From nravey at bellsouth.net Sat Jul 3 08:17:53 2004 From: nravey at bellsouth.net (Nina Ravey) Date: Sat, 3 Jul 2004 10:17:53 -0500 Subject: [PrvPracNP] RE: nursing & academia&independent contracting asyour own company In-Reply-To: <001a01c454be$c5808470$209cfea9@VAIO> Message-ID: <20040703151754.BOFS1742.imf17aec.mail.bellsouth.net@nina> The following is a link to numerous sites referring to starting an independent practice. They were on the Advance for Nurse Practitioners website. http://www.advancefornp.com/Common/editorial/articlelisttda.aspx?CTIID=1553 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: Thursday, June 17, 2004 6:00 PM To: Private Practice NPs Subject: Re: [PrvPracNP] RE: nursing & academia&independent contracting asyour own company That's why I went into private practice as an independent contractor. I work when I want. I pay myself what I want and I make a lot more money than I did working for someone else. I keep shaking my head over the fact that I didn't do this a long time ago. When I first became an NP, my mentor was well into this path. However, she did experience some downtime given her location. She eventually went to Aruba or one of those islands that have the AMA accepted Med School for NP's who want to become MD's. She basically got fed up with the good old boy network. I am thrilled to be in my own business. Had no problem getting a collaborator and I got one of my contractees to pay her malpractice, her licenses and script pad costs as well as advertising. I would have given her shares in my company, but there was no need with all the perks I was able to get for her as her agent. I wouldn't give up owning my own company nor working for myself for the world. It's my practice; I charge what I want; I credentialed with only those who would consistently pay decently and I found two excellent mental health centers that were knocking themselves over for my services. So, I don't need to be bothered with billers, schedulers or office personnel nor location. I pay a small percentage of my total intake for these services. If I only work 20 hours a month, and only see 20 patients, they only get the percentage for fees collected. I have time to go on vacation. I have time to go out with friends. I have time for my daughters who are both in college. I have money for my daughters in college. I am socking away a bundle for my retirement and I am off the 16 more years to work and am now down to 8. I don't have any work to take home and I don't take call. IF my patients have an emergency, they are to go to the Emergency room and be seen by the hospitalist. This makes the hospitals and the hospitalists (NP and MD) happy as it gives them patients as well and revenue. Everybody wins. LOL. Can you tell that I am just a touch over the top with happiness at finally making this move to freedom? Good luck with your teaching. Been there. Too much take home work. Love to teach and don't mind doing it on the talk circuit or as adjunct faculty. Ciao for now, ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ----- Original Message ----- From: "Alison Trider" < ctmidwife at hotmail.com> To: < prvpracnp at nurse.net> Sent: Thursday, June 17, 2004 4:14 PM Subject: [PrvPracNP] RE: nursing & academia > Hi Marla! Funny you should bring this up..... I was just offered an > assistant professor position at a school of nursing. The salary is about > $30K less than what I will make this year in salary & profit sharing at my > MD owned private practice CNM position. However, I am taking the job. > There are quality of life issues that I think make the trade off worth it > (at least in my case). I won't be on call anymore. I won't be working Xmas > anymore. I will have a month off between mid dec. & mid jan. I will have > the entire summer off. I have 4 little kids. This is really important to > me. So, yes I agree with you that it is completely ridiculous to expect the > best & brightest nurses to return to the universities to teach when you can > make *so* much more in the private sector... but, for me at the moment, it > works!!! > > Also, I think that this is the case with all of academia. You can make more > $$ working in private sector. > > So, did you decline this position or take it? I am thinking that in time I > might be able to work out a little part time private practice gig to nicely > complement my work in the university. Does anyone else have that sort of > arrangement? > > > Alison Trider, MS, APRN, CNM > Connecticut > > > >From: SamaraFNP at aol.com > >Reply-To: Private Practice NPs < prvpracnp at nurse.net> > >To: prvpracnp at nurse.net > >Subject: [PrvPracNP] Re: PrvPracNP Digest, Vol 4, Issue 2 > >Date: Thu, 17 Jun 2004 15:42:28 EDT > >MIME-Version: 1.0 > >Received: from mc8-f11.hotmail.com ([65.54.253.147]) by mc8-s11.hotmail.com > >with Microsoft SMTPSVC(5.0.2195.6824); Thu, 17 Jun 2004 12:46:42 -0700 > >Received: from merlin.wizards.net ([207.173.190.1]) by mc8-f11.hotmail.com > >with Microsoft SMTPSVC(5.0.2195.6824); Thu, 17 Jun 2004 12:46:21 -0700 > >Received: from merlin.wizards.net (localhost [127.0.0.1])by > >merlin.wizards.net (8.11.6/8.11.6) with ESMTP id i5HJabf21132;Thu, 17 Jun > >2004 12:36:38 -0700 > >Received: from imo-d22.mx.aol.com (imo-d22.mx.aol.com [205.188.144.208])by > >merlin.wizards.net (8.11.6/8.11.6) with ESMTP id i5HJaSf21121for > >< prvpracnp at nurse.net>; Thu, 17 Jun 2004 12:36:28 -0700 > >Received: from SamaraFNP at aol.comby imo-d22.mx.aol.com (mail_out_v37_r2.6.) > >id b.ea.5133492e (4254)for < prvpracnp at nurse.net>; Thu, 17 Jun 2004 15:42:29 > >-0400 (EDT) > >X-Message-Info: jl7Vrt/mfspxmCp+cCD9/dfKK0s+jR9K > >Message-ID: < ea.5133492e.2e034e24 at aol.com> > >X-Mailer: 9.0 for Windows sub 5000 > >X-BeenThere: prvpracnp at nurse.net > >X-Mailman-Version: 2.1.2 > >Precedence: list > >List-Id: Private Practice NPs > >List-Unsubscribe: > >< http://lists.nurse.net/mailman/listinfo/prvpracnp>, > >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> > >List-Subscribe: > >< http://lists.nurse.net/mailman/listinfo/prvpracnp>, > >Errors-To: prvpracnp-bounces at nurse.net > >Return-Path: prvpracnp-bounces at nurse.net > >X-OriginalArrivalTime: 17 Jun 2004 19:46:21.0382 (UTC) > >FILETIME=[C3C0EE60:01C454A3] > > > >You know, I was going to give up being an NP in practice and teach > >nursing. > >I was offered (with 30 years experience and a masters in nursing) $43,000. > >This was only 20.67/hr, what I got as an early RN. I know some LPNs > >getting > >this. I cannot believe that the educators of nurses would get paid so > >little. so devalued, no wonder there is a shortage of nurses and nurse > >educators. > > > >Sincerely, > >Marla Spring MSN, FNP-C, MLC > >_______________________________________________ > >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 fast, reliable Internet access with MSN 9 Dial-up - now 3 months FREE! > http://join.msn.click-url.com/go/onm00200361ave/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 -------------- next part -------------- An HTML attachment was scrubbed... URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: application/octet-stream Size: 19732 bytes Desc: not available URL: From GIN11153 at aol.com Wed Jul 21 19:08:16 2004 From: GIN11153 at aol.com (GIN11153 at aol.com) Date: Wed, 21 Jul 2004 22:08:16 EDT Subject: [PrvPracNP] Prescribing law site Message-ID: <12e.46da9a7c.2e307b90@aol.com> The following is a link to "US Nurse Practitioner Prescribing Law: A State-by-State Summary," which I thought might be of use to list members. http://tinyurl.com/40ju Gail Neuman RNC CPHW SNP LNC listowner of LegalNurseConsulting at yahoogroups.com certified high risk OB/legal nurse consultant Notary Public/Certified Loan Signing Agent Tustin, CA -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Fri Jul 23 11:41:47 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Fri, 23 Jul 2004 13:41:47 -0500 Subject: [PrvPracNP] Prescribing law site References: <12e.46da9a7c.2e307b90@aol.com> Message-ID: <009201c470e4$b6b8df40$209cfea9@VAIO> Don't we have this on the yahoo file section? Just curious. Have you read it? I find it very interesting that I am in a state that was one of the last states to receive the privilege of prescribing. Yet, I am surrounded by states that have more restrictive prescribing privileges. Cheers, Pamme ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ----- Original Message ----- From: GIN11153 at aol.com To: npinfo at nurse.net ; IndNursePrac at yahoogroups.com ; prvpracnp at nurse.net Cc: GIN11153 at aol.com Sent: Wednesday, July 21, 2004 9:08 PM Subject: [PrvPracNP] Prescribing law site The following is a link to "US Nurse Practitioner Prescribing Law: A State-by-State Summary," which I thought might be of use to list members. http://tinyurl.com/40ju Gail Neuman RNC CPHW SNP LNC listowner of LegalNurseConsulting at yahoogroups.com certified high risk OB/legal nurse consultant Notary Public/Certified Loan Signing Agent Tustin, CA ------------------------------------------------------------------------------ _______________________________________________ PrvPracNP mailing list PrvPracNP at nurse.net http://lists.nurse.net/mailman/listinfo/prvpracnp % You can change you list options and unsubscribe from this page -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Fri Jul 23 12:05:51 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Fri, 23 Jul 2004 14:05:51 -0500 Subject: [PrvPracNP] Prescribing law site References: <12e.46da9a7c.2e307b90@aol.com> <009201c470e4$b6b8df40$209cfea9@VAIO> Message-ID: <00d601c470e8$1559d970$209cfea9@VAIO> It's under "Links." Thanks for the reminder Gail! