From plamb_knight at venustel.com Tue Nov 4 18:45:04 2008 From: plamb_knight at venustel.com (Pat Lamb Knight) Date: Tue Nov 4 20:35:03 2008 Subject: [Pacnp_member] call for ppublic comment Message-ID: <31BD16BE34DE453DA86955DEE0265947@home> While at the ACNP conference last week in Nashville, a PCNP representative announced that some piece of legislature;that was being opened to a 30 day period of public comment. Unfortunately, most of what she said, including what piece of legislature, could not be heard in the back of the room. I have a list of consumers and physicians waiting to be told to submit their letters if it is the one for expanding our ability to write/renew scheduled meds. Anyone know? -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081104/4b99e7c6/attachment.html From pmillner56 at yahoo.com Mon Nov 3 17:48:25 2008 From: pmillner56 at yahoo.com (Pat Millner) Date: Tue Nov 4 20:35:21 2008 Subject: [Pacnp_member] New Email address Message-ID: <247260.65837.qm@web32806.mail.mud.yahoo.com> Old Email" pmillner56@yahoo.com NEW EMAIL ADDRESS: bilibtms@gmail.com Pat Millner M.Ed., CRNP BiliBottoms, Inc. ...there is more to see in a BiliBottoms diaper. -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081103/64963690/attachment.html From sunsrise2 at comcast.net Wed Nov 5 11:57:38 2008 From: sunsrise2 at comcast.net (C. Minch & J. Wildauer) Date: Thu Nov 6 22:40:30 2008 Subject: [Pacnp_member] Nursing home visit reimbursement Message-ID: <8CEAC860CC1B4D208B853B86B68E3CE1@DG3KBX21> I have questions regarding reimbursement for nursing home visits in eastern PA. Does the PA geographical location make a difference in reimbursement? I was old the reimbursement for a Medicare visit is $29.00 for a doctor visit (85% of this would be paid for a NP visit). I don't know what level visit this is for nor did the person who gave me the information. What is the physician reimbursement for a Medicaid visit? For a BC or BS visit? Is there a document or a reference for NP reimbursement? Or something on the ins and outs of billing for nursing home patient? Thank you. Jean Wildauer, CRNP -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081105/3aec6dc0/attachment.html From cdscrnp at yahoo.com Fri Nov 7 17:00:36 2008 From: cdscrnp at yahoo.com (Cindy Schmeltz) Date: Fri Nov 7 17:05:27 2008 Subject: [Pacnp_member] SBON Rules & Regs Message-ID: <925277.16248.qm@web58104.mail.re3.yahoo.com> Skipped content of type multipart/alternative-------------- next part -------------- A non-text attachment was scrubbed... Name: button[1].JPG Type: image/pjpeg Size: 147970 bytes Desc: not available Url : http://www.legalisi.com/pipermail/pacnp_member/attachments/20081107/9c4125ad/button1-0001.bin From SSchrand at pacnp.org Mon Nov 10 10:25:25 2008 From: SSchrand at pacnp.org (Susan Schrand) Date: Mon Nov 10 10:31:05 2008 Subject: [Pacnp_member] Scholarships/Awards Now Available for Practicing NPs & Graduate Students Message-ID: <002f01c94348$8e6dda00$ab498e00$@org> Skipped content of type multipart/alternative-------------- next part -------------- A non-text attachment was scrubbed... Name: NPHF 2008 Scholarship & Awards announcement.doc Type: application/octet-stream Size: 365056 bytes Desc: not available Url : http://www.legalisi.com/pipermail/pacnp_member/attachments/20081110/44136c2a/NPHF2008ScholarshipAwardsannouncement-0001.obj From jean15944 at yahoo.com Sun Nov 9 13:11:35 2008 From: jean15944 at yahoo.com (jean15944@yahoo.com) Date: Mon Nov 10 20:53:30 2008 Subject: [Pacnp_member] Holiday rounding Message-ID: <695078.38542.qm@web52303.mail.re2.yahoo.com> Hi- Can anyone tell me if they round in hospital on holidays, and if so how do they get compensated? When I was hired as an NP in the firm I'm currently with I was told there would be some weekend hospital rounding. I was not told about any holiday rounding. Unfortunately nothing was ever specified in writing- this was my first job out of the NP program. I do not get additional reimbursement for weekend rounding, and am now being told I must work on Thanksgiving. There was no mention of additional reimbursement. If I was still working as a regular RN I would be paid time + 1/2. I am debating about requesting this as payment now. What is the norm out there? Is anyone compensated extra for holiday rounding? Thanks, Jean Stern, MSN, CRNP From lorrainecrnp at kuhncom.net Tue Nov 11 07:22:30 2008 From: lorrainecrnp at kuhncom.net (Lorraine Bock) Date: Tue Nov 11 21:15:10 2008 Subject: [Pacnp_member] Holiday rounding In-Reply-To: <695078.38542.qm@web52303.mail.re2.yahoo.com> Message-ID: Jean- My experience has been that if your group does hospital work then rounding is part of the package. Patients are in the hospital 24/7/365 and they need to be seen. If we want to be professionals and ask for equal compensation and if we ever want to be true independent practitioners we need to be doing all the things that go along with caring for our patients. Some things you do not get direct compensation for and that is part of the deal. NP's have got to stop trying to carve out this comfy little position where we are "professionals" but only on the things that are comfortable and convenient. The medical profession is going to use this kind of "whining" against us. Lorraine -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org]On Behalf Of jean15944@yahoo.com Sent: Sunday, November 09, 2008 1:12 PM To: pacnp_member@pacnp.org Subject: [Pacnp_member] Holiday rounding Hi- Can anyone tell me if they round in hospital on holidays, and if so how do they get compensated? When I was hired as an NP in the firm I'm currently with I was told there would be some weekend hospital rounding. I was not told about any holiday rounding. Unfortunately nothing was ever specified in writing- this was my first job out of the NP program. I do not get additional reimbursement for weekend rounding, and am now being told I must work on Thanksgiving. There was no mention of additional reimbursement. If I was still working as a regular RN I would be paid time + 1/2. I am debating about requesting this as payment now. What is the norm out there? Is anyone compensated extra for holiday rounding? Thanks, Jean Stern, MSN, CRNP _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member From SSchrand at pacnp.org Wed Nov 12 18:32:26 2008 From: SSchrand at pacnp.org (Susan Schrand) Date: Wed Nov 12 18:37:49 2008 Subject: [Pacnp_member] Physicians Urged to Comment on CRNP Regulations by Dec 8th Message-ID: <012901c9451e$ec751000$c55f3000$@org> This came through from the Medical Society about our regulations. Please read the 'key protections' carefully. Our letters of support are vital! Send them to the SBON by December 8th! Physicians Urged to Comment on CRNP Regulations by Dec. 8 Regulations expanding the scope of practice of certified registered nurse practitioners (CRNPs) have been published in the Pennsylvania Bulletin, kicking off a 30-day public comment period. Physicians are urged to submit comments by Dec. 8, 2008. The Pennsylvania Medical Society believes the proposed regulations raise significant concerns about patient safety and quality of care issues because they expand CRNP scope of practice without adequate safeguards. The Society and a coalition of medical specialty organizations are prepared to submit comments on behalf of their members. But it's equally important that individual physicians who have patient concerns submit individual comment letters. The entities with the authority to make changes to the regulations-two legislative oversight committees, the State Board of Nursing, and the Independent Regulatory Review Commission-will only do so if they hear a high level of concern from the health care community. Key protections missing from the regulations are: * A sufficient description of the required elements of a collaborative agreement that ensures an appropriate CRNP/physician relationship through the availability of the physician and a predetermined plan for emergencies * Requirements that all collaborative agreements be in writing * A CRNP-to-physician ratio to maintain adequate physician involvement in patient care * A requirement that the collaborating physician have knowledge and expertise of the drugs that the CRNP can prescribe * Adequate restrictions of requirements for CRNP prescribing of Schedule II-V controlled substances to insure patient safety and appropriate care * A requirement to spell out what "CRNP" means on a name badge, as well as adequate protections to ensure that the patient understands that the health care professional treating them is a CRNP Last Updated: 11/10/2008 Morgan Plant & Associates 322 S West Street Carlisle, PA 17013 Voice: 717-245-0902 Cell: 717-386-1012 Fax: 717-245-0953 mrgnplant@aol.com = -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081112/3211fe75/attachment.html From jmg115 at pitt.edu Wed Nov 12 07:09:45 2008 From: jmg115 at pitt.edu (Gabany, Jennifer Mae) Date: Wed Nov 12 18:40:12 2008 Subject: [Pacnp_member] Holiday rounding In-Reply-To: References: <695078.38542.qm@web52303.mail.re2.yahoo.com> Message-ID: Every position I have had as a CRNP has been salaried exempt, meaning no OT and do whatever is needed to get the job done. My salary increase from an RN to CRNP more than compensated for this. Also every position I have had as a CRNP has had new responsibilities added on about 1 week after I started (which is probably why I gravitated to Research). I also believe the big success for us is that we do what physicians do not wish to do. This is unfortunate logic but otherwise where is our competitive edge except for sparing an administrator's budget, which is not enough incentive for me. Jennifer Gabany MSN,CRNP-C,CCRC -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of Lorraine Bock Sent: Tuesday, November 11, 2008 7:23 AM To: jean15944@yahoo.com; pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding Jean- My experience has been that if your group does hospital work then rounding is part of the package. Patients are in the hospital 24/7/365 and they need to be seen. If we want to be professionals and ask for equal compensation and if we ever want to be true independent practitioners we need to be doing all the things that go along with caring for our patients. Some things you do not get direct compensation for and that is part of the deal. NP's have got to stop trying to carve out this comfy little position where we are "professionals" but only on the things that are comfortable and convenient. The medical profession is going to use this kind of "whining" against us. Lorraine -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org]On Behalf Of jean15944@yahoo.com Sent: Sunday, November 09, 2008 1:12 PM To: pacnp_member@pacnp.org Subject: [Pacnp_member] Holiday rounding Hi- Can anyone tell me if they round in hospital on holidays, and if so how do they get compensated? When I was hired as an NP in the firm I'm currently with I was told there would be some weekend hospital rounding. I was not told about any holiday rounding. Unfortunately nothing was ever specified in writing- this was my first job out of the NP program. I do not get additional reimbursement for weekend rounding, and am now being told I must work on Thanksgiving. There was no mention of additional reimbursement. If I was still working as a regular RN I would be paid time + 1/2. I am debating about requesting this as payment now. What is the norm out there? Is anyone compensated extra for holiday rounding? Thanks, Jean Stern, MSN, CRNP From usavage at ptd.net Wed Nov 12 10:13:26 2008 From: usavage at ptd.net (Usavage) Date: Wed Nov 12 18:40:13 2008 Subject: [Pacnp_member] Holiday rounding References: Message-ID: <1F806F8563364F2EA77E183B05B67CB6@D3G4LT51> AMEN ----- Original Message ----- From: "Lorraine Bock" To: ; Sent: Tuesday, November 11, 2008 7:22 AM Subject: RE: [Pacnp_member] Holiday rounding > Jean- > My experience has been that if your group does hospital work then rounding > is part of the package. Patients are in the hospital 24/7/365 and they > need > to be seen. If we want to be professionals and ask for equal compensation > and if we ever want to be true independent practitioners we need to be > doing > all the things that go along with caring for our patients. Some things > you > do not get direct compensation for and that is part of the deal. NP's have > got to stop trying to carve out this comfy little position where we are > "professionals" but only on the things that are comfortable and > convenient. > The medical profession is going to use this kind of "whining" against us. > Lorraine > > -----Original Message----- > From: pacnp_member-bounces@pacnp.org > [mailto:pacnp_member-bounces@pacnp.org]On Behalf Of jean15944@yahoo.com > Sent: Sunday, November 09, 2008 1:12 PM > To: pacnp_member@pacnp.org > Subject: [Pacnp_member] Holiday rounding > > > Hi- Can anyone tell me if they round in hospital on holidays, and if so > how > do they get compensated? > When I was hired as an NP in the firm I'm currently with I was told there > would be some weekend hospital rounding. I was not told about any holiday > rounding. Unfortunately nothing was ever specified in writing- this was my > first job out of the NP program. I do not get additional reimbursement for > weekend rounding, and am now being told I must work on Thanksgiving. There > was no mention of additional reimbursement. If I was still working as a > regular RN I would be paid time + 1/2. I am debating about requesting this > as payment now. What is the norm out there? Is anyone compensated extra > for > holiday rounding? Thanks, Jean Stern, MSN, CRNP > > > > _______________________________________________ > Pacnp_member mailing list > Pacnp_member@pacnp.org > http://www.pacnp.org/mailman/listinfo/pacnp_member > > > _______________________________________________ > Pacnp_member mailing list > Pacnp_member@pacnp.org > http://www.pacnp.org/mailman/listinfo/pacnp_member > > From tsab at epix.net Thu Nov 13 04:13:29 2008 From: tsab at epix.net (sandra brill) Date: Thu Nov 13 04:52:10 2008 Subject: [Pacnp_member] Holiday rounding In-Reply-To: Message-ID: <003f01c94570$18600750$01fea8c0@sandyc463ba856> In the first place, asking a question is not whining and insulting each other does not advance our understanding of our roles. Second, I have been a part of the negations for physician's salaries and there is always compensation for in hospital practice including rounding. It is not our nursing practice to negotiate these terms and if Jean is finding herself in a position to renegotiate appropriate compensation for rounding (holiday and weekend) then I think she needs our support in being assertive. I would not approach it from a time and 1/2 stand (hourly RN), but compensation for hospital rounding in general. As she stated, she negotiated her terms right out of school and I am sure the company knew that. It may be time for her to negotiate rounding terms. I can only guess the physicians in her practice are being compensated for hospital practice. I am not in a hospital practice, but I certainly hope some of our colleagues can make some negotiation comments to our neophyte colleague and begin to support her instead of insulting her and releasing her to the wolves of organizations who have tried to keep NP's in a subservient role for years. Sandy Brill -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of Gabany, Jennifer Mae Sent: Wednesday, November 12, 2008 7:10 AM To: pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding Every position I have had as a CRNP has been salaried exempt, meaning no OT and do whatever is needed to get the job done. My salary increase from an RN to CRNP more than compensated for this. Also every position I have had as a CRNP has had new responsibilities added on about 1 week after I started (which is probably why I gravitated to Research). I also believe the big success for us is that we do what physicians do not wish to do. This is unfortunate logic but otherwise where is our competitive edge except for sparing an administrator's budget, which is not enough incentive for me. Jennifer Gabany MSN,CRNP-C,CCRC -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of Lorraine Bock Sent: Tuesday, November 11, 2008 7:23 AM To: jean15944@yahoo.com; pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding Jean- My experience has been that if your group does hospital work then rounding is part of the package. Patients are in the hospital 24/7/365 and they need to be seen. If we want to be professionals and ask for equal compensation and if we ever want to be true independent practitioners we need to be doing all the things that go along with caring for our patients. Some things you do not get direct compensation for and that is part of the deal. NP's have got to stop trying to carve out this comfy little position where we are "professionals" but only on the things that are comfortable and convenient. The medical profession is going to use this kind of "whining" against us. Lorraine -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org]On Behalf Of jean15944@yahoo.com Sent: Sunday, November 09, 2008 1:12 PM To: pacnp_member@pacnp.org Subject: [Pacnp_member] Holiday rounding Hi- Can anyone tell me if they round in hospital on holidays, and if so how do they get compensated? When I was hired as an NP in the firm I'm currently with I was told there would be some weekend hospital rounding. I was not told about any holiday rounding. Unfortunately nothing was ever specified in writing- this was my first job out of the NP program. I do not get additional reimbursement for weekend rounding, and am now being told I must work on Thanksgiving. There was no mention of additional reimbursement. If I was still working as a regular RN I would be paid time + 1/2. I am debating about requesting this as payment now. What is the norm out there? Is anyone compensated extra for holiday rounding? Thanks, Jean Stern, MSN, CRNP _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member From jmg115 at pitt.edu Thu Nov 13 06:09:52 2008 From: jmg115 at pitt.edu (Gabany, Jennifer Mae) Date: Thu Nov 13 17:20:29 2008 Subject: [Pacnp_member] Holiday rounding In-Reply-To: <003f01c94570$18600750$01fea8c0@sandyc463ba856> References: <003f01c94570$18600750$01fea8c0@sandyc463ba856> Message-ID: Lorraine appeared to make a general statement about work philosophy, no personal insult intended from what I read or what I said in my reply. We should be open to all dialogues, not just ones that agree with our own. There are a lot of NPs out there now in the job market and at least in what I have seen in the academic setting, I think it good advice to NPs particularly in their first position to make sure they are well established before pushing the envelope. I know from personal experience how expendable we all are, and I have been an NP since '99. It is a very tight job market these days. It is all about budgets and legalities, and rarely about keeping quality personnel. Jennifer Gabany MSN,CRNP-C,CCRC -----Original Message----- From: sandra brill [mailto:tsab@epix.net] Sent: Thursday, November 13, 2008 4:13 AM To: Gabany, Jennifer Mae; pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding In the first place, asking a question is not whining and insulting each other does not advance our understanding of our roles. Second, I have been a part of the negations for physician's salaries and there is always compensation for in hospital practice including rounding. It is not our nursing practice to negotiate these terms and if Jean is finding herself in a position to renegotiate appropriate compensation for rounding (holiday and weekend) then I think she needs our support in being assertive. I would not approach it from a time and 1/2 stand (hourly RN), but compensation for hospital rounding in general. As she stated, she negotiated her terms right out of school and I am sure the company knew that. It may be time for her to negotiate rounding terms. I can only guess the physicians in her practice are being compensated for hospital practice. I am not in a hospital practice, but I certainly hope some of our colleagues can make some negotiation comments to our neophyte colleague and begin to support her instead of insulting her and releasing her to the wolves of organizations who have tried to keep NP's in a subservient role for years. Sandy Brill -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of Gabany, Jennifer Mae Sent: Wednesday, November 12, 2008 7:10 AM To: pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding Every position I have had as a CRNP has been salaried exempt, meaning no OT and do whatever is needed to get the job done. My salary increase from an RN to CRNP more than compensated for this. Also every position I have had as a CRNP has had new responsibilities added on about 1 week after I started (which is probably why I gravitated to Research). I also believe the big success for us is that we do what physicians do not wish to do. This is unfortunate logic but otherwise where is our competitive edge except for sparing an administrator's budget, which is not enough incentive for me. Jennifer Gabany MSN,CRNP-C,CCRC -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of Lorraine Bock Sent: Tuesday, November 11, 2008 7:23 AM To: jean15944@yahoo.com; pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding Jean- My experience has been that if your group does hospital work then rounding is part of the package. Patients are in the hospital 24/7/365 and they need to be seen. If we want to be professionals and ask for equal compensation and if we ever want to be true independent practitioners we need to be doing all the things that go along with caring for our patients. Some things you do not get direct compensation for and that is part of the deal. NP's have got to stop trying to carve out this comfy little position where we are "professionals" but only on the things that are comfortable and convenient. The medical profession is going to use this kind of "whining" against us. Lorraine -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org]On Behalf Of jean15944@yahoo.com Sent: Sunday, November 09, 2008 1:12 PM To: pacnp_member@pacnp.org Subject: [Pacnp_member] Holiday rounding Hi- Can anyone tell me if they round in hospital on holidays, and if so how do they get compensated? When I was hired as an NP in the firm I'm currently with I was told there would be some weekend hospital rounding. I was not told about any holiday rounding. Unfortunately nothing was ever specified in writing- this was my first job out of the NP program. I do not get additional reimbursement for weekend rounding, and am now being told I must work on Thanksgiving. There was no mention of additional reimbursement. If I was still working as a regular RN I would be paid time + 1/2. I am debating about requesting this as payment now. What is the norm out there? Is anyone compensated extra for holiday rounding? Thanks, Jean Stern, MSN, CRNP _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member From kchurach at thehill.org Thu Nov 13 09:19:56 2008 From: kchurach at thehill.org (Churach, Ms. Kim) Date: Thu Nov 13 17:20:29 2008 Subject: [Pacnp_member] Holiday rounding In-Reply-To: <003f01c94570$18600750$01fea8c0@sandyc463ba856> Message-ID: Sandra, You make some very good points. I work in a boarding school which requires our providers to be on call. We used to have 2 physicians and 1 NP, now it is 1 physician and 2 NP's. In doing this and making the changes that the 2 NPs had to cover more hours both clinically and on call we based it on a lump sum to add to our annual salary. There are nights my phone never rings and there are nights that I have to get up in the middle of the night and go in and evaluate a sick or injured student. My salary is the same either way but it is a fair and reasonable sum. I agree that if anyone's job is changing and expanding it is reasonable to re-evaluate compensation. I imagine the same goes for physicians. In addition to being one of the NP's I'm also the director of the health center and have been involved in the evaluation of wages for all staff levels. As professionals I too believe it is important for us not to expect compensation as if we were hourly RN's working in the hospital. Happy Thanksgiving to all and don't forget to send your letters to the SBN. Kim Churach MSN, CRNP Administrative Director of Health Center The Hill School 717 E. High Street Pottstown, PA 19464 610.705.1217 610.705.1765 fax kchurach@thehill.org email -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of sandra brill Sent: Thursday, November 13, 2008 4:13 AM To: 'Gabany, Jennifer Mae'; pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding In the first place, asking a question is not whining and insulting each other does not advance our understanding of our roles. Second, I have been a part of the negations for physician's salaries and there is always compensation for in hospital practice including rounding. It is not our nursing practice to negotiate these terms and if Jean is finding herself in a position to renegotiate appropriate compensation for rounding (holiday and weekend) then I think she needs our support in being assertive. I would not approach it from a time and 1/2 stand (hourly RN), but compensation for hospital rounding in general. As she stated, she negotiated her terms right out of school and I am sure the company knew that. It may be time for her to negotiate rounding terms. I can only guess the physicians in her practice are being compensated for hospital practice. I am not in a hospital practice, but I certainly hope some of our colleagues can make some negotiation comments to our neophyte colleague and begin to support her instead of insulting her and releasing her to the wolves of organizations who have tried to keep NP's in a subservient role for years. Sandy Brill -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of Gabany, Jennifer Mae Sent: Wednesday, November 12, 2008 7:10 AM To: pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding Every position I have had as a CRNP has been salaried exempt, meaning no OT and do whatever is needed to get the job done. My salary increase from an RN to CRNP more than compensated for this. Also every position I have had as a CRNP has had new responsibilities added on about 1 week after I started (which is probably why I gravitated to Research). I also believe the big success for us is that we do what physicians do not wish to do. This is unfortunate logic but otherwise where is our competitive edge except for sparing an administrator's budget, which is not enough incentive for me. Jennifer Gabany MSN,CRNP-C,CCRC -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of Lorraine Bock Sent: Tuesday, November 11, 2008 7:23 AM To: jean15944@yahoo.com; pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding Jean- My experience has been that if your group does hospital work then rounding is part of the package. Patients are in the hospital 24/7/365 and they need to be seen. If we want to be professionals and ask for equal compensation and if we ever want to be true independent practitioners we need to be doing all the things that go along with caring for our patients. Some things you do not get direct compensation for and that is part of the deal. NP's have got to stop trying to carve out this comfy little position where we are "professionals" but only on the things that are comfortable and convenient. The medical profession is going to use this kind of "whining" against us. Lorraine -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org]On Behalf Of jean15944@yahoo.com Sent: Sunday, November 09, 2008 1:12 PM To: pacnp_member@pacnp.org Subject: [Pacnp_member] Holiday rounding Hi- Can anyone tell me if they round in hospital on holidays, and if so how do they get compensated? When I was hired as an NP in the firm I'm currently with I was told there would be some weekend hospital rounding. I was not told about any holiday rounding. Unfortunately nothing was ever specified in writing- this was my first job out of the NP program. I do not get additional reimbursement for weekend rounding, and am now being told I must work on Thanksgiving. There was no mention of additional reimbursement. If I was still working as a regular RN I would be paid time + 1/2. I am debating about requesting this as payment now. What is the norm out there? Is anyone compensated extra for holiday rounding? Thanks, Jean Stern, MSN, CRNP _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member From djzetter at hcpms.com Thu Nov 13 09:21:34 2008 From: djzetter at hcpms.com (David J Zetter) Date: Thu Nov 13 17:20:31 2008 Subject: [Pacnp_member] Holiday rounding In-Reply-To: <003f01c94570$18600750$01fea8c0@sandyc463ba856> References: <003f01c94570$18600750$01fea8c0@sandyc463ba856> Message-ID: <004d01c9459b$21b29950$6517cbf0$@com> As a consultant that works for physician practices and hires a lot of NPs and PAs and physicians and negotiates all employment contracts for my clients, I can say that there is always an offer on the table from a potential employer and it should be recognized by the prospective employee that it NEVER hurts to ask for anything to be negotiated. This does not necessarily mean that everything is negotiable. I invite potential providers joining a practice to review the offer and the employment agreement and come back with questions and or concerns. If Jean feels that she should be compensated for call or rounding, then she has that right to ask for that. If my client is compensating other providers for the same service, then it makes more sense to ask for it. I would communicate to her to help me recognize the value to my client on her providing these services and how it would equal the services currently being provided by other providers in the practice. If she can make the case, she will probably get it, especially if it is common practice to pay for this. Although I will say that in most physician practices I deal with rounding is part of the job. The compensation comes from the production produced and billed from that rounding and credited to each provider. Call, on the other hand is a different subject altogether. In most cases physicians in a practice all take on an equal portion of call. When it becomes time to change due to a provider slowing down or retiring and no longer wanting to take call, then we usually assess the value of call to compensate someone to take on the additional call. The same goes if you have someone moonlighting and taking call or in other scenarios. To summarize, I would not chastise Jean for trying to better her position, but I would suggest that you all keep in mind how to make it a win-win situation for both sides when attempting this, because that is how you will advance your profession and your position no matter what organization you are with. There has to be something in it (a benefit) for everyone otherwise you have no chance to make it work. Sometimes it works for the short term when only one side wins, but eventually the other side will recognize it and it will not reflect well on you or for you, because they will put the blame on someone and it won?t be on themselves for their oversight. I hope this helps. ____________________________________________________________________________ ______________________ David J. Zetter, PHR, CHCC, CHCO, CPC, CPC-H, PCS, FCS, CHBC Health Care Professional Management Services 601 East Simpson Street, Mechanicsburg, PA 17055-3456 Telephone: 717.691.7100, Cell: 717.979.5037, Fax: 717.691.6855 "Helping You Manage the Business of Health Care" Confidentiality Notice: This e-mail message and all contents (including any attachments) from Health Care Professional Management Services is covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521 and the HIPAA. It is confidential and may be legally privileged. The message and attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, trade secret or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, any disclosure, copy, distribution or issue of the contents of this message is prohibited. Please contact the sender by reply email or by phone and destroy all copies of the original message immediately. -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of sandra brill Sent: Thursday, November 13, 2008 4:13 AM To: 'Gabany, Jennifer Mae'; pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding In the first place, asking a question is not whining and insulting each other does not advance our understanding of our roles. Second, I have been a part of the negations for physician's salaries and there is always compensation for in hospital practice including rounding. It is not our nursing practice to negotiate these terms and if Jean is finding herself in a position to renegotiate appropriate compensation for rounding (holiday and weekend) then I think she needs our support in being assertive. I would not approach it from a time and 1/2 stand (hourly RN), but compensation for hospital rounding in general. As she stated, she negotiated her terms right out of school and I am sure the company knew that. It may be time for her to negotiate rounding terms. I can only guess the physicians in her practice are being compensated for hospital practice. I am not in a hospital practice, but I certainly hope some of our colleagues can make some negotiation comments to our neophyte colleague and begin to support her instead of insulting her and releasing her to the wolves of organizations who have tried to keep NP's in a subservient role for years. Sandy Brill -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of Gabany, Jennifer Mae Sent: Wednesday, November 12, 2008 7:10 AM To: pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding Every position I have had as a CRNP has been salaried exempt, meaning no OT and do whatever is needed to get the job done. My salary increase from an RN to CRNP more than compensated for this. Also every position I have had as a CRNP has had new responsibilities added on about 1 week after I started (which is probably why I gravitated to Research). I also believe the big success for us is that we do what physicians do not wish to do. This is unfortunate logic but otherwise where is our competitive edge except for sparing an administrator's budget, which is not enough incentive for me. Jennifer Gabany MSN,CRNP-C,CCRC -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of Lorraine Bock Sent: Tuesday, November 11, 2008 7:23 AM To: jean15944@yahoo.com; pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding Jean- My experience has been that if your group does hospital work then rounding is part of the package. Patients are in the hospital 24/7/365 and they need to be seen. If we want to be professionals and ask for equal compensation and if we ever want to be true independent practitioners we need to be doing all the things that go along with caring for our patients. Some things you do not get direct compensation for and that is part of the deal. NP's have got to stop trying to carve out this comfy little position where we are "professionals" but only on the things that are comfortable and convenient. The medical profession is going to use this kind of "whining" against us. Lorraine -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org]On Behalf Of jean15944@yahoo.com Sent: Sunday, November 09, 2008 1:12 PM To: pacnp_member@pacnp.org Subject: [Pacnp_member] Holiday rounding Hi- Can anyone tell me if they round in hospital on holidays, and if so how do they get compensated? When I was hired as an NP in the firm I'm currently with I was told there would be some weekend hospital rounding. I was not told about any holiday rounding. Unfortunately nothing was ever specified in writing- this was my first job out of the NP program. I do not get additional reimbursement for weekend rounding, and am now being told I must work on Thanksgiving. There was no mention of additional reimbursement. If I was still working as a regular RN I would be paid time + 1/2. I am debating about requesting this as payment now. What is the norm out there? Is anyone compensated extra for holiday rounding? Thanks, Jean Stern, MSN, CRNP _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member No virus found in this incoming message. Checked by AVG. Version: 7.5.549 / Virus Database: 270.9.2/1784 - Release Date: 11/12/2008 7:01 PM No virus found in this outgoing message. Checked by AVG. Version: 7.5.549 / Virus Database: 270.9.2/1784 - Release Date: 11/12/2008 7:01 PM -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081113/f620950a/attachment-0001.html From ninais1 at aol.com Thu Nov 13 13:12:44 2008 From: ninais1 at aol.com (ninais1@aol.com) Date: Thu Nov 13 17:20:32 2008 Subject: [Pacnp_member] Physicians Urged to Comment on CRNP Regulations by Dec 8th In-Reply-To: <012901c9451e$ec751000$c55f3000$@org> References: <012901c9451e$ec751000$c55f3000$@org> Message-ID: <8CB13D28F09A30E-D94-103D@webmail-md13.sysops.aol.com> Hi I am looking for information regarding reimbursement for nurse practitioners employed by nursing homes. Any information would be helpful. Thank you Nina Flanagan -----Original Message----- From: Susan Schrand To: pacnp_member@pacnp.org Sent: Wed, 12 Nov 2008 6:32 pm Subject: [Pacnp_member] Physicians Urged to Comment on CRNP Regulations by Dec 8th This came through from the Medical Society about our regulations.? Please read the ?key protections? carefully.? Our letters of support are vital!? Send them to the SBON by December 8th! ? ? Physicians Urged to Comment on CRNP Regulations by Dec. 8 Regulations expanding the scope of practice of certified registered nurse practitioners (CRNPs) have been published in the Pennsylvania Bulletin, kicking off a 30-day public comment period. Physicians are urged to submit comments by Dec. 8, 2008. The Pennsylvania Medical Society believes the proposed regulations raise significant concerns about patient safety and quality of care issues because they expand CRNP scope of practice without adequate safeguards. The Society and a coalition of medical specialty organizations are prepared to submit comments on behalf of their members. But it?s equally important that individual physicians who have patient concerns submit individual comment letters. The entities with the authority to make changes to the regulations?two legislative oversight committees, the State Board of Nursing, and the Independent Regulatory Review=2 0Commission?will only do so if they hear a high level of concern from the health care community. Key protections missing from the regulations are: A sufficient description of the required elements of a collaborative agreement that ensures an appropriate CRNP/physician relationship through the availability of the physician and a predetermined plan for emergencies Requirements that all collaborative agreements be in writing A CRNP-to-physician ratio to maintain adequate physician involvement in patient care A requirement that the collaborating physician have knowledge and expertise of the drugs that the CRNP can prescribe Adequate restrictions of requirements for CRNP prescribing of Schedule II-V controlled substances to insure patient safety and appropriate care A requirement to spell out what ?CRNP? means on a name badge, as well as adequate protections to ensure that the patient understands that the health care professional treating them is a CRNP Last Updated: 11/10/2008 ? ? ? Morgan Plant & Associates 322 S West Street Carlisle, PA 17013 Voice: 717-245-0902 Cell: 717-386-1012 Fax: 717-245-0953 mrgnplant@aol.com ? ? ? ? ? = _______________________________________________ acnp_member mailing list acnp_member@pacnp.org ttp://www.pacnp.org/mailman/listinfo/pacnp_member _______________________________________________ acnp_member mailing list acnp_member@pacnp.org ttp://www.pacnp.org/mailman/listi nfo/pacnp_member -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081113/12f1cdf7/attachment.html From lorrainecrnp at kuhncom.net Fri Nov 14 08:14:27 2008 From: lorrainecrnp at kuhncom.net (Lorraine Bock) Date: Fri Nov 14 16:11:34 2008 Subject: [Pacnp_member] Holiday rounding In-Reply-To: Message-ID: Jennifer- Thank you for your defense of my comments. You are correct - it was a general comment and one intended to make NP's realize that we are NOT there yet. Having worked in several private practices over the last 15 years you are right (and owning my own practice for the last 5 years.) We are expendable and we cannot make too many demands, without putting out more effort than the docs we work with/for. Docs do not get additional compensation for call in most settings and compensation for rounding is based on being able to bill for services in most cases. (This is tough billing for NP's even now) Most docs also get time away from the office to round - where in my past this time was in addition to my office responsibilities. Health care $$ are getting tighter and even docs will have to do more for less. If we want to stay "at the table" we are going to have to accept some of the realities that are not what we would like them to be. Right now we need to focus on the regs and getting them through the way they are written otherwise we will be losing even more ground. Lorraine -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org]On Behalf Of Gabany, Jennifer Mae Sent: Thursday, November 13, 2008 6:10 AM To: pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding Lorraine appeared to make a general statement about work philosophy, no personal insult intended from what I read or what I said in my reply. We should be open to all dialogues, not just ones that agree with our own. There are a lot of NPs out there now in the job market and at least in what I have seen in the academic setting, I think it good advice to NPs particularly in their first position to make sure they are well established before pushing the envelope. I know from personal experience how expendable we all are, and I have been an NP since '99. It is a very tight job market these days. It is all about budgets and legalities, and rarely about keeping quality personnel. Jennifer Gabany MSN,CRNP-C,CCRC -----Original Message----- From: sandra brill [mailto:tsab@epix.net] Sent: Thursday, November 13, 2008 4:13 AM To: Gabany, Jennifer Mae; pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding In the first place, asking a question is not whining and insulting each other does not advance our understanding of our roles. Second, I have been a part of the negations for physician's salaries and there is always compensation for in hospital practice including rounding. It is not our nursing practice to negotiate these terms and if Jean is finding herself in a position to renegotiate appropriate compensation for rounding (holiday and weekend) then I think she needs our support in being assertive. I would not approach it from a time and 1/2 stand (hourly RN), but compensation for hospital rounding in general. As she stated, she negotiated her terms right out of school and I am sure the company knew that. It may be time for her to negotiate rounding terms. I can only guess the physicians in her practice are being compensated for hospital practice. I am not in a hospital practice, but I certainly hope some of our colleagues can make some negotiation comments to our neophyte colleague and begin to support her instead of insulting her and releasing her to the wolves of organizations who have tried to keep NP's in a subservient role for years. Sandy Brill -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of Gabany, Jennifer Mae Sent: Wednesday, November 12, 2008 7:10 AM To: pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding Every position I have had as a CRNP has been salaried exempt, meaning no OT and do whatever is needed to get the job done. My salary increase from an RN to CRNP more than compensated for this. Also every position I have had as a CRNP has had new responsibilities added on about 1 week after I started (which is probably why I gravitated to Research). I also believe the big success for us is that we do what physicians do not wish to do. This is unfortunate logic but otherwise where is our competitive edge except for sparing an administrator's budget, which is not enough incentive for me. Jennifer Gabany MSN,CRNP-C,CCRC -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of Lorraine Bock Sent: Tuesday, November 11, 2008 7:23 AM To: jean15944@yahoo.com; pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding Jean- My experience has been that if your group does hospital work then rounding is part of the package. Patients are in the hospital 24/7/365 and they need to be seen. If we want to be professionals and ask for equal compensation and if we ever want to be true independent practitioners we need to be doing all the things that go along with caring for our patients. Some things you do not get direct compensation for and that is part of the deal. NP's have got to stop trying to carve out this comfy little position where we are "professionals" but only on the things that are comfortable and convenient. The medical profession is going to use this kind of "whining" against us. Lorraine -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org]On Behalf Of jean15944@yahoo.com Sent: Sunday, November 09, 2008 1:12 PM To: pacnp_member@pacnp.org Subject: [Pacnp_member] Holiday rounding Hi- Can anyone tell me if they round in hospital on holidays, and if so how do they get compensated? When I was hired as an NP in the firm I'm currently with I was told there would be some weekend hospital rounding. I was not told about any holiday rounding. Unfortunately nothing was ever specified in writing- this was my first job out of the NP program. I do not get additional reimbursement for weekend rounding, and am now being told I must work on Thanksgiving. There was no mention of additional reimbursement. If I was still working as a regular RN I would be paid time + 1/2. I am debating about requesting this as payment now. What is the norm out there? Is anyone compensated extra for holiday rounding? Thanks, Jean Stern, MSN, CRNP _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member From Birbeck.T at gmc.edu Sat Nov 15 05:05:59 2008 From: Birbeck.T at gmc.edu (Birbeck.T@gmc.edu) Date: Sat Nov 15 09:08:22 2008 Subject: FW: [Pacnp_member] Holiday rounding References: <003f01c94570$18600750$01fea8c0@sandyc463ba856> <4F25FEED0CD6E64E87761FA92C58EA800693E0A9@MAIL.gmc.net> Message-ID: <4F25FEED0CD6E64E87761FA92C58EA800693E0AA@MAIL.gmc.net> As a student NP getting ready to graduate in May 09, I really appreciate that. Thank you! Tracy L. Birbeck, BA, RN Graduate Assistant Gwynedd-Mercy College 1325 Sumneytown Pike Gwynedd Valley, PA 19437 215-646-7300 x295 birbeck.t@gmc.edu -----Original Message----- From: pacnp_member-bounces@pacnp.org on behalf of sandra brill Sent: Thu 11/13/2008 4:13 AM To: 'Gabany, Jennifer Mae'; pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding In the first place, asking a question is not whining and insulting each other does not advance our understanding of our roles. Second, I have been a part of the negations for physician's salaries and there is always compensation for in hospital practice including rounding. It is not our nursing practice to negotiate these terms and if Jean is finding herself in a position to renegotiate appropriate compensation for rounding (holiday and weekend) then I think she needs our support in being assertive. I would not approach it from a time and 1/2 stand (hourly RN), but compensation for hospital rounding in general. As she stated, she negotiated her terms right out of school and I am sure the company knew that. It may be time for her to negotiate rounding terms. I can only guess the physicians in her practice are being compensated for hospital practice. I am not in a hospital practice, but I certainly hope some of our colleagues can make some negotiation comments to our neophyte colleague and begin to support her instead of insulting her and releasing her to the wolves of organizations who have tried to keep NP's in a subservient role for years. Sandy Brill -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of Gabany, Jennifer Mae Sent: Wednesday, November 12, 2008 7:10 AM To: pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding Every position I have had as a CRNP has been salaried exempt, meaning no OT and do whatever is needed to get the job done. My salary increase from an RN to CRNP more than compensated for this. Also every position I have had as a CRNP has had new responsibilities added on about 1 week after I started (which is probably why I gravitated to Research). I also believe the big success for us is that we do what physicians do not wish to do. This is unfortunate logic but otherwise where is our competitive edge except for sparing an administrator's budget, which is not enough incentive for me. Jennifer Gabany MSN,CRNP-C,CCRC -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of Lorraine Bock Sent: Tuesday, November 11, 2008 7:23 AM To: jean15944@yahoo.com; pacnp_member@pacnp.org Subject: RE: [Pacnp_member] Holiday rounding Jean- My experience has been that if your group does hospital work then rounding is part of the package. Patients are in the hospital 24/7/365 and they need to be seen. If we want to be professionals and ask for equal compensation and if we ever want to be true independent practitioners we need to be doing all the things that go along with caring for our patients. Some things you do not get direct compensation for and that is part of the deal. NP's have got to stop trying to carve out this comfy little position where we are "professionals" but only on the things that are comfortable and convenient. The medical profession is going to use this kind of "whining" against us. Lorraine -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org]On Behalf Of jean15944@yahoo.com Sent: Sunday, November 09, 2008 1:12 PM To: pacnp_member@pacnp.org Subject: [Pacnp_member] Holiday rounding Hi- Can anyone tell me if they round in hospital on holidays, and if so how do they get compensated? When I was hired as an NP in the firm I'm currently with I was told there would be some weekend hospital rounding. I was not told about any holiday rounding. Unfortunately nothing was ever specified in writing- this was my first job out of the NP program. I do not get additional reimbursement for weekend rounding, and am now being told I must work on Thanksgiving. There was no mention of additional reimbursement. If I was still working as a regular RN I would be paid time + 1/2. I am debating about requesting this as payment now. What is the norm out there? Is anyone compensated extra for holiday rounding? Thanks, Jean Stern, MSN, CRNP _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member From pa.cnp at verizon.net Mon Nov 17 14:54:23 2008 From: pa.cnp at verizon.net (pacnp) Date: Mon Nov 17 15:00:08 2008 Subject: [Pacnp_member] FW: More Regulations Information Message-ID: <000e01c948ee$4a4ac440$0301a8c0@Margie> Hi, All- A group of NP leaders from the PCNP executive board met with the House Professional Licensure Committee (HPLC) and the Independent Regulatory Review Commission (IRRC) this past Friday to discuss our position on the CRNP regulations and educate them on our professional roles throughout the state and nation. It was a positive meeting and we all felt that the CRNP experience that was shared at the table was eye-opening for them. They are looking forward to receiving our comments. They said EARLIER IS BETTER, so please send in those comments as quickly as possible. You can search the IRRC website to see if there is any activity on our regulations. You can search with our very own 'IRRC Number' The lucky number is 2729. Here is the link: http://www.irrc.state.pa.us/Regulations/#RegSearch Give it a try! Thanks for any help you can offer and keep those letters coming. Only 20 days left!! Sue Schrand, MSN, CRNP Executive Director PCNP This message, including any attachments, contains confidential information intended only for a specific individual and purpose. It contains information which is private and legally protected by law. If you are not the intended recipient, please contact the sender immediately by reply e-mail and destroy all copies. You are hereby notified that any disclosure, copying, distribution or use of the contents of this transmission, or the taking of any action or reliance thereon, is strictly prohibited. -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081117/fc64e42b/attachment.html From pa.cnp at verizon.net Mon Nov 17 15:00:50 2008 From: pa.cnp at verizon.net (pacnp) Date: Mon Nov 17 15:06:34 2008 Subject: [Pacnp_member] FW: Example letter for your legislators Message-ID: <002301c948ef$33e3f1d0$0301a8c0@Margie> Hi, All- Here is a nice letter drafted for a legislator requesting a letter of support regarding our CRNP regulations. The author said I could share with all of you, in hopes of reaching out to them to support our profession and patients. ONLY 20 DAYS LEFT TO SUBMIT COMMENTS!! Sue Schrand Dear Senator Folmer, As a Nurse Practitioner, I am contacting you in support of approving 16A-5124 CRNP General Regulations. The proposed changes will improve access to health care for Pennsylvanians while becoming more consistent with the expanded scope of practice authorized by Act 48. The removal of the 4:1 NP to physician ratio would improve access to care as there are fewer physicians to collaborate, a requirement to legally practice prescriptive authority. I have the good fortune to be in a practice that this is not a problem but many of my colleagues in rural and center city clinics are restricted. This will become more problematic as only 2-3% new physicians are entering family practice. The schedule II, III, IV drug prescriptions hamper my care to my patients with chronic pain in my geriatric practice. One patient has been on a schedule II for intractable pain, has gone to 2 pain clinics, and is now in my care. This places a burden that I must seek out a physician for her ongoing needs. Many are able to realize cost savings by using mail order, reducing co payment costs but only if it is a 90 day supply. Once again, I must take time from another patient to provide the best care for patient number one. I would appreciate your support in writing a letter to the PA State Board of Nursing in favor of approving the proposed regulations as proposed. As you know, they must pass the regulatory process in order for the changes to take place for final rule making. The proposed CRNP regulations would remove barriers to access of care for the residents of Pennsylvania. With the goal of improving access to health care for all Pennsylvanians, approval of these Rules and Regulations will provide another step to improving healthcare for the residents of Pennsylvania. Written comments must be submitted to the State Board of Nursing by December 8, 2008. Please reference with: 16A-5124: CRNP General Revisions Attn: Ann Steffanic Board Administrator State Board of Nursing PO BOX 2649 Harrisburg, PA 17105-2649 I appreciate your time and attention