [PrvPracNP] Antidepressant
	ConcentrationsinCordandMaternalSerumShow S...
Message-ID: <80.852e68b.2d9ddc7a@aol.com>

Pam,  They came out with the psychiatric nurse practitioner certification 
around the time I started my NP program, in Fall 2000.  When I arrived at the 
school, everyone was abuzz with concern that the new test for psych NPs would in 
some way threaten the status of clinical nurse specialists.  Clinical 
specialists, in fact, had to take a few classes and some had to take the NP test. I 
forget what the formerly licensed clinical specialists had to do, but they 
weren't happy about it.  They did comply, however, and many of the clinical 
specialists jumped through the hoops so they could take the new psych. NP test.  I 
took it in spring, 2002. There are actually two tests: Adult Psychiatric Mental 
Health NP, and Family Psychiatric Mental Health NP. Both are ANCC tests, as is 
the certification. I chose the family certification, because I wanted to 
treat children.  --Laura
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From LauraHoemanARNP at aol.com  Thu Apr  1 13:03:36 2004
From: LauraHoemanARNP at aol.com (LauraHoemanARNP at aol.com)
Date: Thu, 1 Apr 2004 16:03:36 EST
Subject: [PrvPracNP] bipolar
Message-ID: <15b.319e9910.2d9ddda8@aol.com>

Ava,  As I mentioned in another e-mail, here in Washington state it's 
encouraged to become a psych. NP, not a clinical specialist, and clinical specialists 
had to jump through some hoops to maintain their status. I'm no expert on 
what they had to do, and maybe some didn't have to do anything, but the ones who 
did jump through the hoops did it because they felt clinical specialists were 
on the way out, and NPs were the future here.  Psych. nurse practitioner 
students  at the University of Washington have to learn to do physical exams and 
pass physical exam classes, and just in general take a more rigorous, structured 
program than clinical specialists, who when I was there could somewhat 
structure their program to focus on psychotherapy or whatever.  I had few electives 
in my program, and my clinical specialist friends were able to select what 
seemed to be softer-core electives.  There's a good article by Mary Moller on 
these two pathways...you can find it on the internet, I think.  I'm so glad I 
became a nurse practitioner.  --Laura Hoeman, Psych. NP
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From pamme at sbcglobal.net  Thu Apr  1 13:51:37 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Thu, 1 Apr 2004 16:51:37 -0500
Subject: [PrvPracNP]
	AntidepressantConcentrationsinCordandMaternalSerumShow S...
References: <80.852e68b.2d9ddc7a@aol.com>
Message-ID: <055901c41833$8237cbf0$209cfea9@VAIO>

HI Laura,
Thank you so much for that indepth information.
I am in a quandry right now as to what to do myself.
I had written the AANP awhile back about grandfathering and heard nothing in return.
Most of the CNS' I know, have not taken or are even aware of the exam.
I am board certified in family practice.  
I'll email the ANCC today and let you know what I find out.
Again, many thanks Laura.
Sincerely,
Pamme
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: LauraHoemanARNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Thursday, April 01, 2004 3:58 PM
  Subject: Re: [PrvPracNP] AntidepressantConcentrationsinCordandMaternalSerumShow S...


  Pam,  They came out with the psychiatric nurse practitioner certification around the time I started my NP program, in Fall 2000.  When I arrived at the school, everyone was abuzz with concern that the new test for psych NPs would in some way threaten the status of clinical nurse specialists.  Clinical specialists, in fact, had to take a few classes and some had to take the NP test. I forget what the formerly licensed clinical specialists had to do, but they weren't happy about it.  They did comply, however, and many of the clinical specialists jumped through the hoops so they could take the new psych. NP test.  I took it in spring, 2002. There are actually two tests: Adult Psychiatric Mental Health NP, and Family Psychiatric Mental Health NP. Both are ANCC tests, as is the certification. I chose the family certification, because I wanted to treat children.  --Laura 


------------------------------------------------------------------------------


  _______________________________________________
  PrvPracNP mailing list
  PrvPracNP at nurse.net
  http://lists.nurse.net/mailman/listinfo/prvpracnp
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From nmccall at cavpc.com  Thu Apr  1 10:47:19 2004
From: nmccall at cavpc.com (Nadine McCall)
Date: Thu, 1 Apr 2004 13:47:19 -0500
Subject: [PrvPracNP] Psychotropics et al/risk vs benefits
In-Reply-To: <ba.52ab7fa0.2d9db7d1@aol.com>
Message-ID: <NEBBJECGMKAGCEJJKODOOEOMCFAA.nmccall@cavpc.com>

Please unsubscribe me from this list.  Thanks
  -----Original Message-----
  From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net]On
Behalf Of SamaraFNP at aol.com
  Sent: Thursday, April 01, 2004 1:22 PM
  To: prvpracnp at nurse.net
  Subject: Re: [PrvPracNP] Psychotropics et al/risk vs benefits


  Oh, I started using samples of serzone as every doc in my practice did
with samples at one time or another.  Then I got a script from one of the
docs I worked with when I told him it was working.  I was just the initial
"prescriber" for myself, but I never wrote a script for me.  Not possible in
va to do that.

  Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From prispunnyfnp at metrocast.net  Thu Apr  1 14:50:22 2004
From: prispunnyfnp at metrocast.net (Priscilla Merrill)
Date: Thu, 1 Apr 2004 17:50:22 -0500
Subject: [PrvPracNP] Psychotropics et al/risk vs benefits
In-Reply-To: <NEBBJECGMKAGCEJJKODOOEOMCFAA.nmccall@cavpc.com>
Message-ID: <PKEDIBHEGKJAPEHFEPMOKEIDCJAA.prispunnyfnp@metrocast.net>

I think you have to go to the main website to do that . .. this just came to
list members.  Go to www.nurse.net and go to lists and unsubscribe.  Will
miss you!
Go in peace,

Priscilla
  -----Original Message-----
  From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net]On
Behalf Of Nadine McCall
  Sent: Thursday, April 01, 2004 1:47 PM
  To: Private Practice NPs
  Subject: RE: [PrvPracNP] Psychotropics et al/risk vs benefits


  Please unsubscribe me from this list.  Thanks
    -----Original Message-----
    From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net]On
Behalf Of SamaraFNP at aol.com
    Sent: Thursday, April 01, 2004 1:22 PM
    To: prvpracnp at nurse.net
    Subject: Re: [PrvPracNP] Psychotropics et al/risk vs benefits


    Oh, I started using samples of serzone as every doc in my practice did
with samples at one time or another.  Then I got a script from one of the
docs I worked with when I told him it was working.  I was just the initial
"prescriber" for myself, but I never wrote a script for me.  Not possible in
va to do that.

    Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)

---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.644 / Virus Database: 412 - Release Date: 3/26/2004
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From sdrakenp at comcast.net  Thu Apr  1 15:00:29 2004
From: sdrakenp at comcast.net (Suellen Drake)
Date: Thu, 1 Apr 2004 18:00:29 -0500
Subject: [PrvPracNP] Antidepressant
	ConcentrationsinCordandMaternalSerumShow S...
References: <1e.25d51f81.2d9db47d@aol.com>
Message-ID: <004901c4183d$21618f50$6401a8c0@choices.local>

Hi, I am a Family NP in NH.  I am in the Psych NP program with University of South Alabama online, it is great! In New Hampshire as a FNP I am not able to prescribe antipsychotics, lithium, and a few others, I also cannot provide psychotherapy.  Since I specialize in anxiety and mood disorders, I am in the Psych program and will finish in December. I have my own practice and we do not have to have a collaborating physician in NH.  Is anyone practicing in Texas?  Thanks, Suellen 
  ----- Original Message ----- 
  From: LauraHoemanARNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Thursday, April 01, 2004 1:07 PM
  Subject: Re: [PrvPracNP] Antidepressant ConcentrationsinCordandMaternalSerumShow S...


  There is a board certification for psychiatric NPs.  It is through the ANCC. I am a board-certified psychiatric mental health nurse practitioner. My certification allows me to treat all ages, including children. My program was at the University of Washington.  In days past, there was only the Clinical Nurse Specialist certification, but that has changed, and now NPs-to-be in Wash. state who want to go into psych. are encouraged to go the nurse practitioner , not clinical specialist, route.  I became a nurse practitioner, not a clinical specialist, and I've never been sorry.   --Laura 


------------------------------------------------------------------------------


  _______________________________________________
  PrvPracNP mailing list
  PrvPracNP at nurse.net
  http://lists.nurse.net/mailman/listinfo/prvpracnp

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From riverNT at ctaz.com  Thu Apr  1 15:03:13 2004
From: riverNT at ctaz.com (Natascha Troehler)
Date: Thu, 1 Apr 2004 16:03:13 -0700
Subject: [PrvPracNP] Daily digest vs. individual emails for list serve
	responses
Message-ID: <200404012258.i31MwOQ07086@merlin.wizards.net>

Hello, is there any way that I can get the Priv Practice list serve posts
via a daily digest? I download and open quite a few emails (thanks for all
the activity!), and sometimes it's just easier to read them as one daily
combined email. Many list serves do this-is that available to us? 

 

Thank you, 

Natascha Troehler

riverNT at ctaz.com

 

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From psumner2 at yahoo.com  Thu Apr  1 15:05:38 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Thu, 1 Apr 2004 15:05:38 -0800 (PST)
Subject: [PrvPracNP] Antidepressant
	ConcentrationsinCordandMaternalSerumShow S...
In-Reply-To: <00c201c41804$c5b62180$6601a8c0@rochester.rr.com>
Message-ID: <20040401230538.1715.qmail@web41602.mail.yahoo.com>

Actually, the statins have been found to decrease coronary artery irritability which may cause coronary symptoms not related to the plaque bursting.  Recent studies at the Cleve Clinic or Case, I think, showed that higher doses showed increased effect in reducing plaque, whereas mod to low dosing had little effect and infarcts occured at non-statin rates (pulling this out of memory, but it is a brand new finding).  

Also, Dr Sinatra (.com) a holistic cardiologist dislikes atatins, but if needed, he gives the dosing needed for co-Q-10.  His website is very helpful.
Paula
C Creel <ccreel at rochester.rr.com> wrote:
<stroke etc, they went back on. You know now they say lipitor and other
statins like zocor can actually predispose people to heart disease. WHo
knows>>


** WEll, when a drug depletes CoQ10 which is present in every cell in
the body and most abundant in the heart, the results of this can't be good.


I think we have to remember that the pharmaceutical industry's first
responsibility is to shareholders. They've proven this repeatedly with the
way they hold back unfavorable data and massage the data they have.


They knew the dangers of Baycol (a number of other countries had banned
it) but continued to milk everything they could out of it. This is not an
exception to their practices.

Regards,
Catherine

_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp

---------------------------------
Do you Yahoo!?
Yahoo! Small Business $15K Web Design Giveaway - Enter today
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From psumner2 at yahoo.com  Thu Apr  1 15:18:03 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Thu, 1 Apr 2004 15:18:03 -0800 (PST)
Subject: [PrvPracNP]PSYCH NP-looking for used ANCC PsychNP guide.
In-Reply-To: <052001c41822$df1b00a0$209cfea9@VAIO>
Message-ID: <20040401231803.3428.qmail@web41607.mail.yahoo.com>

I have spent so much money on the ANCC tapes which were not helpful, and on Claire Houseman's Psych Cert review Guide which is helpful that I hate the idea of spending more.  However, on the old psych nurse list, folks sold their books at a discount to those who needed them next.  If anyone wishes to sell their psych NP study guide from ANCC, please contact me off list to discuss. I did not know there was one available-thanks Pam for the infor.
Paula

"Pr. Pamela A. Provost N.P." <pamme at sbcglobal.net> wrote:
This site: http://nursingworld.org/books/pdescr.cfm?CNum=20
Will take you to a manual that you can purchase that will endow you with the
necessary information included in the Psych NP exam and also will give you
CE's as well for purchase of the manual and the CE test booklet.
Sincerely,
Pamme
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: "E Marciczkiewicz" 
To: "Private Practice NPs" 

Sent: Thursday, April 01, 2004 1:59 PM
Subject: Re:
[PrvPracNP]AntidepressantConcentrationsinCordandMaternalSerumShowS...


> What are white papers?
> ----- Original Message ----- 
> From: "Pr. Pamela A. Provost N.P." 

> To: "Private Practice NPs" 

> Sent: Thursday, April 01, 2004 12:00 PM
> Subject: Re:
> [PrvPracNP]AntidepressantConcentrationsinCordandMaternalSerumShow S...
>
>
> > Rather it is a statement to our own FDA's policies.
> > People ask me all the time, how I can continue to support the democratic
> and
> > green party candidates, with the tax bracket I am in.
> > Look what the alternative has done to us. Look what we have allowed
them
> to
> > do.
> > If ever you have specific questions regarding a medication, you can ask
> for
> > a white paper from the drug company from it's local rep to request.
> > I have rec'd a plethora of white papers over the years regarding
outcomes,
> > research, drug interactions, pharmacopathology etc. The information in
> the
> > white papers is quite revealing and not what you find in the PDR.
> > Regards,
> > Pamme
> > ~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but
while
> we
> > are here, we may as well dance Join Care2.com and The Breast Cancer
Fund's
> > Climb to End Breast Cancer! Join Care2.com's Race for Children in Need!
> Join
> > Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
> > Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for
the
> > Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
> > ----- Original Message ----- 
> > From: "C Creel" 
> > To: "Private Practice NPs" 

> > Sent: Thursday, April 01, 2004 11:17 AM
> > Subject: Re: [PrvPracNP]
> > AntidepressantConcentrationsinCordandMaternalSerumShow S...
> >
> >
> > > <> attack,
> > > stroke etc, they went back on. You know now they say lipitor and
other
> > > statins like zocor can actually predispose people to heart disease.
WHo
> > > knows>>
> > >
> > >
> > > ** WEll, when a drug depletes CoQ10 which is present in every cell
> in
> > > the body and most abundant in the heart, the results of this can't be
> > good.
> > >
> > >
> > > I think we have to remember that the pharmaceutical industry's
first
> > > responsibility is to shareholders. They've proven this repeatedly
with
> > the
> > > way they hold back unfavorable data and massage the data they have.
> > >
> > >
> > > They knew the dangers of Baycol (a number of other countries had
> > banned
> > > it) but continued to milk everything they could out of it. This is
not
> an
> > > exception to their practices.
> > >
> > > Regards,
> > > Catherine
> > >
> > > _______________________________________________
> > > PrvPracNP mailing list
> > > PrvPracNP at nurse.net
> > > http://lists.nurse.net/mailman/listinfo/prvpracnp
> >
> > _______________________________________________
> > PrvPracNP mailing list
> > PrvPracNP at nurse.net
> > http://lists.nurse.net/mailman/listinfo/prvpracnp
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp

_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp

Paula Joan Sumner RN, MSN, FNP-BC
Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
For Peak Performance Issues, Stress Management, Pain Management, Weight Management and  Smoking Cessation.
Durham, NC 27707

http://paulajsumner.byregion.net member# 10102918

919-490-4656, #8

---------------------------------
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From palsuncloud at earthlink.net  Thu Apr  1 17:18:22 2004
From: palsuncloud at earthlink.net (Patricia Lawerence)
Date: Thu, 1 Apr 2004 20:18:22 -0500
Subject: [PrvPracNP] bipolar
References: <6.0.3.0.0.20040331185852.01f115e8@mail.cybernet1.com>
Message-ID: <004a01c41850$6c8e6c60$0202a8c0@Sinbad>


  Hello Alex,

  The antiseizure meds are very helpful.  Depakote is still a gold standard
and the ER does not need the lab work as much as the regular Depakote.  I
have found Trileptal to be very good and my experience has been few side
effects.  Lamictal is helpful if the patient is stuck in the depressive
symptoms of bipolar.  I often use the atypicals to help take off the edge of
aggitation and with the younger patients I use Seroquel most often.  Zyprexa
can be helpful but higher risk of EPS symptoms and of course the weight gain
potential with adolescents is a problem.  I use the atypicals at a low dose
to only be a mood stabilizer.  Abilify has been helpful if there is a lot of
aggitation and aggression but I don't use it as a first line treatment
choice.

  Sometimes just one of the antiseizure meds is enough to stabalize.

  I can be more specific on doses or tapering schedules if needed.

  I am not on the internet as much as I have been able to be in the past due
to a great deal of traveling but I will respond as soon as I can if wanted.

  Everything in our lives has the potential to wake us up or put us to
sleep.  Allowing it to awaken us is up to us.
  " You must be the change you wish to see in the world" Mahatma Gandhi
  Patricia Lawrence
  APRN, BC
  ----- Original Message ----- 
  From: "Alex Wagner" <buckwheat at cybernet1.com>
  To: <prvpracnp at nurse.net>
  Sent: Wednesday, March 31, 2004 9:00 PM
  Subject: [PrvPracNP] bipolar


  > I need some suggestion for a teenage diagnoses by psychiatrist for
bipolar
  > is very dizzy on Lithium.  What else are you guys using for this in this
  > age group with less side effects.
  >
  >
  > ---
  > [This E-mail scanned for viruses]
  >
  > _______________________________________________
  > PrvPracNP mailing list
  > PrvPracNP at nurse.net
  > http://lists.nurse.net/mailman/listinfo/prvpracnp
  >




From palsuncloud at earthlink.net  Thu Apr  1 17:40:12 2004
From: palsuncloud at earthlink.net (Patricia Lawerence)
Date: Thu, 1 Apr 2004 20:40:12 -0500
Subject: [PrvPracNP] bipolar
References: <20040401160138.86036.qmail@web41609.mail.yahoo.com>
	<03dd01c4180a$1e837dd0$209cfea9@VAIO>
Message-ID: <008d01c41853$78e3be40$0202a8c0@Sinbad>

  ANCC now has a certification exam for psychiatric NP national certification.  Insurance is now requiring this certification from NPs to get the psychiatric visit reimbursement.  Currently Family nurse practitioners can still bill for a medication check or an evaluation for medication treatment but they are being blocked from getting the higher reimbursement which includes the psychotherapy piece.  When running a business the owners want the higher reimbursement so the Psychiatric NP certification is becoming more in demand.  There are more and more internet programs popping up which offer the classes required to sit for the ANCC psychiatric certification exam, most require clinical time also.


  Everything in our lives has the potential to wake us up or put us to sleep.  Allowing it to awaken us is up to us.
  " You must be the change you wish to see in the world" Mahatma Gandhi
  Patricia Lawrence
  APRN, BC
    ----- Original Message ----- 
    From: Pr. Pamela A. Provost N.P. 
    To: Private Practice NPs 
    Sent: Thursday, April 01, 2004 11:55 AM
    Subject: Re: [PrvPracNP] bipolar


    Or you can externship as I did.  That was 7 years ago.
    They are starting to establish psych np programs, but unfortunately, there still does not exist a board certification in the field for psych np.
          ~:~~:~ 
          GOD BLESS US ALL

          Life may not be the party we hoped for, but while we are here, we may as well dance

          Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
    ----- Original Message ----- 
      From: Paula J. Sumner 
      To: Private Practice NPs 
      Sent: Thursday, April 01, 2004 11:01 AM
      Subject: RE: [PrvPracNP] bipolar


      Nina,
      Is caring for PMI pts within your FNP scope of Practice in LA?
      As discussed a lot earlier, you can get a psych NP training online at U of Alabama. Seems like a good program
       Paula

      Nina Ravey <nravey at bellsouth.net> wrote:
        Thanks to ya'll for clarifying information for one who is not a psych nurse,
        but quickly learning in the school of hard knocks how to care for bipolar
        and schizophrenia patients.
        Nina

        Nina Ravey, RN, MSN, CNS, C-FNP
        Family Nurse Practitioner
        Shirley Medical Clinic
        711 N. Main St.
        Jennings, LA 70546
        337-824-2002
        Fax:337-824-2004
        www.shirleymedical.com
        Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
        Management, Physical Medicine and Rehabilitation, Diabetic Education
        Classes, Walk-ins, Appointments


        "It never ceases to amaze me how being a good nurse is often in direct
        opposition to being a "good employee."




        -----Original Message-----
        From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
        Behalf Of Pr. Pamela A. Provost N.P.
        Sent: Wednesday, March 31, 2004 ! 10:55 PM
        To: Private Practice NPs
        Subject: Re: [PrvPracNP] bipolar

        Depakote requires blood draws and teenagers as well as children, balk
        greatly at this necessary intervention. In addition, the added weight gain,
        a significant side effect in Depakote, effects the ego status of the child
        and teenager as well as the health status.
        It is definitely a good mood stabilizer, but Topamax is far superior in
        effect, compliance, no need for blood level monitoring and lack the side
        effects that impact weight gain .
        Sincerely,
        Pamela A. Provost N.P.
        Psychiatric Provider
        Neuroscience Consultant

        ~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
        are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
        Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
        Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
        Cats! Join Care2.com's Race for the Oceans! ! Join Care2.com's Race for the
        Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
        ----- Original Message ----- 
        From: "Nina Ravey" 
        To: "'Private Practice NPs'" 
        Sent: Wednesday, March 31, 2004 11:01 PM
        Subject: RE: [PrvPracNP] bipolar


        > Just went to a seminar where psychiatrist talked about anti-psychotics and
        > Seroquel was suggested as one of the safest with out black box warning,
        not
        > tounted to cause diabetes. Works well if you start with 100mg bid and
        > titrate up every day by 100 until you reach the 800 dose range.
        > I've used it and it works well on bipolar. Depakote also works well.
        > He also explained that the drugs may be used in children and adolescents.
        > Nina
        >
        > Nina Ravey, RN, MSN, CNS, C-FNP
        > Family Nurse Practitioner
        > Shirley Medical Clinic
        > 711 N. Main St.
        > Jennings, LA 70546
        > 337-824-2002
        > Fax:337-824-2004
        > www.shirleymedical.com
        > Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
        > Management, Physical Medicine and Rehabilitation, Diabetic Education
        > Classes, Walk-ins, Appointments
        >
        >
        > "It never ceases to amaze me how being a good nurse is often in direct
        > opposition to being a "good employee."
        >
        >
        >
        > -----Original Message-----
        > From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
        > Behalf Of Alex Wagner
        > Sent: Wednesday, March 31, 2004 8:00 PM
        > To: prvpracnp at nurse.net
        > Subject: [PrvPracNP] bipolar
        >
        > I need some suggestion for a teenage diagnoses by psychiatrist for bipolar
        > is very dizzy on Lithium. What else are you guys using for this in this
        > age group with less side effects.
        >
        >
        > ---
        > [This E-mail scanned for viruses]
        >
        > _______________________________________________
        > PrvPracNP mailing list
        > PrvPracNP at nurse.net
        > http://lists.nurse.net/mailman/listinfo/prvpracnp
        >
        > _______________________________________________
        > PrvPracNP mailing list
        > PrvPracNP at nurse.net
        > http://lists.nurse.net/mailman/listinfo/prvpracnp

        _______________________________________________
        PrvPracNP mailing list
        PrvPracNP at nurse.net
        http://lists.nurse.net/mailman/listinfo/prvpracnp

        _______________________________________________
        PrvPracNP mailing list
        PrvPracNP at nurse.net
        http://lists.nurse.net/mailman/listinfo/prvpracnp


      Paula Joan Sumner RN, MSN, FNP-BC
      Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
      For Peak Performance Issues, Stress Management, Pain Management, Weight Management and Smoking Cessation.
      Durham, NC 27707

      http://paulajsumner.byregion.net member# 10102918

      919-4! 90-4656, #8 


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      PrvPracNP at nurse.net
      http://lists.nurse.net/mailman/listinfo/prvpracnp



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From SamaraFNP at aol.com  Thu Apr  1 18:56:53 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Thu, 1 Apr 2004 21:56:53 EST
Subject: [PrvPracNP] Antidepressant
	ConcentrationsinCordandMaternalSerumShow S...
Message-ID: <1cd.1d6a9096.2d9e3075@aol.com>

If you cannot prescribe the antipsychotics and you cannot do psychotherapy, 
what are you doing in your private practice????  The thing is, we as np, and as 
nurses, do psychotherapy all the time.  If one looks at the definition it is 
what we do.  As a nurse, I led group therapy and did individual therapy, just 
as a nurse, before I was an RN.  The laws are so silly.  Nurses have been 
doing holistic psychotherapy for years.  I'm not saying the focus is the same as 
would be for a psych NP or psychiatrist, but the title, "psychotherapy" is 
certainly something we do.

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From asmithnp at hotmail.com  Thu Apr  1 19:36:57 2004
From: asmithnp at hotmail.com (Audrey Smith)
Date: Fri, 02 Apr 2004 03:36:57 +0000
Subject: [PrvPracNP] please remove my name off list
Message-ID: <BAY17-F8ljBOh8s4KWi000351a3@hotmail.com>



_________________________________________________________________
Limited-time offer: Fast, reliable MSN 9 Dial-up Internet access FREE for 2 
months! 
http://join.msn.com/?page=dept/dialup&pgmarket=en-us&ST=1/go/onm00200361ave/direct/01/



From RSSabatier1 at aol.com  Thu Apr  1 19:55:53 2004
From: RSSabatier1 at aol.com (RSSabatier1 at aol.com)
Date: Thu, 1 Apr 2004 22:55:53 EST
Subject: [PrvPracNP] Antidepressant
	ConcentrationsinCordandMaternalSerumShow S...
Message-ID: <117.30eb32ee.2d9e3e49@aol.com>

Sue Ellen,

Did you have to completely repeat some of the courses from your original NP 
program to complete the psych NP program or did they credit similar course work 
from the former program.  

Rosemary,  FNP who works in a psych hospital
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From ccreel at rochester.rr.com  Thu Apr  1 20:20:58 2004
From: ccreel at rochester.rr.com (C Creel)
Date: Thu, 1 Apr 2004 23:20:58 -0500
Subject: [PrvPracNP]
	AntidepressantConcentrationsinCordandMaternalSerumShow S...
References: <1cd.1d6a9096.2d9e3075@aol.com>
Message-ID: <006901c41869$e6618540$6601a8c0@rochester.rr.com>

<<If you cannot prescribe the antipsychotics and you cannot do
psychotherapy, what are you doing in your private practice????  The thing
is, we as np, and as nurses, do psychotherapy all the time.  If one looks at
the definition it is what we do.  As a nurse, I led group therapy and did
individual therapy, just as a nurse, before I was an RN.  The laws are so
silly.  Nurses have been doing holistic psychotherapy for years.  I'm not
saying the focus is the same as would be for a psych NP or psychiatrist, but
the title, "psychotherapy" is certainly something we do.>>



   ** I'm wondering if the term "psychotherapy" means all therapy or just
the fromal discipline of psychotherapy?

Regards,
Catherine



From SamaraFNP at aol.com  Thu Apr  1 20:33:06 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Thu, 1 Apr 2004 23:33:06 EST
Subject: [PrvPracNP]
	AntidepressantConcentrationsinCordandMaternalSerumShow S...
Message-ID: <75.25f3f87e.2d9e4702@aol.com>

Wow! I just looked up in Tabors the definition of psychotherapy.  Here is a 
direct quote:
"A method of treating disease, esp. psychic disorders, by mental rather than 
pharmacological means( e.g., suggestion, re-education, hypnotism, and 
psychoanalysis).  NO wonder so many alternative healers call themselves 
psychotherapists.  We certainly should be able to if this is what we primarly do.

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From psumner2 at yahoo.com  Thu Apr  1 20:46:39 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Thu, 1 Apr 2004 20:46:39 -0800 (PST)
Subject: [PrvPracNP] Fwd: A Medscape article that might interest you.
Message-ID: <20040402044639.43737.qmail@web41608.mail.yahoo.com>

This article is a lead  in for the subject of psych practice and non-psych NPs. Paula


Paula Joan Sumner RN, MSN, FNP-BC
Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
For Peak Performance Issues, Stress Management, Pain Management, Weight Management and  Smoking Cessation.
Durham, NC 27707

http://paulajsumner.byregion.net member# 10102918

919-490-4656, #8

---------------------------------
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Yahoo! Small Business $15K Web Design Giveaway - Enter today
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From: psumner1 at yahoo.com
Subject: A Medscape article that might interest you.
Date: Thu,  1 Apr 2004 22:52:13 -0500 (EST)
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From thom1995 at yahoo.com  Thu Apr  1 20:47:39 2004
From: thom1995 at yahoo.com (Tom)
Date: Thu, 1 Apr 2004 20:47:39 -0800 (PST)
Subject: [PrvPracNP] please remove my name off list
In-Reply-To: <BAY17-F8ljBOh8s4KWi000351a3@hotmail.com>
Message-ID: <20040402044739.17763.qmail@web60703.mail.yahoo.com>


How do I get off this list


---------------------------------
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From GIN11153 at aol.com  Thu Apr  1 21:11:11 2004
From: GIN11153 at aol.com (GIN11153 at aol.com)
Date: Fri, 2 Apr 2004 00:11:11 EST
Subject: [PrvPracNP] Daily digest vs. individual emails for list serve
	responses
Message-ID: <122.2d626255.2d9e4fef@aol.com>

I would love to be able to get a daily digest also!

Gail Neuman RNC CPHW LNC SNP
listowner of LegalNurseConsulting at yahoogroups.com
certified high risk OB/legal nurse consultant
Tustin, CA
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From pamme at sbcglobal.net  Thu Apr  1 21:14:39 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 2 Apr 2004 00:14:39 -0500
Subject: [PrvPracNP] USA
References: <1e.25d51f81.2d9db47d@aol.com>
	<004901c4183d$21618f50$6401a8c0@choices.local>
Message-ID: <001d01c41871$666199e0$209cfea9@VAIO>

Hey Suellen,
Did USA finally get a psych NP program together.  I used to be adjunct faculty there.    I graduated from their FNP program
Say hey to Dr. Fruh for me.  She is the best!~!
Ciao,
      ~:~Pamme~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Suellen Drake 
  To: Private Practice NPs 
  Sent: Thursday, April 01, 2004 6:00 PM
  Subject: Re: [PrvPracNP] AntidepressantConcentrationsinCordandMaternalSerumShow S...


  Hi, I am a Family NP in NH.  I am in the Psych NP program with University of South Alabama online, it is great! In New Hampshire as a FNP I am not able to prescribe antipsychotics, lithium, and a few others, I also cannot provide psychotherapy.  Since I specialize in anxiety and mood disorders, I am in the Psych program and will finish in December. I have my own practice and we do not have to have a collaborating physician in NH.  Is anyone practicing in Texas?  Thanks, Suellen 
    ----- Original Message ----- 
    From: LauraHoemanARNP at aol.com 
    To: prvpracnp at nurse.net 
    Sent: Thursday, April 01, 2004 1:07 PM
    Subject: Re: [PrvPracNP] Antidepressant ConcentrationsinCordandMaternalSerumShow S...


    There is a board certification for psychiatric NPs.  It is through the ANCC. I am a board-certified psychiatric mental health nurse practitioner. My certification allows me to treat all ages, including children. My program was at the University of Washington.  In days past, there was only the Clinical Nurse Specialist certification, but that has changed, and now NPs-to-be in Wash. state who want to go into psych. are encouraged to go the nurse practitioner , not clinical specialist, route.  I became a nurse practitioner, not a clinical specialist, and I've never been sorry.   --Laura 


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From pamme at sbcglobal.net  Thu Apr  1 21:19:30 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 2 Apr 2004 00:19:30 -0500
Subject: [PrvPracNP]Discrimination in billing practice
References: <20040401160138.86036.qmail@web41609.mail.yahoo.com><03dd01c4180a$1e837dd0$209cfea9@VAIO>
	<008d01c41853$78e3be40$0202a8c0@Sinbad>
Message-ID: <004201c41872$16023bc0$209cfea9@VAIO>

I have contacted the ANCC to find out about grandfathering as there appears to be quite a few of us, who have practiced for years as psychiatric providers and are as of Jan 03 running into this insurance nonsense.
Will let you know what I find out.
I think it's ridiculous.  I know many psychiatrists who are board eligible but not board certified and do not receive a reduction in reimbursement.
Can anyone spell discrimination?
      ~:~Pamme~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Patricia Lawerence 
  To: Private Practice NPs 
  Sent: Thursday, April 01, 2004 8:40 PM
  Subject: Re: [PrvPracNP] bipolar


    ANCC now has a certification exam for psychiatric NP national certification.  Insurance is now requiring this certification from NPs to get the psychiatric visit reimbursement.  Currently Family nurse practitioners can still bill for a medication check or an evaluation for medication treatment but they are being blocked from getting the higher reimbursement which includes the psychotherapy piece.  When running a business the owners want the higher reimbursement so the Psychiatric NP certification is becoming more in demand.  There are more and more internet programs popping up which offer the classes required to sit for the ANCC psychiatric certification exam, most require clinical time also.


    Everything in our lives has the potential to wake us up or put us to sleep.  Allowing it to awaken us is up to us.
    " You must be the change you wish to see in the world" Mahatma Gandhi
    Patricia Lawrence
    APRN, BC
      ----- Original Message ----- 
      From: Pr. Pamela A. Provost N.P. 
      To: Private Practice NPs 
      Sent: Thursday, April 01, 2004 11:55 AM
      Subject: Re: [PrvPracNP] bipolar


      Or you can externship as I did.  That was 7 years ago.
      They are starting to establish psych np programs, but unfortunately, there still does not exist a board certification in the field for psych np.
            ~:~~:~ 
            GOD BLESS US ALL

            Life may not be the party we hoped for, but while we are here, we may as well dance

            Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
      ----- Original Message ----- 
        From: Paula J. Sumner 
        To: Private Practice NPs 
        Sent: Thursday, April 01, 2004 11:01 AM
        Subject: RE: [PrvPracNP] bipolar


        Nina,
        Is caring for PMI pts within your FNP scope of Practice in LA?
        As discussed a lot earlier, you can get a psych NP training online at U of Alabama. Seems like a good program
         Paula

        Nina Ravey <nravey at bellsouth.net> wrote:
          Thanks to ya'll for clarifying information for one who is not a psych nurse,
          but quickly learning in the school of hard knocks how to care for bipolar
          and schizophrenia patients.
          Nina

          Nina Ravey, RN, MSN, CNS, C-FNP
          Family Nurse Practitioner
          Shirley Medical Clinic
          711 N. Main St.
          Jennings, LA 70546
          337-824-2002
          Fax:337-824-2004
          www.shirleymedical.com
          Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
          Management, Physical Medicine and Rehabilitation, Diabetic Education
          Classes, Walk-ins, Appointments


          "It never ceases to amaze me how being a good nurse is often in direct
          opposition to being a "good employee."