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ----- Original Message ----- From: Pr. Pamela A. Provost N.P. To: Private Practice NPs Sent: Friday, July 23, 2004 1:41 PM Subject: Re: [PrvPracNP] Prescribing law site Don't we have this on the yahoo file section? Just curious. Have you read it? I find it very interesting that I am in a state that was one of the last states to receive the privilege of prescribing. Yet, I am surrounded by states that have more restrictive prescribing privileges. Cheers, Pamme ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ----- Original Message ----- From: GIN11153 at aol.com To: npinfo at nurse.net ; IndNursePrac at yahoogroups.com ; prvpracnp at nurse.net Cc: GIN11153 at aol.com Sent: Wednesday, July 21, 2004 9:08 PM Subject: [PrvPracNP] Prescribing law site The following is a link to "US Nurse Practitioner Prescribing Law: A State-by-State Summary," which I thought might be of use to list members. http://tinyurl.com/40ju Gail Neuman RNC CPHW SNP LNC listowner of LegalNurseConsulting at yahoogroups.com certified high risk OB/legal nurse consultant Notary Public/Certified Loan Signing Agent Tustin, CA ---------------------------------------------------------------------------- _______________________________________________ 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From GIN11153 at aol.com Fri Jul 23 12:39:13 2004 From: GIN11153 at aol.com (GIN11153 at aol.com) Date: Fri, 23 Jul 2004 15:39:13 EDT Subject: [PrvPracNP] Re: Pamme Message-ID: <126.464d1531.2e32c361@aol.com> Pamme, Please tell me what yahoo file section you are referring to, as I didn't know there was one. I would love to take a look at the files. Maybe there's something there that can help me decide on whether to go back to Harbor UCLA's WHCNP program that I am on leave from, or go to Planned Parenthood MN/SD WHCNP program that I was accepted to a few weeks ago. There's good and bad about both and am stuggling with making a decision. Gail Neuman RNC CPHW SNP LNC listowner of LegalNurseConsulting at yahoogroups.com certified high risk OB/legal consultant Tustin, CA -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Fri Jul 23 14:25:42 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Fri, 23 Jul 2004 16:25:42 -0500 Subject: [PrvPracNP] Re: Pamme/help needed here everyone References: <126.464d1531.2e32c361@aol.com> Message-ID: <005f01c470fb$9dec0750$209cfea9@VAIO> Gail, Post your question to all in this group. If we don't have the answer in the files, then perhaps someone has a resource that we need to add to the files and our links. Or someone may even have some personal experience to help you with your decision. Susan Penner is a professor who joined our group and is full of advice. She is on LOA at the moment, but will be back in a week. In the meantime, we can start some discussion now and let everyone know if you would, exactly what the dilemma is between returning to where you were or moving on to Planned Parenthood. Many of our resources reside in the brains of the people in this group. We don't often get them to the file section or the link area, unless we can plop it out of one's memory LOL. In the interim, these are the links to the files and links that we have begun to collect: Files: http://health.groups.yahoo.com/group/IndNursePrac/files/ Links: http://health.groups.yahoo.com/group/IndNursePrac/links This is our Yahoo group home site. If you have never been to the home site, you may have to sign in and use your yahoo password to gain access. Hope this helps. Let me know if I can do any searching for you and specifically what it is that you are seeking. Peace, Pamme ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ----- Original Message ----- From: GIN11153 at aol.com To: prvpracnp at nurse.net Sent: Friday, July 23, 2004 2:39 PM Subject: [PrvPracNP] Re: Pamme Pamme, Please tell me what yahoo file section you are referring to, as I didn't know there was one. I would love to take a look at the files. Maybe there's something there that can help me decide on whether to go back to Harbor UCLA's WHCNP program that I am on leave from, or go to Planned Parenthood MN/SD WHCNP program that I was accepted to a few weeks ago. There's good and bad about both and am stuggling with making a decision. Gail Neuman RNC CPHW SNP LNC listowner of LegalNurseConsulting at yahoogroups.com certified high risk OB/legal consultant Tustin, CA ------------------------------------------------------------------------------ _______________________________________________ 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Sat Jul 24 17:16:38 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Sat, 24 Jul 2004 19:16:38 -0500 Subject: [PrvPracNP] I know someone was looking for a site to build on Message-ID: <026e01c471dc$a8015560$209cfea9@VAIO> My VistaPrint Electronic Business Cardhttp://www.ipage.com/ Build your own web page and you can use their one hundred templates or use your own html. Domain name is also included. Cost: $6 per month. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ -------------- next part -------------- An HTML attachment was scrubbed... URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 19732 bytes Desc: not available URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: application/octet-stream Size: 1663 bytes Desc: not available URL: From GIN11153 at aol.com Sun Jul 25 11:40:24 2004 From: GIN11153 at aol.com (GIN11153 at aol.com) Date: Sun, 25 Jul 2004 14:40:24 EDT Subject: [PrvPracNP] My Dilemma that Pamme said I could discuss here Message-ID: <1e2.262e9954.2e355898@aol.com> I really appreciate any advice all you knowledgeable NPs can give me, as I am truly tortured over the decision I need to make in the next few days. I will try to make it as brief as possible. I have been an OB nurse for 31 years, and am certified by the NCC in high risk OB. A year ago, I started the women's healthcare certificate NP program at Harbor UCLA, here in Calif. Due to a mess of family problems(my mom and father in law had recently died, bipolar/ADD daughter disowning me for the 2nd time, 15 year old's carppol getting mixed up, etc) I left after the first week for a leave of absence as I was too upset about life to go 8am to 5pm Monday to Friday with a 60-90 minute drive each way for 16 weeks. For various reasons, I did not want to restart in January or May, so they have saved a seat for me for the 8/30 class. An NP student I met online who did the Siast primary care program from Canada tolds me last fall that he enrolled in the women's healthcare NP program through Planned Parenthood of MN/SD that is mostly distance(while he's awaiting approval from the AANP to take their certification exam). I was accepted last month to start also on 8/30 and have my plane ticket and hotel reservation for the first of 3 two week inhouse seminar in Minneapolis 9/27-10/8. One difference in the PP program is that I'd have to take a physical assessment live class and also pathophysiology and pharmacology which can be done online. Well, I enrolled in a local summer physical assessment class , given by a FNP and there are 3 other NP students in my class in the FNP program at Cal State Dominguez Hills. A few days ago, the NP program director mentioned something in an email to me about having to do all 3 of these classes at the graduate level when no one said that before. I basically said that my class is advanced physical assessment and it will just have to do as I won't repeat it. I have been searching online for grad level pharm and patho classes and found a few, mostly open to their NP students, ranging in price from about $700 each to over $2100 each ! I am waiting for the instructor from Cal State Fullerton to give me permission to enroll in her 2 live fall classes. I won't finish my BSN until December with Thomas Edison State College(all distance) so it's a challenge to get into a grad level course. The other difference in the PP program is that since it is distance, I can study in the evenings or whenever I choose. I have the opportunity to open my own prenatal clinic in a few months-the pediatrician who cared for my 4 kids when they were little bought his own building and turned it into 3 medical offices, one for his HUGE practice(they see 200+ kids a day here plus he has 2 other offices ), the middle one for his family practice friend who just moved in part time, and the other office is for me to open an OB clinic. This is absolutely a dream come true-he said I could start my clinic in his office part time while he renovates the area for my office as it's an empty shell right now. Here are my options that I just can't decide on, going back and forth on all: 1. Go to Harbor UCLA and be sick from exhaustion for 16 weeks. At age 51, I don't think I can do 12 hr days for 16 weeks(the other 5 months is 20 hrs a week in my community with a preceptor). Very, very intensive with NO life outside of class. 2. Go to the PP program, even though they already show an attitude -when I emailed that I can't afford grad level courses at $700-2000 each IF I can get into them, her answer was 'maybe the other program would be better for you'. I know I could finish this program . 