to this matter. Should you have any questions, I can be reached at 717 368-8523. Sincerely, (Your name & address) This e-mail message, together with any attachments, is for the sole use of the intended recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure, forwarding, or distribution is prohibited. If you are not the intended recipient and have received this message in error, please contact the sender by reply e-mail immediately and destroy all copies of the original message. -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081117/a563f5e6/attachment.html From pa.cnp at verizon.net Mon Nov 17 14:55:39 2008 From: pa.cnp at verizon.net (pacnp) Date: Mon Nov 17 16:02:13 2008 Subject: [Pacnp_member] FW: Support letter CRNP Regs/Patients Message-ID: <001801c948ee$7a4ea300$0301a8c0@Margie> Skipped content of type multipart/alternative-------------- next part -------------- A non-text attachment was scrubbed... Name: pt letter for crnpregs.docx Type: application/octet-stream Size: 10755 bytes Desc: not available Url : http://www.legalisi.com/pipermail/pacnp_member/attachments/20081117/a30db521/ptletterforcrnpregs-0001.obj From pa.cnp at verizon.net Mon Nov 17 19:39:02 2008 From: pa.cnp at verizon.net (pacnp) Date: Mon Nov 17 19:44:54 2008 Subject: [Pacnp_member] FW: Support letter CRNP Regs/Patients Message-ID: <001701c94916$11289430$0301a8c0@Margie> November XX, 2008 Pennsylvania State Board of Nursing ATTN: Ann Steffanic, Board Administrator P.O. Box 2649 Harrisburg, PA 17105-2649 Ref. # 16A-5124 CRNP General Revisions To Whom It May Concern: I am writing in support of new regulations expanding the practice of nurse practitioners in Pennsylvania. I am a patient that has been treated by a nurse practitioner (CRNP) at ____________________. The CRNP has provided competent and professional care at a time that was needed. The availability of the CRNP to diagnose and treat me prevented delaying my care and/or needing emergency room services. Nurse practitioners are a cost effective way to improve access to high quality health care. Their ability to care for patients is of tremendous importance in the current health care crisis in our country and our state. I would like to see CRNPs utilized to their full potential in Pennsylvania as they are in most states throughout the country. Comments: Signature________________________________________ Date_________________________ From: pacnp [mailto:pa.cnp@verizon.net] Sent: Monday, November 17, 2008 3:00 PM To: 'Susan Schrand' Subject: RE: Support letter CRNP Regs/Patients Hi Sue I posted this to the listserve along with your attached letter but I know we will get a lot of responses from people who cannot open this type of attachment. I can't open it either. Can you resend it to me in a word document and I will resend to the listserve. FYI - I sent the database of names/addresses to the printer this morning for the newsletter. I am sent you the revised minutes in a separate email. Margie -----Original Message----- From: Susan Schrand [mailto:SSchrand@pacnp.org] Sent: Monday, November 17, 2008 1:00 PM To: Margie Mengle Subject: Support letter CRNP Regs/Patients Margie-could you post to the list serve? I'm at the factory and something went wrong. Thanks! With only 20 DAYS LEFT to submit comments, this might come in handy for you to edit/personalize and share with your practice to have those adoring patients send off on your behalf. If they are willing, please ask them to write about a specific encounter that would support the proposed changes. Thanks! Sue Schrand -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081117/66374252/attachment.html From shaver5 at dejazzd.com Mon Nov 17 21:28:00 2008 From: shaver5 at dejazzd.com (shaver5 dejazzd.com) Date: Mon Nov 17 21:39:47 2008 Subject: [Pacnp_member] regulations Message-ID: An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081117/7acbf61c/attachment.html From pa.cnp at verizon.net Tue Nov 18 10:06:08 2008 From: pa.cnp at verizon.net (pacnp) Date: Tue Nov 18 10:12:01 2008 Subject: [Pacnp_member] Job Opportunity - Meadowbrook, PA Message-ID: <007101c9498f$3339b260$0301a8c0@Margie> Holy Redeemer Health System Meadowbrook, Pennsylvania 19046 We seek a full time and a per diem Nurse Practitioner for our fast-track Emergency Department. Responsibilities include providing comprehensive clinical care to emergency patients and maximizing productivity & enhancing services while controlling expenses. We require a graduate of an accredited NP program, current PA RN & CRNP licenses, and previous experience in emergency medicine. ACLS and PALS certification preferred. " Contact Michele Meehan RN BSN 215-214-0687 or e-mail at mmeehan@holyredeemer.com www.holyredeemer.com EOE ------------------------------------------------------------------------ --------- CONFIDENTIALITY NOTICE: This E-Mail is intended only for the use of the individual or entity to which it was sent. It may contain information that is privileged and/or confidential, and the use or disclosure of such information may also be restricted under applicable federal and state law. If you received this communication in error, please do not distribute any part of it or retain any copies, and delete the original E-Mail. Please notify the sender of any error by E-Mail. Thank you for your cooperation. -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081118/73f64e8c/attachment-0001.html From pa.cnp at verizon.net Tue Nov 18 10:08:54 2008 From: pa.cnp at verizon.net (pacnp) Date: Tue Nov 18 10:14:43 2008 Subject: [Pacnp_member] Job Opportunity - Lancaster, Allentown, Easton, Huntingdon Valley Message-ID: <008b01c9498f$95f12690$0301a8c0@Margie> Full-Time Nurse Practitioner Positions Are Currently Available In Lancaster, Allentown, Easton, and Huntingdon Valley, PA! As a Heartland Care Partners Nurse Practitioner, you'll enjoy a level of collaboration and autonomy that truly maximizes the impact of your work and helps you grow in extraordinary ways. Plus, you'll experience unsurpassed support from an organization that truly understands the importance of your role to excellence in care. Join the team of professionals working to create positive outcomes in post-acute rehabilitation and complex medical care. Benefits: * Flexible Scheduling of Patient Visits * Typically a Monday through Friday work schedule; normal business hours * NO on-call, weekends or holidays! * Continuing Education (CEs) and Licensure Fund * Excellent Orientation Program * Comprehensive Benefits and More Requirements: * Current Nurse Practitioner license in the state required * Board Certified * DEA and Prescriptive Authority Discover the innovative environment where you will thrive! To learn more, contact Lisa West at 866-680-2267 Ext. 102; Fax to 877-479-2652; or e-mail lisa.west@hcr-manorcare.com EEO/Drug-Free Employer Apply online at www.hcr-manorcare.com From: pacnp [mailto:pa.cnp@verizon.net] Sent: Thursday, October 23, 2008 1:58 PM To: Eric J. Toth Subject: RE: Posting Question We only accept Visa or Mastercard. We can send invoices for postings. Ads are placed on the website when they are received. They are then sent to over 1100 members of our ListServ once payment is received. Margie Mengle PCNP Central Office 717-766-4458 phone/fax -----Original Message----- From: Eric J. Toth [mailto:ERIC.TOTH@adeccona.com] Sent: Thursday, October 23, 2008 1:48 PM To: NPads@pacnp.org Subject: Posting Question To whom it may concern, Do you accept American Express or will you send out an invoice for postings? Thanks, Eric Eric Toth Researcher Adecco Recruitment Process Outsourcing 336 Superior St Suite 200 Toledo, OH 43604 Phone:(419) 720-1440 Email:eric.toth@adeccona.com http://rpo.adeccousa.com -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081118/9134fc14/attachment.html From pa.cnp at verizon.net Tue Nov 18 10:10:03 2008 From: pa.cnp at verizon.net (pacnp) Date: Tue Nov 18 10:15:47 2008 Subject: [Pacnp_member] Job Opportunity - Harrisburg Message-ID: <009501c9498f$bef79f60$0301a8c0@Margie> PART-TIME NURSE PRACTITIONER Part-time Nurse Practitioner position available in South Harrisburg Pediatric practice. One to three years Pediatric experience preferred and bi-lingual (Spanish/English) a plus. Flexible schedule. Join us to make a difference in the lives of the children of South Harrisburg. Send resume and application letter with salary requirements to: Office Manager, Community Check-Up Center, 38 C Hall Manor, Harrisburg, PA 17104 or email cccdirector@comcast.net. -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081118/ab107be0/attachment-0001.html From pa.cnp at verizon.net Tue Nov 18 10:12:44 2008 From: pa.cnp at verizon.net (pacnp) Date: Tue Nov 18 10:19:23 2008 Subject: [Pacnp_member] Job Opportunity - Altoona, PA Message-ID: <009f01c94990$1f57dd20$0301a8c0@Margie> Skipped content of type multipart/alternative-------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 5908 bytes Desc: not available Url : http://www.legalisi.com/pipermail/pacnp_member/attachments/20081118/7b4adf2a/attachment.gif From cdscrnp at yahoo.com Tue Nov 18 20:19:40 2008 From: cdscrnp at yahoo.com (Cindy Schmeltz) Date: Tue Nov 18 20:25:17 2008 Subject: [Pacnp_member] Survey request Message-ID: <652927.75355.qm@web58103.mail.re3.yahoo.com> ???? Introductory E-mail ? Dear NP Colleague, ? ???? My name is Katherine M. Curci and I am a doctoral student at The Pennsylvania State University, School of Nursing. I am also a nurse practitioner and currently practice both in Hershey and Mechanicsburg. This e-mail is to introduce you to a survey that addresses job satisfaction and the degree to which a practice environment is interdisciplinary. I am conducting this survey as part of my doctoral work. Upon completion of the survey you will have the option of participating in a drawing for one of five $100 gift certificates from Amazon.com. ???? The survey will provide benefits for nurse practitioners in that it will shed light on the impact of an interdisciplinary work environment on the job satisfaction of nurse practitioners. With this information nurse practitioners and administrators can structure practice environments that will enhance job satisfaction and contribute to stable staffing, enhanced production, increased patient satisfaction and decreased cost to the health system. ???? The data will be reported in aggregate manner and email addresses will not be connected to the survey. The survey should take between 15 and 20 minutes to complete. ???? You will receive an e-mail from me in 2-3 days that will contain a hyperlink to take you directly to the survey. Your participation will be very much appreciated. Thank-you, in advance for considering taking part in this survey. ? Kathy ? ? -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081118/e4388eb2/attachment.html From SSchrand at pacnp.org Wed Nov 19 06:01:44 2008 From: SSchrand at pacnp.org (Susan Schrand) Date: Wed Nov 19 06:07:34 2008 Subject: [Pacnp_member] Responses to Proposed Regulations! Message-ID: <002701c94a36$35bcb9e0$a1362da0$@org> Hi, All- two updates. 1. Medical Society Comments: There are now comments made by most of the medical societies and the House Professional Licensure Committee re: Proposed CRNP Regulations. This may come as a surprise, but they are not in favor of the proposed changes! This is VERY important that you read what our colleagues in medicine have to say in response to the regulations, as well as the legislative oversight committee. You can read the submitted comments on pages 1-30. Please take a moment to refer to this link: http://www.ctbpls.com/www/pa/library/2008/20081117TV.pdf We have also posted this link on the website (www.pacnp.org ) under 'Recent News' Please spread the word to your colleagues to read this and stay informed. 2. IRRC Website: Letters with our comments are beginning to be posted for you to read. Here is the link: http://www.irrc.state.pa.us/Regulations/RegInfo.cfm?IRRCNo=2729 We have a lot of work ahead of us! Please stay informed and keep sending in those comments!! Sincerely, Sue Susan M. Schrand, MSN, CRNP Executive Director Pennsylvania Coalition of Nurse Practitioners P.O. Box 545 Mechanicsburg, PA 17055 Ph/Fax (717) 766-4458 sschrand@pacnp.org www.pacnp.org -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081119/3bf68c3b/attachment-0001.html From pa.cnp at verizon.net Wed Nov 19 11:15:02 2008 From: pa.cnp at verizon.net (pacnp) Date: Wed Nov 19 11:20:49 2008 Subject: [Pacnp_member] Job Opportunity - McMurray, PA Message-ID: <000f01c94a61$faaffb10$0301a8c0@Margie> CRNP for Dermatology Office Full or part-time Board Certified Nurse Practitioner needed in a solo dermatology practice located in McMurray, PA. Experience in dermatology preferred. Send Resumes to: Ann B. McCune, MD 2001 Waterdam Plaza Drive, Ste 202 McMurray, PA 15317 or Fax to: 724-942-3056 -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081119/39fd8071/attachment.html From bweaver at laurelhs.org Wed Nov 19 09:23:34 2008 From: bweaver at laurelhs.org (Weaver, Beth) Date: Wed Nov 19 20:58:57 2008 Subject: [Pacnp_member] nursing home rounds Message-ID: <368F2314C9063747BC23B1E63E3234F01CB129BDA0@ldlmail2.LHS.ORG> Do any of you know how often a doctor has to make rounds on patients in a nursing home? Or where I can find that information? I have started to round on some nursing home patients, and our practice doesn't know how often the physician has to actually round on the patients themselves. Thank you for your replies. Beth Weaver, CRNP ________________________________ Confidentiality Note: The information contained in this electronic message is privileged and confidential information intended for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any dissemination, distribution, or copy of this message is strictly prohibited. If you have received this electronic message in error, please delete the message immediately and notify us by telephone. Thank you. -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081119/81999326/attachment.html From wgrube at nursing.upenn.edu Thu Nov 20 11:19:42 2008 From: wgrube at nursing.upenn.edu (Grube, Wendy) Date: Thu Nov 20 11:32:52 2008 Subject: [Pacnp_member] Preceptor information Message-ID: <92D8AE80784B154BAEAD4A9096544C8D0BB9B2F1@email.nursing.upenn.edu> The future of NP education stands in jeopardy due to the dwindling number of clinical preceptors. There is a theory that payment for precepting graduate students in APN programs may play a critical role in this situation. The NP programs at Penn are attempting to survey preceptors to NP students throughout PA regarding the issue of payment for this work. If you are a preceptor for NP students, could you please email me with the following information: 1. Do you currently get paid (or receive other compensation) for precepting NP students? 