          -----Original Message-----
          From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
          Behalf Of Pr. Pamela A. Provost N.P.
          Sent: Wednesday, March 31, 2004 ! 10:55 PM
          To: Private Practice NPs
          Subject: Re: [PrvPracNP] bipolar

          Depakote requires blood draws and teenagers as well as children, balk
          greatly at this necessary intervention. In addition, the added weight gain,
          a significant side effect in Depakote, effects the ego status of the child
          and teenager as well as the health status.
          It is definitely a good mood stabilizer, but Topamax is far superior in
          effect, compliance, no need for blood level monitoring and lack the side
          effects that impact weight gain .
          Sincerely,
          Pamela A. Provost N.P.
          Psychiatric Provider
          Neuroscience Consultant

          ~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
          are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
          Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
          Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
          Cats! Join Care2.com's Race for the Oceans! ! Join Care2.com's Race for the
          Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
          ----- Original Message ----- 
          From: "Nina Ravey" 
          To: "'Private Practice NPs'" 
          Sent: Wednesday, March 31, 2004 11:01 PM
          Subject: RE: [PrvPracNP] bipolar


          > Just went to a seminar where psychiatrist talked about anti-psychotics and
          > Seroquel was suggested as one of the safest with out black box warning,
          not
          > tounted to cause diabetes. Works well if you start with 100mg bid and
          > titrate up every day by 100 until you reach the 800 dose range.
          > I've used it and it works well on bipolar. Depakote also works well.
          > He also explained that the drugs may be used in children and adolescents.
          > Nina
          >
          > Nina Ravey, RN, MSN, CNS, C-FNP
          > Family Nurse Practitioner
          > Shirley Medical Clinic
          > 711 N. Main St.
          > Jennings, LA 70546
          > 337-824-2002
          > Fax:337-824-2004
          > www.shirleymedical.com
          > Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
          > Management, Physical Medicine and Rehabilitation, Diabetic Education
          > Classes, Walk-ins, Appointments
          >
          >
          > "It never ceases to amaze me how being a good nurse is often in direct
          > opposition to being a "good employee."
          >
          >
          >
          > -----Original Message-----
          > From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
          > Behalf Of Alex Wagner
          > Sent: Wednesday, March 31, 2004 8:00 PM
          > To: prvpracnp at nurse.net
          > Subject: [PrvPracNP] bipolar
          >
          > I need some suggestion for a teenage diagnoses by psychiatrist for bipolar
          > is very dizzy on Lithium. What else are you guys using for this in this
          > age group with less side effects.
          >
          >
          > ---
          > [This E-mail scanned for viruses]
          >
          > _______________________________________________
          > PrvPracNP mailing list
          > PrvPracNP at nurse.net
          > http://lists.nurse.net/mailman/listinfo/prvpracnp
          >
          > _______________________________________________
          > PrvPracNP mailing list
          > PrvPracNP at nurse.net
          > http://lists.nurse.net/mailman/listinfo/prvpracnp

          _______________________________________________
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          _______________________________________________
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          http://lists.nurse.net/mailman/listinfo/prvpracnp


        Paula Joan Sumner RN, MSN, FNP-BC
        Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
        For Peak Performance Issues, Stress Management, Pain Management, Weight Management and Smoking Cessation.
        Durham, NC 27707

        http://paulajsumner.byregion.net member# 10102918

        919-4! 90-4656, #8 


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From pamme at sbcglobal.net  Thu Apr  1 21:20:57 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 2 Apr 2004 00:20:57 -0500
Subject: [PrvPracNP]
	AntidepressantConcentrationsinCordandMaternalSerumShow S...
References: <1cd.1d6a9096.2d9e3075@aol.com>
Message-ID: <005501c41872$47fe4100$209cfea9@VAIO>

Amen to that.  
In CT, FNP's could bill for psychotherapy.
ANP's could not.
It made no sense to me.
Rather discriminatory, in my humble opinion.
Ciao,
      ~:~Pamme~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: SamaraFNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Thursday, April 01, 2004 9:56 PM
  Subject: Re: [PrvPracNP] AntidepressantConcentrationsinCordandMaternalSerumShow S...


  If you cannot prescribe the antipsychotics and you cannot do psychotherapy, what are you doing in your private practice????  The thing is, we as np, and as nurses, do psychotherapy all the time.  If one looks at the definition it is what we do.  As a nurse, I led group therapy and did individual therapy, just as a nurse, before I was an RN.  The laws are so silly.  Nurses have been doing holistic psychotherapy for years.  I'm not saying the focus is the same as would be for a psych NP or psychiatrist, but the title, "psychotherapy" is certainly something we do.

  Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)


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From pamme at sbcglobal.net  Thu Apr  1 21:22:19 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 2 Apr 2004 00:22:19 -0500
Subject: [PrvPracNP] Fwd: A Medscape article that might interest you.
References: <20040402044639.43737.qmail@web41608.mail.yahoo.com>
Message-ID: <008301c41872$78d50020$209cfea9@VAIO>

Please cut and paste if you would.  I don't open forwards r/t viruses.
Thanks,
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Paula J. Sumner 
  To: prvpracnp at nurse.net 
  Sent: Thursday, April 01, 2004 11:46 PM
  Subject: [PrvPracNP] Fwd: A Medscape article that might interest you.


  This article is a lead  in for the subject of psych practice and non-psych NPs. Paula


  Paula Joan Sumner RN, MSN, FNP-BC
  Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
  For Peak Performance Issues, Stress Management, Pain Management, Weight Management and Smoking Cessation.
  Durham, NC 27707

  http://paulajsumner.byregion.net member# 10102918

  919-490-4656, #8


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From prispunnyfnp at metrocast.net  Fri Apr  2 02:55:07 2004
From: prispunnyfnp at metrocast.net (Priscilla Merrill)
Date: Fri, 2 Apr 2004 05:55:07 -0500
Subject: [PrvPracNP] please remove my name off list
In-Reply-To: <20040402044739.17763.qmail@web60703.mail.yahoo.com>
Message-ID: <PKEDIBHEGKJAPEHFEPMOAEIKCJAA.prispunnyfnp@metrocast.net>

go to www.nurse.net, go to lists and unsubscribe
  -----Original Message-----
  From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net]On
Behalf Of Tom
  Sent: Thursday, April 01, 2004 11:48 PM
  To: Private Practice NPs
  Subject: [PrvPracNP] please remove my name off list


  How do I get off this list



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From asmithnp at hotmail.com  Fri Apr  2 04:40:37 2004
From: asmithnp at hotmail.com (Audrey Smith)
Date: Fri, 02 Apr 2004 12:40:37 +0000
Subject: [PrvPracNP] please remove from list
Message-ID: <BAY17-F69TT80UtfoWt000364f9@hotmail.com>

please remove from list

_________________________________________________________________
MSN Toolbar provides one-click access to Hotmail from any Web page ? FREE 
download! http://toolbar.msn.com/go/onm00200413ave/direct/01/



From asmithnp at hotmail.com  Fri Apr  2 04:43:24 2004
From: asmithnp at hotmail.com (Audrey Smith)
Date: Fri, 02 Apr 2004 12:43:24 +0000
Subject: [PrvPracNP] please remove my name off list
Message-ID: <BAY17-F17xTs53iVdGJ00031644@hotmail.com>

i did thank you.  I was just getting too many emails overloading my hotmail 
account.


>From: "Priscilla Merrill" <prispunnyfnp at metrocast.net>
>Reply-To: Private Practice NPs <prvpracnp at nurse.net>
>To: "Private Practice NPs" <prvpracnp at nurse.net>
>Subject: RE: [PrvPracNP] please remove my name off list
>Date: Fri, 2 Apr 2004 05:55:07 -0500
>
>go to www.nurse.net, go to lists and unsubscribe
>   -----Original Message-----
>   From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net]On
>Behalf Of Tom
>   Sent: Thursday, April 01, 2004 11:48 PM
>   To: Private Practice NPs
>   Subject: [PrvPracNP] please remove my name off list
>
>
>   How do I get off this list
>
>
>
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>   Yahoo! Small Business $15K Web Design Giveaway - Enter today
>
>---
>Outgoing mail is certified Virus Free.
>Checked by AVG anti-virus system (http://www.grisoft.com).
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>_______________________________________________
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From curt at performancep.com  Fri Apr  2 05:31:30 2004
From: curt at performancep.com (curt at performancep.com)
Date: Fri, 02 Apr 2004 13:31:30 -0000
Subject: [PrvPracNP] collaborative physician compensation
Message-ID: <20040402133746.11944.qmail@host98.ipowerweb.com>

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From nravey at bellsouth.net  Fri Apr  2 06:09:24 2004
From: nravey at bellsouth.net (Nina Ravey)
Date: Fri, 2 Apr 2004 08:09:24 -0600
Subject: [PrvPracNP] bipolar/N.P. Documentary
Message-ID: <20040402140931.PANZ1729.imf24aec.mail.bellsouth.net@nina>

Paula,

I'm probably brain dead but what is PMI?

Nina

 

 

Group,

Please read this e-mail below and pass it on to other NP's.  Certainly
sounds like my practice and probably reflects what most of us in independent
practice experience.  Wouldn't it be wonderful to have a documentary to show
to each of our Senators and Legislators?

Nina

 

-----Original Message-----
From: stacywinchell at prodigy.net [mailto:stacywinchell at prodigy.net] 
Sent: Friday, April 02, 2004 12:43 AM
To: jnickens at etigers.net
Subject: N.P. Documentary

 

To whom it may concern,

 

 My name is Stacy Winchell and I am both a nurse practitioner and filmmaker.
I was first licensed as a registered nurse in California in 1980 and began
practice as a nurse practitioner in 1989.  Over the past fourteen years I
have practiced in the areas of family medicine, internal medicine and
geriatric medicine.  My practice setting has ranged from group practice and
urgent care to the academic environment.   During a four-year period in the
early nineties I was involved with the geriatric fellowship program at UCLA
where I assisted with the clinical training of over a dozen fellows.

 

Virtually all of the positions that I have held have required me to practice
essentially independently.  What this means is that all of the legal
requirements for practice in the state have always been fulfilled on paper
however, the participation of the supervising or collaborating physician has
been limited to those activities that are necessary for billing, and
providing in-house coverage during those times when my patients required
hospitalization. I am unable to obtain admitting privileges at most
hospitals nor contract directly with third party payers, etc.  Ironically, I
frequently was the one who wrote the admitting orders signed by the
admitting physician and co managed the patient in house by conferring with
the covering physician. As expected the patient was returned to me for
continued care upon discharge however, I could not order home health !
nursing, physical therapy visits as well as other restrictions under
Medicare. Although we have made some progress, the gains are small and come
very slowly.

 

Obviously these are not circumstances that are unique to me. I'm certain
many of my colleagues face the same or greater frustrations in their
practice and with the restrictions placed on these clinicians varying
tremendously from state to state I find it commendable that these
practitioners continue to fight not only for the limited resources afforded
them to provide the quality of care their patients deserve but against the
very establishment that threatens their professional survival. It would seem
that if the real objective was to benefit the patient these various entities
would be working with rather than against one another.

 

The fact remains that many valid outcome studies have shown that patients
managed by nurse practitioners have achieved and maintained a level of
wellness equal to those patients under the care of their physician
counterparts. Some studies have even demonstrated that many nurse
practitioner's patients have rated their care superior to and level of
satisfaction greater than those of their physician counterparts. This
finding is not surprising when one considers the fact that taking time to
listen to their patients without prejudging more information about a patient
can be obtained and more pathology discovered.Just as most family physicians
will refer patients for specialty consultation when appropriate so in fact
do nurse practitioners, as we all want to provide the best possible
management for our patients.

 

The project that I am working on is a documentary film designed to educate
the public about nurse practitioners. The American Medical Association has
spent a great deal of time and money to influence lawmakers that giving
nurse practitioners the authority to practice and prescribe independently is
medically unsafe and would lower the quality of health care delivered to the
public. The truth of the matter is that giving practitioners the autonomy to
practice without unnecessary restrictions from fully participating in
programs and provision of care will increase access to medical care, reduce
the cost of care to the consumer and encourage self referral to a group of
providers who by earlier detection and intervention would have a more
positive impact on our society and reduce strain on already over burden
state and federal reimbursement programs.

 

We need to educate an entire nation about the choices they can demand be
given to them as a matter of law. I am confident that when the public is
able to see on film the care being provided by this group of intelligent,
dedicated and well educated clinicians they will make the proper choices.
The position papers published in recent years regarding nurse practitioners
which are designed to evoke emotional responses to unfounded allegations
that we do not have the necessary preparation to undertake a task with this
level of responsibility should be refuted point for point in a documentary
such as this. After all, the allegations about our lack of preparedness for
this task are being made solely by those who have never personally
experienced our preparation.

 

I would ask that you please pass this on to our colleagues and I humbly ask
for your feedback as well as any help that you may be able to offer through
your organizations.

 

Thank you in advance for your assistance. I can be contacted via e-mail at
stacywinchell at prodigy.net
<http://us.f803.mail.yahoo.com/ym/Compose?To=stacywinchell at prodigy.net>   or
866 Brighton Ave Apt. A  Grover Beach, CA. 93433 

 

Sincerely,

 

Stacy Paul Winchell, N.P. 

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From Klbl2000 at aol.com  Thu Apr  1 19:42:28 2004
From: Klbl2000 at aol.com (Klbl2000 at aol.com)
Date: Thu, 1 Apr 2004 22:42:28 EST
Subject: [PrvPracNP] remove
Message-ID: <89.73b9e65.2d9e3b24@aol.com>

How do I get off this list? Too many e-mails.
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From pamme at sbcglobal.net  Thu Apr  1 10:53:27 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Thu, 1 Apr 2004 13:53:27 -0500
Subject: [PrvPracNP]
	AntidepressantConcentrationsinCordandMaternalSerumShow S...
References: <1e.25d51f81.2d9db47d@aol.com>
	<04dc01c41818$bd8f66b0$209cfea9@VAIO>
Message-ID: <04fe01c4181a$9ee76e40$209cfea9@VAIO>

My apologies Laura!!
I just went to the ANCC Certification site and there it was. 
It wasn't there when I recertified in 2002.
Thank you for the information.
Sincerely,
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Pr. Pamela A. Provost N.P. 
  To: Private Practice NPs 
  Sent: Thursday, April 01, 2004 1:39 PM
  Subject: Re: [PrvPracNP] AntidepressantConcentrationsinCordandMaternalSerumShow S...


  Laura,
  When did they come out with that?
  The practice guidelines were just established and published in the past 6 months by the NCNP and the AANP.
  The last I looked, the board certification was for CNS not NP.
  Sincerely,
        ~:~~:~ 
        GOD BLESS US ALL

        Life may not be the party we hoped for, but while we are here, we may as well dance

        Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
  ----- Original Message ----- 
    From: LauraHoemanARNP at aol.com 
    To: prvpracnp at nurse.net 
    Sent: Thursday, April 01, 2004 1:07 PM
    Subject: Re: [PrvPracNP] Antidepressant ConcentrationsinCordandMaternalSerumShow S...


    There is a board certification for psychiatric NPs.  It is through the ANCC. I am a board-certified psychiatric mental health nurse practitioner. My certification allows me to treat all ages, including children. My program was at the University of Washington.  In days past, there was only the Clinical Nurse Specialist certification, but that has changed, and now NPs-to-be in Wash. state who want to go into psych. are encouraged to go the nurse practitioner , not clinical specialist, route.  I became a nurse practitioner, not a clinical specialist, and I've never been sorry.   --Laura 


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From pamme at sbcglobal.net  Thu Apr  1 11:45:32 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Thu, 1 Apr 2004 14:45:32 -0500
Subject: [PrvPracNP] bipolar
References: <20040401160138.86036.qmail@web41609.mail.yahoo.com><03dd01c4180a$1e837dd0$209cfea9@VAIO>
	<00fa01c4181b$45951bc0$932cfea9@minenml0wgc2g2>
Message-ID: <051a01c41821$e560cbd0$209cfea9@VAIO>

An externship is done under the supervision of a psychiatrist.  It includes 600 hours of didactic education as well.  However, you can be working in the field at the same time.
CNS is specialized towards psychiatric nursing with psychopharmacology.
Psych NP is geared towards holistic practice from cradle to grave with much inclusion of theory, research, psychopathophysiology and co-morbidities.
When I graduated from my MSN NP course, there wasn't any such thing as a Psych NP.  So, externship was the only way for me to go.
If I were you, and I intend to do this myself just for FYI, contact Bama and ask them if you need to take the entire course as you are already an NP.  I had CNS' in my graduate class as well as NP's from other specialties, who want the FNP board certification.  They were not required to go through all the theory classes or research that we had to as they had already rec'd the same in their previous course work.  They were post graduate certificate recepients.
Hope this helps,
Pamme
BTW, ANCC site has sample questions for the Psych NP certification.  It is heavy with theory, research and elder adult questions.  Just printed out my no error sample.  However, I find as I have always found with the ANCC, they focus more on theoretical framework than reality based practice.  When I graduated from USA, I took both the ANCC and the AANP and passed both.   I found the AANP certification exam more reality based and less hung up on Nursing Theory.  Afterall, and this may open another can of worms, does anyone really use the Nursing Theory that we were beaten over the head with as undergrads and then again as grads?  I did as an RN, but have had no use for it since I changed my career path to NP.
Sincerely,
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: E Marciczkiewicz 
  To: Private Practice NPs 
  Sent: Thursday, April 01, 2004 1:58 PM
  Subject: Re: [PrvPracNP] bipolar


  I'm wondering if you can tell me what you mean by an externship? I am planning to start a psych NP program in the near future with the online program at U of Alabama which someone from this listserve so kindly informed me about.

  Do you know the difference between going for CNS in psych vs NP in psych?  I find this very confusing.  I am currently an adult NP practicing primary care with a disabled population here in Boston.  Psych issues are abundant with this group.

  Thank you.

  Ava Marciczkiewicz, NP
  Boston
    ----- Original Message ----- 
    From: Pr. Pamela A. Provost N.P. 
    To: Private Practice NPs 
    Sent: Thursday, April 01, 2004 11:55 AM
    Subject: Re: [PrvPracNP] bipolar


    Or you can externship as I did.  That was 7 years ago.
    They are starting to establish psych np programs, but unfortunately, there still does not exist a board certification in the field for psych np.
          ~:~~:~ 
          GOD BLESS US ALL

          Life may not be the party we hoped for, but while we are here, we may as well dance

          Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
    ----- Original Message ----- 
      From: Paula J. Sumner 
      To: Private Practice NPs 
      Sent: Thursday, April 01, 2004 11:01 AM
      Subject: RE: [PrvPracNP] bipolar


      Nina,
      Is caring for PMI pts within your FNP scope of Practice in LA?
      As discussed a lot earlier, you can get a psych NP training online at U of Alabama. Seems like a good program
       Paula

      Nina Ravey <nravey at bellsouth.net> wrote:
        Thanks to ya'll for clarifying information for one who is not a psych nurse,
        but quickly learning in the school of hard knocks how to care for bipolar
        and schizophrenia patients.
        Nina

        Nina Ravey, RN, MSN, CNS, C-FNP
        Family Nurse Practitioner
        Shirley Medical Clinic
        711 N. Main St.
        Jennings, LA 70546
        337-824-2002
        Fax:337-824-2004
        www.shirleymedical.com
        Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
        Management, Physical Medicine and Rehabilitation, Diabetic Education
        Classes, Walk-ins, Appointments


        "It never ceases to amaze me how being a good nurse is often in direct
        opposition to being a "good employee."




        -----Original Message-----
        From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
        Behalf Of Pr. Pamela A. Provost N.P.
        Sent: Wednesday, March 31, 2004 ! 10:55 PM
        To: Private Practice NPs
        Subject: Re: [PrvPracNP] bipolar

        Depakote requires blood draws and teenagers as well as children, balk
        greatly at this necessary intervention. In addition, the added weight gain,
        a significant side effect in Depakote, effects the ego status of the child
        and teenager as well as the health status.
        It is definitely a good mood stabilizer, but Topamax is far superior in
        effect, compliance, no need for blood level monitoring and lack the side
        effects that impact weight gain .
        Sincerely,
        Pamela A. Provost N.P.
        Psychiatric Provider
        Neuroscience Consultant

        ~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
        are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
        Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
        Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
        Cats! Join Care2.com's Race for the Oceans! ! Join Care2.com's Race for the
        Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
        ----- Original Message ----- 
        From: "Nina Ravey" 
        To: "'Private Practice NPs'" 
        Sent: Wednesday, March 31, 2004 11:01 PM
        Subject: RE: [PrvPracNP] bipolar


        > Just went to a seminar where psychiatrist talked about anti-psychotics and
        > Seroquel was suggested as one of the safest with out black box warning,
        not
        > tounted to cause diabetes. Works well if you start with 100mg bid and
        > titrate up every day by 100 until you reach the 800 dose range.
        > I've used it and it works well on bipolar. Depakote also works well.
        > He also explained that the drugs may be used in children and adolescents.
        > Nina
        >
        > Nina Ravey, RN, MSN, CNS, C-FNP
        > Family Nurse Practitioner
        > Shirley Medical Clinic
        > 711 N. Main St.
        > Jennings, LA 70546
        > 337-824-2002
        > Fax:337-824-2004
        > www.shirleymedical.com
        > Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
        > Management, Physical Medicine and Rehabilitation, Diabetic Education
        > Classes, Walk-ins, Appointments
        >
        >
        > "It never ceases to amaze me how being a good nurse is often in direct
        > opposition to being a "good employee."
        >
        >
        >
        > -----Original Message-----
        > From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
        > Behalf Of Alex Wagner
        > Sent: Wednesday, March 31, 2004 8:00 PM
        > To: prvpracnp at nurse.net
        > Subject: [PrvPracNP] bipolar
        >
        > I need some suggestion for a teenage diagnoses by psychiatrist for bipolar
        > is very dizzy on Lithium. What else are you guys using for this in this
        > age group with less side effects.
        >
        >
        > ---
        > [This E-mail scanned for viruses]
        >
        > _______________________________________________
        > PrvPracNP mailing list
        > PrvPracNP at nurse.net
        > http://lists.nurse.net/mailman/listinfo/prvpracnp
        >
        > _______________________________________________
        > PrvPracNP mailing list
        > PrvPracNP at nurse.net
        > http://lists.nurse.net/mailman/listinfo/prvpracnp

        _______________________________________________
        PrvPracNP mailing list
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        http://lists.nurse.net/mailman/listinfo/prvpracnp

        _______________________________________________
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        PrvPracNP at nurse.net
        http://lists.nurse.net/mailman/listinfo/prvpracnp


      Paula Joan Sumner RN, MSN, FNP-BC
      Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
      For Peak Performance Issues, Stress Management, Pain Management, Weight Management and Smoking Cessation.
      Durham, NC 27707

      http://paulajsumner.byregion.net member# 10102918

      919-4! 90-4656, #8 


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From familycare at alaska.net  Thu Apr  1 11:49:23 2004
From: familycare at alaska.net (Jan Stables)
Date: Thu, 1 Apr 2004 10:49:23 -0900
Subject: [PrvPracNP] Reimbursement for wet preps
References: <293580-2200444119951833@M2W052.mail2web.com>
Message-ID: <00f601c41822$702df030$677ba8c0@LAPTOP>

I use the Medicaid fee schedule to set most of my prices. If it's good
enough for the citizens of our state, it's good enough for me.  Also, if you
ever have to justify how you set your fees, you have an immediate, simple
answer.

Jan
----- Original Message -----
From: <prispunnyfnp at metrocast.net>
To: <prvpracnp at nurse.net>
Sent: Thursday, April 01, 2004 10:09 AM
Subject: [PrvPracNP] Reimbursement for wet preps


> Please forgive me if this is an inappropriate question (once I was
> reprimanded on another listserve about some rule about price setting but
> learned that inquiry is fine as I'm new to private practice and have no
> idea what fair charges are).
> I'd like to ask if anyone knows what an average reimbursement for wet
preps
> is?  If patients have no insurance, do you discount?  If this is not
kosher
> to ask, please just say the word.
> Thanks in advance,
>
> Priscilla Merrill, FNP
>
> --------------------------------------------------------------------
> mail2web - Check your email from the web at
> http://mail2web.com/ .
>
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp
>





From CAW at peabodyrc.com  Fri Apr  2 09:49:51 2004
From: CAW at peabodyrc.com (White, Carol)
Date: Fri, 2 Apr 2004 12:49:51 -0500 
Subject: [PrvPracNP] bipolar
Message-ID: <5E6722C3814FD711A13C00065BF66452083099@EXCHANGE>

Why do I keep getting this file multiple times?

>  -----Original Message-----
> From: 	Pr. Pamela A. Provost N.P. [mailto:pamme at sbcglobal.net] 
> Sent:	Thursday, April 01, 2004 2:46 PM
> To:	E  Marciczkiewicz; Private Practice NPs
> Subject:	Re: [PrvPracNP] bipolar
> 
>  << Message:  >>  << File: ATT00429.txt >> 


From StressManager4U at aol.com  Fri Apr  2 12:58:01 2004
From: StressManager4U at aol.com (StressManager4U at aol.com)
Date: Fri, 2 Apr 2004 15:58:01 EST
Subject: [PrvPracNP] bipolar
Message-ID: <1a7.21c44f77.2d9f2dd9@aol.com>

Hi Everyone,
I've been reading with interest all the discussion about Psych NP vs CNS. I 
became a psych CNS back in the old days before there were nurse practitioners. 
Back in those days if you wanted to be an advanced practice nurse in psych  
that was the only way to go. In the early 90s we were able to become part of 
provider panels if we were certified so I got certified. Actually we had to have 
1500 hours of supervised clinical work post masters before we could sit for 
the exam so I worked in a public mental health center providing psychotherapy 
and case management to those being released from the state institutions and 
placed with the community servie boards.  Later as the NPs got precriptive 
authority I looked into a family NP program but was going to have to take 2 more 
years of classes and work in a general medical setting for my  clinical hours. 
That did not appeal to me. Finally the University of Virginia came out with a 
post masters psych NP program that would fulfill the requirements to sit for the 
psych np certification which I took and passed. That allowed me to become 
licensed as a psych NP and also to obtain prescritive authority. In Virginia I now 
have 4 licenses in order to practice as both a Psych NP and Psych CNS. I have 
to have both certifications...the NP in order to prescribe and the CNS in 
order to bill for psychotherapy. I've had almost 25 years of clinical practice 
and can now provide total care to the patients in my care. Nursing is forever 
evolving. 
Kathy Tierney
Psych NP/CNS
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From SamaraFNP at aol.com  Fri Apr  2 15:05:11 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Fri, 2 Apr 2004 18:05:11 EST
Subject: [PrvPracNP] Daily digest vs. individual emails for list serve
	responses
Message-ID: <d6.72e0488.2d9f4ba7@aol.com>

I want a daily one too..  

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From SamaraFNP at aol.com  Fri Apr  2 15:09:19 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Fri, 2 Apr 2004 18:09:19 EST
Subject: [PrvPracNP]
	AntidepressantConcentrationsinCordandMaternalSerumShow S...
Message-ID: <19c.2245fcc4.2d9f4c9f@aol.com>

I've billed for counseling but I had to say, "tobacco addiction counseling" 
or "diet counseling" or family crisis counseling"

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From SamaraFNP at aol.com  Fri Apr  2 15:20:03 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Fri, 2 Apr 2004 18:20:03 EST
Subject: [PrvPracNP] please remove from list
Message-ID: <123.2cc853be.2d9f4f23@aol.com>

I don't want to be removed but I want to get all my emails for a day at once. 
I went to nurse net and it did not help.  please someone tell me how to 
reduce the emails. (not that you all don't have wonderful things to teach me!)

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From SamaraFNP at aol.com  Fri Apr  2 15:26:09 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Fri, 2 Apr 2004 18:26:09 EST
Subject: [PrvPracNP] collaborative physician compensation
Message-ID: <1e1.1ce41797.2d9f5091@aol.com>

I need to know this too as I have met with one and don't know wht to tell 
them.  I'm only seeing about 5 patients a week at this point.
In a message dated 4/2/2004 8:36:58 AM Eastern Standard Time, 
curt at performancep.com writes:
I am interested in knowing some compensation examples for a collaborative 
physician. We 
have several physicians in mind but would like to have some proposals when we 
meet.


My apologize if everyone has already received this. I am not sure the first 
one went through.

Thanks, Curt

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From SamaraFNP at aol.com  Fri Apr  2 15:27:35 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Fri, 2 Apr 2004 18:27:35 EST
Subject: [PrvPracNP] bipolar
Message-ID: <85.872e196.2d9f50e7@aol.com>

Dear Kathy,
I'm in VA too, but do you still have to have collaborating "supervising" 
physician to practice as a psych np???
Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From SamaraFNP at aol.com  Fri Apr  2 14:56:51 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Fri, 2 Apr 2004 17:56:51 EST
Subject: [PrvPracNP] bipolar
Message-ID: <d4.912cc62.2d9f49b3@aol.com>

I don't use the nursing theory stuff at all.  Please tell me what is bama 
that you said to contact and how do i contact them???

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From pamme at sbcglobal.net  Fri Apr  2 14:50:49 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 2 Apr 2004 17:50:49 -0500
Subject: [PrvPracNP] collaborative physician compensation
References: <20040402133746.11944.qmail@host98.ipowerweb.com>
Message-ID: <000f01c41904$f1af5620$209cfea9@VAIO>

I have never had to reimburse a physician for a collaborative agreement as
it is a symbiotic relationship.
When I did belong to a NP owned psychiatric consulting firm, we paid a
physician an extra $10,000 per year to own the title of Medical Director.
For this, he was expected to do a specific list of tasks for the company.
The rest of his income came from seeing clients, just as the rest of us did.
Hope this is of help to you,
Pamme
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: <curt at performancep.com>
To: <prvpracnp at nurse.net>
Sent: Friday, April 02, 2004 8:37 AM
Subject: [PrvPracNP] collaborative physician compensation


>
>
>
>
> I am interested in knowing some compensation examples for a collaborative
physician. We
> have several physicians in mind but would like to have some proposals when
we meet.
>
>
> My apologize if everyone has already received this. I am not sure the
first one went through.
>
> Thanks, Curt
>
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp



From pamme at sbcglobal.net  Fri Apr  2 14:48:28 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 2 Apr 2004 17:48:28 -0500
Subject: [PrvPracNP] please remove my name off list
References: <BAY17-F17xTs53iVdGJ00031644@hotmail.com>
Message-ID: <000901c41904$9dbadfd0$209cfea9@VAIO>

Why don't you switch to daily digest.  Then, you won't get so many emails?
We'd really miss you~~
Peace,
Pamme
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: "Audrey Smith" <asmithnp at hotmail.com>
To: <prvpracnp at nurse.net>
Sent: Friday, April 02, 2004 7:43 AM
Subject: RE: [PrvPracNP] please remove my name off list


> i did thank you.  I was just getting too many emails overloading my
hotmail
> account.
>
>
> >From: "Priscilla Merrill" <prispunnyfnp at metrocast.net>
> >Reply-To: Private Practice NPs <prvpracnp at nurse.net>
> >To: "Private Practice NPs" <prvpracnp at nurse.net>
> >Subject: RE: [PrvPracNP] please remove my name off list
> >Date: Fri, 2 Apr 2004 05:55:07 -0500
> >
> >go to www.nurse.net, go to lists and unsubscribe
> >   -----Original Message-----
> >   From: prvpracnp-bounces at nurse.net
[mailto:prvpracnp-bounces at nurse.net]On
> >Behalf Of Tom
> >   Sent: Thursday, April 01, 2004 11:48 PM
> >   To: Private Practice NPs
> >   Subject: [PrvPracNP] please remove my name off list
> >
> >
> >   How do I get off this list
> >
> >
> >
>
>---------------------------------------------------------------------------
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> >   Yahoo! Small Business $15K Web Design Giveaway - Enter today
> >
> >---
> >Outgoing mail is certified Virus Free.
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From pamme at sbcglobal.net  Fri Apr  2 14:54:46 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 2 Apr 2004 17:54:46 -0500
Subject: [PrvPracNP] bipolar/N.P. Documentary
References: <20040402140931.PANZ1729.imf24aec.mail.bellsouth.net@nina>
Message-ID: <002401c41905$7f6e9160$209cfea9@VAIO>

It sure would be nice.  Has anyone joined the AANP Political Action Committee?  BTW, every 4 or 5 years, the Academy's conference is held in D.C. and one day is spent with each attendee lobbying their particular congressionals.  This is in addition to the daily paid lobbyist who works for the AANP.
Sincerely,
Pamme
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Nina Ravey 
  To: 'Private Practice NPs' 
  Sent: Friday, April 02, 2004 9:09 AM
  Subject: [PrvPracNP] bipolar/N.P. Documentary


  Paula,

  I'm probably brain dead but what is PMI?

  Nina





  Group,

  Please read this e-mail below and pass it on to other NP's.  Certainly sounds like my practice and probably reflects what most of us in independent practice experience.  Wouldn't it be wonderful to have a documentary to show to each of our Senators and Legislators?

  Nina



  -----Original Message-----
  From: stacywinchell at prodigy.net [mailto:stacywinchell at prodigy.net] 
  Sent: Friday, April 02, 2004 12:43 AM
  To: jnickens at etigers.net
  Subject: N.P. Documentary



  To whom it may concern,



   My name is Stacy Winchell and I am both a nurse practitioner and filmmaker.  I was first licensed as a registered nurse in California in 1980 and began practice as a nurse practitioner in 1989.  Over the past fourteen years I have practiced in the areas of family medicine, internal medicine and geriatric medicine.  My practice setting has ranged from group practice and urgent care to the academic environment.   During a four-year period in the early nineties I was involved with the geriatric fellowship program at UCLA where I assisted with the clinical training of over a dozen fellows.



  Virtually all of the positions that I have held have required me to practice essentially independently.  What this means is that all of the legal requirements for practice in the state have always been fulfilled on paper however, the participation of the supervising or collaborating physician has been limited to those activities that are necessary for billing, and providing in-house coverage during those times when my patients required hospitalization. I am unable to obtain admitting privileges at most hospitals nor contract directly with third party payers, etc.  Ironically, I frequently was the one who wrote the admitting orders signed by the admitting physician and co managed the patient in house by conferring with the covering physician. As expected the patient was returned to me for continued care upon discharge however, I could not order home health ! nursing, physical therapy visits as well as other restrictions under Medicare. Although we have made some progress, the gains are small and come very slowly.



  Obviously these are not circumstances that are unique to me. I'm certain many of my colleagues face the same or greater frustrations in their practice and with the restrictions placed on these clinicians varying tremendously from state to state I find it commendable that these practitioners continue to fight not only for the limited resources afforded them to provide the quality of care their patients deserve but against the very establishment that threatens their professional survival. It would seem that if the real objective was to benefit the patient these various entities would be working with rather than against one another.



  The fact remains that many valid outcome studies have shown that patients managed by nurse practitioners have achieved and maintained a level of wellness equal to those patients under the care of their physician counterparts. Some studies have even demonstrated that many nurse practitioner's patients have rated their care superior to and level of satisfaction greater than those of their physician counterparts. This finding is not surprising when one considers the fact that taking time to listen to their patients without prejudging more information about a patient can be obtained and more pathology discovered.Just as most family physicians will refer patients for specialty consultation when appropriate so in fact do nurse practitioners, as we all want to provide the best possible management for our patients.



  The project that I am working on is a documentary film designed to educate the public about nurse practitioners. The American Medical Association has spent a great deal of time and money to influence lawmakers that giving nurse practitioners the authority to practice and prescribe independently is medically unsafe and would lower the quality of health care delivered to the public. The truth of the matter is that giving practitioners the autonomy to practice without unnecessary restrictions from fully participating in programs and provision of care will increase access to medical care, reduce the cost of care to the consumer and encourage self referral to a group of providers who by earlier detection and intervention would have a more positive impact on our society and reduce strain on already over burden state and federal reimbursement programs.



  We need to educate an entire nation about the choices they can demand be given to them as a matter of law. I am confident that when the public is able to see on film the care being provided by this group of intelligent, dedicated and well educated clinicians they will make the proper choices. The position papers published in recent years regarding nurse practitioners which are designed to evoke emotional responses to unfounded allegations that we do not have the necessary preparation to undertake a task with this level of responsibility should be refuted point for point in a documentary such as this. After all, the allegations about our lack of preparedness for this task are being made solely by those who have never personally experienced our preparation.



