It’s hard to talk among any health care providers today without hearing all kinds of angst.
I can’t get my charting done and have to take it home.
My EHR is impossible.
I spent more time on my computer than actually interacting with my patients.
Is it normal to see ____ (fill in the blank) patients in a day?
I hate that my prescribing practices are based on formularies and prior authorizations and not on what’s best for my patients.
Why do Epi Pens and insulin cost so much?
I know I am ordering tests the patient probably doesn’t need and maybe can’t afford, but I am afraid of being sued if I don’t.
This billing and coding stuff is not what I went to school for….
Providers are talking about finding an exit plan, retiring early, or starting alternative type practices, including direct pay practices. Many are depressed and miserable and...
The Netherlands is rated the third best health care system in the world by WHO, way above the US (#37). The NP role there is well established. I am curious to learn how they achieve this and get ideas I can bring home to improve care here.
Want to join me? It will involve learning in a variety of ways - some online ahead of travel, panel discussions with Dutch NPs, time for one on one networking session, visits to health care facilities and a college of nursing, a journal club and much more...
Looks like we will be offering 16 CE for this trip. Since this is a CE program, it is likely tax deductible (ask your tax preparer) and you could use your CE money.
We will learn about Dutch art, culture and architecture by taking a walking tour of Old Amsterdam, visit the Anne Frank House, the Van Gogh Museum, the Delft Factory (yes, it has a gift shop), a day trip to Bruges, Belgium, and of course, take a canal cruise.
Traveling solo? No problem, we’re a small...
Winter is certainly here. It's - 23 with the wind chill today in New Hampshire. And we've got a few more months to get through. Here are 4 tips to help NP's navigate through the unique challenges winter poses to delivering health care and maintaining our sanity.
The CDC has come out with an app that will help you figure out who needs what, when for pneumonia vaccines. It's called PneumoRecs VaxAdvisor and you can get it for Android or iOS devices and it's FREE.
Here how it works. A patient comes in to see you and you want to figure out what they need for pneumonia vaccines. You just
It's that easy. The app then provides specific guidance for that patient consistent with the immunization schedule recommended by the U.S. Advisory Committee on Immunization Practices (ACIP).
The app will save you time and frustration as it eliminates the challenge of interpreting and synthesizing multiple vaccination recommendation statements. And don't worry, the app doesn’t request or collect any personal identifying data. It also does not store any...
Are you curious? I am. I think it makes me a better NP. I am curious about how health care works in other countries and how they utilize NP's. The last trip I organized was to Cuba and this Fall I am leading another group. I can't tell you where yet, it isn't finalized but I can tempt you a bit.
The country we will visit is highly rated by the W.H.O. in terms of quality of health care they deliver. They are rated way above the US. The NP role there is well established. Culturally, they are very different than the US and they have great food, culture, art, architecture and a rich history....
Want to join us? It will involve learning in a variety of ways - some online ahead of travel, a panel discussion with their NPs and a networking session after, visits to health care facilities, lectures, visit to a college of nursing and much more... If you are a DNP student, this could earn you scholarly hours for cultural immersion. (Ask me for more...
Ryan is sitting it out on the side lines. It’s a bit chilly and he’s been coughing all morning and now he doesn’t have the energy to play. Ashley’s parents just got divorced and her Dad bought her a puppy at his house and her mother if furious. Brian’s mom just lost her job and is changing insurance again and she isn’t sure his asthma meds will be covered.
These are the everyday situations that pediatric patients and their families are dealing with when it comes to asthma. These are the challenges that can make or break an asthma plan that NPs have to work with to keep their patients in school, in the game and out of the ED.
To help make you and your patients with asthma breath easier, you need to be up to date with the latest evidence based guidelines for asthma management in the out patient setting and you need help to develop effective strategies to cope with the everyday effects of this disease. Learn which meds to start when and how a...
I saw this recently on social media and realized this is why I get a flu shot every year. I actually started in 1976 because in 1975 I was an RN working in an ICU in Boston and I got the swine flu, along with half our ICU staff. I was so sick and miserable. But the real problem was, I was working in a very specialized ICU, a pediatric orthopedic ICU. Nobody wanted to float to our ICU. Every try to rotate a patient on a Stryker frame who is also intubated on a respirator, with multiple IV's, central line and Foley catheter? It was so difficult for the staff who didn't get the flu and frankly, I felt guilty and pressured to come back to work sooner than I should have.
I've heard all the reasons people don't get flu shots, even health professionals. And I try very hard to connect with my patients and colleagues and say we are all on the same side here, we want to prevent flu morbidity and mortality. And I can give them chapter and verse about evidence based practice but what...
"I would love to work for myself. I don't have a lot of experience running a business. I don't have a lot of money to start a business. I don't want to have to deal with the stress of billing, coding, credentialing and managing office staff. I'm not sure I could figure out how to have a cash only practice that works. Actually, I wouldn't mind having a part time business. Is this possible.?"
Oh yes, it is certainly is.
The key to running a successful NP business is find a niche that answers a community problem and fits you. My niche actually found me. As an avid traveler, my primary care patients would ask me about their trips, their kid's trips, their parent's trips. And I realized a couple of things....
First ,I wanted out after 30 years of running my own primary care practice. The administrative burdens, health care crisis and future uncertainties, never mind the long hours, billing, coding and management issues and all the things that were taking...
Did you know that the majority of all travelers are over age 55? I am seeing more and more people 85 and over taking trips to China, India and many other locales far away. Many of those I see are quite fit and healthy. Some, not so much...
I work in a travel clinic , so I am often seeing these patients for the first time. But if you work in primary care, the older traveler will likely be well known to you. Whether you provide full pretravel care or not, you play an important role in keeping your patient safe and healthy when they travel.
1. Make sure their routine adult immunizations are up to date, especially flu vaccines.
2. Be sure their chronic health problems aren't just stable but optimized. The stress physically and mentally of travel pose unique effects on many chronic diseases.
3. Make sure they have a med list, a problem list and travel health insurance with emergency evacuation for care if needed abroad.
Interested in learning more...
Did you know that there is a new shingles vaccine available? It's called Shingrix and it is being shipped now to pharmacies and providers.
So why do we have a new vaccine?
You'll be getting a lot of questions about this new vaccine and so Beacon Continuing Education made a free video to answer the most important things you need to know about Shingrix, now.
It will take about 5 minutes and you'll be up to speed to start preventing shingles and post herpetic neuralgia. Remember that most people with post herpetic neuralgia use opioids , so that everything you do to prevent it will reduce opioid use and potential abuse, too.
Watch the free video now.
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