2. If yes, how much is your compensation? 3. Does this compensation go to you (as preceptor) or the practice in which you work? 4. Does compensation directly affect your ability or willingness to precept NP students? We would also like to hear from other NP programs throughout PA regarding payment of preceptors: 1. Do you pay (or compensate in any way) preceptors who provide clinical education/oversight for your NP students? 2. If yes, what is the amount/type of compensation, and the conditions under which it is provided? I greatly appreciate any information you can send my way regarding this matter. Wendy Grube, MSN, CRNP Associate Program Director Women's Healthcare Nurse Practitioner Program University of Pennsylvania School of Nursing Claire M. Fagin Hall 418 Curie Boulevard Philadelphia, PA 19104-4217 Phone: (215) 898-1169 Email: wgrube@nursing.upenn.edu -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081120/0dfe8e28/attachment.html From SSchrand at pacnp.org Thu Nov 20 17:44:09 2008 From: SSchrand at pacnp.org (Susan Schrand) Date: Thu Nov 20 17:46:41 2008 Subject: [Pacnp_member] URGENT NOTICE: Discretion a must in patient letters! Message-ID: <005b01c94b61$80f65cf0$82e316d0$@org> We have received a call this afternoon alerting us to the fact that some of our patients have submitted comments of support, but have shared very personal and sensitive medical information (prescription medication use, addiction issues, psych/mental health histories) in their letters. PLEASE MAKE SURE YOU'RE THE PEOPLE YOU ASK TO WRITE A LETTER OF SUPPORT USE DISCRETION WHEN THEY SHARE THEIR STORIES. All information is public and available on the Independent Regulatory Review Commission (IRRC) website. IRRC is working to remove the sensitive letters, but if you can all help by educating people that comments are public (also including names and addresses) that would be helpful. Thank you for your help with this matter. Sue Susan M. Schrand, MSN, CRNP Executive Director Pennsylvania Coalition of Nurse Practitioners P.O. Box 545 Mechanicsburg, PA 17055 Ph/Fax (717) 766-4458 sschrand@pacnp.org www.pacnp.org -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081120/b686da48/attachment-0001.html From fran3859 at msn.com Thu Nov 20 20:46:08 2008 From: fran3859 at msn.com (Frances Kinder) Date: Thu Nov 20 20:58:58 2008 Subject: [Pacnp_member] nursing home rounds Message-ID: for a skilled nursing facility patient 1 x per month and more often per resident need. a history and physical is due within 24 hours of admission. admission orders are required upon admission, verbal orders are acceptable verbal orders need to be signed within 7 days -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081120/288b5743/attachment.html From cdscrnp at yahoo.com Thu Nov 20 21:25:52 2008 From: cdscrnp at yahoo.com (Cindy Schmeltz) Date: Thu Nov 20 21:27:58 2008 Subject: [Pacnp_member] Research Survey- Respond to researcher Message-ID: <889864.79926.qm@web58102.mail.re3.yahoo.com> Skipped content of type multipart/alternative-------------- next part -------------- A non-text attachment was scrubbed... Name: Consent Letter.doc Type: application/octet-stream Size: 30720 bytes Desc: not available Url : http://www.legalisi.com/pipermail/pacnp_member/attachments/20081120/809470a6/ConsentLetter-0001.obj From pjcurrie at comcast.net Thu Nov 20 21:03:37 2008 From: pjcurrie at comcast.net (pjcurrie@comcast.net) Date: Thu Nov 20 21:57:43 2008 Subject: [Pacnp_member] nursing home rounds Message-ID: <112120080203.16077.492616F9000B3F5100003ECD22165514060A079D9D9A0C069F@comcast.net> Skipped content of type multipart/alternative-------------- next part -------------- An embedded message was scrubbed... From: "Frances Kinder" Subject: [Pacnp_member] nursing home rounds Date: Fri, 21 Nov 2008 01:57:00 +0000 Size: 651 Url: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081121/09bbf69b/attachment.mht From mrgnplant at aol.com Fri Nov 21 18:38:24 2008 From: mrgnplant at aol.com (Morgan Plant) Date: Fri Nov 21 18:40:41 2008 Subject: [Pacnp_member] Comments from PA Medical Society to the House Professional Licensure Committee Message-ID: Dear All --I have spent most of today working on the CRNP regs and am most gratified at the quality of the comments that CRNPs are sending in to the State Board of Nursing. The comment below was provided to the House Professional Licensure Committee by the PA Medical Society. The PMS cover letter and 14 page legal memo on the CRNP regs was provided to all members of the Committee at its November 17 meeting. It struck me, as I am sure it will you, as particularly illustrative of the patronizing and paternalistic view of "organized medicine". Perhaps someday they will recognize CRNPs as the quality health care providers that they are. I just had to share this particular little nugget. CRNPs should not provide (at least within the initial visit or without increased collaboration) care to patients with a complex diagnosis. A few examples include: congestive heart failure, unstable angina, renal insufficiency, difficult-to-control asthma, angina, and arrhythmias. Also included are patients with multiple diagnoses, changing conditions, and multiple medication regimens. These patients need the more in-depth knowledge of a physician to integrate the symptoms and test results and reach the correct diagnosis and treatment plan. (page 10 of 14 page memo) http://www.ctbpls.com/www/pa/library/2008/20081117TV.pdf (HPL packet which includes comments from PMS, POMA and Family Physicians) http://www.irrc.state.pa.us/Regulations/RegInfo.cfm? IRRCNo=2729#RegFiles (IRRC CRNP Reg page) While CRNPs have focused primarily on the changes in the prescribing parameters for Schedule II, III and IV drugs and the 4:1 ratio, the medical groups are making the argument that the scope of our practice should be defined by our collaborative agreements--and they, as the collaborators, should be the arbiters of what we can and cannot do. For those of you who have yet to send in your comments I encourage you to also expound on what collaboration means in the real world. Click on the top link and scroll down to the comments from the Family Physicians, the PA Medical Society and the PA Osteopathic Medical Association. We have until December 8 to get comments in but the earlier we get them in the better. Many thanks for your help. Morgan Plant for the PA Coalition of Nurse Practitioners Morgan Plant & Associates 322 S West Street Carlisle, PA 17013 Voice: 717-245-0902 Cell: 717-386-1012 Fax: 717-245-0953 mrgnplant@aol.com -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081121/afae62a5/attachment.html From SSchrand at pacnp.org Mon Nov 24 13:57:05 2008 From: SSchrand at pacnp.org (Susan Schrand) Date: Mon Nov 24 13:59:45 2008 Subject: [Pacnp_member] Collaborative Agreement/Prescription Pads Message-ID: <02c401c94e66$71f93d00$55ebb700$@org> I need your feedback. In the new CRNP regulations, the State Board of Nursing has proposed that our collaborating physician's name be required on our prescription blanks. PCNP is opposed to this issue for the following reasons: 1. Confusion to the public as to who is ordering the medication 2. Confusion to healthcare facilities if labs / studies are ordered on your prescription blank and the test results are sent the collaborating physician and not the ordering CRNP 3. Collaborating physicians are not sharing the same clinical site as the CRNP, so studies, lab results and calls regarding medications from pharmacists go to the wrong clinician, causing a delay in care/treatment. Please let me know if there have been any other situations related to this issue that we can document in our response letter to the State Board of Nursing. We are trying to submit our letter as soon as possible, so please be quick. There are only 14 days left to submit our comments to the SBON! Please get your letters in as early as possible. Thank you for your help, Sue Susan M. Schrand, MSN, CRNP Executive Director Pennsylvania Coalition of Nurse Practitioners P.O. Box 545 Mechanicsburg, PA 17055 Ph/Fax (717) 766-4458 sschrand@pacnp.org www.pacnp.org -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081124/404a1bfc/attachment.html From SSchrand at pacnp.org Mon Nov 24 15:37:18 2008 From: SSchrand at pacnp.org (Susan Schrand) Date: Mon Nov 24 15:39:56 2008 Subject: [Pacnp_member] Collab Agreement / Prescriptions Message-ID: <031901c94e74$71fdc880$55f95980$@org> Hi, Everyone- I want to clarify that yes, we are required to have our collaborating physician's name on our prescription pad, but since our regulations are open for public comment and this is one of the stipulations the SBON wants to uphold, we need to submit in our comments why this is an unnecessary/unsafe requirement, and try to have it changed. PCNP is arguing in our position statement that we do not want this requirement (for the previous reasons I listed) I need good patient care vignettes from all of you in your letters why this requirement should be removed. Please post your responses back to the list serve versus just back to me, so everyone can benefit to the dialogue. Best, Sue Susan M. Schrand, MSN, CRNP Executive Director Pennsylvania Coalition of Nurse Practitioners P.O. Box 545 Mechanicsburg, PA 17055 Ph/Fax (717) 766-4458 sschrand@pacnp.org www.pacnp.org -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081124/8babdd46/attachment-0001.html From gehrhorn at comcast.net Mon Nov 24 21:41:26 2008 From: gehrhorn at comcast.net (gehrhorn@comcast.net) Date: Mon Nov 24 21:48:48 2008 Subject: [Pacnp_member] Collab Agreement / Prescriptions In-Reply-To: <031901c94e74$71fdc880$55f95980$@org> Message-ID: <360087084.198911227580886903.JavaMail.root@sz0065a.westchester.pa.mail.comcast.net> Personalliy I do not have a problem with this.? The only problem I have is that for a while the Phys. name was on the Med bottle.? IK do not see that as much now.? I am more concerned with the renewals of 111 and IV and being able to write for mor than three days for 11.? I also would like to see more than two NPs per MD at a site George Ehrhorn CRNP, BC ----- Original Message ----- From: "Susan Schrand" To: "pacnp member" Sent: Monday, November 24, 2008 3:37:18 PM GMT -05:00 US/Canada Eastern Subject: [Pacnp_member] Collab Agreement / Prescriptions Hi, Everyone- I want to clarify that yes, we are required to have our collaborating physician?s name on our prescription pad, but since our regulations are open for public comment and this is one of the stipulations the SBON wants to uphold, we need to submit in our comments why this is an unnecessary/unsafe requirement , and try to have it changed .? PCNP is arguing in our position statement that we do not want this requirement (for the previous reasons I listed)? I need good patient care vignettes from all of you in your letters why this requirement should be removed. Please post your responses back to the list serve versus just back to me, so everyone can benefit to the dialogue. ?