3. Forget the WHCNP option and finish my BSN this fall so that I can do an online family NP program instead. Calif makes it much easier for FNPs to get a MediCal provider number and a CPSP provider number(that's MediCal's prenatal education program that adds about $1100 in reimbursement for prenatal care). 4. Scrap the NP idea altogether and just be owner/manager of my clinic, hiring NPs to do the patient care. I don't NEED to be an NP, as I will be running the clinic with the MediCal provider number of whatever physician I hire to be my medical director for the complications and deliveries. This is just a personal satisfaction issue, as I always wanted to be an OB/GYN, but was unable to go to med school for various reasons. I truly thank all of you in advance for your insight and wisdom, as many of you are already in private practice and know what my future would be with my clinic. I know I'd be successful with my clinic-I made my postpartum home health business into a $450,000 a year business in just a few years, and am very good at marketing. Gail Neuman RNC CPHW SNP listowner of LegalNurseConsulting at yahoogroups.com Perinatal education Perinatal Nurse Associates Tustin, CA -------------- next part -------------- An HTML attachment was scrubbed... URL: From avvarnp at msn.com Sun Jul 25 12:22:54 2004 From: avvarnp at msn.com (Audrey Van Voorhis) Date: Sun, 25 Jul 2004 12:22:54 -0700 Subject: [PrvPracNP] My Dilemma that Pamme said I could discuss here Message-ID: Gail, Go for the BSN and then a Master to become an ARNP. That way you will start out as an NP at the top rather than "just a certified NP". In my state you have to have a Masters to practice and I know that true in many other states. It is a long road but well worth the effort. Audrey Van Voorhis, MN ARNP Women's Primary Care Bainbridge and South Kitsap Family Care Clinics Bainbridge Island and Port Orchard, WA ----- Original Message ----- From: GIN11153 at aol.com Sent: Sunday, July 25, 2004 11:41 AM To: prvpracnp at nurse.net Cc: ANPACC at yahoogroups.com Subject: [PrvPracNP] My Dilemma that Pamme said I could discuss here I really appreciate any advice all you knowledgeable NPs can give me, as I am truly tortured over the decision I need to make in the next few days I will try to make it as brief as possible. I have been an OB nurse for 31 years, and am certified by the NCC in high risk OB. A year ago, I started the women's healthcare certificate NP program at Harbor UCLA, here in Calif. Due to a mess of family problems(my mom and father in law had recently died, bipolar/ADD daughter disowning me for the 2nd time, 15 year old's carppol getting mixed up, etc) I left after the first week for a leave of absence as I was too upset about life to go 8am to 5pm Monday to Friday with a 60-90 minute drive each way for 16 weeks. For various reasons, I did not want to restart in January or May, so they have saved a seat for me for the 8/30 class. An NP student I met online who did the Siast primary care program from Canada tolds me last fall that he enrolled in the women's healthcare NP program through Planned Parenthood of MN/SD that is mostly distance(while he's awaiting approval from the AANP to take their certification exam). I was accepted last month to start also on 8/30 and have my plane ticket and hotel reservation for the first of 3 two week inhouse seminar in Minneapolis 9/27-10/8. One difference in the PP program is that I'd have to take a physical assessment live class and also pathophysiology and pharmacology which can be done online. Well, I enrolled in a local summer physical assessment class , given by a FNP and there are 3 other NP students in my class in the FNP program at Cal State Dominguez Hills. A few days ago, the NP program director mentioned something in an email to me about having to do all 3 of these classes at the graduate level when no one said that before. I basically said that my class is advanced physical assessment and it will just have to do as I won't repeat it. I have been searching online for grad level pharm and patho classes and found a few, mostly open to their NP students, ranging in price from about $700 each to over $2100 each ! I am waiting for the instructor from Cal State Fullerton to give me permission to enroll in her 2 live fall classes. I won't finish my BSN until December with Thomas Edison State College(all distance) so it's a challenge to get into a grad level course. The other difference in the PP program is that since it is distance, I can study in the evenings or whenever I choose. I have the opportunity to open my own prenatal clinic in a few months-the pediatrician who cared for my 4 kids when they were little bought his own building and turned it into 3 medical offices, one for his HUGE practice(they see 200+ kids a day here plus he has 2 other offices ), the middle one for his family practice friend who just moved in part time, and the other office is for me to open an OB clinic. This is absolutely a dream come true-he said I could start my clinic in his office part time while he renovates the area for my office as it's an empty shell right now. Here are my options that I just can't decide on, going back and forth on all: 1. Go to Harbor UCLA and be sick from exhaustion for 16 weeks. At age 51, I don't think I can do 12 hr days for 16 weeks(the other 5 months is 20 hrs a week in my community with a preceptor). Very, very intensive with NO life outside of class. 2. Go to the PP program, even though they already show an attitude -when I emailed that I can't afford grad level courses at $700-2000 each IF I can get into them, her answer was 'maybe the other program would be better for you'. I know I could finish this program . 3. Forget the WHCNP option and finish my BSN this fall so that I can do an online family NP program instead. Calif makes it much easier for FNPs to get a MediCal provider number and a CPSP provider number(that's MediCal's prenatal education program that adds about $1100 in reimbursement for prenatal care). 4. Scrap the NP idea altogether and just be owner/manager of my clinic, hiring NPs to do the patient care. I don't NEED to be an NP, as I will be running the clinic with the MediCal provider number of whatever physician I hire to be my medical director for the complications and deliveries. This is just a personal satisfaction issue, as I always wanted to be an OB/GYN, but was unable to go to med school for various reasons. I truly thank all of you in advance for your insight and wisdom, as many of you are already in private practice and know what my future would be with my clinic. I know I'd be successful with my clinic-I made my postpartum home health business into a $450,000 a year business in just a few years, and am very good at marketing. Gail Neuman RNC CPHW SNP listowner of LegalNurseConsulting at yahoogroups.com Perinatal education Perinatal Nurse Associates Tustin, CA _______________________________________________ PrvPracNP mailing list PrvPracNP at nurse.net http://lists.nurse.net/mailman/listinfo/prvpracnp % You can change you list options and unsubscribe from this page -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Sun Jul 25 14:40:00 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Sun, 25 Jul 2004 16:40:00 -0500 Subject: [PrvPracNP] My Dilemma that Pamme said I could discuss here References: Message-ID: <07eb01c4728f$f07d4d90$209cfea9@VAIO> A master's is now required in all states. Check out University of South Alabama. They have a diploma to MSN program for diploma RNs with experience. I would recommend that you get your NP in Family Practice, you can branch out from there. However, if you are convinced that Women's Health is what you want and that's all you want, you can always get your NP on the Women's Health NP MSN track. I haven't read your original email yet, just catching the jist of it from Audrey here. Will check into it a little later. My sister is due any minute and I have been on the puter since 9:15 this morning. Love, Pamme ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ----- Original Message ----- From: Audrey Van Voorhis To: Private Practice NPs Cc: ANPACC at yahoogroups.com Sent: Sunday, July 25, 2004 2:22 PM Subject: Re: [PrvPracNP] My Dilemma that Pamme said I could discuss here Gail, Go for the BSN and then a Master to become an ARNP. That way you will start out as an NP at the top rather than "just a certified NP". In my state you have to have a Masters to practice and I know that true in many other states. It is a long road but well worth the effort. Audrey Van Voorhis, MN ARNP Women's Primary Care Bainbridge and South Kitsap Family Care Clinics Bainbridge Island and Port Orchard, WA ----- Original Message ----- From: GIN11153 at aol.com Sent: Sunday, July 25, 2004 11:41 AM To: prvpracnp at nurse.net Cc: ANPACC at yahoogroups.com Subject: [PrvPracNP] My Dilemma that Pamme said I could discuss here I really appreciate any advice all you knowledgeable NPs can give me, as I am truly tortured over the decision I need to make in the next few days. I will try to make it as brief as possible. I have been an OB nurse for 31 years, and am certified by the NCC in high risk OB. A year ago, I started the women's healthcare certificate NP program at Harbor UCLA, here in Calif. Due to a mess of family problems(my mom and father in law had recently died, bipolar/ADD daughter disowning me for