  I would ask that you please pass this on to our colleagues and I humbly ask for your feedback as well as any help that you may be able to offer through your organizations.



  Thank you in advance for your assistance. I can be contacted via e-mail at stacywinchell at prodigy.net  or  866 Brighton Ave Apt. A  Grover Beach, CA. 93433 



  Sincerely,



  Stacy Paul Winchell, N.P. 



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From pamme at sbcglobal.net  Fri Apr  2 16:30:49 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 2 Apr 2004 19:30:49 -0500
Subject: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice
References: <20040317130639.39778.qmail@host98.ipowerweb.com>
Message-ID: <00a301c41912$ea336900$209cfea9@VAIO>

I saw my lawyer today and established a PC (professional corporation).  It
will afford me some major tax breaks as well as protect my personal assets.
PC are for licensed personnel.
Regards,
Pamme
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: <curt at performancep.com>
To: <prvpracnp at nurse.net>
Sent: Wednesday, March 17, 2004 8:06 AM
Subject: [Prv Prac NP] Starting an independent practice


>
>
>
> Hi,
>
> We are considering starting an indepedent practice in Northwest Indiana.
If anyone has some helpful information I
> would appreciate it. I was also wondering if anyone had an ideas
concerning whether to form a S corporation or an LLC.
>
> Thanks, Curt
>



From pamme at sbcglobal.net  Fri Apr  2 16:44:40 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 2 Apr 2004 19:44:40 -0500
Subject: [PrvPracNP] bipolar
References: <1a7.21c44f77.2d9f2dd9@aol.com>
Message-ID: <016601c41914$d9cb0da0$209cfea9@VAIO>

Bless your heart Kathy!
What a travail.
That is absurd that you need both certifications to practice in VA.  That is duplication of expense and a definite barrier to practice.  Is VA's state bd of nursing not receptive to this opportunity for change?
Best of luck,
Pamme
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: StressManager4U at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Friday, April 02, 2004 3:58 PM
  Subject: Re: [PrvPracNP] bipolar


  Hi Everyone,
  I've been reading with interest all the discussion about Psych NP vs CNS. I became a psych CNS back in the old days before there were nurse practitioners. Back in those days if you wanted to be an advanced practice nurse in psych  that was the only way to go. In the early 90s we were able to become part of provider panels if we were certified so I got certified. Actually we had to have 1500 hours of supervised clinical work post masters before we could sit for the exam so I worked in a public mental health center providing psychotherapy and case management to those being released from the state institutions and placed with the community servie boards.  Later as the NPs got precriptive authority I looked into a family NP program but was going to have to take 2 more years of classes and work in a general medical setting for my  clinical hours. That did not appeal to me. Finally the University of Virginia came out with a post masters psych NP program that would fulfill the requirements to sit for the psych np certification which I took and passed. That allowed me to become licensed as a psych NP and also to obtain prescritive authority. In Virginia I now have 4 licenses in order to practice as both a Psych NP and Psych CNS. I have to have both certifications...the NP in order to prescribe and the CNS in order to bill for psychotherapy. I've had almost 25 years of clinical practice and can now provide total care to the patients in my care. Nursing is forever evolving. 
  Kathy Tierney
  Psych NP/CNS 


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From pamme at sbcglobal.net  Fri Apr  2 16:47:41 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 2 Apr 2004 19:47:41 -0500
Subject: [PrvPracNP] Psych NP courses
References: <d4.912cc62.2d9f49b3@aol.com>
Message-ID: <017901c41915$45e2de00$209cfea9@VAIO>

Bama is the University of Alabama.  They have a site online.
However, someone from New Hampshire stated that they were in an online course from the University of SOUTH Alabama (USA), my graduate school alma mater.  
I can only compare from what I've heard from others who went to Bama, that the FNP was a good program, but not as good as USA.  I don't know how they stack up for Psych NP.
I am still waiting for a response back from the ANCC regarding grandfathering and what the minimal requirements would be to sit for the Psych NP boards.
Peace,
Pamme
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: SamaraFNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Friday, April 02, 2004 5:56 PM
  Subject: Re: [PrvPracNP] bipolar


  I don't use the nursing theory stuff at all.  Please tell me what is bama that you said to contact and how do i contact them???

  Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)


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From ctmidwife at hotmail.com  Fri Apr  2 16:48:11 2004
From: ctmidwife at hotmail.com (Alison Trider)
Date: Fri, 02 Apr 2004 19:48:11 -0500
Subject: [PrvPracNP] Univ. South Alabama psych program
Message-ID: <BAY12-F225p4KCgXf2h00027d1a@hotmail.com>

Didn't someone post recently about attending the psych/mental health program 
at the U. of South Alabama?  Can this person contact me privately?  I have 
some questions regarding the program.  Thanks!

Alison Trider, MS, APRN, CNM
ctmidwife at comcast.net

_________________________________________________________________
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From pamme at sbcglobal.net  Fri Apr  2 16:50:54 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 2 Apr 2004 19:50:54 -0500
Subject: [PrvPracNP] Changing options on this list.
References: <123.2cc853be.2d9f4f23@aol.com>
Message-ID: <01ac01c41915$b87c7bb0$209cfea9@VAIO>

Marla,
I went to the site and tried to see what options were available.  Not only does my password not work, I did not receive the password when I clicked on unable to find.  Supposedly, it was to be sent to my email addy.  No such luck.
ON the site, there is a place where you can change options/unsubscribe.  I couldn't get in to find out what the options were.
What a world, what a world, what a world LOL.
Peace,
Pamme
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: SamaraFNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Friday, April 02, 2004 6:20 PM
  Subject: Re: [PrvPracNP] please remove from list


  I don't want to be removed but I want to get all my emails for a day at once. I went to nurse net and it did not help.  please someone tell me how to reduce the emails. (not that you all don't have wonderful things to teach me!)

  Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)


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From sdrakenp at comcast.net  Fri Apr  2 16:59:32 2004
From: sdrakenp at comcast.net (Suellen Drake)
Date: Fri, 2 Apr 2004 19:59:32 -0500
Subject: [PrvPracNP] USA
References: <1e.25d51f81.2d9db47d@aol.com><004901c4183d$21618f50$6401a8c0@choices.local>
	<001d01c41871$666199e0$209cfea9@VAIO>
Message-ID: <00ad01c41916$ecec4aa0$6401a8c0@choices.local>

The program is a lot of work, but they do have a 100% pass rate on the exam.  Everything is online with the exception of my clinical work which I do locally with 2-3 Psych NPs. I will be qualified to sit for the Famiy Psych NP exam. It is working out great so far. Suellen
  ----- Original Message ----- 
  From: Pr. Pamela A. Provost N.P. 
  To: Private Practice NPs 
  Sent: Friday, April 02, 2004 12:14 AM
  Subject: Re: [PrvPracNP] USA


  Hey Suellen,
  Did USA finally get a psych NP program together.  I used to be adjunct faculty there.    I graduated from their FNP program
  Say hey to Dr. Fruh for me.  She is the best!~!
  Ciao,
        ~:~Pamme~:~ 
        GOD BLESS US ALL

        Life may not be the party we hoped for, but while we are here, we may as well dance

        Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
  ----- Original Message ----- 
    From: Suellen Drake 
    To: Private Practice NPs 
    Sent: Thursday, April 01, 2004 6:00 PM
    Subject: Re: [PrvPracNP] AntidepressantConcentrationsinCordandMaternalSerumShow S...


    Hi, I am a Family NP in NH.  I am in the Psych NP program with University of South Alabama online, it is great! In New Hampshire as a FNP I am not able to prescribe antipsychotics, lithium, and a few others, I also cannot provide psychotherapy.  Since I specialize in anxiety and mood disorders, I am in the Psych program and will finish in December. I have my own practice and we do not have to have a collaborating physician in NH.  Is anyone practicing in Texas?  Thanks, Suellen 
      ----- Original Message ----- 
      From: LauraHoemanARNP at aol.com 
      To: prvpracnp at nurse.net 
      Sent: Thursday, April 01, 2004 1:07 PM
      Subject: Re: [PrvPracNP] Antidepressant ConcentrationsinCordandMaternalSerumShow S...


      There is a board certification for psychiatric NPs.  It is through the ANCC. I am a board-certified psychiatric mental health nurse practitioner. My certification allows me to treat all ages, including children. My program was at the University of Washington.  In days past, there was only the Clinical Nurse Specialist certification, but that has changed, and now NPs-to-be in Wash. state who want to go into psych. are encouraged to go the nurse practitioner , not clinical specialist, route.  I became a nurse practitioner, not a clinical specialist, and I've never been sorry.   --Laura 


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From sdrakenp at comcast.net  Fri Apr  2 17:10:50 2004
From: sdrakenp at comcast.net (Suellen Drake)
Date: Fri, 2 Apr 2004 20:10:50 -0500
Subject: [PrvPracNP]AntidepressantConcentrationsinCordandMaternalSerumShow
	S...
References: <1cd.1d6a9096.2d9e3075@aol.com>
	<006901c41869$e6618540$6601a8c0@rochester.rr.com>
Message-ID: <00c901c41918$812bb010$6401a8c0@choices.local>

I am not limited on the use of antidepressants and I do work with hormonal
modulation in some patients, I work with several great psychologist that
refer patients for medication management.  I am able to refill
antipsychotics or other medications not on my formulary.  Occasionally if I
think a patient needs such a med I will have their PCP prescribe it and I
will do all the follow-up.  The patient therefore has access to whatever
treatment needed , but causes unnecessary visits.  When I am finished with
the Psych program I will be able to provide all the services needed
including the patients primary care. I do agree that I have been providing
therapy and counseling from the time I was an RN( I am Psychiatric/ Mental
Health Certified), but was "chastised" by some Psych NPs when I put
Counseling and medication management" on my brochures.  I changed them to
Evaluation and management with the statement that I do not provide
psychotherapy to appease the local therapy providers.  Suellen Drake, MSN,
ARNP-BC
----- Original Message -----
From: "C Creel" <ccreel at rochester.rr.com>
To: "Private Practice NPs" <prvpracnp at nurse.net>
Sent: Thursday, April 01, 2004 11:20 PM
Subject: Re:
[PrvPracNP]AntidepressantConcentrationsinCordandMaternalSerumShow S...


> <<If you cannot prescribe the antipsychotics and you cannot do
> psychotherapy, what are you doing in your private practice????  The thing
> is, we as np, and as nurses, do psychotherapy all the time.  If one looks
at
> the definition it is what we do.  As a nurse, I led group therapy and did
> individual therapy, just as a nurse, before I was an RN.  The laws are so
> silly.  Nurses have been doing holistic psychotherapy for years.  I'm not
> saying the focus is the same as would be for a psych NP or psychiatrist,
but
> the title, "psychotherapy" is certainly something we do.>>
>
>
>
>    ** I'm wondering if the term "psychotherapy" means all therapy or just
> the fromal discipline of psychotherapy?
>
> Regards,
> Catherine
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp



From ctmidwife at hotmail.com  Fri Apr  2 17:12:28 2004
From: ctmidwife at hotmail.com (Alison Trider)
Date: Fri, 02 Apr 2004 20:12:28 -0500
Subject: [PrvPracNP] USA
Message-ID: <BAY12-F888PJD41RIpD00027cf2@hotmail.com>

Are you in the masters or post-masters program?  I was looking at the 
tuition schedule & it looks really affordable!  If I did the post-masters, I 
think the total would be less than $10K!!  Is that right or did I read it 
wrong?

Also, pardon my ignorance, but how much of a therapy component is there in 
psych NP practice?  I am basically interested in functioning as a therapist 
not a clinician.  Thanks for any input!

Alison Trider, MS, APRN, CNM
Farmington, CT


>From: "Suellen Drake" <sdrakenp at comcast.net>
>Reply-To: Private Practice NPs <prvpracnp at nurse.net>
>To: "Private Practice NPs" <prvpracnp at nurse.net>
>Subject: Re: [PrvPracNP] USA
>Date: Fri, 2 Apr 2004 19:59:32 -0500
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>FILETIME=[35CF5960:01C41917]
>
>The program is a lot of work, but they do have a 100% pass rate on the 
>exam.  Everything is online with the exception of my clinical work which I 
>do locally with 2-3 Psych NPs. I will be qualified to sit for the Famiy 
>Psych NP exam. It is working out great so far. Suellen
>   ----- Original Message -----
>   From: Pr. Pamela A. Provost N.P.
>   To: Private Practice NPs
>   Sent: Friday, April 02, 2004 12:14 AM
>   Subject: Re: [PrvPracNP] USA
>
>
>   Hey Suellen,
>   Did USA finally get a psych NP program together.  I used to be adjunct 
>faculty there.    I graduated from their FNP program
>   Say hey to Dr. Fruh for me.  She is the best!~!
>   Ciao,
>         ~:~Pamme~:~
>         GOD BLESS US ALL
>
>         Life may not be the party we hoped for, but while we are here, we 
>may as well dance
>
>         Join Care2.com and The Breast Cancer Fund's Climb to End Breast 
>Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race 
>for the Rain Forest! Join Care2.com's Race for the Big Cats! Join 
>Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! 
>Join Care2.com's Race for Pets in Need! Holidays 'N Things
>   ----- Original Message -----
>     From: Suellen Drake
>     To: Private Practice NPs
>     Sent: Thursday, April 01, 2004 6:00 PM
>     Subject: Re: [PrvPracNP] 
>AntidepressantConcentrationsinCordandMaternalSerumShow S...
>
>
>     Hi, I am a Family NP in NH.  I am in the Psych NP program with 
>University of South Alabama online, it is great! In New Hampshire as a FNP 
>I am not able to prescribe antipsychotics, lithium, and a few others, I 
>also cannot provide psychotherapy.  Since I specialize in anxiety and mood 
>disorders, I am in the Psych program and will finish in December. I have my 
>own practice and we do not have to have a collaborating physician in NH.  
>Is anyone practicing in Texas?  Thanks, Suellen
>       ----- Original Message -----
>       From: LauraHoemanARNP at aol.com
>       To: prvpracnp at nurse.net
>       Sent: Thursday, April 01, 2004 1:07 PM
>       Subject: Re: [PrvPracNP] Antidepressant 
>ConcentrationsinCordandMaternalSerumShow S...
>
>
>       There is a board certification for psychiatric NPs.  It is through 
>the ANCC. I am a board-certified psychiatric mental health nurse 
>practitioner. My certification allows me to treat all ages, including 
>children. My program was at the University of Washington.  In days past, 
>there was only the Clinical Nurse Specialist certification, but that has 
>changed, and now NPs-to-be in Wash. state who want to go into psych. are 
>encouraged to go the nurse practitioner , not clinical specialist, route.  
>I became a nurse practitioner, not a clinical specialist, and I've never 
>been sorry.   --Laura
>
>
>--------------------------------------------------------------------------
>
>
>       _______________________________________________
>       PrvPracNP mailing list
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>       http://lists.nurse.net/mailman/listinfo/prvpracnp
>
>
>
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>
>
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From sdrakenp at comcast.net  Fri Apr  2 17:13:54 2004
From: sdrakenp at comcast.net (Suellen Drake)
Date: Fri, 2 Apr 2004 20:13:54 -0500
Subject: [PrvPracNP]
	AntidepressantConcentrationsinCordandMaternalSerumShow S...
References: <117.30eb32ee.2d9e3e49@aol.com>
Message-ID: <00dc01c41918$ef0c80a0$6401a8c0@choices.local>

Hi,  they gave me credit for all my FNP courses which included pharmacology, and physical assessment.  I only needed to take: mental health promotion, and 3 clinical courses each with practicum (clinical which is done with a local preceptor).  21 credits total over 4 semesters. Suellen  
  ----- Original Message ----- 
  From: RSSabatier1 at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Thursday, April 01, 2004 10:55 PM
  Subject: Re: [PrvPracNP] AntidepressantConcentrationsinCordandMaternalSerumShow S...


  Sue Ellen,

  Did you have to completely repeat some of the courses from your original NP program to complete the psych NP program or did they credit similar course work from the former program.  

  Rosemary,  FNP who works in a psych hospital 


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From pamme at sbcglobal.net  Fri Apr  2 17:18:44 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 2 Apr 2004 20:18:44 -0500
Subject: [PrvPracNP] USA
References: <BAY12-F888PJD41RIpD00027cf2@hotmail.com>
Message-ID: <024201c41919$9c242db0$209cfea9@VAIO>

IF you want to function as a therapist as opposed to a clinician, I would
suggest going the CNS route.  They are more therapy oriented.
Sincerely,
Pamme
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: "Alison Trider" <ctmidwife at hotmail.com>
To: <prvpracnp at nurse.net>
Sent: Friday, April 02, 2004 8:12 PM
Subject: Re: [PrvPracNP] USA


> Are you in the masters or post-masters program?  I was looking at the
> tuition schedule & it looks really affordable!  If I did the post-masters,
I
> think the total would be less than $10K!!  Is that right or did I read it
> wrong?
>
> Also, pardon my ignorance, but how much of a therapy component is there in
> psych NP practice?  I am basically interested in functioning as a
therapist
> not a clinician.  Thanks for any input!
>
> Alison Trider, MS, APRN, CNM
> Farmington, CT
>
>
> >From: "Suellen Drake" <sdrakenp at comcast.net>
> >Reply-To: Private Practice NPs <prvpracnp at nurse.net>
> >To: "Private Practice NPs" <prvpracnp at nurse.net>
> >Subject: Re: [PrvPracNP] USA
> >Date: Fri, 2 Apr 2004 19:59:32 -0500
> >MIME-Version: 1.0
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> >2004 00:59:48 +0000
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> >References:
>
><1e.25d51f81.2d9db47d at aol.com><004901c4183d$21618f50$6401a8c0 at choices.local
><001d01c41871$666199e0$209cfea9 at VAIO>
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> >List-Id: Private Practice NPs  <prvpracnp.nurse.net>
> >List-Unsubscribe:
>
><http://lists.nurse.net/mailman/listinfo/prvpracnp>,<mailto:prvpracnp-reque
st at nurse.net?subject=unsubscribe>
> >List-Archive: <http://lists.nurse.net/pipermail/prvpracnp>
> >List-Post: <mailto:prvpracnp at nurse.net>
> >List-Help: <mailto:prvpracnp-request at nurse.net?subject=help>
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>
><http://lists.nurse.net/mailman/listinfo/prvpracnp>,<mailto:prvpracnp-reque
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> >Return-Path: prvpracnp-bounces at nurse.net
> >X-OriginalArrivalTime: 03 Apr 2004 01:01:35.0094 (UTC)
> >FILETIME=[35CF5960:01C41917]
> >
> >The program is a lot of work, but they do have a 100% pass rate on the
> >exam.  Everything is online with the exception of my clinical work which
I
> >do locally with 2-3 Psych NPs. I will be qualified to sit for the Famiy
> >Psych NP exam. It is working out great so far. Suellen
> >   ----- Original Message -----
> >   From: Pr. Pamela A. Provost N.P.
> >   To: Private Practice NPs
> >   Sent: Friday, April 02, 2004 12:14 AM
> >   Subject: Re: [PrvPracNP] USA
> >
> >
> >   Hey Suellen,
> >   Did USA finally get a psych NP program together.  I used to be adjunct
> >faculty there.    I graduated from their FNP program
> >   Say hey to Dr. Fruh for me.  She is the best!~!
> >   Ciao,
> >         ~:~Pamme~:~
> >         GOD BLESS US ALL
> >
> >         Life may not be the party we hoped for, but while we are here,
we
> >may as well dance
> >
> >         Join Care2.com and The Breast Cancer Fund's Climb to End Breast
> >Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race
> >for the Rain Forest! Join Care2.com's Race for the Big Cats! Join
> >Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates!
> >Join Care2.com's Race for Pets in Need! Holidays 'N Things
> >   ----- Original Message -----
> >     From: Suellen Drake
> >     To: Private Practice NPs
> >     Sent: Thursday, April 01, 2004 6:00 PM
> >     Subject: Re: [PrvPracNP]
> >AntidepressantConcentrationsinCordandMaternalSerumShow S...
> >
> >
> >     Hi, I am a Family NP in NH.  I am in the Psych NP program with
> >University of South Alabama online, it is great! In New Hampshire as a
FNP
> >I am not able to prescribe antipsychotics, lithium, and a few others, I
> >also cannot provide psychotherapy.  Since I specialize in anxiety and
mood
> >disorders, I am in the Psych program and will finish in December. I have
my
> >own practice and we do not have to have a collaborating physician in NH.
> >Is anyone practicing in Texas?  Thanks, Suellen
> >       ----- Original Message -----
> >       From: LauraHoemanARNP at aol.com
> >       To: prvpracnp at nurse.net
> >       Sent: Thursday, April 01, 2004 1:07 PM
> >       Subject: Re: [PrvPracNP] Antidepressant
> >ConcentrationsinCordandMaternalSerumShow S...
> >
> >
> >       There is a board certification for psychiatric NPs.  It is through
> >the ANCC. I am a board-certified psychiatric mental health nurse
> >practitioner. My certification allows me to treat all ages, including
> >children. My program was at the University of Washington.  In days past,
> >there was only the Clinical Nurse Specialist certification, but that has
> >changed, and now NPs-to-be in Wash. state who want to go into psych. are
> >encouraged to go the nurse practitioner , not clinical specialist, route.
> >I became a nurse practitioner, not a clinical specialist, and I've never
> >been sorry.   --Laura
> >
> >
>
>--------------------------------------------------------------------------
> >
> >
> >       _______________________________________________
> >       PrvPracNP mailing list
> >       PrvPracNP at nurse.net
> >       http://lists.nurse.net/mailman/listinfo/prvpracnp
> >
> >
> >
>
>---------------------------------------------------------------------------
-
> >
> >
> >     _______________________________________________
> >     PrvPracNP mailing list
> >     PrvPracNP at nurse.net
> >     http://lists.nurse.net/mailman/listinfo/prvpracnp
> >
> >
> >
>
>---------------------------------------------------------------------------
---
> >
> >
> >   _______________________________________________
> >   PrvPracNP mailing list
> >   PrvPracNP at nurse.net
> >   http://lists.nurse.net/mailman/listinfo/prvpracnp
> >
> >_______________________________________________
> >PrvPracNP mailing list
> >PrvPracNP at nurse.net
> >http://lists.nurse.net/mailman/listinfo/prvpracnp
> >% You can change you list options and unsubscribe from this page
>
> _________________________________________________________________
> Get rid of annoying pop-up ads with the new MSN Toolbar ? FREE!
> http://toolbar.msn.com/go/onm00200414ave/direct/01/
>
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From pamme at sbcglobal.net  Fri Apr  2 17:19:42 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 2 Apr 2004 20:19:42 -0500
Subject: [PrvPracNP]AntidepressantConcentrationsinCordandMaternalSerumShow
	S...
References: <117.30eb32ee.2d9e3e49@aol.com>
	<00dc01c41918$ef0c80a0$6401a8c0@choices.local>
Message-ID: <025901c41919$be567370$209cfea9@VAIO>

Hi SE,
That's not bad.  What did it end up costing you?
Peace,
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Suellen Drake 
  To: Private Practice NPs 
  Sent: Friday, April 02, 2004 8:13 PM
  Subject: Re: [PrvPracNP]AntidepressantConcentrationsinCordandMaternalSerumShow S...


  Hi,  they gave me credit for all my FNP courses which included pharmacology, and physical assessment.  I only needed to take: mental health promotion, and 3 clinical courses each with practicum (clinical which is done with a local preceptor).  21 credits total over 4 semesters. Suellen  
    ----- Original Message ----- 
    From: RSSabatier1 at aol.com 
    To: prvpracnp at nurse.net 
    Sent: Thursday, April 01, 2004 10:55 PM
    Subject: Re: [PrvPracNP] AntidepressantConcentrationsinCordandMaternalSerumShow S...


    Sue Ellen,

    Did you have to completely repeat some of the courses from your original NP program to complete the psych NP program or did they credit similar course work from the former program.  

    Rosemary,  FNP who works in a psych hospital 


----------------------------------------------------------------------------


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    PrvPracNP at nurse.net
    http://lists.nurse.net/mailman/listinfo/prvpracnp



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From feverfixer at wren.net  Fri Apr  2 18:07:38 2004
From: feverfixer at wren.net (Diane Wren)
Date: Fri, 2 Apr 2004 18:07:38 -0800
Subject: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice
In-Reply-To: <00a301c41912$ea336900$209cfea9@VAIO>
Message-ID: <01d401c41920$709a3a20$230110ac@ATLANTIS>

In California nurses are also able to form professional corporations, but if
you are a nurse practitioner you have to form a medical corporation.  You
can form a nursing corporation, but this allows you to only perform nursing
duties, not medical.  To ensure you are completely covered under the law in
California, you have to form a medical corporation with a physician.  You
might want to check this out in your state, as several of the attorneys I
spoke to were unaware of this and several NPs have been cited for illegally
practicing medicine.  It may well be different in your state, but you may
want to talk to a nurse attorney.
Diane, MSN, C-FNP

-----Original Message-----
From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net]On
Behalf Of Pr. Pamela A. Provost N.P.
Sent: Friday, April 02, 2004 4:31 PM
To: prvpracnp at nurse.net
Subject: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice


I saw my lawyer today and established a PC (professional corporation).  It
will afford me some major tax breaks as well as protect my personal assets.
PC are for licensed personnel.
Regards,
Pamme
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message -----
From: <curt at performancep.com>
To: <prvpracnp at nurse.net>
Sent: Wednesday, March 17, 2004 8:06 AM
Subject: [Prv Prac NP] Starting an independent practice


>
>
>
> Hi,
>
> We are considering starting an indepedent practice in Northwest Indiana.
If anyone has some helpful information I
> would appreciate it. I was also wondering if anyone had an ideas
concerning whether to form a S corporation or an LLC.
>
> Thanks, Curt
>

_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp
% You can change you list options and unsubscribe from this page





From curt at performancep.com  Fri Apr  2 19:12:41 2004
From: curt at performancep.com (curt at performancep.com)
Date: Sat, 03 Apr 2004 03:12:41 -0000
Subject: [PrvPracNP] collaborative physician compensation
Message-ID: <20040403031858.75013.qmail@host98.ipowerweb.com>

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From curt at performancep.com  Fri Apr  2 19:14:00 2004
From: curt at performancep.com (curt at performancep.com)
Date: Sat, 03 Apr 2004 03:14:00 -0000
Subject: [PrvPracNP] collaborative physician compensation
Message-ID: <20040403032018.75774.qmail@host98.ipowerweb.com>

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From psumner2 at yahoo.com  Fri Apr  2 19:28:40 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Fri, 2 Apr 2004 19:28:40 -0800 (PST)
Subject: [PrvPracNP] bipolar
In-Reply-To: <d4.912cc62.2d9f49b3@aol.com>
Message-ID: <20040403032840.68211.qmail@web41608.mail.yahoo.com>



"I don't use the nursing theory stuff at all."  So what theory (ies) do you base your practice on?
Paula
Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp
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From pamme at sbcglobal.net  Fri Apr  2 19:41:33 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 2 Apr 2004 22:41:33 -0500
Subject: [PrvPracNP] USA
References: <1e.25d51f81.2d9db47d@aol.com><004901c4183d$21618f50$6401a8c0@choices.local><001d01c41871$666199e0$209cfea9@VAIO>
	<00ad01c41916$ecec4aa0$6401a8c0@choices.local>
Message-ID: <02a501c4192d$8feec870$209cfea9@VAIO>

That's great SE.   I can understand you wanting to sit for the FNP exam, but why don't you sit for the Psych NP exam as well?  Why?  Reimbursement issues.
Regards,
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Suellen Drake 
  To: Private Practice NPs 
  Sent: Friday, April 02, 2004 7:59 PM
  Subject: Re: [PrvPracNP] USA


  The program is a lot of work, but they do have a 100% pass rate on the exam.  Everything is online with the exception of my clinical work which I do locally with 2-3 Psych NPs. I will be qualified to sit for the Famiy Psych NP exam. It is working out great so far. Suellen
    ----- Original Message ----- 
    From: Pr. Pamela A. Provost N.P. 
    To: Private Practice NPs 
    Sent: Friday, April 02, 2004 12:14 AM
    Subject: Re: [PrvPracNP] USA


    Hey Suellen,
    Did USA finally get a psych NP program together.  I used to be adjunct faculty there.    I graduated from their FNP program
    Say hey to Dr. Fruh for me.  She is the best!~!
    Ciao,
          ~:~Pamme~:~ 
          GOD BLESS US ALL

          Life may not be the party we hoped for, but while we are here, we may as well dance

          Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
    ----- Original Message ----- 
      From: Suellen Drake 
      To: Private Practice NPs 
      Sent: Thursday, April 01, 2004 6:00 PM
      Subject: Re: [PrvPracNP] AntidepressantConcentrationsinCordandMaternalSerumShow S...


      Hi, I am a Family NP in NH.  I am in the Psych NP program with University of South Alabama online, it is great! In New Hampshire as a FNP I am not able to prescribe antipsychotics, lithium, and a few others, I also cannot provide psychotherapy.  Since I specialize in anxiety and mood disorders, I am in the Psych program and will finish in December. I have my own practice and we do not have to have a collaborating physician in NH.  Is anyone practicing in Texas?  Thanks, Suellen 
        ----- Original Message ----- 
        From: LauraHoemanARNP at aol.com 
        To: prvpracnp at nurse.net 
        Sent: Thursday, April 01, 2004 1:07 PM
        Subject: Re: [PrvPracNP] Antidepressant ConcentrationsinCordandMaternalSerumShow S...


        There is a board certification for psychiatric NPs.  It is through the ANCC. I am a board-certified psychiatric mental health nurse practitioner. My certification allows me to treat all ages, including children. My program was at the University of Washington.  In days past, there was only the Clinical Nurse Specialist certification, but that has changed, and now NPs-to-be in Wash. state who want to go into psych. are encouraged to go the nurse practitioner , not clinical specialist, route.  I became a nurse practitioner, not a clinical specialist, and I've never been sorry.   --Laura 


------------------------------------------------------------------------


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        PrvPracNP mailing list
        PrvPracNP at nurse.net
        http://lists.nurse.net/mailman/listinfo/prvpracnp



--------------------------------------------------------------------------


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From psumner2 at yahoo.com  Fri Apr  2 19:44:23 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Fri, 2 Apr 2004 19:44:23 -0800 (PST)
Subject: [PrvPracNP] Daily digest vs. individual emails for list serve
	responses
In-Reply-To: <122.2d626255.2d9e4fef@aol.com>
Message-ID: <20040403034423.7160.qmail@web41603.mail.yahoo.com>

I went to www.nurse.net  to the list of listserves and PrvPracNP is not listed-so where is it listedd Tom?
Paula

GIN11153 at aol.com wrote:
I would love to be able to get a daily digest also!

Gail Neuman RNC CPHW LNC SNP
listowner of LegalNurseConsulting at yahoogroups.com
certified high risk OB/legal nurse consultant
Tustin, CA _______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp


Paula Joan Sumner RN, MSN, FNP-BC
Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
For Peak Performance Issues, Stress Management, Pain Management, Weight Management and  Smoking Cessation.
Durham, NC 27707

http://paulajsumner.byregion.net member# 10102918

919-490-4656, #8

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From psumner2 at yahoo.com  Fri Apr  2 20:03:02 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Fri, 2 Apr 2004 20:03:02 -0800 (PST)
Subject: [PrvPracNP] bipolar/N.P. Documentary
In-Reply-To: <20040402140931.PANZ1729.imf24aec.mail.bellsouth.net@nina>
Message-ID: <20040403040302.65388.qmail@web41604.mail.yahoo.com>

Nina,
PMI? In relationship to what? Did I mistype PMH? psych-mental health?
Paula

Nina Ravey <nravey at bellsouth.net> wrote:

Paula,

I?m probably brain dead but what is PMI?

Nina

 



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From m.Poso at comcast.net  Fri Apr  2 20:14:27 2004
From: m.Poso at comcast.net (Melinda L Poso)
Date: Fri, 2 Apr 2004 20:14:27 -0800
Subject: [PrvPracNP] please remove from list
In-Reply-To: <123.2cc853be.2d9f4f23@aol.com>
Message-ID: <015501c41932$27dadad0$6400a8c0@lea>

try this link http://lists.nurse.net/mailman/listinfo/prvpracnp 
 
then go to the bottom and look for this under  PrvPracNP Subscribers 
 
To unsubscribe from PrvPracNP, get a password reminder, or change your
subscription options enter your subscription email address: 


 
If you leave the field blank, you will be prompted for your email address 
 
Put in your email address .
 
I think I will see Bob tomorrow and ask him about the link is on the main np
central to this page to unsubscribe.
-Lea

-----Original Message-----
From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
Behalf Of SamaraFNP at aol.com
Sent: Friday, April 02, 2004 3:20 PM
To: prvpracnp at nurse.net
Subject: Re: [PrvPracNP] please remove from list


I don't want to be removed but I want to get all my emails for a day at
once. I went to nurse net and it did not help.  please someone tell me how
to reduce the emails. (not that you all don't have wonderful things to teach
me!)
 
Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)

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From SamaraFNP at aol.com  Fri Apr  2 20:15:30 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Fri, 2 Apr 2004 23:15:30 EST
Subject: [PrvPracNP] please remove my name off list
Message-ID: <81.87287a9.2d9f9462@aol.com>

I'd like to switch to daily but cannot find where to do it. that is what I'm 
asking for.  I could still comment, right???

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From SamaraFNP at aol.com  Fri Apr  2 20:24:52 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Fri, 2 Apr 2004 23:24:52 EST
Subject: [PrvPracNP] Changing options on this list.
Message-ID: <a3.55beffcc.2d9f9694@aol.com>

In a message dated 4/2/2004 7:52:20 PM Eastern Standard Time, 
pamme at sbcglobal.net writes:
Yes, Pamme, same for me.  I know my password as it is programed in but it did 
not work.

Marla,
I went to the site and tried to see what options were available.  Not only 
does my password not work, I did not receive the password when I clicked on 
unable to find.  Supposedly, it was to be sent to my email addy.  No such luck.
ON the site, there is a place where you can change options/unsubscribe.  I 
couldn't get in to find out what the options were.
What a world, what a world, what a world LOL.
Peace,
Pamme

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From m.Poso at comcast.net  Fri Apr  2 20:24:54 2004
From: m.Poso at comcast.net (Melinda L Poso)
Date: Fri, 2 Apr 2004 20:24:54 -0800
Subject: [PrvPracNP] Changing options on this list.
In-Reply-To: <01ac01c41915$b87c7bb0$209cfea9@VAIO>
Message-ID: <016901c41933$9d82d480$6400a8c0@lea>

try this, page for digest option, to subsrcibe and unscribe.
http://lists.nurse.net/mailman/listinfo/prvpracnp
 
 
-Lea

-----Original Message-----
From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
Behalf Of Pr. Pamela A. Provost N.P.
Sent: Friday, April 02, 2004 4:51 PM
To: Private Practice NPs
Subject: Re: [PrvPracNP] Changing options on this list.


