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  • Non-traditional or New Practices

    Proceed carefully when considering a position with a new clinic or practice that is not yet open or established, especially if the clinic is embarking on a ''non-traditional'' or ''new healthcare model.'' Jobs like these can turn out to be the best thing you ever did or the biggest nightmare of your career.  The sales pitch for these types ...
    Posted to Career Coach (Weblog) on September 19, 2014
  • Uncooperative Collaborative

    Every day is an adventure at the correctional facility and at times it is not from the inmates. Oftentimes, it is from the person I like to call ''The Lovely Doctor.'' I do not know why I call him that, but maybe it is because it is the nicest name I can call him...yes! It is sarcasm at its finest. One of the perks that has been rescinded ...
    Posted to New Grad NP (Weblog) on December 6, 2012
  • Challenging Patients in the Correctional Facility

    Over the past month I have had some very challenging patients. I will often question, why and how did someone end up here at the correctional facility? I believe it is better I do not know. Actually, it is none of my business; it keeps the care unbiased and pure and it does not impact how I treat them. If one of the inmates upsets the ...
    Posted to New Grad NP (Weblog) on November 15, 2012
  • Accomodating Multiple Physicians

    There are six different physicians in my practice and thus, six different philosophical approaches to disease treatment and management. As a new NP, this can be somewhat frustrating. Some days I wish medicine and nursing were a bit more algorithmic. But alas, it ain't like baking a cake, so here's to finding the silver lining. Six ...
    Posted to New Grad NP (Weblog) on July 19, 2012
  • Adjusting to a New Collaborative Physician

    My new collaborative physician started two weeks ago, and while I was missing my former collaborative physician, I was glad the company found someone to replace her. One of the concerns regarding my company is no inclusion of the interview process. When I considered leaving this company, I wanted to assist in filling my upcoming vacancy. I was ...
    Posted to New Grad NP (Weblog) on July 12, 2012
  • Divisions of the Medical Team

    There are several divisions to the medical department at the correctional facility, and for the most part, everyone works collaboratively. There is the medical team consisting of myself, my collaborative physician and our nurse, an LPN. Also, there are nurses, an RN and LPN, who distribute the medication, perform physicals, administer TB testing, ...
    Posted to New Grad NP (Weblog) on June 18, 2012
  • NPs & PAs Are Talking – May 7, 2012

    This week, readers of ADVANCE for NPs & PAs let us know their opinions on many posts, comments and articles. On Facebook, our readers liked career development tips, the newest practices in skincare, NP certification information and the latest posts from our various bloggers. We also posted an article discussing the growing ...
    Posted to ADVANCE for NPs & PAs Blog (Weblog) on May 7, 2012
  • The Power of "No"

    I believe the word ''no'' is very powerful and can be used in many ways. ''No'' can be used as a safety mechanism. For example, ''No, you cannot mix Plavix and omeprazole,'' or, ''No, I don't believe that is a nodule, but a fatty tumor, which is normal.'' In those types of contexts, the word ''no'' is not difficult. But as a new NP in a new ...
    Posted to New Grad NP (Weblog) on April 19, 2012
  • Facebook Feedback: Private Practice

    If you're not following us on Facebook, ''like'' us and start sharing in the conversations! If you are, keep following and spread the word! This week, we posted the article ''Organizing and Investing to Expand Primary Care Availability with Nurse Practitioners'' by Peter J. Levin and Rick Bateman from Journal of Community Health to our ...
    Posted to ADVANCE for NPs & PAs Blog (Weblog) on March 22, 2012
  • Technology: A Virtual Preceptor

    On my first day working the clinic alone, I saw 19 patients, half of whom were primary care patients and the others a combination of family planning, child health, and STDs. The nurses were amazed and very pleasantly surprised. Given that the PA who was fired saw seven to eight patients a day, and often left the clinic without notice, anyone ...
    Posted to New Grad NP (Weblog) on March 22, 2012
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