the 2nd time, 15 year old's carppol getting mixed up, etc) I left after the first week for a leave of absence as I was too upset about life to go 8am to 5pm Monday to Friday with a 60-90 minute drive each way for 16 weeks. For various reasons, I did not want to restart in January or May, so they have saved a seat for me for the 8/30 class. An NP student I met online who did the Siast primary care program from Canada tolds me last fall that he enrolled in the women's healthcare NP program through Planned Parenthood of MN/SD that is mostly distance(while he's awaiting approval from the AANP to take their certification exam). I was accepted last month to start also on 8/30 and have my plane ticket and hotel reservation for the first of 3 two week inhouse seminar in Minneapolis 9/27-10/8. One difference in the PP program is that I'd have to take a physical assessment live class and also pathophysiology and pharmacology which can be done online. Well, I enrolled in a local summer physical assessment class , given by a FNP and there are 3 other NP students in my class in the FNP program at Cal State Dominguez Hills. A few days ago, the NP program director mentioned something in an email to me about having to do all 3 of these classes at the graduate level when no one said that before. I basically said that my class is advanced physical assessment and it will just have to do as I won't repeat it. I have been searching online for grad level pharm and patho classes and found a few, mostly open to their NP students, ranging in price from about $700 each to over $2100 each ! I am waiting for the instructor from Cal State Fullerton to give me permission to enroll in her 2 live fall classes. I won't finish my BSN until December with Thomas Edison State College(all distance) so it's a challenge to get into a grad level course. The other difference in the PP program is that since it is distance, I can study in the evenings or whenever I choose. I have the opportunity to open my own prenatal clinic in a few months-the pediatrician who cared for my 4 kids when they were little bought his own building and turned it into 3 medical offices, one for his HUGE practice(they see 200+ kids a day here plus he has 2 other offices ), the middle one for his family practice friend who just moved in part time, and the other office is for me to open an OB clinic. This is absolutely a dream come true-he said I could start my clinic in his office part time while he renovates the area for my office as it's an empty shell right now. Here are my options that I just can't decide on, going back and forth on all: 1. Go to Harbor UCLA and be sick from exhaustion for 16 weeks. At age 51, I don't think I can do 12 hr days for 16 weeks(the other 5 months is 20 hrs a week in my community with a preceptor). Very, very intensive with NO life outside of class. 2. Go to the PP program, even though they already show an attitude -when I emailed that I can't afford grad level courses at $700-2000 each IF I can get into them, her answer was 'maybe the other program would be better for you'. I know I could finish this program . 3. Forget the WHCNP option and finish my BSN this fall so that I can do an online family NP program instead. Calif makes it much easier for FNPs to get a MediCal provider number and a CPSP provider number(that's MediCal's prenatal education program that adds about $1100 in reimbursement for prenatal care). 4. Scrap the NP idea altogether and just be owner/manager of my clinic, hiring NPs to do the patient care. I don't NEED to be an NP, as I will be running the clinic with the MediCal provider number of whatever physician I hire to be my medical director for the complications and deliveries. This is just a personal satisfaction issue, as I always wanted to be an OB/GYN, but was unable to go to med school for various reasons. I truly thank all of you in advance for your insight and wisdom, as many of you are already in private practice and know what my future would be with my clinic. I know I'd be successful with my clinic-I made my postpartum home health business into a $450,000 a year business in just a few years, and am very good at marketing. Gail Neuman RNC CPHW SNP listowner of LegalNurseConsulting at yahoogroups.com Perinatal education Perinatal Nurse Associates Tustin, CA _______________________________________________ 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Sun Jul 25 15:02:36 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Sun, 25 Jul 2004 17:02:36 -0500 Subject: [PrvPracNP] My Dilemma that Pamme said I could discuss here References: <1e2.262e9954.2e355898@aol.com> Message-ID: <082a01c47293$191322e0$209cfea9@VAIO> ok. Now I see where you are at. Do not go any further with those non MSN programs. You will not be able to sit for a board cert. Without a board cert, you will not get reimbursed by the M's or other third party payor sources and you will be stuck working for PP as minimum, when you should be further along than that. Finish your BSN up this December. In the meantime, contact University of South Alabama online program for Women's Health NP. You can do all your clinical locally as long as you have a preceptor. Being that you have been in the biz that long, I am sure you can find a WHNP or an OB-GYN MD to precept you. Here is the url for USA: http://www.southalabama.edu/nursing/ In a year and half, you will have your MSN-WHNP and be able to sit for the board certification, have saved yourself a bunch of bucks and a lot of stress. I am a MSN-FNP with a board certification in FNP. I have practiced primarily psychiatric since graduating and doing an externship. However, the ANCC doesn't recognize it and the AANP and the NCNP doesn't have a psych np board certification. The ANCC snuck it by without consulting anyone and then sold the cert to third party payors to make it a requirement for higher reimbursements. The dogs!! LOL. So, I am taking the PsychNP online. It will be a post masters certificate program of 4 courses and clinicals. But then I can sit for the board and no more questions and tons of paperwork with every CME I have ever taken in psych attached to panel with the credentialing services of the HMO's and other 3rd party payors. I went to the University of South Alabama for my MSN-FNP. I moved to Mobile to attend as they didn't have online programs then. I had to take two bridge courses as I had completed all the bachelor courses for a BSN, but refused to take the other crap that this other particular college wanted me to take for another Bachelors. I already had two in different disciplines from Universities held in a lot higher esteem than where I took my nursing stuff in MO. I didn't balk at the two courses. They were basically nursing theory stuff that I knock out without even trying because of the good undergrad prep from the college in MO. But I am here to tell you that the University of South Alabama Graduate School of Nursing for NP's is THE best in the United States. I have compared it with many other NP master's programs and none can hold a candle to USA. Don't waste your money with those other programs. Don't cause yourself more stress trying to do two things at once. Go to that link I gave you above. They will answer all your questions and take an active interest in you personally. You will email back and forth with the MSN-WHNP director and often with the Associate Dean of Grad STudents for the College of Nursing. I think this is the answer you have been looking for. Let me know what you think. Love, Pamme ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ----- Original Message ----- From: GIN11153 at aol.com To: prvpracnp at nurse.net Cc: ANPACC at yahoogroups.com Sent: Sunday, July 25, 2004 1:40 PM Subject: [PrvPracNP] My Dilemma that Pamme said I could discuss here I really appreciate any advice all you knowledgeable NPs can give me, as I am truly tortured over the decision I need to make in the next few days. I will try to make it as brief as possible. I have been an OB nurse for 31 years, and am certified by the NCC in high risk OB. A year ago, I started the women's healthcare certificate NP program at Harbor UCLA, here in Calif. Due to a mess of family problems(my mom and father in law had recently died, bipolar/ADD daughter disowning me for the 2nd time, 15 year old's carppol getting mixed up, etc) I left after the first week for a leave of absence as I was too upset about life to go 8am to 5pm Monday to Friday with a 60-90 minute drive each way for 16 weeks. For various reasons, I did not want to restart in January or May, so they have saved a seat for me for the 8/30 class. An NP student I met online who did the Siast primary care program from Canada tolds me last fall that he enrolled in the women's healthcare NP program through Planned Parenthood of MN/SD that is mostly distance(while he's awaiting approval from the AANP to take their certification exam). I was accepted last month to start also on 8/30 and have my plane ticket and hotel reservation for the first of 3 two week inhouse seminar in Minneapolis 9/27-10/8. One difference in the PP program is that I'd have to take a physical assessment live class and also pathophysiology and pharmacology which can be done online. Well, I enrolled in a local summer physical assessment class , given by a FNP and there are 3 other NP students in my class in the FNP program at Cal State Dominguez Hills. A