Marla,
I went to the site and tried to see what options were available.  Not only
does my password not work, I did not receive the password when I clicked on
unable to find.  Supposedly, it was to be sent to my email addy.  No such
luck.
ON the site, there is a place where you can change options/unsubscribe.  I
couldn't get in to find out what the options were.
What a world, what a world, what a world LOL.
Peace,
Pamme
~:~~:~ 
GOD BLESS US ALL

Life may not be the party we hoped for, but while we are here, we may as
well dance

Join Care2.com and The Breast  <http://breastcancer.care2.com> Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in
<http://children.care2.com> Need! Join Care2.com's Race
<http://rainforest.care2.com> for the Rain Forest! Join
<http://bigcats.care2.com> Care2.com's Race for the Big Cats! Join
Care2.com's Race for the Oceans! <http://oceans.care2.com>  Join Care2.com's
Race for the  <http://primates.care2.com> Primates! Join Care2.com's Race
for  <http://pets.care2.com> Pets in Need! Holidays 'N Things 	
----- Original Message ----- 

From: SamaraFNP at aol.com 
To: prvpracnp at nurse.net 
Sent: Friday, April 02, 2004 6:20 PM
Subject: Re: [PrvPracNP] please remove from list

I don't want to be removed but I want to get all my emails for a day at
once. I went to nurse net and it did not help.  please someone tell me how
to reduce the emails. (not that you all don't have wonderful things to teach
me!)
 
Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)



  _____  




_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp
% You can change you list options and unsubscribe from this page

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From SamaraFNP at aol.com  Fri Apr  2 20:25:49 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Fri, 2 Apr 2004 23:25:49 EST
Subject: [PrvPracNP]
	AntidepressantConcentrationsinCordandMaternalSerumShow S...
Message-ID: <e6.4b6345c0.2d9f96cd@aol.com>

But did it then allow you to practice independantly? What state are you in?

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From m.Poso at comcast.net  Fri Apr  2 20:27:14 2004
From: m.Poso at comcast.net (Melinda L Poso)
Date: Fri, 2 Apr 2004 20:27:14 -0800
Subject: [PrvPracNP] Daily digest vs. individual emails for list
	serveresponses
In-Reply-To: <20040403034423.7160.qmail@web41603.mail.yahoo.com>
Message-ID: <016f01c41933$f0c538e0$6400a8c0@lea>

http://lists.nurse.net/mailman/listinfo/prvpracnp
 
 
-Lea

-----Original Message-----
From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
Behalf Of Paula J. Sumner
Sent: Friday, April 02, 2004 7:44 PM
To: Private Practice NPs
Subject: Re: [PrvPracNP] Daily digest vs. individual emails for list
serveresponses


I went to www.nurse.net  to the list of listserves and PrvPracNP is not
listed-so where is it listedd Tom?
Paula

GIN11153 at aol.com wrote:

I would love to be able to get a daily digest also!

Gail Neuman RNC CPHW LNC SNP
listowner of LegalNurseConsulting at yahoogroups.com
certified high risk OB/legal nurse consultant
Tustin, CA _______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp




Paula Joan Sumner RN, MSN, FNP-BC
Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
For Peak Performance Issues, Stress Management, Pain Management, Weight
Management and Smoking Cessation.
Durham, NC 27707

http://paulajsumner.byregion.net member# 10102918

919-490-4656, #8 



  _____  

Do you Yahoo!?
Yahoo!
<http://us.rd.yahoo.com/evt=23609/*http://promotions.yahoo.com/design_giveaw
ay/static/index2.html> Small Business $15K Web Design Giveaway - Enter today

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From SamaraFNP at aol.com  Fri Apr  2 20:29:59 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Fri, 2 Apr 2004 23:29:59 EST
Subject: [PrvPracNP] USA
Message-ID: <1c7.1737db01.2d9f97c7@aol.com>

But are you able to work in a job and do the preceptorship???  Do you get 
paid for the observed work?  Is the Adult psych NP thing less time?  WHich school 
are you involved with and do you have thier web site?  I'm so confused with 
the 100 emails in a day and I cannot remember who wrote me what. what state are 
you in?  

In a message dated 4/2/2004 8:00:25 PM Eastern Standard Time, 
sdrakenp at comcast.net writes:
The program is a lot of work, but they do have a 100% pass rate on the exam.  
Everything is online with the exception of my clinical work which I do 
locally with 2-3 Psych NPs. I will be qualified to sit for the Famiy Psych NP exam. 
It is working out great so far. Suellen
----- Original Message ----- 

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From SamaraFNP at aol.com  Fri Apr  2 20:31:39 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Fri, 2 Apr 2004 23:31:39 EST
Subject: [PrvPracNP] Univ. South Alabama psych program
Message-ID: <1d7.1db2e657.2d9f982b@aol.com>

I'm interested also. Could you contact me too?  Marla Spring.  Oh, I don't 
care if it is private but just don't want to bother everyone else who is not 
interested in this program.  If you give me your phone number, I'll call you.  
Thanks. 
Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant
In a message dated 4/2/2004 7:48:38 PM Eastern Standard Time, 
ctmidwife at hotmail.com writes:
Didn't someone post recently about attending the psych/mental health program 
at the U. of South Alabama?  Can this person contact me privately?  I have 
some questions regarding the program.  Thanks!

Alison Trider, MS, APRN, CNM
ctmidwife at comcast.net

)
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From SamaraFNP at aol.com  Fri Apr  2 20:39:21 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Fri, 2 Apr 2004 23:39:21 EST
Subject: [PrvPracNP] Antidepressant
	ConcentrationsinCordandMaternalSerumShow S...
Message-ID: <d9.72f3e76.2d9f99f9@aol.com>

This note is confusing me!  You are in a psych program that is great.  You 
are an FNP and cannot prescribe antipsychotics or do therapy yet you specialize 
in anxiety  so what do you do with them?   You say you have your own practice, 
doing what???  WHat will getting your psych NP do to change the 
prescribing???  Then you ask if anyone is prac. in texas. I lost something here???  lost in 
translation?

In a message dated 4/1/2004 6:01:43 PM Eastern Standard Time, 
sdrakenp at comcast.net writes:
Hi, I am a Family NP in NH.  I am in the Psych NP program with University of 
South Alabama online, it is great! In New Hampshire as a FNP I am not able to 
prescribe antipsychotics, lithium, and a few others, I also cannot provide 
psychotherapy.  Since I specialize in anxiety and mood disorders, I am in the 
Psych program and will finish in December. I have my own practice and we do not 
have to have a collaborating physician in NH.  Is anyone practicing in Texas?  
Thanks, Suellen 
----- Original Message ----- 

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From LauraHoemanARNP at aol.com  Fri Apr  2 22:52:36 2004
From: LauraHoemanARNP at aol.com (LauraHoemanARNP at aol.com)
Date: Sat, 3 Apr 2004 01:52:36 EST
Subject: [PrvPracNP]
	AntidepressantConcentrationsinCordandMaternalSerumShow S...
Message-ID: <1db.1e0a30bd.2d9fb934@aol.com>

Marla, You're probably addressing someone else, but just incase you're asking 
me, yes, I practice indepently. I'm in Washington state and we have a good 
practice act, allowing us to be independent. --Laura
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From LauraHoemanARNP at aol.com  Fri Apr  2 23:01:19 2004
From: LauraHoemanARNP at aol.com (LauraHoemanARNP at aol.com)
Date: Sat, 3 Apr 2004 02:01:19 EST
Subject: [PrvPracNP] USA
Message-ID: <1df.1ce72645.2d9fbb3f@aol.com>

I'm a psych nurse practitioner, and I do psychotherapy if I feel it's 
indicated. I don't think the CNS is better suited to do therapy.  The psych NP can do 
it all.  I would urge anyone who wants a psych. private practice to go the NP 
route.  --Laura, Washington state
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From emarcz at earthlink.net  Sat Apr  3 05:25:48 2004
From: emarcz at earthlink.net (E  Marciczkiewicz)
Date: Sat, 3 Apr 2004 08:25:48 -0500
Subject: [PrvPracNP]PSYCH NP
References: <20040401161029.15596.qmail@web41607.mail.yahoo.com><00c201c41804$c5b62180$6601a8c0@rochester.rr.com><040d01c4180a$d809b170$209cfea9@VAIO>
	<010a01c4181b$7a425e50$932cfea9@minenml0wgc2g2>
	<052001c41822$df1b00a0$209cfea9@VAIO>
Message-ID: <001401c4197f$308eea70$932cfea9@minenml0wgc2g2>

Thank you so much Pamela, all this is really helpful to me.

Ava
----- Original Message ----- 
From: "Pr. Pamela A. Provost N.P." <pamme at sbcglobal.net>
To: "E Marciczkiewicz" <emarcz at earthlink.net>; "Private Practice NPs"
<prvpracnp at nurse.net>
Sent: Thursday, April 01, 2004 2:52 PM
Subject: Re: [PrvPracNP]PSYCH NP


> This site:  http://nursingworld.org/books/pdescr.cfm?CNum=20
> Will take you to a manual that you can purchase that will endow you with
the
> necessary information included in the Psych NP exam and also will give you
> CE's as well for purchase of the manual and the CE test booklet.
> Sincerely,
> Pamme
> ~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while
we
> are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
> Climb to End Breast Cancer! Join Care2.com's Race for Children in Need!
Join
> Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
> Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
> Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
> ----- Original Message ----- 
> From: "E Marciczkiewicz" <emarcz at earthlink.net>
> To: "Private Practice NPs" <prvpracnp at nurse.net>
> Sent: Thursday, April 01, 2004 1:59 PM
> Subject: Re:
> [PrvPracNP]AntidepressantConcentrationsinCordandMaternalSerumShowS...
>
>
> > What are white papers?
> > ----- Original Message ----- 
> > From: "Pr. Pamela A. Provost N.P." <pamme at sbcglobal.net>
> > To: "Private Practice NPs" <prvpracnp at nurse.net>
> > Sent: Thursday, April 01, 2004 12:00 PM
> > Subject: Re:
> > [PrvPracNP]AntidepressantConcentrationsinCordandMaternalSerumShow S...
> >
> >
> > > Rather it is a statement to our own FDA's policies.
> > > People ask me all the time, how I can continue to support the
democratic
> > and
> > > green party candidates, with the tax bracket I am in.
> > > Look what the alternative has done to us.  Look what we have allowed
> them
> > to
> > > do.
> > > If ever you have specific questions regarding a medication, you can
ask
> > for
> > > a white paper from the drug company from it's local rep to request.
> > > I have rec'd a plethora of white papers over the years regarding
> outcomes,
> > > research, drug interactions, pharmacopathology etc.  The information
in
> > the
> > > white papers is quite revealing and not what you find in the PDR.
> > > Regards,
> > > Pamme
> > > ~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but
> while
> > we
> > > are here, we may as well dance Join Care2.com and The Breast Cancer
> Fund's
> > > Climb to End Breast Cancer! Join Care2.com's Race for Children in
Need!
> > Join
> > > Care2.com's Race for the Rain Forest! Join Care2.com's Race for the
Big
> > > Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for
> the
> > > Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
> > > ----- Original Message ----- 
> > > From: "C Creel" <ccreel at rochester.rr.com>
> > > To: "Private Practice NPs" <prvpracnp at nurse.net>
> > > Sent: Thursday, April 01, 2004 11:17 AM
> > > Subject: Re: [PrvPracNP]
> > > AntidepressantConcentrationsinCordandMaternalSerumShow S...
> > >
> > >
> > > > <<When I told them the side effect of being OFF lipitor was heart
> > attack,
> > > > stroke etc, they went back on.  You know now they say lipitor and
> other
> > > > statins like zocor can actually predispose people to heart disease.
> WHo
> > > > knows>>
> > > >
> > > >
> > > >    **  WEll, when a drug depletes CoQ10 which is present in every
cell
> > in
> > > > the body and most abundant in the heart, the results of this can't
be
> > > good.
> > > >
> > > >
> > > >    I think we have to remember that the pharmaceutical industry's
> first
> > > > responsibility is to shareholders.  They've proven this repeatedly
> with
> > > the
> > > > way they hold back unfavorable data and massage the data they  have.
> > > >
> > > >
> > > >     They knew the dangers of Baycol (a number of other countries had
> > > banned
> > > > it) but continued to milk everything they could out of it.  This is
> not
> > an
> > > > exception to their practices.
> > > >
> > > > Regards,
> > > > Catherine
> > > >
> > > > _______________________________________________
> > > > PrvPracNP mailing list
> > > > PrvPracNP at nurse.net
> > > > http://lists.nurse.net/mailman/listinfo/prvpracnp
> > >
> > > _______________________________________________
> > > PrvPracNP mailing list
> > > PrvPracNP at nurse.net
> > > http://lists.nurse.net/mailman/listinfo/prvpracnp
> >
> > _______________________________________________
> > PrvPracNP mailing list
> > PrvPracNP at nurse.net
> > http://lists.nurse.net/mailman/listinfo/prvpracnp
>



From emarcz at earthlink.net  Sat Apr  3 05:33:50 2004
From: emarcz at earthlink.net (E  Marciczkiewicz)
Date: Sat, 3 Apr 2004 08:33:50 -0500
Subject: [PrvPracNP] bipolar
References: <15b.319e9910.2d9ddda8@aol.com>
Message-ID: <002d01c41980$4d6fd720$932cfea9@minenml0wgc2g2>

Laura,
Thanks, i know i've asked this question before.  What I really should do is look at what is happening here in Massachussetts to see what the advantages/disadvantages of either track are.  I'm inclined to lean towards the NP, since i have always perceived this to be a more autonomous role.  

I really like the idea of the online program at USA - but it still seems to me like a bit of a frontier, in terms of getting one's degree.  Do you think it would be perceived as "lesser than" the usual path towards post-master's certificates?

Thank you.

Ava Marciczkiewicz, NP

  ----- Original Message ----- 
  From: LauraHoemanARNP at aol.com 
  To: emarcz at earthlink.net ; prvpracnp at nurse.net 
  Sent: Thursday, April 01, 2004 4:03 PM
  Subject: Re: [PrvPracNP] bipolar


  Ava,  As I mentioned in another e-mail, here in Washington state it's encouraged to become a psych. NP, not a clinical specialist, and clinical specialists had to jump through some hoops to maintain their status. I'm no expert on what they had to do, and maybe some didn't have to do anything, but the ones who did jump through the hoops did it because they felt clinical specialists were on the way out, and NPs were the future here.  Psych. nurse practitioner students  at the University of Washington have to learn to do physical exams and pass physical exam classes, and just in general take a more rigorous, structured program than clinical specialists, who when I was there could somewhat structure their program to focus on psychotherapy or whatever.  I had few electives in my program, and my clinical specialist friends were able to select what seemed to be softer-core electives.  There's a good article by Mary Moller on these two pathways...you can find it on the internet, I think.  I'm so glad I became a nurse practitioner.  --Laura Hoeman, Psych. NP 
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From emarcz at earthlink.net  Sat Apr  3 05:36:22 2004
From: emarcz at earthlink.net (E  Marciczkiewicz)
Date: Sat, 3 Apr 2004 08:36:22 -0500
Subject: [PrvPracNP]
	AntidepressantConcentrationsinCordandMaternalSerumShow S...
References: <1e.25d51f81.2d9db47d@aol.com>
	<004901c4183d$21618f50$6401a8c0@choices.local>
Message-ID: <005101c41980$a7f38840$932cfea9@minenml0wgc2g2>

Suellen,

Great to hear your vote of confidence for the online program!

Ava Marciczkiewicz, NP
  ----- Original Message ----- 
  From: Suellen Drake 
  To: Private Practice NPs 
  Sent: Thursday, April 01, 2004 6:00 PM
  Subject: Re: [PrvPracNP] AntidepressantConcentrationsinCordandMaternalSerumShow S...


  Hi, I am a Family NP in NH.  I am in the Psych NP program with University of South Alabama online, it is great! In New Hampshire as a FNP I am not able to prescribe antipsychotics, lithium, and a few others, I also cannot provide psychotherapy.  Since I specialize in anxiety and mood disorders, I am in the Psych program and will finish in December. I have my own practice and we do not have to have a collaborating physician in NH.  Is anyone practicing in Texas?  Thanks, Suellen 
    ----- Original Message ----- 
    From: LauraHoemanARNP at aol.com 
    To: prvpracnp at nurse.net 
    Sent: Thursday, April 01, 2004 1:07 PM
    Subject: Re: [PrvPracNP] Antidepressant ConcentrationsinCordandMaternalSerumShow S...


    There is a board certification for psychiatric NPs.  It is through the ANCC. I am a board-certified psychiatric mental health nurse practitioner. My certification allows me to treat all ages, including children. My program was at the University of Washington.  In days past, there was only the Clinical Nurse Specialist certification, but that has changed, and now NPs-to-be in Wash. state who want to go into psych. are encouraged to go the nurse practitioner , not clinical specialist, route.  I became a nurse practitioner, not a clinical specialist, and I've never been sorry.   --Laura 


----------------------------------------------------------------------------


    _______________________________________________
    PrvPracNP mailing list
    PrvPracNP at nurse.net
    http://lists.nurse.net/mailman/listinfo/prvpracnp



------------------------------------------------------------------------------


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  PrvPracNP mailing list
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  http://lists.nurse.net/mailman/listinfo/prvpracnp
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From emarcz at earthlink.net  Sat Apr  3 05:45:16 2004
From: emarcz at earthlink.net (E  Marciczkiewicz)
Date: Sat, 3 Apr 2004 08:45:16 -0500
Subject: [PrvPracNP] bipolar
References: <20040401160138.86036.qmail@web41609.mail.yahoo.com><03dd01c4180a$1e837dd0$209cfea9@VAIO>
	<008d01c41853$78e3be40$0202a8c0@Sinbad>
Message-ID: <007e01c41981$eb4ffd20$932cfea9@minenml0wgc2g2>

Does anyone know of any online psychiatric NP programs besides the U of S Alabama?  I've investigated that program and it looks wonderful, but i always like to feel i'm making an "informed choice" if at all possible.

Ava
  ----- Original Message ----- 
  From: Patricia Lawerence 
  To: Private Practice NPs 
  Sent: Thursday, April 01, 2004 8:40 PM
  Subject: Re: [PrvPracNP] bipolar


    ANCC now has a certification exam for psychiatric NP national certification.  Insurance is now requiring this certification from NPs to get the psychiatric visit reimbursement.  Currently Family nurse practitioners can still bill for a medication check or an evaluation for medication treatment but they are being blocked from getting the higher reimbursement which includes the psychotherapy piece.  When running a business the owners want the higher reimbursement so the Psychiatric NP certification is becoming more in demand.  There are more and more internet programs popping up which offer the classes required to sit for the ANCC psychiatric certification exam, most require clinical time also.


    Everything in our lives has the potential to wake us up or put us to sleep.  Allowing it to awaken us is up to us.
    " You must be the change you wish to see in the world" Mahatma Gandhi
    Patricia Lawrence
    APRN, BC
      ----- Original Message ----- 
      From: Pr. Pamela A. Provost N.P. 
      To: Private Practice NPs 
      Sent: Thursday, April 01, 2004 11:55 AM
      Subject: Re: [PrvPracNP] bipolar


      Or you can externship as I did.  That was 7 years ago.
      They are starting to establish psych np programs, but unfortunately, there still does not exist a board certification in the field for psych np.
            ~:~~:~ 
            GOD BLESS US ALL

            Life may not be the party we hoped for, but while we are here, we may as well dance

            Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
      ----- Original Message ----- 
        From: Paula J. Sumner 
        To: Private Practice NPs 
        Sent: Thursday, April 01, 2004 11:01 AM
        Subject: RE: [PrvPracNP] bipolar


        Nina,
        Is caring for PMI pts within your FNP scope of Practice in LA?
        As discussed a lot earlier, you can get a psych NP training online at U of Alabama. Seems like a good program
         Paula

        Nina Ravey <nravey at bellsouth.net> wrote:
          Thanks to ya'll for clarifying information for one who is not a psych nurse,
          but quickly learning in the school of hard knocks how to care for bipolar
          and schizophrenia patients.
          Nina

          Nina Ravey, RN, MSN, CNS, C-FNP
          Family Nurse Practitioner
          Shirley Medical Clinic
          711 N. Main St.
          Jennings, LA 70546
          337-824-2002
          Fax:337-824-2004
          www.shirleymedical.com
          Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
          Management, Physical Medicine and Rehabilitation, Diabetic Education
          Classes, Walk-ins, Appointments


          "It never ceases to amaze me how being a good nurse is often in direct
          opposition to being a "good employee."




          -----Original Message-----
          From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
          Behalf Of Pr. Pamela A. Provost N.P.
          Sent: Wednesday, March 31, 2004 ! 10:55 PM
          To: Private Practice NPs
          Subject: Re: [PrvPracNP] bipolar

          Depakote requires blood draws and teenagers as well as children, balk
          greatly at this necessary intervention. In addition, the added weight gain,
          a significant side effect in Depakote, effects the ego status of the child
          and teenager as well as the health status.
          It is definitely a good mood stabilizer, but Topamax is far superior in
          effect, compliance, no need for blood level monitoring and lack the side
          effects that impact weight gain .
          Sincerely,
          Pamela A. Provost N.P.
          Psychiatric Provider
          Neuroscience Consultant

          ~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
          are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
          Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
          Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
          Cats! Join Care2.com's Race for the Oceans! ! Join Care2.com's Race for the
          Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
          ----- Original Message ----- 
          From: "Nina Ravey" 
          To: "'Private Practice NPs'" 
          Sent: Wednesday, March 31, 2004 11:01 PM
          Subject: RE: [PrvPracNP] bipolar


          > Just went to a seminar where psychiatrist talked about anti-psychotics and
          > Seroquel was suggested as one of the safest with out black box warning,
          not
          > tounted to cause diabetes. Works well if you start with 100mg bid and
          > titrate up every day by 100 until you reach the 800 dose range.
          > I've used it and it works well on bipolar. Depakote also works well.
          > He also explained that the drugs may be used in children and adolescents.
          > Nina
          >
          > Nina Ravey, RN, MSN, CNS, C-FNP
          > Family Nurse Practitioner
          > Shirley Medical Clinic
          > 711 N. Main St.
          > Jennings, LA 70546
          > 337-824-2002
          > Fax:337-824-2004
          > www.shirleymedical.com
          > Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
          > Management, Physical Medicine and Rehabilitation, Diabetic Education
          > Classes, Walk-ins, Appointments
          >
          >
          > "It never ceases to amaze me how being a good nurse is often in direct
          > opposition to being a "good employee."
          >
          >
          >
          > -----Original Message-----
          > From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
          > Behalf Of Alex Wagner
          > Sent: Wednesday, March 31, 2004 8:00 PM
          > To: prvpracnp at nurse.net
          > Subject: [PrvPracNP] bipolar
          >
          > I need some suggestion for a teenage diagnoses by psychiatrist for bipolar
          > is very dizzy on Lithium. What else are you guys using for this in this
          > age group with less side effects.
          >
          >
          > ---
          > [This E-mail scanned for viruses]
          >
          > _______________________________________________
          > PrvPracNP mailing list
          > PrvPracNP at nurse.net
          > http://lists.nurse.net/mailman/listinfo/prvpracnp
          >
          > _______________________________________________
          > PrvPracNP mailing list
          > PrvPracNP at nurse.net
          > http://lists.nurse.net/mailman/listinfo/prvpracnp

          _______________________________________________
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          _______________________________________________
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          PrvPracNP at nurse.net
          http://lists.nurse.net/mailman/listinfo/prvpracnp


        Paula Joan Sumner RN, MSN, FNP-BC
        Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
        For Peak Performance Issues, Stress Management, Pain Management, Weight Management and Smoking Cessation.
        Durham, NC 27707

        http://paulajsumner.byregion.net member# 10102918

        919-4! 90-4656, #8 


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From SamaraFNP at aol.com  Sat Apr  3 05:57:19 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Sat, 3 Apr 2004 08:57:19 EST
Subject: [PrvPracNP] USA
Message-ID: <1e8.1ce91bbc.2da01cbf@aol.com>

In a message dated 4/3/2004 2:01:56 AM Eastern Standard Time, 
LauraHoemanARNP at aol.com writes:
I'm a psych nurse practitioner, and I do psychotherapy if I feel it's 
indicated. I don't think the CNS is better suited to do therapy.  The psych NP can do 
it all.  I would urge anyone who wants a psych. private practice to go the NP 
route.  --Laura, Washington state 
But you are in a place where you can practice independently, we can't here in 
va. i'm not sure if we are psych np if we can

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From pamme at sbcglobal.net  Sat Apr  3 06:33:26 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Sat, 3 Apr 2004 09:33:26 -0500
Subject: [PrvPracNP] USA
References: <1df.1ce72645.2d9fbb3f@aol.com>
Message-ID: <030801c41988$a109fed0$209cfea9@VAIO>

Perhaps my meaning wasn't clear.
It appears that she want's to focus on therapy and not medications.
I do therapy as well in each session.  It is a necessity.
However, I don't have the time nor the inclination, to run groups, do couples or marriage or family therapy.  And I do believe that the CNS is better suited for this, as they receive a much more therapy oriented education with less focus on medication management.
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: LauraHoemanARNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Saturday, April 03, 2004 2:01 AM
  Subject: Re: [PrvPracNP] USA


  I'm a psych nurse practitioner, and I do psychotherapy if I feel it's indicated. I don't think the CNS is better suited to do therapy.  The psych NP can do it all.  I would urge anyone who wants a psych. private practice to go the NP route.  --Laura, Washington state 


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From pamme at sbcglobal.net  Sat Apr  3 06:39:48 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Sat, 3 Apr 2004 09:39:48 -0500
Subject: [PrvPracNP] Daily digest vs. individual emails for
	listserveresponses
References: <016f01c41933$f0c538e0$6400a8c0@lea>
Message-ID: <036501c41989$84dbfc80$209cfea9@VAIO>

MessageThanks Lea but you need a password.  They wouldn't take mine and they didn't send me one either when I requested it.
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Melinda L Poso 
  To: 'Private Practice NPs' 
  Sent: Friday, April 02, 2004 11:27 PM
  Subject: RE: [PrvPracNP] Daily digest vs. individual emails for listserveresponses


  http://lists.nurse.net/mailman/listinfo/prvpracnp


  -Lea
    -----Original Message-----
    From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On Behalf Of Paula J. Sumner
    Sent: Friday, April 02, 2004 7:44 PM
    To: Private Practice NPs
    Subject: Re: [PrvPracNP] Daily digest vs. individual emails for list serveresponses


    I went to www.nurse.net  to the list of listserves and PrvPracNP is not listed-so where is it listedd Tom?
    Paula

    GIN11153 at aol.com wrote:
      I would love to be able to get a daily digest also!

      Gail Neuman RNC CPHW LNC SNP
      listowner of LegalNurseConsulting at yahoogroups.com
      certified high risk OB/legal nurse consultant
      Tustin, CA _______________________________________________
      PrvPracNP mailing list
      PrvPracNP at nurse.net
      http://lists.nurse.net/mailman/listinfo/prvpracnp



    Paula Joan Sumner RN, MSN, FNP-BC
    Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
    For Peak Performance Issues, Stress Management, Pain Management, Weight Management and Smoking Cessation.
    Durham, NC 27707

    http://paulajsumner.byregion.net member# 10102918

    919-490-4656, #8 


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From dfpnp at ameritech.net  Sat Apr  3 06:51:48 2004
From: dfpnp at ameritech.net (Diego F Perez)
Date: Sat, 3 Apr 2004 09:51:48 -0500
Subject: [PrvPracNP] bipolar/N.P. Documentary
References: <20040402140931.PANZ1729.imf24aec.mail.bellsouth.net@nina>
	<002401c41905$7f6e9160$209cfea9@VAIO>
Message-ID: <002401c4198b$31a43490$e89cfea9@S0027624895>

I have been on the AANP PAC since its inception.  It is the only reasonable way to affect change.  We should regularly voice to the academy (the AANP) our strong opinions regarding the research, development and training of ALL NPs and especially NP students in the business of successful NP private practice, NP self employment and Insurance provider enpanelment for NPs.  I attend annually and share this idea with them annually as well.

Diego F. Perez MSN RN CS ACNP ANP
Toledo, OH 43614-4322


  ----- Original Message ----- 
  From: Pr. Pamela A. Provost N.P. 
  To: Private Practice NPs 
  Sent: Friday, April 02, 2004 5:54 PM
  Subject: Re: [PrvPracNP] bipolar/N.P. Documentary


  It sure would be nice.  Has anyone joined the AANP Political Action Committee?  BTW, every 4 or 5 years, the Academy's conference is held in D.C. and one day is spent with each attendee lobbying their particular congressionals.  This is in addition to the daily paid lobbyist who works for the AANP.
  Sincerely,
  Pamme
        ~:~~:~ 
        GOD BLESS US ALL

        Life may not be the party we hoped for, but while we are here, we may as well dance

        Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
  ----- Original Message ----- 
    From: Nina Ravey 
    To: 'Private Practice NPs' 
    Sent: Friday, April 02, 2004 9:09 AM
    Subject: [PrvPracNP] bipolar/N.P. Documentary


    Paula,

    I'm probably brain dead but what is PMI?

    Nina





    Group,

    Please read this e-mail below and pass it on to other NP's.  Certainly sounds like my practice and probably reflects what most of us in independent practice experience.  Wouldn't it be wonderful to have a documentary to show to each of our Senators and Legislators?

    Nina



    -----Original Message-----
    From: stacywinchell at prodigy.net [mailto:stacywinchell at prodigy.net] 
    Sent: Friday, April 02, 2004 12:43 AM
    To: jnickens at etigers.net
    Subject: N.P. Documentary



    To whom it may concern,



     My name is Stacy Winchell and I am both a nurse practitioner and filmmaker.  I was first licensed as a registered nurse in California in 1980 and began practice as a nurse practitioner in 1989.  Over the past fourteen years I have practiced in the areas of family medicine, internal medicine and geriatric medicine.  My practice setting has ranged from group practice and urgent care to the academic environment.   During a four-year period in the early nineties I was involved with the geriatric fellowship program at UCLA where I assisted with the clinical training of over a dozen fellows.



    Virtually all of the positions that I have held have required me to practice essentially independently.  What this means is that all of the legal requirements for practice in the state have always been fulfilled on paper however, the participation of the supervising or collaborating physician has been limited to those activities that are necessary for billing, and providing in-house coverage during those times when my patients required hospitalization. I am unable to obtain admitting privileges at most hospitals nor contract directly with third party payers, etc.  Ironically, I frequently was the one who wrote the admitting orders signed by the admitting physician and co managed the patient in house by conferring with the covering physician. As expected the patient was returned to me for continued care upon discharge however, I could not order home health ! nursing, physical therapy visits as well as other restrictions under Medicare. Although we have made some progress, the gains are small and come very slowly.



    Obviously these are not circumstances that are unique to me. I'm certain many of my colleagues face the same or greater frustrations in their practice and with the restrictions placed on these clinicians varying tremendously from state to state I find it commendable that these practitioners continue to fight not only for the limited resources afforded them to provide the quality of care their patients deserve but against the very establishment that threatens their professional survival. It would seem that if the real objective was to benefit the patient these various entities would be working with rather than against one another.



    The fact remains that many valid outcome studies have shown that patients managed by nurse practitioners have achieved and maintained a level of wellness equal to those patients under the care of their physician counterparts. Some studies have even demonstrated that many nurse practitioner's patients have rated their care superior to and level of satisfaction greater than those of their physician counterparts. This finding is not surprising when one considers the fact that taking time to listen to their patients without prejudging more information about a patient can be obtained and more pathology discovered.Just as most family physicians will refer patients for specialty consultation when appropriate so in fact do nurse practitioners, as we all want to provide the best possible management for our patients.



    The project that I am working on is a documentary film designed to educate the public about nurse practitioners. The American Medical Association has spent a great deal of time and money to influence lawmakers that giving nurse practitioners the authority to practice and prescribe independently is medically unsafe and would lower the quality of health care delivered to the public. The truth of the matter is that giving practitioners the autonomy to practice without unnecessary restrictions from fully participating in programs and provision of care will increase access to medical care, reduce the cost of care to the consumer and encourage self referral to a group of providers who by earlier detection and intervention would have a more positive impact on our society and reduce strain on already over burden state and federal reimbursement programs.



    We need to educate an entire nation about the choices they can demand be given to them as a matter of law. I am confident that when the public is able to see on film the care being provided by this group of intelligent, dedicated and well educated clinicians they will make the proper choices. The position papers published in recent years regarding nurse practitioners which are designed to evoke emotional responses to unfounded allegations that we do not have the necessary preparation to undertake a task with this level of responsibility should be refuted point for point in a documentary such as this. After all, the allegations about our lack of preparedness for this task are being made solely by those who have never personally experienced our preparation.



    I would ask that you please pass this on to our colleagues and I humbly ask for your feedback as well as any help that you may be able to offer through your organizations.



    Thank you in advance for your assistance. I can be contacted via e-mail at stacywinchell at prodigy.net  or  866 Brighton Ave Apt. A  Grover Beach, CA. 93433 



    Sincerely,



    Stacy Paul Winchell, N.P. 



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From pamme at sbcglobal.net  Sat Apr  3 07:08:15 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Sat, 3 Apr 2004 10:08:15 -0500
Subject: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice
References: <01d401c41920$709a3a20$230110ac@ATLANTIS>
Message-ID: <03c701c4198d$7de3c9e0$209cfea9@VAIO>

HI Diane,
Thanks for your words of caution.
I already discussed all of this with my attorney.  He does business law for the state of Indiana.  In Indiana, all licensed personnel can form corporations.  A license statement is sent to the the attorney from the state board to be kept in the corporation's file.  This statement can only be issued if a collaborative agreement is in place.  You can't be issued a CSR in Indiana without a collaborative agreement.  You can prescribe non-scheduled medications and treatments without a collaboration.  However, this restricts practice as we all know.
There is no medical corporation, nor nursing corporation in the state of Indiana.  All licensed individuals and this includes attorneys, psychologists, chiropractors etc. are able to form corporations under the umbrella of a Professional Corporation aka PC.
BTW, did you notice that the d/ba for my P.C. is APN, P.C.   I love humor!!
Thanks again,
Pamme
PS:  At one time, I thought of moving to CA to practice, but found the restrictions to convoluted for my level of stress.
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we are here, we may as well dance Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things 
----- Original Message ----- 
From: "Diane Wren" <feverfixer at wren.net>
To: "'Private Practice NPs'" <prvpracnp at nurse.net>
Sent: Friday, April 02, 2004 9:07 PM
Subject: RE: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice


> In California nurses are also able to form professional corporations, but if
> you are a nurse practitioner you have to form a medical corporation.  You
> can form a nursing corporation, but this allows you to only perform nursing
> duties, not medical.  To ensure you are completely covered under the law in
> California, you have to form a medical corporation with a physician.  You
> might want to check this out in your state, as several of the attorneys I
> spoke to were unaware of this and several NPs have been cited for illegally
> practicing medicine.  It may well be different in your state, but you may
> want to talk to a nurse attorney.
> Diane, MSN, C-FNP
> 
> -----Original Message-----
> From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net]On
> Behalf Of Pr. Pamela A. Provost N.P.
> Sent: Friday, April 02, 2004 4:31 PM
> To: prvpracnp at nurse.net
> Subject: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice
> 
> 
> I saw my lawyer today and established a PC (professional corporation).  It
> will afford me some major tax breaks as well as protect my personal assets.
> PC are for licensed personnel.
> Regards,
> Pamme
> ~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
> are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
> Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
> Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
> Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
> Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
> ----- Original Message -----
> From: <curt at performancep.com>
> To: <prvpracnp at nurse.net>
> Sent: Wednesday, March 17, 2004 8:06 AM
> Subject: [Prv Prac NP] Starting an independent practice
> 
> 
> >
> >
> >
> > Hi,
> >
> > We are considering starting an indepedent practice in Northwest Indiana.
> If anyone has some helpful information I
> > would appreciate it. I was also wondering if anyone had an ideas
> concerning whether to form a S corporation or an LLC.
> >
> > Thanks, Curt
> >
> 
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
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> % You can change you list options and unsubscribe from this page
> 
> 
> 
> _______________________________________________
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From pamme at sbcglobal.net  Sat Apr  3 07:24:47 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Sat, 3 Apr 2004 10:24:47 -0500
Subject: [PrvPracNP] bipolar/N.P. Documentary
References: <20040402140931.PANZ1729.imf24aec.mail.bellsouth.net@nina><002401c41905$7f6e9160$209cfea9@VAIO>
	<002401c4198b$31a43490$e89cfea9@S0027624895>
Message-ID: <040501c4198f$cd4d9d10$209cfea9@VAIO>

Hi Diego,
Nice to hear from you.
I joined the PAL when I went to the Academy a couple of years ago and never heard word one from them.
I do write to Jan Towers often.  So much so, that she is probably sick of hearing from me.  LOL.  She was very instrumental however in interacting with the psychologists whose businesses I contract with in helping us to bill for the maximum return.  Indiana is a very different place.  Here, I bill under the psychologist to get the maximum return as a Psych NP who is board certified as an FNP.  It's the psychologists here who are indepenent practitioners.  The HPB says that NPs are independent practitioners, but we have to use the loopholes to get the biggest bang for our buck and still require collaboration.
Can you give me a shortcut to get back on the PAL?  Or, do I need to go to AANP.org?
Regards,
Pamela
      ~:~Pamela A. Provost N.P.~:~ 
      A. Provost Neuroscience, P. C. d/ba APN, P.C.
      President

      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Diego F Perez 
  To: Private Practice NPs 
  Sent: Saturday, April 03, 2004 9:51 AM
  Subject: Re: [PrvPracNP] bipolar/N.P. Documentary


  I have been on the AANP PAC since its inception.  It is the only reasonable way to affect change.  We should regularly voice to the academy (the AANP) our strong opinions regarding the research, development and training of ALL NPs and especially NP students in the business of successful NP private practice, NP self employment and Insurance provider enpanelment for NPs.  I attend annually and share this idea with them annually as well.