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? Best, Sue Susan M. Schrand, MSN, CRNP Executive Director Pennsylvania Coalition of Nurse Practitioners P.O. Box 545 Mechanicsburg, PA? 17055 Ph/Fax (717) 766-4458 sschrand@pacnp.org???? www.pacnp.org _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081125/3e270114/attachment.html From marytanney at netscape.net Fri Nov 21 14:17:12 2008 From: marytanney at netscape.net (marytanney@netscape.net) Date: Tue Nov 25 08:31:58 2008 Subject: [Pacnp_member] take me off the email list Message-ID: <8CB1A24E4617BDC-6E0-1083@WEBMAIL-MB07.sysops.aol.com> Please take me off your email list.? Thank you.? Mary Tanney -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081121/ecfdd249/attachment-0001.html From angel at zechmans.com Tue Nov 25 08:05:44 2008 From: angel at zechmans.com (angel zechman) Date: Tue Nov 25 08:32:00 2008 Subject: [Pacnp_member] Collab Agreement / Prescriptions In-Reply-To: <360087084.198911227580886903.JavaMail.root@sz0065a.westchester.pa.mail.comcast.net> References: <031901c94e74$71fdc880$55f95980$@org> <360087084.198911227580886903.JavaMail.root@sz0065a.westchester.pa.mail.comcast.net> Message-ID: <71ACD2D8EB7B447CB8430A44617C6A53@angelsP35> There is no need for the collaborative physician to have their name on our prescription pad. The more we allow physicians to tie themselves to us, the further away we get from becoming independent practitioners. A collaborating physician's name on our prescription pad is an unnecessary/unsafe requirement because it increases the risk of the prescription being placed in the collaborating physician's name and it potentially can confuse the patient on who they should contact if they have questions. Yes, schedule's 2,3, and 4 are important, however we can't comment on only a single element of the regulations we must comment on each one. Each stipulation will affect each of the others and I personally don't believe we as nurse practitioners should allow ourselves to settle. We must fight for our autonomy. Angel Zechman CRNP _____ From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of gehrhorn@comcast.net Sent: Monday, November 24, 2008 9:41 PM To: Susan Schrand Cc: pacnp member Subject: Re: [Pacnp_member] Collab Agreement / Prescriptions Personalliy I do not have a problem with this. The only problem I have is that for a while the Phys. name was on the Med bottle. IK do not see that as much now. I am more concerned with the renewals of 111 and IV and being able to write for mor than three days for 11. I also would like to see more than two NPs per MD at a site George Ehrhorn CRNP, BC ----- Original Message ----- From: "Susan Schrand" To: "pacnp member" Sent: Monday, November 24, 2008 3:37:18 PM GMT -05:00 US/Canada Eastern Subject: [Pacnp_member] Collab Agreement / Prescriptions Hi, Everyone- I want to clarify that yes, we are required to have our collaborating physician's name on our prescription pad, but since our regulations are open for public comment and this is one of the stipulations the SBON wants to uphold, we need to submit in our comments why this is an unnecessary/unsafe requirement, and try to have it changed. PCNP is arguing in our position statement that we do not want this requirement (for the previous reasons I listed) I need good patient care vignettes from all of you in your letters why this requirement should be removed. Please post your responses back to the list serve versus just back to me, so everyone can benefit to the dialogue. Best, Sue Susan M. Schrand, MSN, CRNP Executive Director Pennsylvania Coalition of Nurse Practitioners P.O. Box 545 Mechanicsburg, PA 17055 Ph/Fax (717) 766-4458 sschrand@pacnp.org www.pacnp.org _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081125/7052cd07/attachment-0001.html From kcork1 at aol.com Tue Nov 25 06:34:33 2008 From: kcork1 at aol.com (kcork1@aol.com) Date: Tue Nov 25 10:30:37 2008 Subject: [Pacnp_member] Collab Agreement / Prescriptions In-Reply-To: <360087084.198911227580886903.JavaMail.root@sz0065a.westchester.pa.mail.comcast.net> Message-ID: <8CB1D08EC368471-89C-159@WEBMAIL-MY18.sysops.aol.com> I?recently had a conversation with a pharmacist from a local pharmacy associated with a large healthcare system/medical center?in our area. I am not an employee of that medical center/healthcare system. Each of my pts who used that pharmacy consistently had my collaborating doc's name on their prescriptions. I had many pts come in and ask "Who's that dr?" I checked on the pharmacy law and it is essential that the PRESCRIBER's name is on the prescription label. When I spoke with the pharmacist about it, she checked and they indeed had my PA license number and my DEA number on file but because "all of our Geisinger CRNPs have to have the dr's name on?the prescription so?that's just what we do for all CRNPs". I?informed?her that I am not an employee of that healthcare system and I have my own practice. I?expect?my name to be?on my own prescriptions since they do not see my collaborating dr at all and my pts expect my name to be on their prescriptions. I asked her to re-fax an incorrect Rx request which was sent to?my collaborating dr?- which she re-sent with my name on it. I follow up as-needed with?any pharmacy reminding them that the prescriber's name needs to be on every Rx label. It can be confusing for pts when companies or pharmacies choose to use our collaborating docs' names instead of ours, the CRNP who is the provider and prescriber for those pts. I don't understand why the collaborating docs' names necessarily have to be on the R x p ad. If any pharmacy/pharmacist actually needs this info, they can always contact the PA State Board. I don't know of a case where?a Pennsylvania?pharmacist actually needed that info. (I've had pts call me from?a few other?states where they couldn't fill my prescription due to state law and then I'd fax/phone using my collaborating doc's info.) I agree that?I need to able to prescribe refills for Schedule IV?in psychiatry.?I would be able to treat my pts who have ADHD (in a psychiatric practice) if we could prescribe psychostimulants properly. (Currently,?I have to treat those pts' other psychiatric comorbidities first and then transfer them to a psychiatrist. Many of them would prefer seeing me.) As an aside, I'd like someday to revisit the completion of 302s by psychiatric CRNPs (if not all CRNPs). The physicians did not want this as they felt all CRNPs do not have the expertise to evaluate and "take away they rights of pts". I believe that a psychiatric CRNP can and would do this judiciously - perhaps moreso than some ER residents/physicians currently do. M. Kathy Corcoran, MSN, CRNP, PMHNP-BC -----Original Message----- From: gehrhorn@comcast.net To: Susan Schrand Cc: pacnp member Sent: Mon, 24 Nov 2008 9:41 pm Subject: Re: [Pacnp_member] Collab Agreement / Prescriptions Personalliy I do not have a problem with this.? The only problem I have is that for a while the Phys. name was on the Med bottle.? IK do not se e that as much now.? I am more concerned with the renewals of 111 and IV and being able to write for mor than three days for 11.? I also would like to see more than two NPs per MD at a site George Ehrhorn CRNP, BC ? ----- Original Message ----- From: "Susan Schrand" To: "pacnp member" Sent: Monday, November 24, 2008 3:37:18 PM GMT -05:00 US/Canada Eastern Subject: [Pacnp_member] Collab Agreement / Prescriptions ? Hi, Everyone- ? I want to clarify that yes, we are required to have our collaborating physician?s name on our prescription pad, but since our regulations are open for public comment and this is one of the stipulations the SBON wants to uphold, we need to submit in our comments why this is an unnecessary/unsafe requirement, and try to have it changed.? PCNP is arguing in our position statement that we do not want this requirement (for the previous reasons I listed)? I need good patient care vignettes from all of you in your letters why this requirement should be removed. ? Please post your responses back to the list serve versus just back to me, so everyone can benefit to the dialogue. ??????????????????????????????????????????????????????????????????=C 2??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ? Best, ? Sue ? ? Susan M. Schrand, MSN, CRNP Executive Director Pennsylvania Coalition of Nurse Practitioners P.O. Box 545 Mechanicsburg, PA? 17055 Ph/Fax (717) 766-4458 sschrand@pacnp.org???? www.pacnp.org ? ? ? ? _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member _______________________________________________ acnp_member mailing list acnp_member@pacnp.org ttp://www.pacnp.org/mailman/listinfo/pacnp_member -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081125/3669a540/attachment-0001.html From lmwcrnp at netzero.net Tue Nov 25 09:33:50 2008 From: lmwcrnp at netzero.net (lmwcrnp@netzero.net) Date: Tue Nov 25 10:30:38 2008 Subject: [Pacnp_member] Prescription pads Message-ID: <20081125.093350.22404.2@webmail09.dca.untd.com> Hi folks - Will throw my comments into the ring re: only our name on the prescription pad. My practice has one prescription pad template with one heading for 4 physicians, myself and two PA-C's with all of our names, etc. listed. If I request a prescription pad with ONLY my name and information on it, who will pay for it - the practice? I doubt it. And what kind of prima Dona will I look like requesting MY OWN prescription pad because I can't use theirs? Unsafe? How? If my name and information is on it and I circle it, how unsafe is that? My patients know who I am and that I am their prescriber. When they bring their prescriptions in, they generally have my name on the bottle. As for x-rays etc. coming back in the physicians' names instead of mine, that has more to do with whether the facility accepts me as a provider rather than a multi-named prescription pad, and I am still fighting that battle. My medical records department knows to look in the Progress Notes to see who ordered the CT scan etc and route it to that person's desk rather than carte Blanch to who is listed on the report. I think you can "fight" for all you can and look like Prima Donna's and lose it all, or "fight" for the important things and keep our respect and negotiating power as time goes on. I might only speak for myself, but I thought I would speak. Linda Woodin, CRNP, alias, Linda, Redje and Blaze Pack of Three Look twice - save a life - motorcycle safety and awareness ____________________________________________________________ Get help now! Click to find the right drug rehab solution for you. http://thirdpartyoffers.netzero.net/TGL2231/fc/PnY6rc1t97OyZD5l8zYMBA1BeHomqMcxd78hdXOxj9gHChhaeqbVs/ -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081125/af80b106/attachment-0001.html From Marymcs at aol.com Tue Nov 25 10:11:21 2008 From: Marymcs at aol.com (Marymcs@aol.com) Date: Tue Nov 25 10:30:40 2008 Subject: [Pacnp_member] Collab Agreement / Prescriptions Message-ID: I Agree with Angel. Many times i write a prescription and the patient comes back with the physician's name on the bottle and mine is nowhere to be found. As far as the schedule 2, 3, and 4. The patients in my practice have hardships for paying for medication, and if i can only prescribe 3 days worth of needed pain medications for them, there is an unnecessary copay for these meds every 3 days. It might not be a large co pay but minimal amounts can add up, when you may have 10 or even 20 prescriptions a month. Also the inconvenience to the patient to return to the office and or the pharmacy every 3 days is also a hardship for a lot of patients. Mary McSorley, CRNP "The W ill of God will never take you to where the G race of God will not protect you." In a message dated 11/25/2008 8:30:07 A.M. Eastern Standard Time, angel@zechmans.com writes: There is no need for the collaborative physician to have their name on our prescription pad. The more we allow physicians to tie themselves to us, the further away we get from becoming independent practitioners. A collaborating physician?s name on our prescription pad is an unnecessary/unsafe requirement because it increases the risk of the prescription being placed in the collaborating physician?s name and it potentially can confuse the patient on who they should contact if they have questions. Yes, schedule?s 2,3, and 4 are important, however we can?t comment on only a single element of the regulations we must comment on each one. Each stipulation will affect each of the others and I personally don?t believe we as nurse practitioners should allow ourselves to settle. We must fight for our autonomy. Angel Zechman CRNP ____________________________________ From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of gehrhorn@comcast.net Sent: Monday, November 24, 2008 9:41 PM To: Susan Schrand Cc: pacnp member Subject: Re: [Pacnp_member] Collab Agreement / Prescriptions Personalliy I do not have a problem with this. The only problem I have is that for a while the Phys. name was on the Med bottle. IK do not see that as much now. I am more concerned with the renewals of 111 and IV and being able to write for mor than three days for 11. I also would like to see more than two NPs per MD at a site George Ehrhorn CRNP, BC ----- Original Message ----- From: "Susan Schrand" To: "pacnp member" Sent: Monday, November 24, 2008 3:37:18 PM GMT -05:00 US/Canada Eastern Subject: [Pacnp_member] Collab Agreement / Prescriptions Hi, Everyone- I want to clarify that yes, we are required to have our collaborating physician?s name on our prescription pad, but since our regulations are open for public comment and this is one of the stipulations the SBON wants to uphold, we need to submit in our comments why this is an unnecessary/unsafe requirement, and try to have it changed. PCNP is arguing in our position statement that we do not want this requirement (for the previous reasons I listed) I need good patient care vignettes from all of you in your letters why this requirement should be removed. Please post your responses back to the list serve versus just back to me, so everyone can benefit to the dialogue. Best, Sue Susan M. Schrand, MSN, CRNP Executive Director Pennsylvania Coalition of Nurse Practitioners P.O. Box 545 Mechanicsburg, PA 17055 Ph/Fax (717) 766-4458 sschrand@pacnp.org www.pacnp.org _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member **************One site has it all. Your email accounts, your social networks, and the things you love. Try the new AOL.com today!