few days ago, the NP program director mentioned something in an email to me about having to do all 3 of these classes at the graduate level when no one said that before. I basically said that my class is advanced physical assessment and it will just have to do as I won't repeat it. I have been searching online for grad level pharm and patho classes and found a few, mostly open to their NP students, ranging in price from about $700 each to over $2100 each ! I am waiting for the instructor from Cal State Fullerton to give me permission to enroll in her 2 live fall classes. I won't finish my BSN until December with Thomas Edison State College(all distance) so it's a challenge to get into a grad level course. The other difference in the PP program is that since it is distance, I can study in the evenings or whenever I choose. I have the opportunity to open my own prenatal clinic in a few months-the pediatrician who cared for my 4 kids when they were little bought his own building and turned it into 3 medical offices, one for his HUGE practice(they see 200+ kids a day here plus he has 2 other offices ), the middle one for his family practice friend who just moved in part time, and the other office is for me to open an OB clinic. This is absolutely a dream come true-he said I could start my clinic in his office part time while he renovates the area for my office as it's an empty shell right now. Here are my options that I just can't decide on, going back and forth on all: 1. Go to Harbor UCLA and be sick from exhaustion for 16 weeks. At age 51, I don't think I can do 12 hr days for 16 weeks(the other 5 months is 20 hrs a week in my community with a preceptor). Very, very intensive with NO life outside of class. 2. Go to the PP program, even though they already show an attitude -when I emailed that I can't afford grad level courses at $700-2000 each IF I can get into them, her answer was 'maybe the other program would be better for you'. I know I could finish this program . 3. Forget the WHCNP option and finish my BSN this fall so that I can do an online family NP program instead. Calif makes it much easier for FNPs to get a MediCal provider number and a CPSP provider number(that's MediCal's prenatal education program that adds about $1100 in reimbursement for prenatal care). 4. Scrap the NP idea altogether and just be owner/manager of my clinic, hiring NPs to do the patient care. I don't NEED to be an NP, as I will be running the clinic with the MediCal provider number of whatever physician I hire to be my medical director for the complications and deliveries. This is just a personal satisfaction issue, as I always wanted to be an OB/GYN, but was unable to go to med school for various reasons. I truly thank all of you in advance for your insight and wisdom, as many of you are already in private practice and know what my future would be with my clinic. I know I'd be successful with my clinic-I made my postpartum home health business into a $450,000 a year business in just a few years, and am very good at marketing. Gail Neuman RNC CPHW SNP listowner of LegalNurseConsulting at yahoogroups.com Perinatal education Perinatal Nurse Associates Tustin, CA ------------------------------------------------------------------------------ _______________________________________________ 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Sun Jul 25 15:06:03 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Sun, 25 Jul 2004 17:06:03 -0500 Subject: [PrvPracNP] My Dilemma that Pamme said I could discuss here/ from Pamme#2 References: <1e2.262e9954.2e355898@aol.com> Message-ID: <083801c47293$93d58720$209cfea9@VAIO> BTW, it is only $209/credit at USA Love, Pamme ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ----- Original Message ----- From: GIN11153 at aol.com To: prvpracnp at nurse.net Cc: ANPACC at yahoogroups.com Sent: Sunday, July 25, 2004 1:40 PM Subject: [PrvPracNP] My Dilemma that Pamme said I could discuss here I really appreciate any advice all you knowledgeable NPs can give me, as I am truly tortured over the decision I need to make in the next few days. I will try to make it as brief as possible. I have been an OB nurse for 31 years, and am certified by the NCC in high risk OB. A year ago, I started the women's healthcare certificate NP program at Harbor UCLA, here in Calif. Due to a mess of family problems(my mom and father in law had recently died, bipolar/ADD daughter disowning me for the 2nd time, 15 year old's carppol getting mixed up, etc) I left after the first week for a leave of absence as I was too upset about life to go 8am to 5pm Monday to Friday with a 60-90 minute drive each way for 16 weeks. For various reasons, I did not want to restart in January or May, so they have saved a seat for me for the 8/30 class. An NP student I met online who did the Siast primary care program from Canada tolds me last fall that he enrolled in the women's healthcare NP program through Planned Parenthood of MN/SD that is mostly distance(while he's awaiting approval from the AANP to take their certification exam). I was accepted last month to start also on 8/30 and have my plane ticket and hotel reservation for the first of 3 two week inhouse seminar in Minneapolis 9/27-10/8. One difference in the PP program is that I'd have to take a physical assessment live class and also pathophysiology and pharmacology which can be done online. Well, I enrolled in a local summer physical assessment class , given by a FNP and there are 3 other NP students in my class in the FNP program at Cal State Dominguez Hills. A few days ago, the NP program director mentioned something in an email to me about having to do all 3 of these classes at the graduate level when no one said that before. I basically said that my class is advanced physical assessment and it will just have to do as I won't repeat it. I have been searching online for grad level pharm and patho classes and found a few, mostly open to their NP students, ranging in price from about $700 each to over $2100 each ! I am waiting for the instructor from Cal State Fullerton to give me permission to enroll in her 2 live fall classes. I won't finish my BSN until December with Thomas Edison State College(all distance) so it's a challenge to get into a grad level course. The other difference in the PP program is that since it is distance, I can study in the evenings or whenever I choose. I have the opportunity to open my own prenatal clinic in a few months-the pediatrician who cared for my 4 kids when they were little bought his own building and turned it into 3 medical offices, one for his HUGE practice(they see 200+ kids a day here plus he has 2 other offices ), the middle one for his family practice friend who just moved in part time, and the other office is for me to open an OB clinic. This is absolutely a dream come true-he said I could start my clinic in his office part time while he renovates the area for my office as it's an empty shell right now. Here are my options that I just can't decide on, going back and forth on all: 1. Go to Harbor UCLA and be sick from exhaustion for 16 weeks. At age 51, I don't think I can do 12 hr days for 16 weeks(the other 5 months is 20 hrs a week in my community with a preceptor). Very, very intensive with NO life outside of class. 2. Go to the PP program, even though they already show an attitude -when I emailed that I can't afford grad level courses at $700-2000 each IF I can get into them, her answer was 'maybe the other program would be better for you'. I know I could finish this program . 3. Forget the WHCNP option and finish my BSN this fall so that I can do an online family NP program instead. Calif makes it much easier for FNPs to get a MediCal provider number and a CPSP provider number(that's MediCal's prenatal education program that adds about $1100 in reimbursement for prenatal care). 4. Scrap the NP idea altogether and just be owner/manager of my clinic, hiring NPs to do the patient care. I don't NEED to be an NP, as I will be running the clinic with the MediCal provider number of whatever physician I hire to be my medical director for the complications and deliveries. This is just a personal satisfaction issue, as I always wanted to be an OB/GYN, but was unable to go to med school for various reasons. I truly thank all of you in advance for your insight and wisdom, as many of you are already in private practice and know what my future would be with my clinic. I know I'd be successful with my clinic-I made my postpartum home health business into a $450,000 a year business in just a few years, and am very good at marketing. Gail Neuman RNC CPHW SNP listowner of LegalNurseConsulting at yahoogroups.com Perinatal education Perinatal Nurse Associates Tustin, CA ------------------------------------------------------------------------------ _______________________________________________ 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From ctmidwife at hotmail.com Sun Jul 25 19:02:55 2004 From: ctmidwife at hotmail.com (Alison Trider) Date: Sun, 25 Jul 2004 22:02:55 -0400 Subject: [PrvPracNP] My Dilemma that Pamme said I could discuss here Message-ID: <<-I made my postpartum home health business into a $450,000 a year business in just a few years, and am very good at marketing>> Gail, I want to hear more about this PP home health business. Who were were your clients? From where did you get referrals? Was