  Diego F. Perez MSN RN CS ACNP ANP
  Toledo, OH 43614-4322


    ----- Original Message ----- 
    From: Pr. Pamela A. Provost N.P. 
    To: Private Practice NPs 
    Sent: Friday, April 02, 2004 5:54 PM
    Subject: Re: [PrvPracNP] bipolar/N.P. Documentary


    It sure would be nice.  Has anyone joined the AANP Political Action Committee?  BTW, every 4 or 5 years, the Academy's conference is held in D.C. and one day is spent with each attendee lobbying their particular congressionals.  This is in addition to the daily paid lobbyist who works for the AANP.
    Sincerely,
    Pamme
          ~:~~:~ 
          GOD BLESS US ALL

          Life may not be the party we hoped for, but while we are here, we may as well dance

          Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
    ----- Original Message ----- 
      From: Nina Ravey 
      To: 'Private Practice NPs' 
      Sent: Friday, April 02, 2004 9:09 AM
      Subject: [PrvPracNP] bipolar/N.P. Documentary


      Paula,

      I'm probably brain dead but what is PMI?

      Nina





      Group,

      Please read this e-mail below and pass it on to other NP's.  Certainly sounds like my practice and probably reflects what most of us in independent practice experience.  Wouldn't it be wonderful to have a documentary to show to each of our Senators and Legislators?

      Nina



      -----Original Message-----
      From: stacywinchell at prodigy.net [mailto:stacywinchell at prodigy.net] 
      Sent: Friday, April 02, 2004 12:43 AM
      To: jnickens at etigers.net
      Subject: N.P. Documentary



      To whom it may concern,



       My name is Stacy Winchell and I am both a nurse practitioner and filmmaker.  I was first licensed as a registered nurse in California in 1980 and began practice as a nurse practitioner in 1989.  Over the past fourteen years I have practiced in the areas of family medicine, internal medicine and geriatric medicine.  My practice setting has ranged from group practice and urgent care to the academic environment.   During a four-year period in the early nineties I was involved with the geriatric fellowship program at UCLA where I assisted with the clinical training of over a dozen fellows.



      Virtually all of the positions that I have held have required me to practice essentially independently.  What this means is that all of the legal requirements for practice in the state have always been fulfilled on paper however, the participation of the supervising or collaborating physician has been limited to those activities that are necessary for billing, and providing in-house coverage during those times when my patients required hospitalization. I am unable to obtain admitting privileges at most hospitals nor contract directly with third party payers, etc.  Ironically, I frequently was the one who wrote the admitting orders signed by the admitting physician and co managed the patient in house by conferring with the covering physician. As expected the patient was returned to me for continued care upon discharge however, I could not order home health ! nursing, physical therapy visits as well as other restrictions under Medicare. Although we have made some progress, the gains are small and come very slowly.



      Obviously these are not circumstances that are unique to me. I'm certain many of my colleagues face the same or greater frustrations in their practice and with the restrictions placed on these clinicians varying tremendously from state to state I find it commendable that these practitioners continue to fight not only for the limited resources afforded them to provide the quality of care their patients deserve but against the very establishment that threatens their professional survival. It would seem that if the real objective was to benefit the patient these various entities would be working with rather than against one another.



      The fact remains that many valid outcome studies have shown that patients managed by nurse practitioners have achieved and maintained a level of wellness equal to those patients under the care of their physician counterparts. Some studies have even demonstrated that many nurse practitioner's patients have rated their care superior to and level of satisfaction greater than those of their physician counterparts. This finding is not surprising when one considers the fact that taking time to listen to their patients without prejudging more information about a patient can be obtained and more pathology discovered.Just as most family physicians will refer patients for specialty consultation when appropriate so in fact do nurse practitioners, as we all want to provide the best possible management for our patients.



      The project that I am working on is a documentary film designed to educate the public about nurse practitioners. The American Medical Association has spent a great deal of time and money to influence lawmakers that giving nurse practitioners the authority to practice and prescribe independently is medically unsafe and would lower the quality of health care delivered to the public. The truth of the matter is that giving practitioners the autonomy to practice without unnecessary restrictions from fully participating in programs and provision of care will increase access to medical care, reduce the cost of care to the consumer and encourage self referral to a group of providers who by earlier detection and intervention would have a more positive impact on our society and reduce strain on already over burden state and federal reimbursement programs.



      We need to educate an entire nation about the choices they can demand be given to them as a matter of law. I am confident that when the public is able to see on film the care being provided by this group of intelligent, dedicated and well educated clinicians they will make the proper choices. The position papers published in recent years regarding nurse practitioners which are designed to evoke emotional responses to unfounded allegations that we do not have the necessary preparation to undertake a task with this level of responsibility should be refuted point for point in a documentary such as this. After all, the allegations about our lack of preparedness for this task are being made solely by those who have never personally experienced our preparation.



      I would ask that you please pass this on to our colleagues and I humbly ask for your feedback as well as any help that you may be able to offer through your organizations.



      Thank you in advance for your assistance. I can be contacted via e-mail at stacywinchell at prodigy.net  or  866 Brighton Ave Apt. A  Grover Beach, CA. 93433 



      Sincerely,



      Stacy Paul Winchell, N.P. 



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From SamaraFNP at aol.com  Sat Apr  3 07:27:01 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Sat, 3 Apr 2004 10:27:01 EST
Subject: [PrvPracNP] bipolar/N.P. Documentary
Message-ID: <1d1.1d93292c.2da031c5@aol.com>

http://www.npcentral.net/ce/np-progs.shtml  That STony Brook Psych on line np 
program link I mentioned.  wonderful program.  

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From SamaraFNP at aol.com  Sat Apr  3 07:31:25 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Sat, 3 Apr 2004 10:31:25 EST
Subject: [PrvPracNP] bipolar/N.P. Documentary
Message-ID: <85.88153c5.2da032cd@aol.com>

In a message dated 4/3/2004 9:52:43 AM Eastern Standard Time, 
dfpnp at ameritech.net writes:
I have been on the AANP PAC since its inception.  It is the only reasonable 
way to affect change.  We should regularly voice to the academy (the AANP) our 
strong opinions regarding the research, development and training of ALL NPs 
and especially NP students in the business of successful NP private practice, NP 
self employment and Insurance provider enpanelment for NPs.  I attend 
annually and share this idea with them annually as well.
How can i get on this aanp pac group???  Does Jan towers help with each 
states laws??

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From ctmidwife at hotmail.com  Sat Apr  3 08:13:45 2004
From: ctmidwife at hotmail.com (Alison Trider)
Date: Sat, 03 Apr 2004 11:13:45 -0500
Subject: [PrvPracNP] bipolar/N.P. Documentary
Message-ID: <BAY12-F97KWl3XW9VMu00028973@hotmail.com>

FWIW, I did my midwifery training through distance learning at SUNY Stony 
Brook.  I was very happy with my education.  And, I do not feel that others 
perceive it as any less than a traditional education.  Although, midwifery 
has strong routes in the apprenticeship model of learning & there are 
several distance learning programs - Frontier School of Midwifery & Family 
Nursing being the largest & most recognizable.

Anyone is welcome to email me if you have questions about SUNY.

Alison Trider, MS, APRN, CNM
Farmington, CT
ctmidwife at comcast.net


>From: SamaraFNP at aol.com
>Reply-To: Private Practice NPs <prvpracnp at nurse.net>
>To: prvpracnp at nurse.net
>Subject: Re: [PrvPracNP] bipolar/N.P. Documentary
>Date: Sat, 3 Apr 2004 10:27:01 EST
>MIME-Version: 1.0
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>X-OriginalArrivalTime: 03 Apr 2004 15:27:42.0024 (UTC) 
>FILETIME=[34839480:01C41990]
>
>http://www.npcentral.net/ce/np-progs.shtml  That STony Brook Psych on line 
>np
>program link I mentioned.  wonderful program.
>
>Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
>_______________________________________________
>PrvPracNP mailing list
>PrvPracNP at nurse.net
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From pamme at sbcglobal.net  Sat Apr  3 08:16:46 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Sat, 3 Apr 2004 11:16:46 -0500
Subject: [PrvPracNP] bipolar/N.P. Documentary
References: <85.88153c5.2da032cd@aol.com>
Message-ID: <041e01c41997$10800d00$209cfea9@VAIO>

She is the Director of the Office of Health Policy for the American Academy of Nurse Practitioners.  This is a very active politcal group that I urge all NPs to join.  Without the AANP, we wouldn't be where we are today.  I also urge you to attend the Academy each time it is held in D.C.  Not only can you network with your colleagues, but you can lobby your congressionals and earn over 50 ceu's in one fell swoop.
In addition, as Diego mentioned, the Political Action Committee of the AANP needs everyone's help to change the policies that create barriers to practice and reimbursement.
Sincerely,
Pamela
      ~:~Pamela A. Provost N.P.~:~ 
      A. Provost Neuroscience, P. C. d/ba APN, P.C.

      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: SamaraFNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Saturday, April 03, 2004 10:31 AM
  Subject: Re: [PrvPracNP] bipolar/N.P. Documentary


  In a message dated 4/3/2004 9:52:43 AM Eastern Standard Time, dfpnp at ameritech.net writes:
    I have been on the AANP PAC since its inception.  It is the only reasonable way to affect change.  We should regularly voice to the academy (the AANP) our strong opinions regarding the research, development and training of ALL NPs and especially NP students in the business of successful NP private practice, NP self employment and Insurance provider enpanelment for NPs.  I attend annually and share this idea with them annually as well.
  How can i get on this aanp pac group???  Does Jan towers help with each states laws??

  Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)


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From pamme at sbcglobal.net  Sat Apr  3 08:18:00 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Sat, 3 Apr 2004 11:18:00 -0500
Subject: [PrvPracNP] NP Education
References: <BAY12-F97KWl3XW9VMu00028973@hotmail.com>
Message-ID: <042401c41997$3c840e60$209cfea9@VAIO>

I grew up on Long Island.  SUNY is a great University network and the
originator of the Regeant's Online Program for Nursing.
Sincerely,
Pamme
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: "Alison Trider" <ctmidwife at hotmail.com>
To: <prvpracnp at nurse.net>
Sent: Saturday, April 03, 2004 11:13 AM
Subject: Re: [PrvPracNP] bipolar/N.P. Documentary


> FWIW, I did my midwifery training through distance learning at SUNY Stony
> Brook.  I was very happy with my education.  And, I do not feel that
others
> perceive it as any less than a traditional education.  Although, midwifery
> has strong routes in the apprenticeship model of learning & there are
> several distance learning programs - Frontier School of Midwifery & Family
> Nursing being the largest & most recognizable.
>
> Anyone is welcome to email me if you have questions about SUNY.
>
> Alison Trider, MS, APRN, CNM
> Farmington, CT
> ctmidwife at comcast.net
>
>
> >From: SamaraFNP at aol.com
> >Reply-To: Private Practice NPs <prvpracnp at nurse.net>
> >To: prvpracnp at nurse.net
> >Subject: Re: [PrvPracNP] bipolar/N.P. Documentary
> >Date: Sat, 3 Apr 2004 10:27:01 EST
> >MIME-Version: 1.0
> >Received: from mc3-f15.hotmail.com ([64.4.50.151]) by mc3-s20.hotmail.com
> >with Microsoft SMTPSVC(5.0.2195.6824); Sat, 3 Apr 2004 07:28:19 -0800
> >Received: from merlin.wizards.net ([207.173.190.1]) by
mc3-f15.hotmail.com
> >with Microsoft SMTPSVC(5.0.2195.6824); Sat, 3 Apr 2004 07:27:41 -0800
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> >2004 07:22:20 -0800
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> >merlin.wizards.net (8.11.6/8.11.6) with ESMTP id i33FMDu10666for
> ><prvpracnp at nurse.net>; Sat, 3 Apr 2004 07:22:13 -0800
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(mail_out_v37_r1.2.)
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10:27:01
> >-0500 (EST)
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>
><http://lists.nurse.net/mailman/listinfo/prvpracnp>,<mailto:prvpracnp-reque
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>
><http://lists.nurse.net/mailman/listinfo/prvpracnp>,<mailto:prvpracnp-reque
st at nurse.net?subject=subscribe>
> >Errors-To: prvpracnp-bounces at nurse.net
> >Return-Path: prvpracnp-bounces at nurse.net
> >X-OriginalArrivalTime: 03 Apr 2004 15:27:42.0024 (UTC)
> >FILETIME=[34839480:01C41990]
> >
> >http://www.npcentral.net/ce/np-progs.shtml  That STony Brook Psych on
line
> >np
> >program link I mentioned.  wonderful program.
> >
> >Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
> >_______________________________________________
> >PrvPracNP mailing list
> >PrvPracNP at nurse.net
> >http://lists.nurse.net/mailman/listinfo/prvpracnp
> >% You can change you list options and unsubscribe from this page
>
> _________________________________________________________________
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From SamaraFNP at aol.com  Sat Apr  3 08:49:02 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Sat, 3 Apr 2004 11:49:02 EST
Subject: [PrvPracNP] bipolar/N.P. Documentary
Message-ID: <7e.4af9df70.2da044fe@aol.com>

Me too, anyone can email me if you have questions about SUNY Stony Brook.  I 
learned so much and could even show you a sample lesson.

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From nravey at bellsouth.net  Sat Apr  3 09:31:22 2004
From: nravey at bellsouth.net (Nina Ravey)
Date: Sat, 3 Apr 2004 11:31:22 -0600
Subject: [PrvPracNP] bipolar/N.P. Documentary
In-Reply-To: <20040403040302.65388.qmail@web41604.mail.yahoo.com>
Message-ID: <20040403173119.BIGI1763.imf25aec.mail.bellsouth.net@nina>

Thanks Paula, that makes it easier to understand! How about the NP
documentary?  Any takers on that?

Nina

 

Nina Ravey, RN, MSN, CNS, C-FNP
Family Nurse Practitioner
Shirley Medical Clinic
711 N. Main St.
Jennings, LA 70546
337-824-2002
Fax:337-824-2004
www.shirleymedical.com
Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
Management, Physical Medicine and Rehabilitation, Diabetic Education
Classes, Walk-ins, Appointments

"It never ceases to amaze me how being a good nurse is often in direct
opposition to being a "good employee."

 

  _____  

From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
Behalf Of Paula J. Sumner
Sent: Friday, April 02, 2004 10:03 PM
To: Private Practice NPs
Subject: Re: [PrvPracNP] bipolar/N.P. Documentary

 

Nina,

PMI? In relationship to what? Did I mistype PMH? psych-mental health?

Paula

Nina Ravey <nravey at bellsouth.net> wrote:

Paula,

Im probably brain dead but what is PMI?

Nina

 

  _____  

Do you Yahoo!?
Yahoo!
<http://us.rd.yahoo.com/evt=23609/*http:/promotions.yahoo.com/design_giveawa
y/static/index2.html>  Small Business $15K Web Design Giveaway - Enter today

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From SamaraFNP at aol.com  Sat Apr  3 10:23:47 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Sat, 3 Apr 2004 13:23:47 EST
Subject: [PrvPracNP] bipolar/N.P. Documentary
Message-ID: <2d.3bbf4486.2da05b33@aol.com>

I'd love to be involved in the NP documentary .  what to do?

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From nravey at bellsouth.net  Sat Apr  3 13:01:19 2004
From: nravey at bellsouth.net (Nina Ravey)
Date: Sat, 3 Apr 2004 15:01:19 -0600
Subject: [PrvPracNP] bipolar/N.P. Documentary
In-Reply-To: <2d.3bbf4486.2da05b33@aol.com>
Message-ID: <20040403210116.HJQP1781.imf18aec.mail.bellsouth.net@nina>

Marla and Everyone else who is interested

Just e-mail the who wrote the article (e-mail address at end of article) and
tell her your story and she'll take care of including as many who are
interested as possible.  Our job is to spread word around the country and
get different takes and different practices.  Let me know if you don't have
the article.

Nina

 

Nina Ravey, RN, MSN, CNS, C-FNP
Family Nurse Practitioner
Shirley Medical Clinic
711 N. Main St.
Jennings, LA 70546
337-824-2002
Fax:337-824-2004
www.shirleymedical.com
Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
Management, Physical Medicine and Rehabilitation, Diabetic Education
Classes, Walk-ins, Appointments

"It never ceases to amaze me how being a good nurse is often in direct
opposition to being a "good employee."

 

  _____  

From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
Behalf Of SamaraFNP at aol.com
Sent: Saturday, April 03, 2004 12:24 PM
To: prvpracnp at nurse.net
Subject: Re: [PrvPracNP] bipolar/N.P. Documentary

 

I'd love to be involved in the NP documentary .  what to do?

 

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)

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From pamme at sbcglobal.net  Sat Apr  3 14:34:12 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Sat, 3 Apr 2004 17:34:12 -0500
Subject: [PrvPracNP] SUNY
References: <1d1.1d93292c.2da031c5@aol.com>
Message-ID: <04cc01c419cb$ca829ef0$209cfea9@VAIO>

Thanks Marla!!
I'll check that out after I hear back from USA and the ANCC.
If the ANCC says that all I need do, since I am grandfathered is just do the review course to sit for the boards, I'll do that.  I am hoping that is the way it goes.  It certainly would be a lot cheaper and a lot less time consuming.
Peace,
I 
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: SamaraFNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Saturday, April 03, 2004 10:27 AM
  Subject: Re: [PrvPracNP] bipolar/N.P. Documentary


  http://www.npcentral.net/ce/np-progs.shtml  That STony Brook Psych on line np program link I mentioned.  wonderful program.  

  Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)


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From Darhowl1 at aol.com  Sun Apr  4 12:25:49 2004
From: Darhowl1 at aol.com (Darhowl1 at aol.com)
Date: Sun, 4 Apr 2004 15:25:49 EDT
Subject: [PrvPracNP] (no subject)
Message-ID: <48.2a012d3e.2da1bb3d@aol.com>

please take my name off this list
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From buckwheat at cybernet1.com  Sun Apr  4 14:16:49 2004
From: buckwheat at cybernet1.com (Alex Wagner)
Date: Sun, 04 Apr 2004 15:16:49 -0600
Subject: [PrvPracNP] cash paying only
Message-ID: <6.0.3.0.0.20040404151516.01ee4750@mail.cybernet1.com>

1. have any of you initiated a cash paying for visit only policy in your 
office.
2. do any on you have suggestions on getting patients to pay at time of 
service?
--------------------------alex



---
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From psumner2 at yahoo.com  Sun Apr  4 16:18:27 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Sun, 4 Apr 2004 16:18:27 -0700 (PDT)
Subject: [PrvPracNP] cash paying only
In-Reply-To: <6.0.3.0.0.20040404151516.01ee4750@mail.cybernet1.com>
Message-ID: <20040404231827.26523.qmail@web41608.mail.yahoo.com>

Alex, go to sunday's Yahoo front page news headlines. There is an article on MDs going cash only.  I forwarde the article to the list, and if you go to the Yahoo article you can post a message on the forum--I think one supportive of NPs would be great.
Paula

Alex Wagner <buckwheat at cybernet1.com> wrote:
1. have any of you initiated a cash paying for visit only policy in your 
office.
2. do any on you have suggestions on getting patients to pay at time of 
service?
--------------------------alex



---
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_______________________________________________
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PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp
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Paula Joan Sumner RN, MSN, FNP-BC
Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
For Peak Performance Issues, Stress Management, Pain Management, Weight Management and  Smoking Cessation.
Durham, NC 27707

http://paulajsumner.byregion.net member# 10102918

919-490-4656, #8

---------------------------------
Do you Yahoo!?
Yahoo! Small Business $15K Web Design Giveaway - Enter today
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From buckwheat at cybernet1.com  Sun Apr  4 16:38:39 2004
From: buckwheat at cybernet1.com (Alex Wagner)
Date: Sun, 04 Apr 2004 17:38:39 -0600
Subject: [PrvPracNP] cash paying only
In-Reply-To: <20040404231827.26523.qmail@web41608.mail.yahoo.com>
References: <6.0.3.0.0.20040404151516.01ee4750@mail.cybernet1.com>
	<20040404231827.26523.qmail@web41608.mail.yahoo.com>
Message-ID: <6.0.3.0.0.20040404173610.01fb2a48@mail.cybernet1.com>

That is what got me thinking.  I saw it there and have heard of Simple 
Care, but wondering if anyone has had first experience just encouraging 
patients to pay at time of service.  There are so many people who think 
just because they are at a doctors' office they don't have to pay at time 
of service, yet will go down the street and get a permanent or hair color 
for the same amount and pay for it.  How tough does the front office person 
have to be?  How can we encourage people to pay before they leave?



At 05:18 PM 4/4/2004, you wrote:
>Alex, go to sunday's Yahoo front page news headlines. There is an article 
>on MDs going cash only.  I forwarde the article to the list, and if you go 
>to the Yahoo article you can post a message on the forum--I think one 
>supportive of NPs would be great.
>Paula
>
>Alex Wagner <buckwheat at cybernet1.com> wrote:
>1. have any of you initiated a cash paying for visit only policy in your
>office.
>2. do any on you have suggestions on getting patients to pay at time of
>service?
>--------------------------alex
>
>
>
>---
>[This E-mail scanned for viruses]
>
>_______________________________________________
>PrvPracNP mailing list
>PrvPracNP at nurse.net
>http://lists.nurse.net/mailman/listinfo/prvpracnp
>% You can change you list options and unsubscribe from this page
>
>
>
>Paula Joan Sumner RN, MSN, FNP-BC
>Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
>For Peak Performance Issues, Stress Management, Pain Management, Weight 
>Management and Smoking Cessation.
>Durham, NC 27707
>
>http://paulajsumner.byregion.net member# 10102918
>
>919-490-4656, #8
>
>
>Do you Yahoo!?
><http://us.rd.yahoo.com/evt=23609/*http://promotions.yahoo.com/design_giveaway/static/index2.html>Yahoo! 
>Small Business $15K Web Design Giveaway - Enter today
>_______________________________________________
>PrvPracNP mailing list
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From SamaraFNP at aol.com  Sun Apr  4 17:25:18 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Sun, 4 Apr 2004 20:25:18 EDT
Subject: [PrvPracNP] cash paying only
Message-ID: <38.445156ef.2da2016e@aol.com>

In a message dated 4/4/2004 5:14:14 PM Eastern Standard Time, 
buckwheat at cybernet1.com writes:
1. have any of you initiated a cash paying for visit only policy in your 
office.
2. do any on you have suggestions on getting patients to pay at time of 
service?
--------------------------alex
I do. THey pay me by the hour, check or cash only .  I do not take any 
insurances.

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From buckwheat at cybernet1.com  Sun Apr  4 17:35:23 2004
From: buckwheat at cybernet1.com (Alex Wagner)
Date: Sun, 04 Apr 2004 18:35:23 -0600
Subject: [PrvPracNP] cash paying only
In-Reply-To: <38.445156ef.2da2016e@aol.com>
References: <38.445156ef.2da2016e@aol.com>
Message-ID: <6.0.3.0.0.20040404183450.01faa2a8@mail.cybernet1.com>

How do you set your fees? Are you an FNP?
what do you do with Medicare patients?

thanks.

At 06:25 PM 4/4/2004, you wrote:
>In a message dated 4/4/2004 5:14:14 PM Eastern Standard Time, 
>buckwheat at cybernet1.com writes:
>1. have any of you initiated a cash paying for visit only policy in your
>office.
>2. do any on you have suggestions on getting patients to pay at time of
>service?
>--------------------------alex
>
>I do. THey pay me by the hour, check or cash only .  I do not take any 
>insurances.
>
>Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
>_______________________________________________
>PrvPracNP mailing list
>PrvPracNP at nurse.net
>http://lists.nurse.net/mailman/listinfo/prvpracnp
>% You can change you list options and unsubscribe from this page
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From avvarnp at msn.com  Sun Apr  4 17:50:49 2004
From: avvarnp at msn.com (Audrey Van Voorhis)
Date: Sun, 4 Apr 2004 17:50:49 -0700
Subject: [PrvPracNP] cash paying only
Message-ID: <BAY5-DAV29WOxbCJnEM0000e2f7@hotmail.com>

We have a $35 fee for those without insurance. They have to pay at time of service. They can pay either with cash, check or credit card.  Haven't had any trouble with this. We also take insurance, medicaire and medicaid

Audrey



----- Original Message -----
From: Alex Wagner
Sent: Sunday, April 04, 2004 5:33 PM
To: Private Practice NPs
Subject: Re: [PrvPracNP] cash paying only

How do you set your fees? Are you an FNP?
what do you do with Medicare patients?

thanks.

At 06:25 PM 4/4/2004, you wrote:

In a message dated 4/4/2004 5:14:14 PM Eastern Standard Time, buckwheat at cybernet1.com writes:

1. have any of you initiated a cash paying for visit only policy in your  

office.

2. do any on you have suggestions on getting patients to pay at time of  

service?

--------------------------alex


I do. THey pay me by the hour, check or cash only .  I do not take any insurances.
  
Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp
% You can change you list options and unsubscribe from this page  
_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp
% You can change you list options and unsubscribe from this page  
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From SamaraFNP at aol.com  Sun Apr  4 17:59:05 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Sun, 4 Apr 2004 20:59:05 EDT
Subject: [PrvPracNP] cash paying only
Message-ID: <158.31a4f677.2da20959@aol.com>

By clear signs up at the front desk and a disclosure each new patient pays. 
When I walk in my doctor's office, they ask for my copay of 20$ before I can be 
seen.  I've heard them turn patients away and there is also a sign that says, 
if you do not show for your appt. there is a 50$ charge and if you do not 
have your pay at the time of your appt. (copay if insurance) and have to leave, 
this is a canceled appt.  People have to be accountable.  If someone is too 
poor, they get medicaid.  If falls thru the crack, too rich for medicaid and too 
poor for the office, I refer to the freee clinic that fdoes a thorough 
investigation into income.  I volunteer at the free clinic so I end up seeing them 
there too! 

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From SamaraFNP at aol.com  Sun Apr  4 18:02:15 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Sun, 4 Apr 2004 21:02:15 EDT
Subject: [PrvPracNP] cash paying only
Message-ID: <129.3e48d018.2da20a17@aol.com>

I'm an FNP.  I don't have a collaborating physician right now so I am 
essentially practicing as a nurse.  I do counseling with htn, diabetes, weight, 
smoking etc.  My medicare pts (who used to see me in the office when I had 
collaboration and I did not deal withthe pay, only the front office did) are now 
paying me by the minute.  I charge approx. 25$ for 30 min and $50 for 60min.  doing 
it by time is so nice.  I used to have to rush to please my "docs".  I have 
some docs in the area who are somewhat supportive of me.  If "my" patient sees 
then once a year, they will order by phone, any drug I say my pt. needs, 
whether it is diovan or zoloft. I try to have my pt.s on as few drugs as possible 
so I don't have to contact the docs.

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From LauraHoemanARNP at aol.com  Sun Apr  4 19:14:29 2004
From: LauraHoemanARNP at aol.com (LauraHoemanARNP at aol.com)
Date: Sun, 4 Apr 2004 22:14:29 EDT
Subject: [PrvPracNP] cash paying only
Message-ID: <67.25aa79cc.2da21b05@aol.com>

I've been a member of Simple Care for four months or so and have only gotten 
one Simple Care referral. I think Simple Care's great and may be the wave of 
the future, but so far I'm not sure it would work for my practice, at least not 
as the only system. People are too accustomed to having insurance pay. I 
don't even ask my clients to pay copays at time of service. I clearly don't have 
all the answers!  --Laura
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From m.Poso at comcast.net  Sun Apr  4 19:34:50 2004
From: m.Poso at comcast.net (Melinda L Poso)
Date: Sun, 4 Apr 2004 19:34:50 -0700
Subject: [PrvPracNP] cash paying only
In-Reply-To: <6.0.3.0.0.20040404151516.01ee4750@mail.cybernet1.com>
Message-ID: <006101c41ab6$9250dec0$6400a8c0@lea>

	I only take medicare and medicaid so everyone else is cash up front.
Usually not a problem.  I already accepted these when I formally decided to
go cash or Simple Care. By not billing we save overhead and have lower fees.
	It's great for those who have high deductibles.
-Lea


> -----Original Message-----
> From: prvpracnp-bounces at nurse.net 
> [mailto:prvpracnp-bounces at nurse.net] On Behalf Of Alex Wagner
> Sent: Sunday, April 04, 2004 2:17 PM
> To: prvpracnp at nurse.net
> Subject: [PrvPracNP] cash paying only
> 
> 
> 1. have any of you initiated a cash paying for visit only 
> policy in your 
> office.
> 2. do any on you have suggestions on getting patients to pay 
> at time of 
> service?
> --------------------------alex
> 
> 
> 
> ---
> [This E-mail scanned for viruses]
> 
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net http://lists.nurse.net/mailman/listinfo/prvpracnp
> % You can change you list options and unsubscribe from this page
> 



From m.Poso at comcast.net  Sun Apr  4 19:48:23 2004
From: m.Poso at comcast.net (Melinda L Poso)
Date: Sun, 4 Apr 2004 19:48:23 -0700
Subject: [PrvPracNP] cash paying only
In-Reply-To: <BAY5-DAV29WOxbCJnEM0000e2f7@hotmail.com>
Message-ID: <006e01c41ab8$76afe4c0$6400a8c0@lea>

    I think we need to be careful about different fees for those with and
without insurance.  i.e. if we charge cash patients $35, we can only bill
$35 on claims to insurance carriers, medicare, medicaid.  
    But, I think you can offer a discount for cash, you can accept
assignment, you can write off the difference between medicare receipt and
billed.  But, I don't think you can waive required co-pays because I think
it's a contractual thing.
 
-Lea

-----Original Message-----
From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
Behalf Of Audrey Van Voorhis
Sent: Sunday, April 04, 2004 5:51 PM
To: prvpracnp
Subject: Re: [PrvPracNP] cash paying only


We have a $35 fee for those without insurance. They have to pay at time of
service. They can pay either with cash, check or credit card.  Haven't had
any trouble with this. We also take insurance, medicaire and medicaid.
 
Audrey
 
 
 

----- Original Message -----
From: Alex Wagner
Sent: Sunday, April 04, 2004 5:33 PM
To: Private Practice NPs
Subject: Re: [PrvPracNP] cash paying only
 
How do you set your fees? Are you an FNP?
what do you do with Medicare patients?

thanks.

At 06:25 PM 4/4/2004, you wrote:


In a message dated 4/4/2004 5:14:14 PM Eastern Standard Time,
buckwheat at cybernet1.com writes:


1. have any of you initiated a cash paying for visit only policy in your 


office.


2. do any on you have suggestions on getting patients to pay at time of 


service?


--------------------------alex



I do. THey pay me by the hour, check or cash only .  I do not take any
insurances.
 
Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp
% You can change you list options and unsubscribe from this page 

_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp
% You can change you list options and unsubscribe from this page 

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From emarcz at earthlink.net  Mon Apr  5 05:36:56 2004
From: emarcz at earthlink.net (E  Marciczkiewicz)
Date: Mon, 5 Apr 2004 08:36:56 -0400
Subject: [PrvPracNP] Univ. South Alabama psych program
References: <1d7.1db2e657.2d9f982b@aol.com>
Message-ID: <004d01c41b0a$af229a80$932cfea9@minenml0wgc2g2>

I am also highly interested in following this thread, so if it goes off the grouplist, please include me.  And thanks to all of you who are sharing such wonderfully helpful info!

Ava, NP
Boston
  ----- Original Message ----- 
  From: SamaraFNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Saturday, April 03, 2004 12:31 AM
  Subject: Re: [PrvPracNP] Univ. South Alabama psych program


  I'm interested also. Could you contact me too?  Marla Spring.  Oh, I don't care if it is private but just don't want to bother everyone else who is not interested in this program.  If you give me your phone number, I'll call you.  Thanks. 
  Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant
  In a message dated 4/2/2004 7:48:38 PM Eastern Standard Time, ctmidwife at hotmail.com writes:
    Didn't someone post recently about attending the psych/mental health program 
    at the U. of South Alabama?  Can this person contact me privately?  I have 
    some questions regarding the program.  Thanks!