(http://pr.atwola.com/promoclk/100000075x1212962939x1200825291/aol?redir=http://www.aol.com/?optin=new-dp %26icid=aolcom40vanity%26ncid=emlcntaolcom00000001) -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081125/7b5494bf/attachment-0001.html From laverne1979 at comcast.net Tue Nov 25 12:18:10 2008 From: laverne1979 at comcast.net (laverne1979@comcast.net) Date: Fri Nov 28 08:03:06 2008 Subject: [Pacnp_member] Prescription pads Message-ID: <112520081718.10091.492C335200071AC50000276B2216566276C7C9C7CE0A029D0A900E04@comcast.net> Skipped content of type multipart/alternative-------------- next part -------------- An embedded message was scrubbed... From: "lmwcrnp@netzero.net" Subject: [Pacnp_member] Prescription pads Date: Tue, 25 Nov 2008 15:28:27 +0000 Size: 655 Url: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081125/6da148b2/attachment-0001.mht From janis.bonat at jefferson.edu Tue Nov 25 12:29:40 2008 From: janis.bonat at jefferson.edu (Janis Bonat) Date: Fri Nov 28 08:03:08 2008 Subject: [Pacnp_member] Collaborative Agreement/Prescription Pads In-Reply-To: <02c401c94e66$71f93d00$55ebb700$@org> Message-ID: <000901c94f23$65a74340$a106a80a@tjumst.jefferson.edu> I agree with all of the reasons outlined by PCNP, but would add that it is dangerously confusing. Additionally, moving forward with e-prescribing, this creates yet another barrier to safe, efficient and cost-effective prescribing practices. How many EMR's are set up to accommodate such modifications? If the intent is to enhance safety and eliminate confusion, I assure you the opposite will occur. Janis Bonat, MSN, CRNP Thomas Jefferson University Department of Family and Community Medicine Philadelphia, PA 19107 janis.bonat@jefferson.edu The documents accompanying this transmission may contain confidential health or business information. This information is intended for the use of the individual or entity named above. If you received this information in error, please notify the sender immediately and arrange for the return or destruction of these documents. If the reader of this message is not the intended recipient or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or coping of this communication is strictly prohibited. _____ From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of Susan Schrand Sent: Monday, November 24, 2008 1:57 PM To: pacnp_member@pacnp.org Subject: [Pacnp_member] Collaborative Agreement/Prescription Pads I need your feedback. In the new CRNP regulations, the State Board of Nursing has proposed that our collaborating physician's name be required on our prescription blanks. PCNP is opposed to this issue for the following reasons: 1. Confusion to the public as to who is ordering the medication 2. Confusion to healthcare facilities if labs / studies are ordered on your prescription blank and the test results are sent the collaborating physician and not the ordering CRNP 3. Collaborating physicians are not sharing the same clinical site as the CRNP, so studies, lab results and calls regarding medications from pharmacists go to the wrong clinician, causing a delay in care/treatment. Please let me know if there have been any other situations related to this issue that we can document in our response letter to the State Board of Nursing. We are trying to submit our letter as soon as possible, so please be quick. There are only 14 days left to submit our comments to the SBON! Please get your letters in as early as possible. Thank you for your help, Sue Susan M. Schrand, MSN, CRNP Executive Director Pennsylvania Coalition of Nurse Practitioners P.O. Box 545 Mechanicsburg, PA 17055 Ph/Fax (717) 766-4458 sschrand@pacnp.org www.pacnp.org -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081125/909af9d1/attachment-0001.html From banabug at aol.com Tue Nov 25 13:12:43 2008 From: banabug at aol.com (banabug@aol.com) Date: Fri Nov 28 08:03:10 2008 Subject: [Pacnp_member] Collab Agreement / Prescriptions In-Reply-To: References: Message-ID: <8CB1D408B413E65-74C-18E@MBLK-M35.sysops.aol.com> All of you have good points-please send letters with your concerns to the Board( per website ) which they send on to IRRC-they need to hear from individuals. Pat Patricia Schwabenbauer President PCNP -----Original Message----- From: Marymcs@aol.com To: angel@zechmans.com; pacnp_member@pacnp.org Sent: Tue, 25 Nov 2008 10:11 am Subject: Re: [Pacnp_member] Collab Agreement / Prescriptions I Agree with Angel. Many times i write a prescription and the patient comes back with the physician's name on the bottle and mine is nowhere to be found.? ? As far as the schedule 2, 3, and 4.? The patients in my practice have hardships for paying for medication, and if i can only prescribe 3 days worth of? needed pain medications for them, there is an unnecessary copay for these meds every 3 days.? It might not be a large co pay but minimal amounts can add up, when you may have? 10 or even 20 prescriptions a month.? Also the inconvenience to the patient to return to the office and or the pharmacy every 3 days is also a hardship for a lot of patients.? ? Mary McSorley, CRNP ?"The?Will ofill of?God will never take you od will never take you to where the?G??race of?God will not protect you."od will not protect you." ? =0 D In a message dated 11/25/2008 8:30:07 A.M. Eastern Standard Time, angel@zechmans.com writes: There is no need for the collaborative physician to have their name on our prescription pad.? The more we allow physicians to tie themselves to us, the further away we get from becoming independent practitioners. A collaborating physician?s name on our prescription pad is an unnecessary/unsafe requirement because it increases the risk of the prescription being placed in the collaborating physician?s name and it potentially can confuse the patient on who they should contact if they have questions. Yes, schedule?s 2,3, and 4 are important, however we can?t comment on only a single element of the regulations we must comment on each one.? Each stipulation will affect each of the others and I personally don?t believe we as nurse practitioners should allow ourselves to settle.? We must fight for our autonomy. ? Angel Zechman CRNP ? ? ------------------------------------------------------------ From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org] On Behalf Of gehrhorn@comcast.net Sent: Monday, November 24, 2008 9:41 PM To: Susan Schrand Cc: pacnp member Subject: Re: [Pacnp_member] Collab Agreement / Prescriptions ? Personalliy I do not have a problem with this.? The only problem I have is that for a while the Phys. name was on the Med bottle.? IK do not see that as much now.? I am more concerned with the renewals of 111 and IV and being able to write for mor than three days for 11.? I also would like to see more than two NPs per MD at a site George Ehrhorn CRNP, BC ? ----- Original Message ----- From: "Susan Schrand" To: "pacnp member" Sent: Monday, November 24, 2008 3:37:18 PM GMT -05:00 US/Canada Eastern Subject: [Pacnp_member] Collab Agreement / Prescriptions ? Hi, Everyone- ? I want to clarify that yes, we are required to have our collaborating physician?s name on our prescription pad, but since our regulations are open for public comment and this is one of the stipulations the SBON wants to uphold, we need to submit in our comments why this is an unnecessary/unsafe requirement, and try to have it changed.? PCNP is arguing in our position statement that we do not want this requirement (for the previous reasons I listed)? I need good patient care vignettes from all of you in your letters why this requirement should be removed. ? Please post your responses back to the list serve versus just back to me, so everyone can benefit to the dialogue. ???????????????????????????????=C 2????????????????????????????????????????? ????????????????????????????????????????????????????????????????????????? ????????????????????????????????????????????????????????????????????????? ??????????????? ? Best, ? Sue ? ? Susan M. Schrand, MSN, CRNP Executive Director Pennsylvania Coalition of Nurse Practitioners P.O. Box 545 Mechanicsburg, PA? 17055 Ph/Fax (717) 766-4458 sschrand@pacnp.org???? www.pacnp.org ? ? ? ? _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member _______________________________________________ Pacnp_member mailing list Pacnp_me mber@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member ------------------------------------------------------------ One site has it all. Your email accounts, your social networks, and the things you love. Try the new AOL.com today! _______________________________________________ Pacnp_member mailing list Pacnp_member@pacnp.org http://www.pacnp.org/mailman/listinfo/pacnp_member From lmwcrnp at netzero.net Wed Nov 26 09:19:38 2008 From: lmwcrnp at netzero.net (lmwcrnp@netzero.net) Date: Fri Nov 28 08:03:12 2008 Subject: [Pacnp_member] Prescription pad updates Message-ID: <20081126.091938.27355.1@webmail09.dca.untd.com> Hi all - As additional e-mails come in, it is apparent that there are two models (and maybe more) that have different needs in the prescription pad realm. Those of us in private group practices or maybe even institution-based practices might not have problems wiith being able to check our names on the group prescription pads and with test results getting triaged to us in the same practice and the same building. Those in individual practices with a collaborating physician in another location might have problems with this as test results can land in different offices or out in the ozone somewhere and have trouble getting to the ordering NP desk. There is still a component of the performing diagnostic center recognizing us and "allowing" us to order diagnostic tests under our own names (of course we are allowed to order these tests, but I still have two departments that request my schedulers to give them a physician's name when they schedule a test I have ordererd). I have been enlightened. I would say as long as it is not MANDATORY that we have our own individual prescription pads, then for the sake of those who do have problems with this, I am more willing to see this component of the regs move forward. Those of us who do not have a problem with this should be able to continue with the group prescription pad. That's the virtue of this listserv - we are able to learn about different facets of the Nurse Practitioner realm from our colleagues out there. Thanks! Linda Woodin, CRNP, alias, Linda, Redje and Blaze Pack of Three Look twice - save a life - motorcycle safety and awareness ____________________________________________________________ Start a rewarding Medical Transcriptionist career. Click to find affordable and flexible programs. http://thirdpartyoffers.netzero.net/TGL2231/fc/PnY6rc1wtuUVUxDks1lTaxXy80u9xSXioqq6IFelXtpO0w2RPBJNs/ -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081126/8a1672b8/attachment.html From CBarrow at bcpha.com Wed Nov 26 12:17:59 2008 From: CBarrow at bcpha.com (Barrow, Cindy) Date: Fri Nov 28 08:03:13 2008 Subject: [Pacnp_member] Prescription pads In-Reply-To: <20081125.093350.22404.2@webmail09.dca.untd.com> Message-ID: <38A56C4F4630D348A50B37204092708728DBB5@dhmail.dhorg.org> I agree with Linda...let's choose our battles wisely. Cynthia Barrow, CRNP -----Original Message----- From: pacnp_member-bounces@pacnp.org [mailto:pacnp_member-bounces@pacnp.org]On Behalf Of lmwcrnp@netzero.net Sent: Tuesday, November 25, 2008 9:34 AM To: pacnp_member@pacnp.org Subject: [Pacnp_member] Prescription pads Hi folks - Will throw my comments into the ring re: only our name on the prescription pad. My practice has one prescription pad template with one heading for 4 physicians, myself and two PA-C's with all of our names, etc. listed. If I request a prescription pad with ONLY my name and information on it, who will pay for it - the practice? I doubt it. And what kind of prima Dona will I look like requesting MY OWN prescription pad because I can't use theirs? Unsafe? How? If my name and information is on it and I circle it, how unsafe is that? My patients know who I am and that I am their prescriber. When they bring their prescriptions in, they generally have my name on the bottle. As for x-rays etc. coming back in the physicians' names instead of mine, that has more to do with whether the facility accepts me as a provider rather than a multi-named prescription pad, and I am still fighting that battle. My medical records department knows to look in the Progress Notes to see who ordered the CT scan etc and route it to that person's desk rather than carte Blanch to who is listed on the report. I think you can "fight" for all you can and look like Prima Donna's and lose it all, or "fight" for the important things and keep our respect and negotiating power as time goes on. I might only speak for myself, but I thought I would speak. Linda Woodin, CRNP, alias, Linda, Redje and Blaze Pack of Three Look twice - save a life - motorcycle safety and awareness ____________________________________________________________ Get help now! Click to find the right drug rehab solution for you. -------------- next part -------------- An HTML attachment was scrubbed... URL: http://www.legalisi.com/pipermail/pacnp_member/attachments/20081126/7507769e/attachment.html From mrgnplant at aol.com Fri Nov 28 12:42:14 2008 From: mrgnplant at aol.com (Morgan Plant) Date: Fri Nov 28 12:45:01 2008 Subject: [Pacnp_member] Prescription Pads and other things Message-ID: <0A17182B-51E4-43BE-A10F-2E153D759002@aol.com> Dear All -- As I have followed the posts on the issue of prescription pads it has emerged as a perfect example of why one size does not fit all and we must do all we can to develop regulations, under the aegis of the State Board of Nursing, that will allow those in a variety of different practice sites to function without undue restriction. I hadn't thought of the implications for prescribing with electronic medical records and don't want to wind up with a system that penalizes CRNPs because we don't fit into a particular "physician only" program model. We have until December 8 to get comments in and I encourage any and all to continue to analyze the impact of the regs, for both yourself and others, and submit thoughtful, judicious comments to the maximum extent possible. We haven't seen a lot of comments from "organized medicine" yet, but they will be coming and I want to make sure that SUPPORTIVE PHYSICIANS will be commenting too. We need to see more comments from physicians who support the changes in the regs. We also haven't seen any comments yet from Schools of Nursing, and other supportive organizations. We have 11 more days to get these in. Please do all you can personally to encourage others to comment as well. Thanks. Morgan Morgan Plant & Associates 322 S West Street Carlisle, PA 17013 Voice: 717-245-0902 Cell: 717-386-1012 Fax: 717-245-0953 mrgnplant@aol.com -------------- next part -------------- An HTML attachment was scrubbed... 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