it traditional PP home care? Did you have LCs on staff? Give me *all* the details please!!!! Alison Trider, MS, APRN, CNM Farmington, CT _________________________________________________________________ FREE pop-up blocking with the new MSN Toolbar ? get it now! http://toolbar.msn.click-url.com/go/onm00200415ave/direct/01/ From psumner2 at yahoo.com Mon Jul 26 14:08:12 2004 From: psumner2 at yahoo.com (Paula J. Sumner) Date: Mon, 26 Jul 2004 14:08:12 -0700 (PDT) Subject: [PrvPracNP] My Dilemma that Pamme said I could discuss here In-Reply-To: <1e2.262e9954.2e355898@aol.com> Message-ID: <20040726210812.30479.qmail@web51604.mail.yahoo.com> I've read the other replies. You need a master's for the NP certification. This means a master's level PE program. The one the FNP taught would serve as a basic course (unless you took it for grad credits). You might also conside a midwifery course. Frontier Nursing and East Carolina UNIv both have distance programs.. Sorry for more ideas, but seems like it might be up your alley. Oh, Duquesne Univ has NP programs too. Good luck, Paula GIN11153 at aol.com wrote: I really appreciate any advice all you knowledgeable NPs can give me, as I am truly tortured over the decision I need to make in the next few days. I will try to make it as brief as possible. I have been an OB nurse for 31 years, and am certified by the NCC in high risk OB. A year ago, I started the women's healthcare certificate NP program at Harbor UCLA, here in Calif. Due to a mess of family problems(my mom and father in law had recently died, bipolar/ADD daughter disowning me for the 2nd time, 15 year old's carppol getting mixed up, etc) I left after the first week for a leave of absence as I was too upset about life to go 8am to 5pm Monday to Friday with a 60-90 minute drive each way for 16 weeks. For various reasons, I did not want to restart in January or May, so they have saved a seat for me for the 8/30 class. An NP student I met online who did the Siast primary care program from Canada tolds me last fall that he enrolled in the women's healthcare NP program through Planned Parenthood of MN/SD that is mostly distance(while he's awaiting approval from the AANP to take their certification exam). I was accepted last month to start also on 8/30 and have my plane ticket and hotel reservation for the first of 3 two week inhouse seminar in Minneapolis 9/27-10/8. One difference in the PP program is that I'd have to take a physical assessment live class and also pathophysiology and pharmacology which can be done online. Well, I enrolled in a local summer physical assessment class , given by a FNP and there are 3 other NP students in my class in the FNP program at Cal State Dominguez Hills. A few days ago, the NP program director mentioned something in an email to me about having to do all 3 of these classes at the graduate level when no one said that before. I basically said that my class is advanced physical assessment and it will just have to do as I won't repeat it. I have been searching online for grad level pharm and patho classes and found a few, mostly open to their NP students, ranging in price from about $700 each to over $2100 each ! I am waiting for the instructor from Cal State Fullerton to give me permission to enroll in her 2 live fall classes. I won't finish my BSN until December with Thomas Edison State College(all distance) so it's a challenge to get into a grad level course. The other difference in the PP program is that since it is distance, I can study in the evenings or whenever I choose. I have the opportunity to open my own prenatal clinic in a few months-the pediatrician who cared for my 4 kids when they were little bought his own building and turned it into 3 medical offices, one for his HUGE practice(they see 200+ kids a day here plus he has 2 other offices ), the middle one for his family practice friend who just moved in part time, and the other office is for me to open an OB clinic. This is absolutely a dream come true-he said I could start my clinic in his office part time while he renovates the area for my office as it's an empty shell right now. Here are my options that I just can't decide on, going back and forth on all: 1. Go to Harbor UCLA and be sick from exhaustion for 16 weeks. At age 51, I don't think I can do 12 hr days for 16 weeks(the other 5 months is 20 hrs a week in my community with a preceptor). Very, very intensive with NO life outside of class. 2. Go to the PP program, even though they already show an attitude -when I emailed that I can't afford grad level courses at $700-2000 each IF I can get into them, her answer was 'maybe the other program would be better for you'. I know I could finish this program . 3. Forget the WHCNP option and finish my BSN this fall so that I can do an online family NP program instead. Calif makes it much easier for FNPs to get a MediCal provider number and a CPSP provider number(that's MediCal's prenatal education program that adds about $1100 in reimbursement for prenatal care). 4. Scrap the NP idea altogether and just be owner/manager of my clinic, hiring NPs to do the patient care. I don't NEED to be an NP, as I will be running the clinic with the MediCal provider number of whatever physician I hire to be my medical director for the complications and deliveries. This is just a personal satisfaction issue, as I always wanted to be an OB/GYN, but was unable to go to med school for various reasons. I truly thank all of you in advance for your insight and wisdom, as many of you are already in private practice and know what my future would be with my clinic. I know I'd be successful with my clinic-I made my postpartum home health business into a $450,000 a year business in just a few years, and am very good at marketing. Gail Neuman RNC CPHW SNP listowner of LegalNurseConsulting at yahoogroups.com Perinatal education Perinatal Nurse Associates Tustin, CA _______________________________________________ PrvPracNP mailing list PrvPracNP at nurse.net http://lists.nurse.net/mailman/listinfo/prvpracnp % You can change you list options and unsubscribe from this page Paula Joan Sumner RN, MSN, CFNP Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique For Peak Performance Issues, Stress Management, Pain Management, Weight Management and Smoking Cessation. Durham, NC 27707 http://paulajsumner.byregion.net reference# 10102918 http:/www.geocities.com/energy_healing4you 919-490-4656, #8 __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Mon Jul 26 18:48:29 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Mon, 26 Jul 2004 20:48:29 -0500 Subject: [PrvPracNP] My Dilemma that Pamme said I could discuss here References: Message-ID: <009001c4737b$d1db2c30$209cfea9@VAIO> LOL. Alison, you are a hoot. And you are smart to jump on that band wagon in CT. The move as you probably know is to start closing NH's for elderly care, etc and to move towards family care of the patient with home health assistance. Go woman, it's the cutting edge in your state!! Ciao for now, Pamme ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ----- Original Message ----- From: "Alison Trider" To: Sent: Sunday, July 25, 2004 9:02 PM Subject: RE: [PrvPracNP] My Dilemma that Pamme said I could discuss here > <<-I made my postpartum home health business into a $450,000 a year business > in just a few years, and am very good at marketing>> > > Gail, > I want to hear more about this PP home health business. Who were were your > clients? From where did you get referrals? Was it traditional PP home > care? Did you have LCs on staff? Give me *all* the details please!!!! > > Alison Trider, MS, APRN, CNM > Farmington, CT > > _________________________________________________________________ > FREE pop-up blocking with the new MSN Toolbar ? get it now! > http://toolbar.msn.click-url.com/go/onm00200415ave/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 ctmidwife at hotmail.com Mon Jul 26 19:11:15 2004 From: ctmidwife at hotmail.com (Alison Trider) Date: Mon, 26 Jul 2004 22:11:15 -0400 Subject: [PrvPracNP] My Dilemma that Pamme said I could discuss here Message-ID: Thanks. My dh thinks I am a hoot too! I have lots of great ideas.... now I just need to act on one of them! My problem is - I just haven't decided what I want to do when I grow up! LOL! Well, I take that back -- I am going to be an assistant professor of nursing (in about 3 weeks).... but what else??? ;) Alison Trider, MS, APRN, CNM >From: "Pr. Pamela A. Provost N.P." >Reply-To: Private Practice NPs >To: "Private Practice NPs" >Subject: Re: [PrvPracNP] My Dilemma that Pamme said I could discuss here >Date: Mon, 26 Jul 2004 20:48:29 -0500 >MIME-Version: 1.0 >Received: from mc1-f23.hotmail.com ([64.4.50.30]) by mc1-s17.hotmail.com >with Microsoft SMTPSVC(5.0.2195.6713); Mon, 26 Jul 2004 18:50:28 -0700 >Received: from merlin.wizards.net ([207.173.190.1]) by mc1-f23.hotmail.com >with Microsoft SMTPSVC(5.0.2195.6824); Mon, 26 Jul 2004 18:50:27 -0700 >Received: from merlin.wizards.net (localhost [127.0.0.1])by >merlin.wizards.net (8.11.6/8.11.6) with ESMTP id i6R1fsK16666;Mon, 26 Jul >2004 18:41:54 -0700 >Received: from smtp810.mail.sc5.yahoo.com >(smtp810.mail.sc5.yahoo.com[66.163.170.80])by merlin.wizards.net >(8.11.6/8.11.6) with SMTP id i6R1fjK16651for ; Mon, 26 >Jul 2004 18:41:45 -0700 >Received: from unknown (HELO VAIO) (pamme at sbcglobal.net@69.210.9.56 with >login)by smtp810.mail.sc5.yahoo.com