    Alison Trider, MS, APRN, CNM
    ctmidwife at comcast.net

  )


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From rob at wren.net  Fri Apr  2 17:11:22 2004
From: rob at wren.net (Rob Wren)
Date: Fri, 2 Apr 2004 17:11:22 -0800
Subject: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice
In-Reply-To: <00a301c41912$ea336900$209cfea9@VAIO>
Message-ID: <01af01c41918$94acf950$230110ac@ATLANTIS>

In California nurses are also able to form professional corporations, but if
you are a nurse practitioner you have to form a medical corporation.  You
can form a nursing corporation, but this allows you to only perform nursing
duties, not medical.  To ensure you are completely covered under the law in
California, you have to form a medical corporation with a physician.  You
might want to check this out in your state, as several of the attorneys I
spoke to were unaware of this and several NPs have been cited for illegally
practicing medicine.  It may well be different in your state, but you may
want to talk to a nurse attorney.
Diane, MSN, C-FNP

-----Original Message-----
From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net]On
Behalf Of Pr. Pamela A. Provost N.P.
Sent: Friday, April 02, 2004 4:31 PM
To: prvpracnp at nurse.net
Subject: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice


I saw my lawyer today and established a PC (professional corporation).  It
will afford me some major tax breaks as well as protect my personal assets.
PC are for licensed personnel.
Regards,
Pamme
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message -----
From: <curt at performancep.com>
To: <prvpracnp at nurse.net>
Sent: Wednesday, March 17, 2004 8:06 AM
Subject: [Prv Prac NP] Starting an independent practice


>
>
>
> Hi,
>
> We are considering starting an indepedent practice in Northwest Indiana.
If anyone has some helpful information I
> would appreciate it. I was also wondering if anyone had an ideas
concerning whether to form a S corporation or an LLC.
>
> Thanks, Curt
>

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PrvPracNP at nurse.net
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From hschlessman at Bluecc.edu  Sun Apr  4 20:14:42 2004
From: hschlessman at Bluecc.edu (Heather Schlessman)
Date: Sun, 04 Apr 2004 20:14:42 -0700
Subject: [PrvPracNP] cash paying only
Message-ID: <s0706cc5.099@email.bmcc.cc.or.us>

i have an independent practice, i don't have an office, i see all my patients (pediatrics) in their homes and i charge $50, i give them a bill to send to insurance if they have it..have had no trouble in getting payment at the time of the visit.
Heather Schlessman CPNP

>>> buckwheat at cybernet1.com 04/04/04 14:15 PM >>>
1. have any of you initiated a cash paying for visit only policy in your 
office.
2. do any on you have suggestions on getting patients to pay at time of 
service?
--------------------------alex



---
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From hschlessman at Bluecc.edu  Sun Apr  4 20:14:44 2004
From: hschlessman at Bluecc.edu (Heather Schlessman)
Date: Sun, 04 Apr 2004 20:14:44 -0700
Subject: [PrvPracNP] cash paying only
Message-ID: <s0706cc5.093@email.bmcc.cc.or.us>

i have an independent practice, i don't have an office, i see all my patients (pediatrics) in their homes and i charge $50, i give them a bill to send to insurance if they have it..have had no trouble in getting payment at the time of the visit.
Heather Schlessman CPNP

>>> buckwheat at cybernet1.com 04/04/04 14:15 PM >>>
1. have any of you initiated a cash paying for visit only policy in your 
office.
2. do any on you have suggestions on getting patients to pay at time of 
service?
--------------------------alex



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From csdlp at eiu.edu  Mon Apr  5 10:18:07 2004
From: csdlp at eiu.edu (Daphne Piercy)
Date: Mon, 05 Apr 2004 12:18:07 -0500
Subject: [PrvPracNP] cash paying only
References: <s0706cc5.093@email.bmcc.cc.or.us>
Message-ID: <407194CF.514726A7@eiu.edu>

What made you decide to see patients at home only?  How is this going?  What state are you in?

I am starting a new independent practice in October.  This information may be helpful to assist me with my business plan.

Thanks

Daphne Piercy RN, MSN, CFNP -- IL

Heather Schlessman wrote:

> i have an independent practice, i don't have an office, i see all my patients (pediatrics) in their homes and i charge $50, i give them a bill to send to insurance if they have it..have had no trouble in getting payment at the time of the visit.
> Heather Schlessman CPNP
>
> >>> buckwheat at cybernet1.com 04/04/04 14:15 PM >>>
> 1. have any of you initiated a cash paying for visit only policy in your
> office.
> 2. do any on you have suggestions on getting patients to pay at time of
> service?
> --------------------------alex
>
> ---
> [This E-mail scanned for viruses]
>
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From pamme at sbcglobal.net  Mon Apr  5 10:41:05 2004
From: pamme at sbcglobal.net (Pamela A Provost)
Date: Mon, 5 Apr 2004 10:41:05 -0700 (PDT)
Subject: [PrvPracNP] Univ. South Alabama psych program
In-Reply-To: <004d01c41b0a$af229a80$932cfea9@minenml0wgc2g2>
Message-ID: <20040405174105.30303.qmail@web80210.mail.yahoo.com>

If you want, I would be happy to set up a yahoogroup email dedicated to just this subject.
Anyone interested, please contact me at:  pamme at sbcglobal.net
Ciao for now,
Pamme
Pamela A. Provost N.P., President
A. Provost Neuroscience P.C.

E Marciczkiewicz <emarcz at earthlink.net> wrote:
I am also highly interested in following this thread, so if it goes off the grouplist, please include me.  And thanks to all of you who are sharing such wonderfully helpful info!
 
Ava, NP
Boston
----- Original Message ----- 
From: SamaraFNP at aol.com 
To: prvpracnp at nurse.net 
Sent: Saturday, April 03, 2004 12:31 AM
Subject: Re: [PrvPracNP] Univ. South Alabama psych program


I'm interested also. Could you contact me too?  Marla Spring.  Oh, I don't care if it is private but just don't want to bother everyone else who is not interested in this program.  If you give me your phone number, I'll call you.  Thanks. 
Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant
In a message dated 4/2/2004 7:48:38 PM Eastern Standard Time, ctmidwife at hotmail.com writes:
Didn't someone post recently about attending the psych/mental health program 
at the U. of South Alabama?  Can this person contact me privately?  I have 
some questions regarding the program.  Thanks!

Alison Trider, MS, APRN, CNM
ctmidwife at comcast.net


 
)


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From LauraHoemanARNP at aol.com  Mon Apr  5 13:34:28 2004
From: LauraHoemanARNP at aol.com (LauraHoemanARNP at aol.com)
Date: Mon, 5 Apr 2004 16:34:28 EDT
Subject: [PrvPracNP] Univ. South Alabama psych program
Message-ID: <121.2d1f930c.2da31cd4@aol.com>

I don't mind having this on the regular list, but if a second list is formed, 
I'd like to be included. --Laura
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From pamme at sbcglobal.net  Mon Apr  5 17:42:43 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Mon, 5 Apr 2004 19:42:43 -0500
Subject: [PrvPracNP] cash paying only
References: <BAY5-DAV29WOxbCJnEM0000e2f7@hotmail.com>
Message-ID: <003e01c41b70$1348ed10$209cfea9@VAIO>

Word of caution:  you can charge your cash paying patients more than medicare/medicaid, but it is a legal violation to charge them less.
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Audrey Van Voorhis 
  To: prvpracnp 
  Sent: Sunday, April 04, 2004 7:50 PM
  Subject: Re: [PrvPracNP] cash paying only


  We have a $35 fee for those without insurance. They have to pay at time of service. They can pay either with cash, check or credit card.  Haven't had any trouble with this. We also take insurance, medicaire and medicaid.

  Audrey



    ----- Original Message -----
    From: Alex Wagner
    Sent: Sunday, April 04, 2004 5:33 PM
    To: Private Practice NPs
    Subject: Re: [PrvPracNP] cash paying only

    How do you set your fees? Are you an FNP?
    what do you do with Medicare patients?

    thanks.

    At 06:25 PM 4/4/2004, you wrote:

      In a message dated 4/4/2004 5:14:14 PM Eastern Standard Time, buckwheat at cybernet1.com writes:

        1. have any of you initiated a cash paying for visit only policy in your 

        office.

        2. do any on you have suggestions on getting patients to pay at time of 

        service?

        --------------------------alex


      I do. THey pay me by the hour, check or cash only .  I do not take any insurances.
       
      Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From pamme at sbcglobal.net  Mon Apr  5 17:44:25 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Mon, 5 Apr 2004 19:44:25 -0500
Subject: [PrvPracNP] cash paying only
References: <67.25aa79cc.2da21b05@aol.com>
Message-ID: <005d01c41b70$50207cd0$209cfea9@VAIO>

It is illegal not to get co-pays.  Found that out when I worked for a derm clinic.
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: LauraHoemanARNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Sunday, April 04, 2004 9:14 PM
  Subject: Re: [PrvPracNP] cash paying only


  I've been a member of Simple Care for four months or so and have only gotten one Simple Care referral. I think Simple Care's great and may be the wave of the future, but so far I'm not sure it would work for my practice, at least not as the only system. People are too accustomed to having insurance pay. I don't even ask my clients to pay copays at time of service. I clearly don't have all the answers!  --Laura 


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From pamme at sbcglobal.net  Mon Apr  5 17:50:23 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Mon, 5 Apr 2004 19:50:23 -0500
Subject: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice
References: <01af01c41918$94acf950$230110ac@ATLANTIS>
Message-ID: <009601c41b71$2589d1a0$209cfea9@VAIO>

Are we getting repeats?
I know I answered this already, but just in case.
There is no such thing as a Medical Corporation in Indiana.
The midwest tries to keep things simple.  What a concept eh?

~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we are here, we may as well dance Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things 
----- Original Message ----- 
From: "Rob Wren" <rob at wren.net>
To: "'Private Practice NPs'" <prvpracnp at nurse.net>
Sent: Friday, April 02, 2004 8:11 PM
Subject: RE: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice


> In California nurses are also able to form professional corporations, but if
> you are a nurse practitioner you have to form a medical corporation.  You
> can form a nursing corporation, but this allows you to only perform nursing
> duties, not medical.  To ensure you are completely covered under the law in
> California, you have to form a medical corporation with a physician.  You
> might want to check this out in your state, as several of the attorneys I
> spoke to were unaware of this and several NPs have been cited for illegally
> practicing medicine.  It may well be different in your state, but you may
> want to talk to a nurse attorney.
> Diane, MSN, C-FNP
> 
> -----Original Message-----
> From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net]On
> Behalf Of Pr. Pamela A. Provost N.P.
> Sent: Friday, April 02, 2004 4:31 PM
> To: prvpracnp at nurse.net
> Subject: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice
> 
> 
> I saw my lawyer today and established a PC (professional corporation).  It
> will afford me some major tax breaks as well as protect my personal assets.
> PC are for licensed personnel.
> Regards,
> Pamme
> ~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
> are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
> Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
> Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
> Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
> Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
> ----- Original Message -----
> From: <curt at performancep.com>
> To: <prvpracnp at nurse.net>
> Sent: Wednesday, March 17, 2004 8:06 AM
> Subject: [Prv Prac NP] Starting an independent practice
> 
> 
> >
> >
> >
> > Hi,
> >
> > We are considering starting an indepedent practice in Northwest Indiana.
> If anyone has some helpful information I
> > would appreciate it. I was also wondering if anyone had an ideas
> concerning whether to form a S corporation or an LLC.
> >
> > Thanks, Curt
> >
> 
> _______________________________________________
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> 
> 
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From cindyjensennp at hotmail.com  Mon Apr  5 19:58:49 2004
From: cindyjensennp at hotmail.com (Cindy Jensen)
Date: Mon, 05 Apr 2004 19:58:49 -0700
Subject: [PrvPracNP] cash paying only
Message-ID: <BAY17-F65goFT3kMUVf0004647f@hotmail.com>

I have an independent practice and charge $45.00 for cash visits.  Unlike 
with private insurance, I don't differentiate between established patients 
and new patients.  I am hoping that I will not run into trouble with 
Medicare as these visits are a small part of my practice.   Also, collecting 
the copays up front is essential if you are going to stay in business.  
Where I run into trouble is when the front office staff fails to read the 
insurance card thoroughly and I am unable to bill because the patient is a 
member of an HMO or is required to see a specific provider.  I (probably) 
lost around $80.00 today for this reason with one new patient.  It wasn't 
caught until the MA noted it when she was preparing to send out her lab.  
The patient and I would have both been better off if I had just charged her 
the $45.00 cash.  We were getting hit pretty hard with patients being seen 
for the first time without a verifiable insurance card or leaving without 
paying their bill if cash patient.  We now have a sign that states "If this 
is your first visit and you do not have an insurance card or if you are 
paying cash we require a $100.00 deposit."  I then refund the difference at 
the end of the visit.
Cindy


>From: "Heather Schlessman" <hschlessman at Bluecc.edu>
>Reply-To: Private Practice NPs <prvpracnp at nurse.net>
>To: <buckwheat at cybernet1.com>, <prvpracnp at nurse.net>
>Subject: Re: [PrvPracNP] cash paying only
>Date: Sun, 04 Apr 2004 20:14:44 -0700
>
>i have an independent practice, i don't have an office, i see all my 
>patients (pediatrics) in their homes and i charge $50, i give them a bill 
>to send to insurance if they have it..have had no trouble in getting 
>payment at the time of the visit.
>Heather Schlessman CPNP
>
> >>> buckwheat at cybernet1.com 04/04/04 14:15 PM >>>
>1. have any of you initiated a cash paying for visit only policy in your
>office.
>2. do any on you have suggestions on getting patients to pay at time of
>service?
>--------------------------alex
>
>
>
>---
>[This E-mail scanned for viruses]
>
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From LauraHoemanARNP at aol.com  Tue Apr  6 00:14:03 2004
From: LauraHoemanARNP at aol.com (LauraHoemanARNP at aol.com)
Date: Tue, 6 Apr 2004 03:14:03 EDT
Subject: [PrvPracNP] Co-pays
Message-ID: <48.2a114528.2da3b2bb@aol.com>

One of the insurance contracts I signed states that occasionally copays may 
be waived for charity reasons., but they expect this won't happen too often. I 
thought this was enlightened of them.  Once in awhile if someone's having a 
really hard time I might waive the copay., but I don't make a habit of it. 
--Laura
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From pamme at sbcglobal.net  Tue Apr  6 02:20:57 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Tue, 6 Apr 2004 04:20:57 -0500
Subject: [PrvPracNP] Co-pays
References: <48.2a114528.2da3b2bb@aol.com>
Message-ID: <012a01c41bb8$78b33780$209cfea9@VAIO>

Interesting.  Check with Medicaid/Medicare though.  Unless they changed the rules, that is what makes co-pay waiver illegal.
And yes Laura, I agree.  Very enlightened of that one insurance company.
It used to be that way across the board.
However, our wonderful congressionals in their enormous wisdom, determined that when (and this started with hospitals) co-pays, prices etc., were reduced, waived etc., that the burden was placed on the rest of the payor sources.  This is what caused the first round of HMO's jumping to the forefront and that was some years ago.  It escalated into the garbage, we now call our health care system.
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: LauraHoemanARNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Tuesday, April 06, 2004 2:14 AM
  Subject: [PrvPracNP] Co-pays


  One of the insurance contracts I signed states that occasionally copays may be waived for charity reasons., but they expect this won't happen too often. I thought this was enlightened of them.  Once in awhile if someone's having a really hard time I might waive the copay., but I don't make a habit of it. --Laura 


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From ctmidwife at hotmail.com  Tue Apr  6 07:33:16 2004
From: ctmidwife at hotmail.com (Alison Trider)
Date: Tue, 06 Apr 2004 10:33:16 -0400
Subject: [PrvPracNP] Univ. South Alabama psych program
Message-ID: <BAY12-F60wMi3d9z6W10000c86c@hotmail.com>

I emailed USA for info on this program.  What I got back was -

1.  the deadline for application was April 1 - however you can still apply 
now.

2.  Cost is in fact $209 per credit hour

3.  There is no residency requirement.  It is done entirely from your 
locale.  The website mentioned something about orientation in AL - but I 
guess it isn't so.

4.  And from the department chair, "What we do is teach our students 
evidence-based approaches for treating
mental illness. Medications are a large part of our armamentarium. We
also focus on the importance of the therapeutic relationship and
teaching the basics of cognitive behavioral therapy. We do process
recordings to analyze interactions and offer suggestions about being as
therapeutic as possible."

5.  Also from the director, "You would be required to do an average of 12 
hours a week of clinical in
a setting with a psychiatric focus. A four semester minimum comprises
the "formal postmasters program" that the ANCC requires to sit for the
psych np exam. Our program has a very high pass rate for this
certification exam. "

I am seriously thinking of applying for this.  Geez, I don't have to leave 
home.... and the price is unbelievably reasonable!  I think it even beats 
"in state" tuition rates here in CT!

Alison Trider, MS, APRN, CNM
Farmington, CT

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From GIN11153 at aol.com  Tue Apr  6 09:41:44 2004
From: GIN11153 at aol.com (GIN11153 at aol.com)
Date: Tue, 6 Apr 2004 12:41:44 EDT
Subject: [PrvPracNP] Co-pays
Message-ID: <1c5.16b5e3f2.2da437c8@aol.com>

Listmates,

Was going to answer this last night but went to sleep instead as I had a 
migraine. My husband, a general surgeon, said I should mention, after these recent 
posts about copays, that is is strictly illegal to not send a bill for the 
copay to a Medicare patient to show that you attempted to pay.  You can tell the 
patient secretly to thow it out but you have to have something in the chart 
showing you tried to collect the 20%.

Gail Neuman RNC CPHW SNP LNC
listowner of LegalNurseConsulting at yahoogroups.com
certified high risk OB/legal nurse consultant
Tustin, CA
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From pamme at sbcglobal.net  Tue Apr  6 17:10:16 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Tue, 6 Apr 2004 19:10:16 -0500
Subject: [PrvPracNP] Co-pays
References: <1c5.16b5e3f2.2da437c8@aol.com>
Message-ID: <003b01c41c34$b4e9b9f0$209cfea9@VAIO>

Gail,
 You are an angel.  Thank you so much for that information.
Nothing is ever black and white and I knew there had to be a way around that sticky co-pay issue.
Ciao,
Pamme
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: GIN11153 at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Tuesday, April 06, 2004 11:41 AM
  Subject: Re: [PrvPracNP] Co-pays


  Listmates,

  Was going to answer this last night but went to sleep instead as I had a migraine. My husband, a general surgeon, said I should mention, after these recent posts about copays, that is is strictly illegal to not send a bill for the copay to a Medicare patient to show that you attempted to pay.  You can tell the patient secretly to thow it out but you have to have something in the chart showing you tried to collect the 20%.

  Gail Neuman RNC CPHW SNP LNC
  listowner of LegalNurseConsulting at yahoogroups.com
  certified high risk OB/legal nurse consultant
  Tustin, CA 


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From pamme at sbcglobal.net  Tue Apr  6 17:08:34 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Tue, 6 Apr 2004 19:08:34 -0500
Subject: [PrvPracNP] Univ. South Alabama psych program
References: <BAY12-F60wMi3d9z6W10000c86c@hotmail.com>
Message-ID: <002001c41c34$78460b70$209cfea9@VAIO>

LOL.  Anything beats in state rates in CT.
I have been in contact with Dr. McGuinness, the program's director.
As an alum of the MSN-FNP program, I highly recommend USA.
I am presently communicating with the the Associate Dean per the request of
Dr. McGuinness, as she describes my situation as unique, having practiced
primarily in the psychiatric/mental health field since graduating from the
MSN-FNP program.
I'll let you know what all the Dr. Rhodes decides that is required of me.
Certainly, some of my experience, past CEU's and externships should count
for something.  Whatever happened to grandfathering.  Dr. McGuinness did not
know anything about grandfathering, so I may have to contact the ANCC by
phone to specifically discuss my situation.  I'll keep you all informed of
the happenings.
Go for it Alison.  It is a great program and they are excellent instructors.
The high pass rate by the way is 100%.
Ciao,
Pamme
Pamela A. Provost N.P.
President
A. Provost Neuroscience, P.C.

----- Original Message ----- 
From: "Alison Trider" <ctmidwife at hotmail.com>
To: <prvpracnp at nurse.net>
Sent: Tuesday, April 06, 2004 9:33 AM
Subject: Re: [PrvPracNP] Univ. South Alabama psych program


> I emailed USA for info on this program.  What I got back was -
>
> 1.  the deadline for application was April 1 - however you can still apply
> now.
>
> 2.  Cost is in fact $209 per credit hour
>
> 3.  There is no residency requirement.  It is done entirely from your
> locale.  The website mentioned something about orientation in AL - but I
> guess it isn't so.
>
> 4.  And from the department chair, "What we do is teach our students
> evidence-based approaches for treating
> mental illness. Medications are a large part of our armamentarium. We
> also focus on the importance of the therapeutic relationship and
> teaching the basics of cognitive behavioral therapy. We do process
> recordings to analyze interactions and offer suggestions about being as
> therapeutic as possible."
>
> 5.  Also from the director, "You would be required to do an average of 12
> hours a week of clinical in
> a setting with a psychiatric focus. A four semester minimum comprises
> the "formal postmasters program" that the ANCC requires to sit for the
> psych np exam. Our program has a very high pass rate for this
> certification exam. "
>
> I am seriously thinking of applying for this.  Geez, I don't have to leave
> home.... and the price is unbelievably reasonable!  I think it even beats
> "in state" tuition rates here in CT!
>
> Alison Trider, MS, APRN, CNM
> Farmington, CT
>
> _________________________________________________________________
> Get rid of annoying pop-up ads with the new MSN Toolbar ? FREE!
> http://toolbar.msn.com/go/onm00200414ave/direct/01/
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp
> % You can change you list options and unsubscribe from this page



From sdrakenp at comcast.net  Tue Apr  6 18:41:21 2004
From: sdrakenp at comcast.net (Suellen Drake)
Date: Tue, 6 Apr 2004 21:41:21 -0400
Subject: [PrvPracNP] Univ. South Alabama psych program
References: <BAY12-F60wMi3d9z6W10000c86c@hotmail.com>
Message-ID: <004801c41c41$6e397dd0$6401a8c0@choices.local>

The tuition was much lower than our local Psych program.  I have found USA a
great program!  I feel that I am learning more than if I was going to class
as I can "attend" class on my computer when I have time and in the right
frame of mind to make the best of the learning experience.  Working with
local preceptors rounds out the course. Hope you get started with it.
Suellen Drake, MS, ARNP (FNP)
----- Original Message -----
From: "Alison Trider" <ctmidwife at hotmail.com>
To: <prvpracnp at nurse.net>
Sent: Tuesday, April 06, 2004 10:33 AM
Subject: Re: [PrvPracNP] Univ. South Alabama psych program


> I emailed USA for info on this program.  What I got back was -
>
> 1.  the deadline for application was April 1 - however you can still apply
> now.
>
> 2.  Cost is in fact $209 per credit hour
>
> 3.  There is no residency requirement.  It is done entirely from your
> locale.  The website mentioned something about orientation in AL - but I
> guess it isn't so.
>
> 4.  And from the department chair, "What we do is teach our students
> evidence-based approaches for treating
> mental illness. Medications are a large part of our armamentarium. We
> also focus on the importance of the therapeutic relationship and
> teaching the basics of cognitive behavioral therapy. We do process
> recordings to analyze interactions and offer suggestions about being as
> therapeutic as possible."
>
> 5.  Also from the director, "You would be required to do an average of 12
> hours a week of clinical in
> a setting with a psychiatric focus. A four semester minimum comprises
> the "formal postmasters program" that the ANCC requires to sit for the
> psych np exam. Our program has a very high pass rate for this
> certification exam. "
>
> I am seriously thinking of applying for this.  Geez, I don't have to leave
> home.... and the price is unbelievably reasonable!  I think it even beats
> "in state" tuition rates here in CT!
>
> Alison Trider, MS, APRN, CNM
> Farmington, CT
>
> _________________________________________________________________
> Get rid of annoying pop-up ads with the new MSN Toolbar - FREE!
> http://toolbar.msn.com/go/onm00200414ave/direct/01/
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp
> % You can change you list options and unsubscribe from this page



From pamme at sbcglobal.net  Tue Apr  6 20:43:26 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Tue, 6 Apr 2004 22:43:26 -0500
Subject: [PrvPracNP] Univ. South Alabama psych program
References: <BAY12-F60wMi3d9z6W10000c86c@hotmail.com>
	<004801c41c41$6e397dd0$6401a8c0@choices.local>
Message-ID: <000701c41c52$7cb94870$209cfea9@VAIO>

That is excellent.  You should let USA know.  I told them that I was highly
recommending it on this list.  I also sent and email to the AANP.  They
don't have a psych NP cert exam yet.
Ciao,
Pamme
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: "Suellen Drake" <sdrakenp at comcast.net>
To: "Private Practice NPs" <prvpracnp at nurse.net>
Sent: Tuesday, April 06, 2004 8:41 PM
Subject: Re: [PrvPracNP] Univ. South Alabama psych program


> The tuition was much lower than our local Psych program.  I have found USA
a
> great program!  I feel that I am learning more than if I was going to
class
> as I can "attend" class on my computer when I have time and in the right
> frame of mind to make the best of the learning experience.  Working with
> local preceptors rounds out the course. Hope you get started with it.
> Suellen Drake, MS, ARNP (FNP)
> ----- Original Message -----
> From: "Alison Trider" <ctmidwife at hotmail.com>
> To: <prvpracnp at nurse.net>
> Sent: Tuesday, April 06, 2004 10:33 AM
> Subject: Re: [PrvPracNP] Univ. South Alabama psych program
>
>
> > I emailed USA for info on this program.  What I got back was -
> >
> > 1.  the deadline for application was April 1 - however you can still
apply
> > now.
> >
> > 2.  Cost is in fact $209 per credit hour
> >
> > 3.  There is no residency requirement.  It is done entirely from your
> > locale.  The website mentioned something about orientation in AL - but I
> > guess it isn't so.
> >
> > 4.  And from the department chair, "What we do is teach our students
> > evidence-based approaches for treating
> > mental illness. Medications are a large part of our armamentarium. We
> > also focus on the importance of the therapeutic relationship and
> > teaching the basics of cognitive behavioral therapy. We do process
> > recordings to analyze interactions and offer suggestions about being as
> > therapeutic as possible."
> >
> > 5.  Also from the director, "You would be required to do an average of
12
> > hours a week of clinical in
> > a setting with a psychiatric focus. A four semester minimum comprises
> > the "formal postmasters program" that the ANCC requires to sit for the
> > psych np exam. Our program has a very high pass rate for this
> > certification exam. "
> >
> > I am seriously thinking of applying for this.  Geez, I don't have to
leave
> > home.... and the price is unbelievably reasonable!  I think it even
beats
> > "in state" tuition rates here in CT!
> >
> > Alison Trider, MS, APRN, CNM
> > Farmington, CT
> >
> > _________________________________________________________________
> > Get rid of annoying pop-up ads with the new MSN Toolbar - FREE!
> > http://toolbar.msn.com/go/onm00200414ave/direct/01/
> >
> > _______________________________________________
> > PrvPracNP mailing list
> > PrvPracNP at nurse.net
> > http://lists.nurse.net/mailman/listinfo/prvpracnp
> > % You can change you list options and unsubscribe from this page
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp
> % You can change you list options and unsubscribe from this page



From nravey at bellsouth.net  Wed Apr  7 05:39:25 2004
From: nravey at bellsouth.net (Nina Ravey)
Date: Wed, 7 Apr 2004 07:39:25 -0500
Subject: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice
In-Reply-To: <03c701c4198d$7de3c9e0$209cfea9@VAIO>
Message-ID: <20040407123928.WFGA1729.imf24aec.mail.bellsouth.net@nina>

Catherine, Pam or anyone really,

What is the link for the archives hosted by Catherine?

Thanks

Nina

 

Nina Ravey, RN, MSN, CNS, C-FNP
Family Nurse Practitioner
Shirley Medical Clinic
711 N. Main St.
Jennings, LA 70546
337-824-2002
Fax:337-824-2004
www.shirleymedical.com
Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
Management, Physical Medicine and Rehabilitation, Diabetic Education
Classes, Walk-ins, Appointments

"It never ceases to amaze me how being a good nurse is often in direct
opposition to being a "good employee."

 

  _____  

From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
Behalf Of Pr. Pamela A. Provost N.P.
Sent: Saturday, April 03, 2004 9:08 AM
To: Private Practice NPs
Subject: Re: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice

 

HI Diane,

Thanks for your words of caution.

I already discussed all of this with my attorney.  He does business law for
the state of Indiana.  In Indiana, all licensed personnel can form
corporations.  A license statement is sent to the the attorney from the
state board to be kept in the corporation's file.  This statement can only
be issued if a collaborative agreement is in place.  You can't be issued a
CSR in Indiana without a collaborative agreement.  You can prescribe
non-scheduled medications and treatments without a collaboration.  However,
this restricts practice as we all know.

There is no medical corporation, nor nursing corporation in the state of
Indiana.  All licensed individuals and this includes attorneys,
psychologists, chiropractors etc. are able to form corporations under the
umbrella of a Professional Corporation aka PC.

BTW, did you notice that the d/ba for my P.C. is APN, P.C.   I love humor!!

Thanks again,

Pamme

PS:  At one time, I thought of moving to CA to practice, but found the
restrictions to convoluted for my level of stress.

~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things 

----- Original Message ----- 

From: "Diane Wren" < <mailto:feverfixer at wren.net> feverfixer at wren.net>

To: "'Private Practice NPs'" < <mailto:prvpracnp at nurse.net>
prvpracnp at nurse.net>

Sent: Friday, April 02, 2004 9:07 PM

Subject: RE: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice

 

> In California nurses are also able to form professional corporations, but
if
> you are a nurse practitioner you have to form a medical corporation.  You
> can form a nursing corporation, but this allows you to only perform
nursing
> duties, not medical.  To ensure you are completely covered under the law
in
> California, you have to form a medical corporation with a physician.  You
> might want to check this out in your state, as several of the attorneys I
> spoke to were unaware of this and several NPs have been cited for
illegally
> practicing medicine.  It may well be different in your state, but you may
> want to talk to a nurse attorney.
> Diane, MSN, C-FNP
> 
> -----Original Message-----
> From:  <mailto:prvpracnp-bounces at nurse.net> prvpracnp-bounces at nurse.net
[mailto:prvpracnp-bounces at nurse.net]On
> Behalf Of Pr. Pamela A. Provost N.P.
> Sent: Friday, April 02, 2004 4:31 PM
> To:  <mailto:prvpracnp at nurse.net> prvpracnp at nurse.net
> Subject: [PrvPracNP] Re: [Prv Prac NP] Starting an independent practice
> 
> 
> I saw my lawyer today and established a PC (professional corporation).  It
> will afford me some major tax breaks as well as protect my personal
assets.
> PC are for licensed personnel.
> Regards,
> Pamme
> ~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while
we
> are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
> Climb to End Breast Cancer! Join Care2.com's Race for Children in Need!
Join
> Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
> Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
> Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
> ----- Original Message -----
> From: < <mailto:curt at performancep.com> curt at performancep.com>
> To: < <mailto:prvpracnp at nurse.net> prvpracnp at nurse.net>
> Sent: Wednesday, March 17, 2004 8:06 AM
> Subject: [Prv Prac NP] Starting an independent practice
> 
> 
> >
> >
> >
> > Hi,
> >
> > We are considering starting an indepedent practice in Northwest Indiana.
> If anyone has some helpful information I
> > would appreciate it. I was also wondering if anyone had an ideas
> concerning whether to form a S corporation or an LLC.
> >
> > Thanks, Curt
> >
> 
> _______________________________________________
> PrvPracNP mailing list
>  <mailto:PrvPracNP at nurse.net> PrvPracNP at nurse.net
>  <http://lists.nurse.net/mailman/listinfo/prvpracnp>
http://lists.nurse.net/mailman/listinfo/prvpracnp
> % You can change you list options and unsubscribe from this page
> 
> 
> 
> _______________________________________________
> PrvPracNP mailing list
>  <mailto:PrvPracNP at nurse.net> PrvPracNP at nurse.net
>  <http://lists.nurse.net/mailman/listinfo/prvpracnp>
http://lists.nurse.net/mailman/listinfo/prvpracnp
> % You can change you list options and unsubscribe from this page

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From pamme at sbcglobal.net  Sat Apr  3 06:35:26 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Sat, 3 Apr 2004 09:35:26 -0500
Subject: [PrvPracNP] Changing options on this list.
References: <016901c41933$9d82d480$6400a8c0@lea>
Message-ID: <032c01c41988$e8ba32e0$209cfea9@VAIO>

MessageThat's where I went.  They required an email addy and password.
They wouldn't take what I gave them.
Said I didn't exist.
I queued for password reminder and rec'd nothing.
I checked through my files and never did receive a confirmation to list joining.
In fact, I am not sure how I ended up on this list, but am very happy to be here.
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Melinda L Poso 
  To: 'Private Practice NPs' 
  Sent: Friday, April 02, 2004 11:24 PM
  Subject: RE: [PrvPracNP] Changing options on this list.


  try this, page for digest option, to subsrcibe and unscribe.
  http://lists.nurse.net/mailman/listinfo/prvpracnp


  -Lea
    -----Original Message-----
    From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On Behalf Of Pr. Pamela A. Provost N.P.
    Sent: Friday, April 02, 2004 4:51 PM
    To: Private Practice NPs
    Subject: Re: [PrvPracNP] Changing options on this list.


    Marla,
    I went to the site and tried to see what options were available.  Not only does my password not work, I did not receive the password when I clicked on unable to find.  Supposedly, it was to be sent to my email addy.  No such luck.
    ON the site, there is a place where you can change options/unsubscribe.  I couldn't get in to find out what the options were.
    What a world, what a world, what a world LOL.
    Peace,
    Pamme
          ~:~~:~ 
          GOD BLESS US ALL

          Life may not be the party we hoped for, but while we are here, we may as well dance

          Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
    ----- Original Message ----- 
      From: SamaraFNP at aol.com 
      To: prvpracnp at nurse.net 
      Sent: Friday, April 02, 2004 6:20 PM
      Subject: Re: [PrvPracNP] please remove from list


      I don't want to be removed but I want to get all my emails for a day at once. I went to nurse net and it did not help.  please someone tell me how to reduce the emails. (not that you all don't have wonderful things to teach me!)

      Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)


--------------------------------------------------------------------------


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From hschlessman at Bluecc.edu  Mon Apr  5 11:50:23 2004
From: hschlessman at Bluecc.edu (Heather Schlessman)
Date: Mon, 05 Apr 2004 11:50:23 -0700
Subject: [PrvPracNP] cash paying only
Message-ID: <s0714815.072@email.bmcc.cc.or.us>

i practice in oregon, i am a full time nursing instructor, so only wanted a part time practice..seeing them at home cuts down on overhead..i used to be a visiting nurse and always liked that aspect, the patients love it..i have a bag with all the supplies i think i might need..its very part time now, but i plan on doing sports physicals this summer in a room i can rent from my church and hand out cards then...right now it is work of mouth and thats enough for me..hs

>>> csdlp at eiu.edu 04/05/04 10:18AM >>>
What made you decide to see patients at home only?  How is this going?  What state are you in?

I am starting a new independent practice in October.  This information may be helpful to assist me with my business plan.