with SMTP; 27 Jul 2004 01:48:38 -0000 >X-Message-Info: jl7Vrt/mfspuRlxWyT+pNkmvKUXgDZux >Message-ID: <009001c4737b$d1db2c30$209cfea9 at VAIO> >References: >X-MSMail-Priority: Normal >X-Mailer: Microsoft Outlook Express 6.00.2800.1158 >X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1165 >X-BeenThere: prvpracnp at nurse.net >X-Mailman-Version: 2.1.2 >Precedence: list >List-Id: Private Practice NPs >List-Unsubscribe: >, >List-Archive: >List-Post: >List-Help: >List-Subscribe: >, >Errors-To: prvpracnp-bounces at nurse.net >Return-Path: prvpracnp-bounces at nurse.net >X-OriginalArrivalTime: 27 Jul 2004 01:50:28.0118 (UTC) >FILETIME=[17888B60:01C4737C] > >LOL. Alison, you are a hoot. >And you are smart to jump on that band wagon in CT. >The move as you probably know is to start closing NH's for elderly care, >etc >and to move towards family care of the patient with home health assistance. >Go woman, it's the cutting edge in your state!! >Ciao for now, >Pamme >~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >----- Original Message ----- >From: "Alison Trider" >To: >Sent: Sunday, July 25, 2004 9:02 PM >Subject: RE: [PrvPracNP] My Dilemma that Pamme said I could discuss here > > > > <<-I made my postpartum home health business into a $450,000 a year >business > > in just a few years, and am very good at marketing>> > > > > Gail, > > I want to hear more about this PP home health business. Who were were >your > > clients? From where did you get referrals? Was it traditional PP home > > care? Did you have LCs on staff? Give me *all* the details please!!!! > > > > Alison Trider, MS, APRN, CNM > > Farmington, CT > > > > _________________________________________________________________ > > FREE pop-up blocking with the new MSN Toolbar ? get it now! > > http://toolbar.msn.click-url.com/go/onm00200415ave/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 _________________________________________________________________ Express yourself instantly with MSN Messenger! Download today - it's FREE! http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/ From GIN11153 at aol.com Tue Jul 27 15:07:52 2004 From: GIN11153 at aol.com (GIN11153 at aol.com) Date: Tue, 27 Jul 2004 18:07:52 EDT Subject: [PrvPracNP] Paula Re: master's for certification Message-ID: <15c.3a40df34.2e382c38@aol.com> Actually, a master's is not required until 2007 for the NCC exams. The 2 women's healthcare programs I am enrolled in while deciding which to do, or none at all, qualify me to sit for the NCC women's health national certification exam. It's the ANCC that requires an MSN to sit for their non-OB related exams ! But, in Calif., it would be better for me to be an FNP or PNP to get a MediCal and CPSP provider number. Gail Neuman RNC CPHW SNP LNC listowner of LegalNurseConsulting at yahoogroups.com certified high risk OB/legal consultant Tustin, CA -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Tue Jul 27 19:51:44 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Tue, 27 Jul 2004 21:51:44 -0500 Subject: [PrvPracNP] My Dilemma that Pamme said I could discuss here References: Message-ID: <00d401c4744d$d20f2c10$209cfea9@VAIO> I change my profession every 10 years. Keeps me from getting bored LOL. It's coming up on ten years very soon. I need to start thinking about what I am going to do next. LOL. Cheers, Pamme ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ----- Original Message ----- From: "Alison Trider" To: Sent: Monday, July 26, 2004 9:11 PM Subject: Re: [PrvPracNP] My Dilemma that Pamme said I could discuss here > Thanks. My dh thinks I am a hoot too! I have lots of great ideas.... now I > just need to act on one of them! My problem is - I just haven't decided > what I want to do when I grow up! LOL! Well, I take that back -- I am > going to be an assistant professor of nursing (in about 3 weeks).... but > what else??? ;) > > Alison Trider, MS, APRN, CNM > > > >From: "Pr. Pamela A. Provost N.P." > >Reply-To: Private Practice NPs > >To: "Private Practice NPs" > >Subject: Re: [PrvPracNP] My Dilemma that Pamme said I could discuss here > >Date: Mon, 26 Jul 2004 20:48:29 -0500 > >MIME-Version: 1.0 > >Received: from mc1-f23.hotmail.com ([64.4.50.30]) by mc1-s17.hotmail.com > >with Microsoft SMTPSVC(5.0.2195.6713); Mon, 26 Jul 2004 18:50:28 -0700 > >Received: from merlin.wizards.net ([207.173.190.1]) by mc1-f23.hotmail.com > >with Microsoft SMTPSVC(5.0.2195.6824); Mon, 26 Jul 2004 18:50:27 -0700 > >Received: from merlin.wizards.net (localhost [127.0.0.1])by > >merlin.wizards.net (8.11.6/8.11.6) with ESMTP id i6R1fsK16666;Mon, 26 Jul > >2004 18:41:54 -0700 > >Received: from smtp810.mail.sc5.yahoo.com > >(smtp810.mail.sc5.yahoo.com[66.163.170.80])by merlin.wizards.net > >(8.11.6/8.11.6) with SMTP id i6R1fjK16651for ; Mon, 26 > >Jul 2004 18:41:45 -0700 > >Received: from unknown (HELO VAIO) (pamme at sbcglobal.net@69.210.9.56 with > >login)by smtp810.mail.sc5.yahoo.com with SMTP; 27 Jul 2004 01:48:38 -0000 > >X-Message-Info: jl7Vrt/mfspuRlxWyT+pNkmvKUXgDZux > >Message-ID: <009001c4737b$d1db2c30$209cfea9 at VAIO> > >References: > >X-MSMail-Priority: Normal > >X-Mailer: Microsoft Outlook Express 6.00.2800.1158 > >X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1165 > >X-BeenThere: prvpracnp at nurse.net > >X-Mailman-Version: 2.1.2 > >Precedence: list > >List-Id: Private Practice NPs > >List-Unsubscribe: > >, > >List-Archive: > >List-Post: > >List-Help: > >List-Subscribe: > >, > >Errors-To: prvpracnp-bounces at nurse.net > >Return-Path: prvpracnp-bounces at nurse.net > >X-OriginalArrivalTime: 27 Jul 2004 01:50:28.0118 (UTC) > >FILETIME=[17888B60:01C4737C] > > > >LOL. Alison, you are a hoot. > >And you are smart to jump on that band wagon in CT. > >The move as you probably know is to start closing NH's for elderly care, > >etc > >and to move towards family care of the patient with home health assistance. > >Go woman, it's the cutting edge in your state!! > >Ciao for now, > >Pamme > >~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > >----- Original Message ----- > >From: "Alison Trider" > >To: > >Sent: Sunday, July 25, 2004 9:02 PM > >Subject: RE: [PrvPracNP] My Dilemma that Pamme said I could discuss here > > > > > > > <<-I made my postpartum home health business into a $450,000 a year > >business > > > in just a few years, and am very good at marketing>> > > > > > > Gail, > > > I want to hear more about this PP home health business. Who were were > >your > > > clients? From where did you get referrals? Was it traditional PP home > > > care? Did you have LCs on staff? Give me *all* the details please!!!! > > > > > > Alison Trider, MS, APRN, CNM > > > Farmington, CT > > > > > > _________________________________________________________________ > > > FREE pop-up blocking with the new MSN Toolbar ? get it now! > > > http://toolbar.msn.click-url.com/go/onm00200415ave/direct/01/ > > > > > > _______________________________________________ > > > PrvPracNP mailing list > > > PrvPracNP at nurse.net > > > http://lists.nurse.net/mailman/listinfo/prvpracnp > > > % You can change you list options and unsubscribe from this page > > > > > >_______________________________________________ > >PrvPracNP mailing list > >PrvPracNP at nurse.net > >http://lists.nurse.net/mailman/listinfo/prvpracnp > >% You can change you list options and unsubscribe from this page > > _________________________________________________________________ > Express yourself instantly with MSN Messenger! Download today - it's FREE! > http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/ > > _______________________________________________ > PrvPracNP mailing list > PrvPracNP at nurse.net > http://lists.nurse.net/mailman/listinfo/prvpracnp > % You can change you list options and unsubscribe from this page From pamme at sbcglobal.net Tue Jul 27 20:00:05 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Tue, 27 Jul 2004 22:00:05 -0500 Subject: [PrvPracNP] Paula Re: master's for certification References: <15c.3a40df34.2e382c38@aol.com> Message-ID: <00ed01c4744e$fce7d760$209cfea9@VAIO> Yes and the ANCC is sneaky. They shoved in a Psych NP board cert without the consent of the NP National Organizations. In fact, the Psych NP competencies were not even ratified nor published by the AANP and the NCNP till November 2003. The ANCC snuck in the Board Exam in 2000. And, they made it so that those practicing as Psych NP's would not be grandfathered. Furthermore, they campaigned with the HMO's and other 3rd party payor sources to require that board certification or eligibility in order to be reimbursed at the specialist rate. Those of us who externed with psychiatrists and specific didactics and CEU's were shut out. Most states are now requiring MSN for NP licensing or practice privileges. Nice huh? pamme ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ----- Original Message ----- From: GIN11153 at aol.com To: prvpracnp at nurse.net Sent: Tuesday, July 27, 2004 5:07 PM Subject: [PrvPracNP] Paula Re: master's for certification Actually, a master's is not required until 2007 for the NCC exams. The 2 women's healthcare programs I am enrolled in while deciding which to do, or none at all, qualify me to sit for the NCC women's health national certification exam. It's the ANCC that requires an MSN to sit for their non-OB related exams ! But, in Calif., it would be better for me to be an FNP or PNP to get a MediCal and CPSP provider number. Gail