Thanks

Daphne Piercy RN, MSN, CFNP -- IL

Heather Schlessman wrote:

> i have an independent practice, i don't have an office, i see all my patients (pediatrics) in their homes and i charge $50, i give them a bill to send to insurance if they have it..have had no trouble in getting payment at the time of the visit.
> Heather Schlessman CPNP
>
> >>> buckwheat at cybernet1.com 04/04/04 14:15 PM >>>
> 1. have any of you initiated a cash paying for visit only policy in your
> office.
> 2. do any on you have suggestions on getting patients to pay at time of
> service?
> --------------------------alex
>
> ---
> [This E-mail scanned for viruses]
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net 
> http://lists.nurse.net/mailman/listinfo/prvpracnp 
> % You can change you list options and unsubscribe from this page
>
> _______________________________________________
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> PrvPracNP at nurse.net 
> http://lists.nurse.net/mailman/listinfo/prvpracnp 
> % You can change you list options and unsubscribe from this page

_______________________________________________
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PrvPracNP at nurse.net 
http://lists.nurse.net/mailman/listinfo/prvpracnp 
% You can change you list options and unsubscribe from this page



From csdlp at eiu.edu  Wed Apr  7 09:59:06 2004
From: csdlp at eiu.edu (Daphne Piercy)
Date: Wed, 07 Apr 2004 11:59:06 -0500
Subject: [PrvPracNP] cash paying only
References: <s0714815.072@email.bmcc.cc.or.us>
Message-ID: <4074335A.32D8AA48@eiu.edu>

thanks for the information.  daphne

Heather Schlessman wrote:

> i practice in oregon, i am a full time nursing instructor, so only wanted a part time practice..seeing them at home cuts down on overhead..i used to be a visiting nurse and always liked that aspect, the patients love it..i have a bag with all the supplies i think i might need..its very part time now, but i plan on doing sports physicals this summer in a room i can rent from my church and hand out cards then...right now it is work of mouth and thats enough for me..hs
>
> >>> csdlp at eiu.edu 04/05/04 10:18AM >>>
> What made you decide to see patients at home only?  How is this going?  What state are you in?
>
> I am starting a new independent practice in October.  This information may be helpful to assist me with my business plan.
>
> Thanks
>
> Daphne Piercy RN, MSN, CFNP -- IL
>
> Heather Schlessman wrote:
>
> > i have an independent practice, i don't have an office, i see all my patients (pediatrics) in their homes and i charge $50, i give them a bill to send to insurance if they have it..have had no trouble in getting payment at the time of the visit.
> > Heather Schlessman CPNP
> >
> > >>> buckwheat at cybernet1.com 04/04/04 14:15 PM >>>
> > 1. have any of you initiated a cash paying for visit only policy in your
> > office.
> > 2. do any on you have suggestions on getting patients to pay at time of
> > service?
> > --------------------------alex
> >
> > ---
> > [This E-mail scanned for viruses]
> >
> > _______________________________________________
> > PrvPracNP mailing list
> > PrvPracNP at nurse.net
> > http://lists.nurse.net/mailman/listinfo/prvpracnp
> > % You can change you list options and unsubscribe from this page
> >
> > _______________________________________________
> > PrvPracNP mailing list
> > PrvPracNP at nurse.net
> > http://lists.nurse.net/mailman/listinfo/prvpracnp
> > % You can change you list options and unsubscribe from this page
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp
> % You can change you list options and unsubscribe from this page
>
> _______________________________________________
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> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp
> % You can change you list options and unsubscribe from this page



From SamaraFNP at aol.com  Wed Apr  7 14:42:26 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Wed, 7 Apr 2004 17:42:26 EDT
Subject: [PrvPracNP] Re: PrvPracNP Digest, Vol 2, Issue 42
Message-ID: <6d.2652470e.2da5cfc2@aol.com>

How do I reach this USA program for psych np?

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From pamme at sbcglobal.net  Wed Apr  7 15:24:01 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Wed, 7 Apr 2004 17:24:01 -0500
Subject: [PrvPracNP] USA's url
References: <6d.2652470e.2da5cfc2@aol.com>
Message-ID: <00ae01c41cef$07f8e4d0$209cfea9@VAIO>

http://www.southalabama.edu/nursing/
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: SamaraFNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Wednesday, April 07, 2004 4:42 PM
  Subject: [PrvPracNP] Re: PrvPracNP Digest, Vol 2, Issue 42


  How do I reach this USA program for psych np?

  Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)


------------------------------------------------------------------------------


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From buckwheat at cybernet1.com  Wed Apr  7 16:32:30 2004
From: buckwheat at cybernet1.com (Alex Wagner)
Date: Wed, 07 Apr 2004 17:32:30 -0600
Subject: [PrvPracNP] restraint of trade
Message-ID: <6.0.3.0.0.20040407173033.01f5e490@mail.cybernet1.com>

Anyone have any thoughts on the subject of restraint of Trade?
My concern is trying to obtain Jessner's solution for chemical peels for my 
acne patients and cosmetology patients.  The company won't sell it to me 
because I am not a doctor.
I have a DEA license and feel that this is a restraint of Trade to deny me 
access to this medication.  What do you think?--------alex


---
[This E-mail scanned for viruses]



From pamme at sbcglobal.net  Wed Apr  7 19:04:53 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Wed, 7 Apr 2004 21:04:53 -0500
Subject: [PrvPracNP] restraint of trade
References: <6.0.3.0.0.20040407173033.01f5e490@mail.cybernet1.com>
Message-ID: <01bc01c41d0d$e2ab6440$209cfea9@VAIO>

I think that is totally inappropriate.
I used Jessner's all the time when I was doing dermatology.
Can you find an alternative solution.  I know Jessner's is great for
difficult spots but there are some very potent glycolics that will work just
as well.
Ciao,
Pamme
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: "Alex Wagner" <buckwheat at cybernet1.com>
To: <prvpracnp at nurse.net>
Sent: Wednesday, April 07, 2004 6:32 PM
Subject: [PrvPracNP] restraint of trade


> Anyone have any thoughts on the subject of restraint of Trade?
> My concern is trying to obtain Jessner's solution for chemical peels for
my
> acne patients and cosmetology patients.  The company won't sell it to me
> because I am not a doctor.
> I have a DEA license and feel that this is a restraint of Trade to deny me
> access to this medication.  What do you think?--------alex
>
>
> ---
> [This E-mail scanned for viruses]
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp
> % You can change you list options and unsubscribe from this page



From emarcz at earthlink.net  Thu Apr  8 09:35:35 2004
From: emarcz at earthlink.net (E  Marciczkiewicz)
Date: Thu, 8 Apr 2004 12:35:35 -0400
Subject: [PrvPracNP] Univ. South Alabama psych program
References: <BAY12-F60wMi3d9z6W10000c86c@hotmail.com>
Message-ID: <005501c41d87$85191320$932cfea9@minenml0wgc2g2>

Alison,
I think it's exciting as well!  I just don't have the time or the $$
resources in my life to do it any other way and cannot believe that such an
opportunity actually exists.  What good fortune!
Ava Marciczkiewicz, NP
Boston
----- Original Message ----- 
From: "Alison Trider" <ctmidwife at hotmail.com>
To: <prvpracnp at nurse.net>
Sent: Tuesday, April 06, 2004 10:33 AM
Subject: Re: [PrvPracNP] Univ. South Alabama psych program


> I emailed USA for info on this program.  What I got back was -
>
> 1.  the deadline for application was April 1 - however you can still apply
> now.
>
> 2.  Cost is in fact $209 per credit hour
>
> 3.  There is no residency requirement.  It is done entirely from your
> locale.  The website mentioned something about orientation in AL - but I
> guess it isn't so.
>
> 4.  And from the department chair, "What we do is teach our students
> evidence-based approaches for treating
> mental illness. Medications are a large part of our armamentarium. We
> also focus on the importance of the therapeutic relationship and
> teaching the basics of cognitive behavioral therapy. We do process
> recordings to analyze interactions and offer suggestions about being as
> therapeutic as possible."
>
> 5.  Also from the director, "You would be required to do an average of 12
> hours a week of clinical in
> a setting with a psychiatric focus. A four semester minimum comprises
> the "formal postmasters program" that the ANCC requires to sit for the
> psych np exam. Our program has a very high pass rate for this
> certification exam. "
>
> I am seriously thinking of applying for this.  Geez, I don't have to leave
> home.... and the price is unbelievably reasonable!  I think it even beats
> "in state" tuition rates here in CT!
>
> Alison Trider, MS, APRN, CNM
> Farmington, CT
>
> _________________________________________________________________
> Get rid of annoying pop-up ads with the new MSN Toolbar - FREE!
> http://toolbar.msn.com/go/onm00200414ave/direct/01/
>
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> % You can change you list options and unsubscribe from this page



From psumner2 at yahoo.com  Fri Apr  9 08:25:40 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Fri, 9 Apr 2004 08:25:40 -0700 (PDT)
Subject: [PrvPracNP] Univ. South Alabama psych program
Message-ID: <20040409152540.5126.qmail@web41601.mail.yahoo.com>

Here's a recommendation for Rush's psych NP web program. Paula

Note: forwarded message attached.


---------------------------------
Do you Yahoo!?
Yahoo! Small Business $15K Web Design Giveaway - Enter today
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Subject: Fwd: [pmhcouncil] Re: FYI Fwd: Re: [PrvPracNP] Univ. South Alabama	psych program
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From pamme at sbcglobal.net  Fri Apr  9 15:34:30 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Fri, 9 Apr 2004 17:34:30 -0500
Subject: [PrvPracNP] Re: [Prv Prac NP] Incorporating yourself/separating
	personal from business/Curt
Message-ID: <02bc01c41e82$d3b7b3f0$209cfea9@VAIO>

MessageJust wanted to let y'all know that it cost me $812 to form my corporation with the lawyer.
And Curt:  it is usually customary not to pay a collaborator.  However, I did come up with a deal for this one MD that I REALLY want as a collaborator.  I went to my two biggest clients and got them to talk about paying her malpractice.  Then, as a deal cincher, if I need to, I told her I would make her a shareholder in my corporation, for which I have to do a buy/sell agreement that would, in the event of my death, give all profits and the business to my children.  By making her a shareholder, she will get a percentage of the year end distribution of profit.  She really liked that incentive.
Ciao,
Pamme
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Pr. Pamela A. Provost N.P. 
  To: prvpracnp at nurse.net 
  Sent: Sunday, March 21, 2004 2:29 PM
  Subject: Re: [Prv Prac NP] Incorporating yourself/separating personal from business


  Thanks Pat for the info.  Greg recommended a malpractice lawyer as the type to use.  He quoted a $200-300 price.  I want as much information as I can get before I go "shopping" lol, for a lawyer.
  Pamme
        ~:~PAMELA~:~ 
        GOD BLESS US ALL

        Life may not be the party we hoped for, but while we are here, we may as well dance

        Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! 

        Join Care2.com's Race for Children in Need!

        Join Care2.com's Race for the Rain Forest!

        Join Care2.com's Race for the Big Cats! 

        Join Care2.com's Race for the Oceans!

        Join Care2.com's Race for the Primates!

        Join Care2.com's Race for Pets in Need!

        Holidays 'N Things
        coo  

    ----- Original Message ----- 
    From: Pat Camillo 
    To: prvpracnp at nurse.net 
    Sent: Sunday, March 21, 2004 10:11 AM
    Subject: Re: [Prv Prac NP] Incorporating yourself/separating personal from business


    I used a lawyer, Pamela, and that was her advice to me and for $1200, she set up the paper work......which is really very similar to an LLC. Apparently, the real difference is that with a PLLC, you must be a licensed health professional. 

    Pat Camillo PhD,RNC,ARNP-BC
    Associate Professor and Director
    Women's Health Program
    Seton Hall University
    South Orange, New Jersey
    Complete Online Programs!!!
    Menopause Consultations by Phone
    http://www.allwise.com

      ----- Original Message ----- 
      From: Pr. Pamela A. Provost N.P. 
      To: prvpracnp at nurse.net 
      Sent: Sunday, March 21, 2004 10:54 AM
      Subject: Re: [Prv Prac NP] Incorporating yourself/separating personal from business


      Hi Pat,
      When you were in Minnesota, how did you go about setting the PLLC up?
            ~:~PAMELA~:~ 
            GOD BLESS US ALL

            Life may not be the party we hoped for, but while we are here, we may as well dance

            Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! 

            Join Care2.com's Race for Children in Need!

            Join Care2.com's Race for the Rain Forest!

            Join Care2.com's Race for the Big Cats! 

            Join Care2.com's Race for the Oceans!

            Join Care2.com's Race for the Primates!

            Join Care2.com's Race for Pets in Need!

            Holidays 'N Things
            coo  

        ----- Original Message ----- 
        From: Pat Camillo 
        To: prvpracnp at nurse.net 
        Sent: Saturday, March 20, 2004 6:50 PM
        Subject: Re: [Prv Prac NP] Incorporating yourself/separating personal from business


        When I was in Minnesota, I needed to set up a version of an LLC for health professionals - I think it was called a PLLC.....also facing a similar scenario in NYC.....told I would need to incorporate as a PC if I wanted to practice under a corporate umbrella. Anyone else experience this?

        Pat Camillo PhD,RNC,ARNP-BC
        Associate Professor and Director
        Women's Health Program
        Seton Hall University
        South Orange, New Jersey
        Complete Online Programs!!!
        Menopause Consultations by Phone
        http://www.allwise.com

          ----- Original Message ----- 
          From: Shawn Frizzell 
          To: prvpracnp at nurse.net 
          Sent: Thursday, March 18, 2004 1:15 PM
          Subject: RE: [Prv Prac NP] Incorporating yourself/separating personal from business


          Pamela,
          Being a sole proprietor means that you have very little coverage from liability. (even if you have insurance, they can go after your personal assets) There are also tax benefits that you can enjoy as an LLC. It is a little more difficult to file, but it can save you a lot in taxes. Unless someone can tell me a reason not to, I would suggest that you set up a LLC as soon as possible. It doesn't cost that much and can be a huge benefit.

          Shawn



----------------------------------------------------------------------
          From: owner-prvpracnp at nurse.net [mailto:owner-prvpracnp at nurse.net] On Behalf Of Pr. Pamela A. Provost N.P.
          Sent: Thursday, March 18, 2004 11:10 AM
          To: prvpracnp at nurse.net
          Subject: Re: [Prv Prac NP] Incorporating yourself/separating personal from business


          Shawn,
          What if one is the sole proprietor.  Then what?
          I am in private practice as an independent contractor.

                ~:~PAMELA~:~ 
                GOD BLESS US ALL

               

            ----- Original Message ----- 
            From: Shawn Frizzell 
            To: prvpracnp at nurse.net 
            Sent: Sunday, March 07, 2004 12:39 PM
            Subject: RE: [Prv Prac NP] Incorporating yourself/separating personal from business


            Just an FYI, a S Corp and a LLC are basically the same thing. They both are "pass through" entities, meaning that the corporation doesn't pay taxes itself, they all flow down to the owners. S Corps have a few more issues with them, so most lawyers and CPA's now recommend Lilacs, but they are fairly new (last 10-15 years), so some prefer to go with S Corps. You really can't go wrong with either, as long as you don't remain a sole proprietor. 

            Shawn



--------------------------------------------------------------------
            From: owner-prvpracnp at nurse.net [mailto:owner-prvpracnp at nurse.net] On Behalf Of Nina Ravey
            Sent: Saturday, March 06, 2004 8:32 PM
            To: prvpracnp at nurse.net
            Subject: RE: [Prv Prac NP] Incorporating yourself/separating personal from business


            I was give different types of advice - first I needed to be a LLC and then an S Corp - the S Corp won out although different people like different ways of doing business.  But this keeps your personal stuff fairly safe if not foolproof.  You have to file for a tax id - but when your lawyer sets up your business with the state, you have to choose a name for your buisness and they have to check to make sure no one else has that name and then they file with the Secretary of State and while they are doing that, they can also file for your tax id number.
            Words of advice from one who's made all the mistakes - do your own billing, get a good CPA who is honest and doesn't charge you an arm and a leg, hire a skeleton crew at first until you start getting busy, delegate responsibility and when someone doesn't live up to their responsibility, let them go and hire someone else.  You yourself should see your patients because they'll get to know you and trust you and want to come back to see you and recommend friends and relatives to come also.  I also send out birthday announcements each month to all patients - doing all February's that month, all Marchs that month and so on.  I also send thank you cards to new patients soon after their visit and try to find out how they came to me and then send the person who recommened them a thank you also.  People appreciate the personal touch and feel special which most people are not made to feel special much in this world anymore.  I'm also fixing to put up a booth at a chamber of commerce trade fair where anywhere from 800 - 1000 people came last year and a great way to meet people, do teaching, give away blood sugar monitors and have people put their names and addresses from which to pull names and then send those people newsletters when you have them.
            I got a little carried away - please forgive me
            Nina


            Nina Ravey, RN, MSN, CNS, C-FNP
            Family Nurse Practitioner
            Shirley Medical Clinic
            711 N. Main St.
            Jennings, LA 70546
            337-824-2002
            Fax:337-824-2004
            www.shirleymedical.com
            Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight Management, Physical Medicine and Rehabilitation, Diabetic Education Classes, Walk-ins, Appointments


            "It never ceases to amaze me how being a good nurse is often in direct opposition to being a "good employee."



              -----Original Message-----
              From: owner-prvpracnp at nurse.net [mailto:owner-prvpracnp at nurse.net] On Behalf Of Pr. Pamela A. Provost N.P.
              Sent: Saturday, March 06, 2004 5:33 PM
              To: prvpracnp at nurse.net
              Subject: [Prv Prac NP] Incorporating yourself/separating personal from business


              I am curious if anyone has gone through the motions of incorporating themselves?
              How does one protect one's personal ownings from lawsuit?
              Do you need a tax id # and if so, how do you obtain one?
                    ~:~PAMELA~:~ 
                    GOD BLESS US ALL

                    Life may not be the party we hoped for, but while we are here, we may as well dance

                    Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! 

                    Join Care2.com's Race for Children in Need!

                    Join Care2.com's Race for the Rain Forest!

                    Join Care2.com's Race for the Big Cats! 

                    Join Care2.com's Race for the Oceans!

                    Join Care2.com's Race for the Primates!

                    Join Care2.com's Race for Pets in Need!

                    Holidays 'N Things
                    coo  
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From psumner2 at yahoo.com  Fri Apr  9 20:48:07 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Fri, 9 Apr 2004 20:48:07 -0700 (PDT)
Subject: [PrvPracNP] 
	Fwd: April 10, 2004 Issue-conferences and marketing tips
Message-ID: <20040410034807.56734.qmail@web41605.mail.yahoo.com>

Thought you might be interested in this. Paula


---------------------------------
Do you Yahoo!?
Yahoo! Tax Center - File online by April 15th
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Subject: April 10, 2004 Issue
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From prispunnyfnp at metrocast.net  Sat Apr 10 16:13:41 2004
From: prispunnyfnp at metrocast.net (Priscilla Merrill)
Date: Sat, 10 Apr 2004 19:13:41 -0400
Subject: [PrvPracNP] Telephone coding/after hours
Message-ID: <PKEDIBHEGKJAPEHFEPMOKENMCJAA.prispunnyfnp@metrocast.net>

May I please pose a coding question?  Tonight, the Sat. eve before Easter, I
made an exception to my rule of seeing the patient.  I spent over 15 mins on
phone with mom asking all the history questions I would've asked in the
office.  Her 2 year old otherwise healthy son who I just saw last month for
a WCC, developed classic bacterial conjunctivitis after daycare exposure so
I called in an ointment.
I am new to private practice where I subcontract, if this makes any
difference in coding?
So, I've heard some that have been successful in coding for telephone visits
and/or after hours charge.  Or, do I just eat the charge and consider it
good PR?  I did inform her that I was making a rare exception and she seems
very knowledgeable.  Of course, no fevers, ENT complaints or cough.  
Thanks for any info you can offer.

Priscilla Merrill, FNP

---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.644 / Virus Database: 412 - Release Date: 3/26/2004
 
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From m.Poso at comcast.net  Sat Apr 10 17:36:06 2004
From: m.Poso at comcast.net (Melinda L Poso)
Date: Sat, 10 Apr 2004 17:36:06 -0700
Subject: [PrvPracNP] Telephone coding/after hours
In-Reply-To: <PKEDIBHEGKJAPEHFEPMOKENMCJAA.prispunnyfnp@metrocast.net>
Message-ID: <006f01c41f5c$fd0286b0$6400a8c0@lea>

Priscilla
	Do others on office bill telephone calls.  I'd prob go for
interediate.
99371 	brief
99372 	intermediate
99373	lengthy

-Lea
Melinda L Poso, MN, ARNP
Family Nurse Practitioner

My son is in Baghdad, please pray for world peace and all of our soldiers,
where ever they are.


>  -----Original Message-----
> From: 	prvpracnp-bounces at nurse.net
> [mailto:prvpracnp-bounces at nurse.net] 
> Sent:	Saturday, April 10, 2004 4:14 PM
> To:	Prvpracnp
> Subject:	[PrvPracNP] Telephone coding/after hours
> 
> May I please pose a coding question?  Tonight, the Sat. eve before Easter,
> I made an exception to my rule of seeing the patient.  I spent over 15
> mins on phone with mom asking all the history questions I would've asked
> in the office.  Her 2 year old otherwise healthy son who I just saw last
> month for a WCC, developed classic bacterial conjunctivitis after daycare
> exposure so I called in an ointment.
> I am new to private practice where I subcontract, if this makes any
> difference in coding?
> So, I've heard some that have been successful in coding for telephone
> visits and/or after hours charge.  Or, do I just eat the charge and
> consider it good PR?  I did inform her that I was making a rare exception
> and she seems very knowledgeable.  Of course, no fevers, ENT complaints or
> cough.  
> Thanks for any info you can offer.
> 
> Priscilla Merrill, FNP
> 
> ---
> Outgoing mail is certified Virus Free.
> Checked by AVG anti-virus system (http://www.grisoft.com).
> Version: 6.0.644 / Virus Database: 412 - Release Date: 3/26/2004
>   << File: ATT00104.txt >> 
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From SamaraFNP at aol.com  Sat Apr 10 18:39:46 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Sat, 10 Apr 2004 21:39:46 EDT
Subject: [PrvPracNP] (no subject)
Message-ID: <85.92abab6.2da9fbe2@aol.com>

I don't understand, once a day or more often, I am receiving a list of topics 
but I cannot click on them to expand nor can I find anything when I scroll 
down.  I wanted less emails, but did not want to be cut off completly from my 
new found friends.  Please don't tell me to go to the web site and change my 
settings as that is what I did and now I get nothing.

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From SamaraFNP at aol.com  Sun Apr 11 15:58:45 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Sun, 11 Apr 2004 18:58:45 EDT
Subject: [PrvPracNP] Re: PrvPracNP Digest, Vol 2, Issue 50
Message-ID: <104.439ff438.2dab27a5@aol.com>

I would definitly charge for the telephone call. If anything legally happened 
to that child you would have a documented record, of course, of all the facts 
of the phone "visit".  If you did not have a charge associated with it, I 
believe it would be somewhat fraudulent and the practice might not appreciate the 
"free advice".  If that mother told other mothers, before you know it (the 
practice might think), you could just do after hours triage and not bill and 
lose money.  My opinion.

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From gibbs at semo.net  Sun Apr 11 18:14:32 2004
From: gibbs at semo.net (Devona Gibbs)
Date: Sun, 11 Apr 2004 20:14:32 -0500
Subject: [PrvPracNP] Re: PrvPracNP Digest, Vol 2, Issue 50
References: <104.439ff438.2dab27a5@aol.com>
Message-ID: <001801c4202b$82deab50$7103c80a@yourkuh1evx06w>

One reason, besides the excessive number of calls to my home, that I got an unlisted number. I'm very selective about to whom I give my number, now. Also, my husband complained about getting woke up too much at night. Devona Gibbs, FNP


  I would definitly charge for the telephone call. If anything legally happened to that child you would have a documented record, of course, of all the facts of the phone "visit".  If you did not have a charge associated with it, I believe it would be somewhat fraudulent and the practice might not appreciate the "free advice".  If that mother told other mothers, before you know it (the practice might think), you could just do after hours triage and not bill and lose money.  My opinion.

  Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)


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From pamme at sbcglobal.net  Sun Apr 11 22:50:16 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Mon, 12 Apr 2004 00:50:16 -0500
Subject: [PrvPracNP] Telephone coding/after hours
References: <PKEDIBHEGKJAPEHFEPMOKENMCJAA.prispunnyfnp@metrocast.net>
Message-ID: <003201c42052$08938830$209cfea9@VAIO>

Some companies do pay for telephone triage if it is med related.

~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: "Priscilla Merrill" <prispunnyfnp at metrocast.net>
To: "Prvpracnp" <prvpracnp at nurse.net>
Sent: Saturday, April 10, 2004 6:13 PM
Subject: [PrvPracNP] Telephone coding/after hours


> May I please pose a coding question?  Tonight, the Sat. eve before Easter,
I
> made an exception to my rule of seeing the patient.  I spent over 15 mins
on
> phone with mom asking all the history questions I would've asked in the
> office.  Her 2 year old otherwise healthy son who I just saw last month
for
> a WCC, developed classic bacterial conjunctivitis after daycare exposure
so
> I called in an ointment.
> I am new to private practice where I subcontract, if this makes any
> difference in coding?
> So, I've heard some that have been successful in coding for telephone
visits
> and/or after hours charge.  Or, do I just eat the charge and consider it
> good PR?  I did inform her that I was making a rare exception and she
seems
> very knowledgeable.  Of course, no fevers, ENT complaints or cough.
> Thanks for any info you can offer.
>
> Priscilla Merrill, FNP
>
> ---
> Outgoing mail is certified Virus Free.
> Checked by AVG anti-virus system (http://www.grisoft.com).
> Version: 6.0.644 / Virus Database: 412 - Release Date: 3/26/2004
>
>


----------------------------------------------------------------------------
----


> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp
> % You can change you list options and unsubscribe from this page



From pamme at sbcglobal.net  Sun Apr 11 22:52:07 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Mon, 12 Apr 2004 00:52:07 -0500
Subject: [PrvPracNP] Receiving mail list options...
References: <85.92abab6.2da9fbe2@aol.com>
Message-ID: <005601c42052$4ae168b0$209cfea9@VAIO>

I did the same thing. I wrote to Bob about it and have not heard anything back.
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: SamaraFNP at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Saturday, April 10, 2004 8:39 PM
  Subject: [PrvPracNP] (no subject)


  I don't understand, once a day or more often, I am receiving a list of topics but I cannot click on them to expand nor can I find anything when I scroll down.  I wanted less emails, but did not want to be cut off completly from my new found friends.  Please don't tell me to go to the web site and change my settings as that is what I did and now I get nothing.

  Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)


------------------------------------------------------------------------------


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From psumner2 at yahoo.com  Mon Apr 12 05:02:16 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Mon, 12 Apr 2004 05:02:16 -0700 (PDT)
Subject: [PrvPracNP] Receiving mail list options...
In-Reply-To: <005601c42052$4ae168b0$209cfea9@VAIO>
Message-ID: <20040412120216.65691.qmail@web41607.mail.yahoo.com>

Bob answered me and I forwarded a sample of the digest to him.  He expanded parameters, and the last digest I recieved looked good except for all the fillers between messages, but at least messages appeared. 
Paula

"Pr. Pamela A. Provost N.P." <pamme at sbcglobal.net> wrote:
I did the same thing. I wrote to Bob about it and have not heard anything back.
~:~~:~ 
GOD BLESS US ALL

Life may not be the party we hoped for, but while we are here, we may as well dance

Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things ----- Original Message ----- 
From: SamaraFNP at aol.com 
To: prvpracnp at nurse.net 
Sent: Saturday, April 10, 2004 8:39 PM
Subject: [PrvPracNP] (no subject)


I don't understand, once a day or more often, I am receiving a list of topics but I cannot click on them to expand nor can I find anything when I scroll down.  I wanted less emails, but did not want to be cut off completly from my new found friends.  Please don't tell me to go to the web site and change my settings as that is what I did and now I get nothing.
 
Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)


---------------------------------


_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp
% You can change you list options and unsubscribe from this page_______________________________________________
PrvPracNP mailing list
PrvPracNP at nurse.net
http://lists.nurse.net/mailman/listinfo/prvpracnp
% You can change you list options and unsubscribe from this page

Paula Joan Sumner RN, MSN, FNP-BC
Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
For Peak Performance Issues, Stress Management, Pain Management, Weight Management and  Smoking Cessation.
Durham, NC 27707

http://paulajsumner.byregion.net member# 10102918

919-490-4656, #8

---------------------------------
Do you Yahoo!?
Yahoo! Tax Center - File online by April 15th
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From stephanie at southard.net  Mon Apr 12 06:55:01 2004
From: stephanie at southard.net (Stephanie Southard)
Date: Mon, 12 Apr 2004 13:55:01 +0000 (GMT)
Subject: [PrvPracNP] Telephone coding/after hours
Message-ID: <200404121349.i3CDnwu01394@merlin.wizards.net>

Priscilla,

I can't predict whether you'll get reimbursed, but here are the appropriate CPT codes:

Phone Consult CPT codes ~

99371 phone consult, brief (1-5 mins)

99372 phone consult, int (6-15 mins)

99373 phone consult, complex (16+ mins)

phone consult: by provider to pt/ family/ other hcp to coordinate mgt care plan/ disc test results in detail/ disc and evaluate new info/ or to initiate a new plan of care.

Stephanie Southard, CRNP-Family in Kensington, MD

At 07:13 PM 04/10/04 -0400, you wrote:
>May I please pose a coding question?  Tonight, the Sat. eve before Easter, I
>made an exception to my rule of seeing the patient.  I spent over 15 mins on
>phone with mom asking all the history questions I would've asked in the
>office.  Her 2 year old otherwise healthy son who I just saw last month for
>a WCC, developed classic bacterial conjunctivitis after daycare exposure so
>I called in an ointment.
>I am new to private practice where I subcontract, if this makes any
>difference in coding?
>So, I've heard some that have been successful in coding for telephone visits
>and/or after hours charge.  Or, do I just eat the charge and consider it
>good PR?  I did inform her that I was making a rare exception and she seems
>very knowledgeable.  Of course, no fevers, ENT complaints or cough.  
>Thanks for any info you can offer.
>
>Priscilla Merrill, FNP
>
>---
>Outgoing mail is certified Virus Free.
>Checked by AVG anti-virus system (http://www.grisoft.com).
>Version: 6.0.644 / Virus Database: 412 - Release Date: 3/26/2004
> 
>
>Attachment Converted: C:\NETSCAPE\winmai14.dat
>_______________________________________________
>PrvPracNP mailing list
>PrvPracNP at nurse.net
>http://lists.nurse.net/mailman/listinfo/prvpracnp
>% You can change you list options and unsubscribe from this page



From pamme at sbcglobal.net  Mon Apr 12 08:37:13 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Mon, 12 Apr 2004 10:37:13 -0500
Subject: [PrvPracNP] Telephone coding/after hours
References: <200404121349.i3CDnwu01394@merlin.wizards.net>
Message-ID: <019801c420a4$078ca640$209cfea9@VAIO>

Thanks Steph!
~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: "Stephanie Southard" <stephanie at southard.net>
To: "Private Practice NPs" <prvpracnp at nurse.net>
Sent: Monday, April 12, 2004 8:55 AM
Subject: Re: [PrvPracNP] Telephone coding/after hours


> Priscilla,
>
> I can't predict whether you'll get reimbursed, but here are the
appropriate CPT codes:
>
> Phone Consult CPT codes ~
>
> 99371 phone consult, brief (1-5 mins)
>
> 99372 phone consult, int (6-15 mins)
>
> 99373 phone consult, complex (16+ mins)
>
> phone consult: by provider to pt/ family/ other hcp to coordinate mgt care
plan/ disc test results in detail/ disc and evaluate new info/ or to
initiate a new plan of care.
>
> Stephanie Southard, CRNP-Family in Kensington, MD
>
> At 07:13 PM 04/10/04 -0400, you wrote:
> >May I please pose a coding question?  Tonight, the Sat. eve before
Easter, I
> >made an exception to my rule of seeing the patient.  I spent over 15 mins
on
> >phone with mom asking all the history questions I would've asked in the
> >office.  Her 2 year old otherwise healthy son who I just saw last month
for
> >a WCC, developed classic bacterial conjunctivitis after daycare exposure
so
> >I called in an ointment.
> >I am new to private practice where I subcontract, if this makes any
> >difference in coding?
> >So, I've heard some that have been successful in coding for telephone
visits
> >and/or after hours charge.  Or, do I just eat the charge and consider it
> >good PR?  I did inform her that I was making a rare exception and she
seems
> >very knowledgeable.  Of course, no fevers, ENT complaints or cough.
> >Thanks for any info you can offer.
> >
> >Priscilla Merrill, FNP
> >
> >---
> >Outgoing mail is certified Virus Free.
> >Checked by AVG anti-virus system (http://www.grisoft.com).
> >Version: 6.0.644 / Virus Database: 412 - Release Date: 3/26/2004
> >
> >
> >Attachment Converted: C:\NETSCAPE\winmai14.dat
> >_______________________________________________
> >PrvPracNP mailing list
> >PrvPracNP at nurse.net
> >http://lists.nurse.net/mailman/listinfo/prvpracnp
> >% You can change you list options and unsubscribe from this page
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp
> % You can change you list options and unsubscribe from this page



From pamme at sbcglobal.net  Mon Apr 12 08:41:23 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Mon, 12 Apr 2004 10:41:23 -0500
Subject: [PrvPracNP] Receiving mail list options...
References: <20040412120216.65691.qmail@web41607.mail.yahoo.com>
Message-ID: <01b401c420a4$9dcbefd0$209cfea9@VAIO>

Thanks for getting back Paula.
The problem is that I am unable to access my account to make changes.
It says that my password isn't any good.
I performed the steps to have my password sent to me three times.
I have never rec'd any response.
Consequently, I remain on individual email.
I would like to be on digest as requested.
And, it would be nice to have that password, as it obviously does not work to request same from the site.
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Paula J. Sumner 
  To: Private Practice NPs 
  Sent: Monday, April 12, 2004 7:02 AM
  Subject: Re: [PrvPracNP] Receiving mail list options...


  Bob answered me and I forwarded a sample of the digest to him.  He expanded parameters, and the last digest I recieved looked good except for all the fillers between messages, but at least messages appeared. 
  Paula

  "Pr. Pamela A. Provost N.P." <pamme at sbcglobal.net> wrote:
    I did the same thing. I wrote to Bob about it and have not heard anything back.
          ~:~~:~ 
          GOD BLESS US ALL

          Life may not be the party we hoped for, but while we are here, we may as well dance

          Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
    ----- Original Message ----- 
      From: SamaraFNP at aol.com 
      To: prvpracnp at nurse.net 
      Sent: Saturday, April 10, 2004 8:39 PM
      Subject: [PrvPracNP] (no subject)


      I don't understand, once a day or more often, I am receiving a list of topics but I cannot click on them to expand nor can I find anything when I scroll down.  I wanted less emails, but did not want to be cut off completly from my new found friends.  Please don't tell me to go to the web site and change my settings as that is what I did and now I get nothing.

      Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)


--------------------------------------------------------------------------


      _______________________________________________
      PrvPracNP mailing list
      PrvPracNP at nurse.net
      http://lists.nurse.net/mailman/listinfo/prvpracnp
      % You can change you list options and unsubscribe from this page
    _______________________________________________
    PrvPracNP mailing list
    PrvPracNP at nurse.net
    http://lists.nurse.net/mailman/listinfo/prvpracnp
    % You can change you list options and unsubscribe from this page


  Paula Joan Sumner RN, MSN, FNP-BC
  Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
  For Peak Performance Issues, Stress Management, Pain Management, Weight Management and Smoking Cessation.
  Durham, NC 27707

  http://paulajsumner.byregion.net member# 10102918

  919-490-4656, #8


------------------------------------------------------------------------------
  Do you Yahoo!?
  Yahoo! Tax Center - File online by April 15th


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From buckwheat at cybernet1.com  Mon Apr 12 18:56:52 2004
From: buckwheat at cybernet1.com (Alex Wagner)
Date: Mon, 12 Apr 2004 19:56:52 -0600
Subject: [PrvPracNP] can't find this answer anywhere
Message-ID: <6.0.3.0.0.20040412195440.01f63e80@mail.cybernet1.com>

First of all I can't get an answer anywhere regarding independent nurse 
practitioners giving botox injections and being able to order facial 
chemical peels like the Jessner's solution peel.   The company says I have 
to be a doctor to order the peel.  Where can I find this information?   I 
have called my state board of nursing and they have yet to return my call 
on this.
Any thoughts?-----------thanks, Alexis.


---
[This E-mail scanned for viruses]



From pamme at sbcglobal.net  Mon Apr 12 19:42:27 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Mon, 12 Apr 2004 21:42:27 -0500
Subject: [PrvPracNP] can't find this answer anywhere
References: <6.0.3.0.0.20040412195440.01f63e80@mail.cybernet1.com>
Message-ID: <026401c42100$f644d800$209cfea9@VAIO>

Are you working in a dermatology clinic?
Have the clinic order it.
Jessner's can be used by derm NP's, for small sections.
Chemical peels can be done by NP's as mild to moderate.
Deep Peels can only be performed by Dermatologists, Plastic Surgeons etc.
As Jessner's is often used for deep penetration, that may be your problem in
ordering.
Don't you have a back-up doc willing to order it for you?
Good luck!

~:~~:~ GOD BLESS US ALL Life may not be the party we hoped for, but while we
are here, we may as well dance Join Care2.com and The Breast Cancer Fund's
Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join
Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big
Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the
Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things
----- Original Message ----- 
From: "Alex Wagner" <buckwheat at cybernet1.com>
To: <prvpracnp at nurse.net>
Sent: Monday, April 12, 2004 8:56 PM
Subject: [PrvPracNP] can't find this answer anywhere


> First of all I can't get an answer anywhere regarding independent nurse
> practitioners giving botox injections and being able to order facial
> chemical peels like the Jessner's solution peel.   The company says I have
> to be a doctor to order the peel.  Where can I find this information?   I
> have called my state board of nursing and they have yet to return my call
> on this.
> Any thoughts?-----------thanks, Alexis.
>
>
> ---
> [This E-mail scanned for viruses]
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp
> % You can change you list options and unsubscribe from this page



From pamme at sbcglobal.net  Tue Apr 13 14:15:34 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Tue, 13 Apr 2004 16:15:34 -0500
Subject: [PrvPracNP] Psych NP - USA
Message-ID: <006801c4219c$7843a390$209cfea9@VAIO>

Dr. Rhodes, the Associate Dean of Graduate Studies, at the University of South Alabama just called me.  The following is a point by point result of our conversation:
1.  The ANCC does not grandfather anyone for certification any longer.
2.  Those who have graduated from a formal MSN-FNP program, will be responsible to take a total of 7 courses: 1/1st semester, 2/2-4 semesters. 
3.  Regardless of previous practice, clinicals will be required.
4.  The fall class has 22 registered students.  They are closing the registration when the class size reaches 26.
I felt very honored to have this accomplished woman personally call me to deliver this information.  This is the kind of professionalism and individual service that is delivered by USA.
      ~:~Sincerely,
      Pamela A. Provost N.P.
      President
      A. Provost Neuroscience, P.C.~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
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From SamaraFNP at aol.com  Tue Apr 13 14:43:30 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Tue, 13 Apr 2004 17:43:30 EDT
Subject: [PrvPracNP] Re: PrvPracNP Digest, Vol 2, Issue 52
Message-ID: <105.43e72493.2dadb902@aol.com>

I can tell you that as a Np you can do anything that your collaborating 
physician agreement says you can do.  I did biopsies, mole removals, casting, all 
these things having been stated in my practice agreement.

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From pamme at sbcglobal.net  Tue Apr 13 17:57:07 2004
From: pamme at sbcglobal.net (Pamela A Provost)
Date: Tue, 13 Apr 2004 17:57:07 -0700 (PDT)
Subject: [PrvPracNP]  Fwd: April 10,
	2004 Issue-conferences and marketing tips
In-Reply-To: <20040410034807.56734.qmail@web41605.mail.yahoo.com>
Message-ID: <20040414005707.9225.qmail@web80214.mail.yahoo.com>

Paula,
Please do not send forwards.  They often contain viruses and the ISP's are now deleting such emails or placing them in the bulk folder spam box.
I happened to check my bulk mailbox to find if there were any emails that did not belong there.  That is where I found yours.
Thank you for your cooperation,
Pamela

"Paula J. Sumner" <psumner2 at yahoo.com> wrote:
Thought you might be interested in this. Paula


---------------------------------
Do you Yahoo!?
Yahoo! Tax Center - File online by April 15th

> ATTACHMENT part 2 message/rfc822 
X-Apparently-To: psumner2 at yahoo.com via 66.218.86.234;
Fri, 09 Apr 2004 14:13:41 -0700
Return-Path: 
Received: from 65.77.104.26 (HELO out006.topica-platinum-w.com) (65.77.104.26)
by mta240.mail.scd.yahoo.com with SMTP;
Fri, 09 Apr 2004 14:13:39 -0700
Mime-Version: 1.0
Content-Type: text/html
To: psumner2 at yahoo.com
From: "bemis at nnba.net" 
Subject: April 10, 2004 Issue
Date: Fri, 09 Apr 2004 14:13:07 -0700
Errors-To: 
Content-Transfer-Encoding: quoted-printable
Content-Length: 7489

  

Volume 2 Issue 5                                                                                                      April 7, 2004
Patricia Ann Bemis, RN CEN, President NNBA



Click for more details

   
Nurse Entrepreneur History 

   
Business Advantages of RNs

   
Entrepreneurial Roadblocks

   
Acquiring a Business

   
Industry Classifications

   
Business Names & Logos

   
Advertising

   
Customers and Competitors

   
Fee Schedules and pricing

   
Startup Financing 

   
Office Setup and Location

   
Accounting and Bookkeeping

   
Contracts - Formatting and drafting with samples

   
Insurance Options

   
Marketing - Press Releases

   
Writing Articles for Publicity & Pay

   
Speaking for Publicity & Pay

   
Internet & Websites

   
Business Structure

   
Game Plan

   
Business Plan

   
Independent Contracting

   
Business Ideas by Nursing Specialty

   
Resources 

  
 
 
 

Dear Members and Friends,

Thank you for all your interest in our Business Training Course for Registered Nurses. The last class, in Orlando, was a great success. See photos by clicking here. The classes are planned as small, hands-on groups with individual attention to each student. Hope to see you at one soon. Members, when I am in your area call and make an appointment with me to discuss your business plans in person. No charge...part of your mentoring.

Michele Burghardt of Azion? Marketing presents an article (below) that contains some eye-opening information about advertising and marketing. 

NNBA member Alison Whitlock, our member spotlight, will be in Las Vegas at the NNBA booth this year. Visit with her in person at the 15th Annual NNBA conference on October 26-27, 2004.

NNBA member Donna Cardillo, RN MA has been named 2004 Woman Business Owner of the Year by the Central Jersey Chapter of the National Association of Women Business Owners (NAWBO). This award recognizes the accomplishments of an outstanding NAWBO member who has used creative initiatives to overcome obstacles, grow a successful business, and help her community. Kudos, Donna. Contact Donna 1-800-801-5796, www.dcardillo.com

Thanks for reading,

Pat

Patricia Ann Bemis, RN, CEN

President National Nurses in Business Association, Inc.

 

Member Spotlight
Alison Whitlock, RN BSN CCRN CLNC
Able Legal Nurse Consultants, Inc

Networking is an important ingredient of business success. Contacts you make and the impression you leave with people are assets to your business. It?s important to enable your friends and business associates to assist you with your marketing. I have found that educating my friends to promote my business has been extremely important. I let them know, in specific terms, what kind of business referral would be good for me. The more they know how to promote my business the more successful I will be.  Concentrate on what you do and how you do it better than any of your competitors. Stop selling and start teaching.  

When you attend a conference, remember to talk to anyone within 3 feet of you. Tell them about your business. After the conference, save all those business cards and put them to good use.  First, categorize them in a binder or card file. Next, follow up with a phone call to each person who gave you a card. During my conversation I let them know how much I enjoyed meeting them, let them know about my business. I ask for a press packet about their business and send them one of mine.

Dress for success is a common suggestion. This is another important part of networking.  It's unfortunate but people are still judged in 30 seconds or less about their character and abilities from the way they look. Albert Mehrabian is a sociolinguist and found that in a face-to-face encounter, 7 % of a verbal message comes from the words used; 38% comes from the vocal tone, pacing and inflection; and the other 55% of your message is transmitted by your appearance and body language.  Remember the colors that you wear are extremely important, too. Black shows power. If you want to be seen and not heard go ahead and wear red.

Never take rejection personally. Don't let one negative response consume your day. Remain positive and continue working towards your goals for that day. Remember to approach your business with honesty and a belief in yourself and what you are doing. The next day or the next individual you meet might make a difference and help you meet your goal for a successful business.

Alison Whitlock, RN BSN CCRN CLNC
Able Legal Nurse Consultants, Inc.

alwccrn at cfl.rr.com
 
 
Article

How the ?Loop Theory? Increases Your Marketing Mileage           

Michele Burghardt, Azion? Marketing

If you are spending money on marketing and it isn?t increasing your sales, stop spending.  Pretty simple.  Ask yourself if you are marketing or simply advertising.  There is a difference.

Marketing concentrates on getting your name in front of your target audience to convince them you are the right ?fit? when they are ready to buy.  The word ?ready? is key.  We would all starve if we had to live off the revenue of people purchasing today.  Only about 10% of your clients are ready to buy on any given day.  How do you harvest the rest?

Depending on any one aspect of the marketing process to drive sales will not give you the results you want.  It takes the art of integration.  You get much more mileage out of your marketing dollar if you use the ?loop theory? than if you market with a linear approach.

The ?loop theory? drives sales from several different angles simultaneously.  For example, if you do a direct mail campaign, include photos or testimonials.  Have those same photos and testimonials on your web site or in your company literature.  Include a call to action and a mechanism to buy your service.  If you write an expert article, issue a press release, run an ad, send an email blast, etc., loop your efforts together. The press release can encourage prospects to call for a free brochure. The brochure can encourage them to visit your website and call for more information.  If you have the website encourage them to receive a free brochure or call with questions, it all loops together.  Your marketing efforts will bounce off one another and feed into the same result: sales.  That creates synergy.  

Integrate your marketing efforts as much as your budget allows.  For the smaller budget, consider using a shotgun approach for a specific length of time or a specific promotion.  That means that you will do multiple marketing strategies at the same time.  What strategies you do will depend on your specific needs and wants.  

Your shotgun approach will provide you the opportunity to harvest those clients ready to buy today, as well as enabling you to continuously educate and groom your perspective clients for tomorrow.  The drip-drip-drip approach will consistently fill your sales funnel.

Integrating your marketing does not necessarily require more marketing dollars.  Often it is just a redistribution and readjustment of timing.  Before you spend any money on marketing at all, look at the big picture, determine the benefits you provide your clients, set a goal, and have a tracking system in place.  If you don?t have a goal and a method of measurement, how can you determine if your marketing was successful?  The true measure of marketing is whether or not it produces sales. You want your return on investment to be a minimum of 2:1. If you have given it time to work and it still isn?t generating revenue, you may want to adjust the message, or try something different. 

The worst marketing of course, is no marketing at all. Is marketing really that important to your business?  Successful companies say yes.      

Michele Burghardt is the owner of Azione Marketing.  For more information visit www.azionemarketing.biz or call for your special free report ?How to Evaluate a Marketing Company? at 314-837-4193.

Copyright 2004 National Nurses in Business Association, Inc.
 
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From GIN11153 at aol.com  Tue Apr 13 18:28:29 2004
From: GIN11153 at aol.com (GIN11153 at aol.com)
Date: Tue, 13 Apr 2004 21:28:29 EDT
Subject: [PrvPracNP] Re: forwards
Message-ID: <a1.4676582f.2dadedbd@aol.com>

I assure you that the NNBA email doesn't have a virus in it and it is a 
valuable email that was forwarded. Pat has helped many nurses and NPs and I'm sure 
that Paula sent it so that others might have a chance to see what the NNBA 
offers.

Gail Neuman RNC CPHW SNP
Perinatal education
Perinatal Nurse Associates
Tustin, CA
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From psumner2 at yahoo.com  Tue Apr 13 19:39:29 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Tue, 13 Apr 2004 19:39:29 -0700 (PDT)
Subject: [PrvPracNP]  Fwd: April 10,
	2004 Issue-conferences and marketing tips
In-Reply-To: <20040414005707.9225.qmail@web80214.mail.yahoo.com>
Message-ID: <20040414023929.98022.qmail@web41604.mail.yahoo.com>

Pamela,
You message to me ended up in my Bulk box! Yahoo scans my emails for viruses, and this email from NNBA had none. Thanks for your interest, I will be sure that any forwars are scanned.
Paula

Pamela A Provost <pamme at sbcglobal.net> wrote:
Paula,
Please do not send forwards.  They often contain viruses and the ISP's are now deleting such emails or placing them in the bulk folder spam box.
I happened to check my bulk mailbox to find if there were any emails that did not belong there.  That is where I found yours.
Thank you for your cooperation,
Pamela

"Paula J. Sumner" <psumner2 at yahoo.com> wrote:
 
		
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From buckwheat at cybernet1.com  Tue Apr 13 20:15:10 2004
From: buckwheat at cybernet1.com (Alex Wagner)
Date: Tue, 13 Apr 2004 21:15:10 -0600
Subject: [PrvPracNP] Re: PrvPracNP Digest, Vol 2, Issue 52
In-Reply-To: <105.43e72493.2dadb902@aol.com>
References: <105.43e72493.2dadb902@aol.com>
Message-ID: <6.0.3.0.0.20040413211439.01efd220@mail.cybernet1.com>



In Montana we don't have to have collaborating MD's.  We are independent.

Thanks,------------Alexis.



At 03:43 PM 4/13/2004, you wrote:
>I can tell you that as a Np you can do anything that your collaborating 
>physician agreement says you can do.  I did biopsies, mole removals, 
>casting, all these things having been stated in my practice agreement.
>
>Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
>_______________________________________________
>PrvPracNP mailing list
>PrvPracNP at nurse.net
>http://lists.nurse.net/mailman/listinfo/prvpracnp
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From pamme at sbcglobal.net  Tue Apr 13 20:35:02 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Tue, 13 Apr 2004 22:35:02 -0500
Subject: [PrvPracNP] Montana Practice Issues
References: <105.43e72493.2dadb902@aol.com>
	<6.0.3.0.0.20040413211439.01efd220@mail.cybernet1.com>
Message-ID: <017001c421d1$78c05a90$209cfea9@VAIO>

Are you not required though to have a back-up doc?
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Alex Wagner 
  To: Private Practice NPs 
  Sent: Tuesday, April 13, 2004 10:15 PM
  Subject: Re: [PrvPracNP] Re: PrvPracNP Digest, Vol 2, Issue 52




  In Montana we don't have to have collaborating MD's.  We are independent.

  Thanks,------------Alexis.



  At 03:43 PM 4/13/2004, you wrote:

    I can tell you that as a Np you can do anything that your collaborating physician agreement says you can do.  I did biopsies, mole removals, casting, all these things having been stated in my practice agreement.
     
    Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
    _______________________________________________
    PrvPracNP mailing list
    PrvPracNP at nurse.net
    http://lists.nurse.net/mailman/listinfo/prvpracnp
    % You can change you list options and unsubscribe from this page 


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From pamme at sbcglobal.net  Tue Apr 13 20:34:20 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Tue, 13 Apr 2004 22:34:20 -0500
Subject: [PrvPracNP]  Fwd: April 10,
	2004 Issue-conferences and marketing tips
References: <20040414023929.98022.qmail@web41604.mail.yahoo.com>
Message-ID: <015b01c421d1$5fddcf30$209cfea9@VAIO>

Hey Paula,
Thanks.  I know because my reply to yours ended back up in my bulk folder box as well.  LOL.
Ciao,
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Paula J. Sumner 
  To: Private Practice NPs 
  Sent: Tuesday, April 13, 2004 9:39 PM
  Subject: Re: [PrvPracNP] Fwd: April 10,2004 Issue-conferences and marketing tips


  Pamela,
  You message to me ended up in my Bulk box! Yahoo scans my emails for viruses, and this email from NNBA had none. Thanks for your interest, I will be sure that any forwars are scanned.
  Paula

  Pamela A Provost <pamme at sbcglobal.net> wrote:
    Paula,
    Please do not send forwards.  They often contain viruses and the ISP's are now deleting such emails or placing them in the bulk folder spam box.
    I happened to check my bulk mailbox to find if there were any emails that did not belong there.  That is where I found yours.
    Thank you for your cooperation,
    Pamela

    "Paula J. Sumner" <psumner2 at yahoo.com> wrote:



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From pamme at sbcglobal.net  Tue Apr 13 20:42:57 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Tue, 13 Apr 2004 22:42:57 -0500
Subject: [PrvPracNP] Re: forwards
References: <a1.4676582f.2dadedbd@aol.com>
Message-ID: <018801c421d2$94880f10$209cfea9@VAIO>

Paula's motive was exceptional and not in question.
However, email netiquette dictates that one cuts and pastes rather than forwards information, particularly in this age of rapid viruses that are attacking the ISPs themselves.
If you had ever lost your hard drive to supposedly safe, antiviral scanned forwards, perhaps you would not be so cavalier.
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: GIN11153 at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Tuesday, April 13, 2004 8:28 PM
  Subject: [PrvPracNP] Re: forwards


  I assure you that the NNBA email doesn't have a virus in it and it is a valuable email that was forwarded. Pat has helped many nurses and NPs and I'm sure that Paula sent it so that others might have a chance to see what the NNBA offers.

  Gail Neuman RNC CPHW SNP
  Perinatal education
  Perinatal Nurse Associates
  Tustin, CA 


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From psumner2 at yahoo.com  Wed Apr 14 09:29:01 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Wed, 14 Apr 2004 09:29:01 -0700 (PDT)
Subject: [PrvPracNP] Re: forwards
In-Reply-To: <018801c421d2$94880f10$209cfea9@VAIO>
Message-ID: <20040414162901.61049.qmail@web41604.mail.yahoo.com>

Sorry you are upset about this. I have lost my hard drive which is why I am loaded for bear with firewalls, virus scan, and spyware which is why I was confident about sending the NNBA announcement. 
I will be careful about what I send to the list, 
Thanks,
Paula
"Pr. Pamela A. Provost N.P." <pamme at sbcglobal.net> wrote:
Paula's motive was exceptional and not in question.
However, email netiquette dictates that one cuts and pastes rather than forwards information, particularly in this age of rapid viruses that are attacking the ISPs themselves.
If you had ever lost your hard drive to supposedly safe, antiviral scanned forwards, perhaps you would not be so cavalier.
~:~~:~ 
GOD BLESS US ALL

Life may not be the party we hoped for, but while we are here, we may as well dance

Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things ----- Original Message ----- 
From: GIN11153 at aol.com 
To: prvpracnp at nurse.net 
Sent: Tuesday, April 13, 2004 8:28 PM
Subject: [PrvPracNP] Re: forwards


I assure you that the NNBA email doesn't have a virus in it and it is a valuable email that was forwarded. Pat has helped many nurses and NPs and I'm sure that Paula sent it so that others might have a chance to see what the NNBA offers.

Gail Neuman RNC CPHW SNP
Perinatal education
Perinatal Nurse Associates
Tustin, CA 

---------------------------------


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PrvPracNP at nurse.net
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From pamme at sbcglobal.net  Wed Apr 14 09:43:04 2004
From: pamme at sbcglobal.net (Pamela A Provost)
Date: Wed, 14 Apr 2004 09:43:04 -0700 (PDT)
Subject: [PrvPracNP] Re: forwards
In-Reply-To: <20040414162901.61049.qmail@web41604.mail.yahoo.com>
Message-ID: <20040414164304.92886.qmail@web80211.mail.yahoo.com>

Paula,
You are a sweetie.  Thank you for your kindness.
Sincerely,
Pamela

"Paula J. Sumner" <psumner2 at yahoo.com> wrote:
Sorry you are upset about this. I have lost my hard drive which is why I am loaded for bear with firewalls, virus scan, and spyware which is why I was confident about sending the NNBA announcement. 
I will be careful about what I send to the list, 
Thanks,
Paula
"Pr. Pamela A. Provost N.P." <pamme at sbcglobal.net> wrote:
Paula's motive was exceptional and not in question.
However, email netiquette dictates that one cuts and pastes rather than forwards information, particularly in this age of rapid viruses that are attacking the ISPs themselves.
If you had ever lost your hard drive to supposedly safe, antiviral scanned forwards, perhaps you would not be so cavalier.
~:~~:~ 
GOD BLESS US ALL

Life may not be the party we hoped for, but while we are here, we may as well dance

Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things ----- Original Message ----- 
From: GIN11153 at aol.com 
To: prvpracnp at nurse.net 
Sent: Tuesday, April 13, 2004 8:28 PM
Subject: [PrvPracNP] Re: forwards


I assure you that the NNBA email doesn't have a virus in it and it is a valuable email that was forwarded. Pat has helped many nurses and NPs and I'm sure that Paula sent it so that others might have a chance to see what the NNBA offers.

Gail Neuman RNC CPHW SNP
Perinatal education
Perinatal Nurse Associates
Tustin, CA 

---------------------------------


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Yahoo! Tax Center - File online by April 15th_______________________________________________
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From hschlessman at Bluecc.edu  Wed Apr 14 18:06:32 2004
From: hschlessman at Bluecc.edu (Heather Schlessman)
Date: Wed, 14 Apr 2004 18:06:32 -0700
Subject: [PrvPracNP] HIV ethical question
Message-ID: <s07d7dad.099@email.bmcc.cc.or.us>

If you have an HIV positive patient who you know is having unprotected sex with a partner and you are not sure the partner knows about the HIV, what do you do?


From pamme at sbcglobal.net  Wed Apr 14 05:44:27 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Wed, 14 Apr 2004 07:44:27 -0500
Subject: [PrvPracNP] Re: forwards
References: <a1.4676582f.2dadedbd@aol.com>
	<018801c421d2$94880f10$209cfea9@VAIO>
Message-ID: <003801c4221e$39ea82d0$209cfea9@VAIO>

Read the subject line Gail.  It WAS a forward and forwards, not just attachements are capable of spreading viruses these days.
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
----- Original Message ----- 
  From: Pr. Pamela A. Provost N.P. 
  To: Private Practice NPs 
  Sent: Tuesday, April 13, 2004 10:42 PM
  Subject: Re: [PrvPracNP] Re: forwards


  Paula's motive was exceptional and not in question.
  However, email netiquette dictates that one cuts and pastes rather than forwards information, particularly in this age of rapid viruses that are attacking the ISPs themselves.
  If you had ever lost your hard drive to supposedly safe, antiviral scanned forwards, perhaps you would not be so cavalier.
        ~:~~:~ 
        GOD BLESS US ALL

        Life may not be the party we hoped for, but while we are here, we may as well dance

        Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
  ----- Original Message ----- 
    From: GIN11153 at aol.com 
    To: prvpracnp at nurse.net 
    Sent: Tuesday, April 13, 2004 8:28 PM
    Subject: [PrvPracNP] Re: forwards


    I assure you that the NNBA email doesn't have a virus in it and it is a valuable email that was forwarded. Pat has helped many nurses and NPs and I'm sure that Paula sent it so that others might have a chance to see what the NNBA offers.

    Gail Neuman RNC CPHW SNP
    Perinatal education
    Perinatal Nurse Associates
    Tustin, CA 


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From csdlp at eiu.edu  Wed Apr 21 10:15:24 2004
From: csdlp at eiu.edu (Daphne Piercy)
Date: Wed, 21 Apr 2004 12:15:24 -0500
Subject: [PrvPracNP] HIV ethical question
References: <s07d7dad.099@email.bmcc.cc.or.us>
Message-ID: <4086AC2C.A436DFC4@eiu.edu>

I would call the local health department in your area to seek advice.

Heather Schlessman wrote:

> If you have an HIV positive patient who you know is having unprotected sex with a partner and you are not sure the partner knows about the HIV, what do you do?
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From psumner2 at yahoo.com  Wed Apr 21 10:18:13 2004
From: psumner2 at yahoo.com (Paula J. Sumner)
Date: Wed, 21 Apr 2004 10:18:13 -0700 (PDT)
Subject: [PrvPracNP] HIV ethical question
In-Reply-To: <s07d7dad.099@email.bmcc.cc.or.us>
Message-ID: <20040421171813.35854.qmail@web41605.mail.yahoo.com>

What is your relationship with the person with HIV? Can you call both in for a conference or pt ed mtg?  If the HIV person fears telling hi/her partner, offer to see the partner and break the news.  If the partner is delib not telling the partner-then this is a BIG legal problem.
HIV is a STD so must be reported to Public Health folks who f/u on contacts.  As HIV can also be deadly if not treated, this is also a legal problem if the partner has not been told-you  could be liable.  You might call the local ID clinic social worker for direction-I am sure they del with ths often.
God luck
Paula

Heather Schlessman <hschlessman at Bluecc.edu> wrote:
If you have an HIV positive patient who you know is having unprotected sex with a partner and you are not sure the partner knows about the HIV, what do you do?
_______________________________________________
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Paula Joan Sumner RN, MSN, FNP-BC
Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique
For Peak Performance Issues, Stress Management, Pain Management, Weight Management and  Smoking Cessation.
Durham, NC 27707

http://paulajsumner.byregion.net member# 10102918

919-490-4656, #8
		
---------------------------------
Do you Yahoo!?
Yahoo! Photos: High-quality 4x6 digital prints for 25?
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From SamaraFNP at aol.com  Wed Apr 21 16:55:11 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Wed, 21 Apr 2004 19:55:11 EDT
Subject: [PrvPracNP] hiv positive patient
Message-ID: <144.2773c47f.2db863df@aol.com>

I agree with Ms. Sumner on the legalities involved in this.  But, the first 
thing I would do is spend time convincing the patient to tell their partner, 
that it would be better coming from them than from the health dept.  I am sure 
if that person doesn't know they have been exposed and they have sex with 
someone else, we are talking big problems here.  Paula was right that it being an 
STD of the major brand, it is a reportable disease and the health dept usually 
takes care of notifying partners. But if your patient refused to give the 
name.............well, if you have trusting relationship, this should not be a 
problem.  Compassion and kindness go a long way.

Marla Spring, RN, FNP-C, MSN, MLC (medical legal consultant)
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From nravey at bellsouth.net  Fri Apr 23 18:42:50 2004
From: nravey at bellsouth.net (Nina Ravey)
Date: Fri, 23 Apr 2004 20:42:50 -0500
Subject: [PrvPracNP] need coding info
In-Reply-To: <144.2773c47f.2db863df@aol.com>
Message-ID: <20040424014252.STMQ1714.imf16aec.mail.bellsouth.net@nina>

Can anyone tell me if there is a technical component fee for doing a
gen-probe (ie, collecting the specimen) or pap smear?  I feel like we are
throwing charges away if we are billing for this, but don't know code for
either.

Thanks in advance

Nina Ravey

nravey at bellsouth.net

 

 

 

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From gibbs at semo.net  Sat Apr 24 08:30:01 2004
From: gibbs at semo.net (Devona Gibbs)
Date: Sat, 24 Apr 2004 10:30:01 -0500
Subject: [PrvPracNP] need coding info
References: <20040424014252.STMQ1714.imf16aec.mail.bellsouth.net@nina>
Message-ID: <002201c42a11$029ef900$7103c80a@yourkuh1evx06w>

Nina, I know there is a code for pap smear collection, I'm not sure about the genprobe. Try searching the CPT section of the Medicare website. Devona, FNP
  ----- Original Message ----- 
  From: Nina Ravey 
  To: 'Private Practice NPs' 
  Sent: Friday, April 23, 2004 8:42 PM
  Subject: [PrvPracNP] need coding info


  Can anyone tell me if there is a technical component fee for doing a gen-probe (ie, collecting the specimen) or pap smear?  I feel like we are throwing charges away if we are billing for this, but don't know code for either.

  Thanks in advance

  Nina Ravey

  nravey at bellsouth.net









------------------------------------------------------------------------------


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From RSSabatier1 at aol.com  Sat Apr 24 09:34:37 2004
From: RSSabatier1 at aol.com (RSSabatier1 at aol.com)
Date: Sat, 24 Apr 2004 12:34:37 EDT
Subject: [PrvPracNP] need coding info
Message-ID: <59.a23aad8.2dbbf11d@aol.com>

Nina,

Don't have my CPT at home,  but these code numbers come to my mind:

87800---DNA vag pathogens

87590-- GC/Clm.

Please check as these may be old numbers but any changes should be in the 
same area of the current CPT.

Rosemary
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From avvarnp at msn.com  Sat Apr 24 10:30:51 2004
From: avvarnp at msn.com (Audrey Van Voorhis)
Date: Sat, 24 Apr 2004 10:30:51 -0700
Subject: [PrvPracNP] need coding info
Message-ID: <BAY5-DAV761u1p4ZwTV0001f478@hotmail.com>

I  am at home so don't have cpt # at hand but if you are doing at pap as part of annual exam the #is V72.3, a repeat pap is another #. Gen probe would be under STD screening.

Wish I had my coding cheat sheet at home.

Audrey

----- Original Message -----
From: Devona Gibbs
Sent: Saturday, April 24, 2004 8:32 AM
To: Private Practice NPs
Subject: Re: [PrvPracNP] need coding info

Nina, I know there is a code for pap smear collection, I'm not sure about the genprobe. Try searching the CPT section of the Medicare website. Devona, FNP
----- Original Message -----  
From: Nina Ravey  
To: 'Private Practice NPs'  
Sent: Friday, April 23, 2004 8:42 PM
Subject: [PrvPracNP] need coding info


Can anyone tell me if there is a technical component fee for doing a gen-probe (ie, collecting the specimen) or pap smear?  I feel like we are throwing charges away if we are billing for this, but don?t know code for either.
Thanks in advance
Nina Ravey
nravey at bellsouth.net






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PrvPracNP at nurse.net
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% You can change you list options and unsubscribe from this page
_______________________________________________
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From pamme at sbcglobal.net  Sat Apr 24 21:03:32 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Sat, 24 Apr 2004 23:03:32 -0500
Subject: [PrvPracNP] Medicare Link
References: <59.a23aad8.2dbbf11d@aol.com>
Message-ID: <00b301c42a7a$46bb1920$209cfea9@VAIO>

Does anyone have the url for the Medicare site where our Medicare numbers are listed?  I managed to find my UPIN number and it was attached to a place of business I was at, two businesses ago.
Thanks,
      ~:~~:~ 
      GOD BLESS US ALL

      Life may not be the party we hoped for, but while we are here, we may as well dance

      Join Care2.com and The Breast Cancer Fund's Climb to End Breast Cancer! Join Care2.com's Race for Children in Need! Join Care2.com's Race for the Rain Forest! Join Care2.com's Race for the Big Cats! Join Care2.com's Race for the Oceans! Join Care2.com's Race for the Primates! Join Care2.com's Race for Pets in Need! Holidays 'N Things  
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From RSSabatier1 at aol.com  Sun Apr 25 10:03:15 2004
From: RSSabatier1 at aol.com (RSSabatier1 at aol.com)
Date: Sun, 25 Apr 2004 13:03:15 -0400
Subject: [PrvPracNP] Medicare Link
Message-ID: <7D6C6D99.65EBFD46.3BE43DC9@aol.com>

http://www.upinregistry.com/provider_form.asp



From pamme at sbcglobal.net  Sun Apr 25 11:50:50 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Sun, 25 Apr 2004 13:50:50 -0500
Subject: [PrvPracNP] Medicare Link
References: <7D6C6D99.65EBFD46.3BE43DC9@aol.com>
Message-ID: <001401c42af6$3afe4400$209cfea9@VAIO>

Thank for your response.
I already have the UPIN url.
I need the Medicare Provider # link.
Regards,
Pamela

----- Original Message ----- 
From: <RSSabatier1 at aol.com>
To: "Private Practice NPs" <prvpracnp at nurse.net>
Sent: Sunday, April 25, 2004 12:03 PM
Subject: Re: [PrvPracNP] Medicare Link


> http://www.upinregistry.com/provider_form.asp
> 
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp
> % You can change you list options and unsubscribe from this page


From SamaraFNP at aol.com  Sun Apr 25 19:25:02 2004
From: SamaraFNP at aol.com (SamaraFNP at aol.com)
Date: Sun, 25 Apr 2004 22:25:02 EDT
Subject: [PrvPracNP] Re: PrvPracNP Digest, Vol 2, Issue 56
Message-ID: <9b.46ff852c.2dbdccfe@aol.com>

We bill a V code for the pap smear and the genprobe is a "collection" charge 
we check off on our superbill. That is ll I know except that the old fashioned 
on the slide pap is a different check box.

Sincerely,
Marla Spring MSN, FNP-C, MLC
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From nravey at bellsouth.net  Sun Apr 25 20:19:38 2004
From: nravey at bellsouth.net (Nina Ravey)
Date: Sun, 25 Apr 2004 22:19:38 -0500
Subject: [PrvPracNP] Re: PrvPracNP Digest, Vol 2, Issue 56
In-Reply-To: <9b.46ff852c.2dbdccfe@aol.com>
Message-ID: <20040426031937.LBAO1745.imf24aec.mail.bellsouth.net@nina>

Thanks Marla and Rosemary.

Nina

 

Nina Ravey, RN, MSN, CNS, C-FNP
Family Nurse Practitioner
Shirley Medical Clinic
711 N. Main St.
Jennings, LA 70546
337-824-2002
Fax:337-824-2004
www.shirleymedical.com
Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
Management, Physical Medicine and Rehabilitation, Diabetic Education
Classes, Walk-ins, Appointments

"It never ceases to amaze me how being a good nurse is often in direct
opposition to being a "good employee."

 

  _____  

From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
Behalf Of SamaraFNP at aol.com
Sent: Sunday, April 25, 2004 9:25 PM
To: prvpracnp at nurse.net
Subject: [PrvPracNP] Re: PrvPracNP Digest, Vol 2, Issue 56

 

We bill a V code for the pap smear and the genprobe is a "collection" charge
we check off on our superbill. That is ll I know except that the old
fashioned on the slide pap is a different check box.

 

Sincerely,
Marla Spring MSN, FNP-C, MLC

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From GAAdams at aol.com  Sun Apr 25 21:12:28 2004
From: GAAdams at aol.com (GAAdams at aol.com)
Date: Mon, 26 Apr 2004 00:12:28 EDT
Subject: [PrvPracNP] EMR and practice management
Message-ID: <1ad.22bb064c.2dbde62c@aol.com>

Does anyone have experience, reccommendation for an EMR system .  I am 
especially interested in one compatible with Lytec
TIA
Gaylene
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From harriet_james at usa.net  Mon Apr 26 10:52:50 2004
From: harriet_james at usa.net (Harriet James)
Date: Mon, 26 Apr 2004 11:52:50 -0600
Subject: [PrvPracNP] Re: [[NPinfo] EMR and practice management]
Message-ID: <260iDZR1Y5872S02.1083001970@uwdvg002.cms.usa.net>

If you're already using Lytec, check to see if thet have an add-on.

GAAdams at aol.com wrote:

> Does anyone have experience, reccommendation for an EMR system .  I am 
> especially interested in one compatible with Lytec
> TIA
> Gaylene
>