Neuman RNC CPHW SNP LNC listowner of LegalNurseConsulting at yahoogroups.com certified high risk OB/legal consultant Tustin, CA ------------------------------------------------------------------------------ _______________________________________________ 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Tue Jul 27 21:21:24 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Tue, 27 Jul 2004 23:21:24 -0500 Subject: [PrvPracNP] MD's scalping NP's for collaborative agreements in Indiana ATTN: KRISTEN KELLEY, DIRECTOR OF STATE BOARD OF NURSING AND DR. JAN TOWERS NP, DIRECTOR OF THE OFFICE OF HEALTH POLICY AANP Message-ID: <014001c4745a$58fa3dd0$209cfea9@VAIO> My VistaPrint Electronic Business CardDear Kristin Kelley (ISBN), Dr. Jan Towers (OHP-AANP) and Pat Lacy (CAPNI): As of last March, I went into Private Practice. I started out with 4 contracts and dissolved all but one for various reasons. As a result, I lost my collaborator, when one of the contracts I dissolved finally paid my collaborator's malpractice insurance at my urging when I worked there, to entice her to come on board part time. They did not elect to pay it until I dissolved my contract with them and then placed contingencies on her contract that she would not collaborate with any health care provider without their express approval and that they would not allow any collaboration with anyone who did not contract with AMH, Inc. Had my collaborator not agreed to those requirements, they would not pay her malpractice and she would not be able to make it worth her while to do part time private practice. She has a full time job as the Psychiatric Medical Director for the Department of Corrections in Indiana. That left me scrambling for a collaborator. As the psychiatrists have all bailed out of the Muncie area, where my practice is located, I had to search closer to Indianapolis for a private practice psychiatrist for collaboration. It was at this point that I found out what is standard of practice in Indiana for collaborators who collaborate with private practice NP's. They charge the NP's for the collaboration. It matters not that the patients will be referred to the collaborator for cases beyond our scope. It matters not that the patients will be referred yearly for a psychiatrist annual review of the patient's care and progress. They want to be paid for their quality assurance 5% review. The collaborator that I was able to find in a hurry, wants $500 per hour for collaboration. He estimates that it will require 2 hours of his time per month to evaluate 8 patients. I don't have that large a practice as I work 3/4 time due to physical disability. To boot, my collaborator owns the business where I see my specialist and receive my physical therapy. Today, I received a call from my new collaborator who told me that it would cost me $1000 per month for his collaboration. I told him that was rather exorbitant for reviewing 8 cases per month. He stated, "you should see 26 patients a day." I reminded him that I was a patient of his partner (not a psychiatrist) and, that although I used to see that many patients on a daily basis, it was no longer possible due to my disability status. I reminded him that, my disability was one of the main reasons I went into private practice. He dropped the amount to $750 a month and requested 6 patients a week to review. He will have reviewed all my patients in 3 months at that rate and therefore, I would far exceed the expectation of the statute. These physicians have independent NP's over a barrel. There charges are outrageous. I was willing to schedule a 15" appointment for reviewing the 2 patients that are even above the 1.4 patients that equate to 5% a week. That I would pay what he charges for a 15" visit to his patients each time. This was not acceptable. His rationale, I have a very busy practice. You live in Fishers. I live in Fishers. You can drop the charts at my house. I will review them and drop them back over to your house. We can discuss the results on the phone. I have a problem with this for many reasons, HIPPA being one of them. I do not want to let my charts out of my hands. I also have a problem with the outrageous charge for his collaborative service. That is a full days work for me. He states that his partner charges the NP, he has in collaboration even more. So, I would effectively be working, 16 days a month and get paid for less than 15 as 30% of my receipts goes to the small clinic that I contract with for office supplies, scheduling, chart organization, an office and billing. If it is going to be standard of practice that collaboration is to be paid for, I think a price should be set by the state board to avoid price gouging, as these physicians know that they have us over a barrel, related to the scarcity of specialists in Indiana's eastern section of the state, and most probably, other outlying small cities away from Indianapolis. Furthermore, with the way that collaboration is done, it is not effective; nor does it afford any more protection for the patient, as if they need protection from an NP's care. To a one, each patient has stated they prefer the care provided by an NP over an MD, because of the holistic way that we practice and the education and empowerment we provide the patient. It is insulting, as we know our limitations and scope of practice and do not hesitate to refer to an MD for a patient's disease process that is beyond our scope. In addition, as the state agencies require a physician's signature on documents and will not accept an NP's, regardless of the fact that the patient is the NP's patient, we therefore are forced to refer the patient to the MD for evaluation and signature on these particular documents. The absurdity of it all is that the NP is the one who actually completes the paperwork and the MD may spend 15" with the patient on referral and just sign the document. The physicians have once again outsmarted and out maneuvered nurses. They agreed to NP's practicing with collaborative agreements, because they saw a way to increase the size of their coffers, with very little work and a large service fee to the NP. Once again, women are reduced in achieving the income that they could obtain as they have to pay out a large percentage to a collaborative physician. I think it is time we stopped being the servants of the physician. We are no longer in the position of slave labor without minds and for minimum wage. But, how far have we come when the collaborating physician can charge 25% of the NP's monthly income, for a minimal amount of work, free referrals and annual reviews for which they can charge the patient's insurance company or Medicaid/Medicare and be fully reimbursed? The collaborative agreement statute has outlived it's usefulness. NP's in the state of Indiana have proven that they can operate without physicians and provide very effective and safe care. I realize that I have presented quite a few issues here. But, I was so appalled to learn about this fee payment to physicians for collaboration, that I feel as if NPs have been once again gotten the short end of the stick. Can we not do away with the collaborative statute and prescribe without this barrier to practice and resultant decrease in wage for the work, we have done? I believe in having a back up doc to whom one can identify as the person to whom they would refer their patients that are beyond their scope and to whom they can consult in a collegial fashion, should questions arise. But do physicians charge other physicians for a brief telephone consult? AND, why do we have our QA performed by MD's, instead of our own colleagues, who are in the same profession? How can we be a bona fide profession, if we are forever tethered to another profession to establish our legitimacy? AND, why do we have to pay this other profession an exorbitant fee in order to practice without barriers to prescriptive practice? I can't afford this fee that my collaborator is charging. But what choice do I have? As Director of the Indiana State Board of Nursing and the Director of Health Policy for the American Academy of Nurse Practitioners (of which I am a proud member, as well as CAPNI), is there not something that can be done to vacate this collaborative statute of the Indiana Nursing Laws and Regulations, that robs NP's of hard earned money, that they are forced to pay to a person of another profession for Quality Review? I used to be a TQI RN, for the Operating Room and a Home Health hospital based agency. As RN's, we met our quality review needs by having other RN's perform the quality review. If quality review is deemed necessary, why does an MD have to do it? Why can not a member of our own profession perform this task? We would be able to do this on an equality basis and as a courtesy for a colleague without cost. By the way, who performs the quality review on the physician? Please be so kind as to respond to my query. Let me know if there is anything, I can do to help change this statute, that basically amounts to MD's legally scalping NP's, in the name of quality review. Sincerely, Pamela A. Provost N.P. Board Certified by the AANP and an active member CAPNI member in Indiana ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ -------------- next part -------------- An HTML attachment was scrubbed... URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 19732 bytes Desc: not available URL: