Presentation on theme: "Launching Your NP Career"— Presentation transcript:
1 Launching Your NP Career Sue Schrand, MSN, CRNP Executive Director PA Coalition of Nurse Practitioners PA State Representative for AANPFuture PCNP leaders, Guinea Pigs for topics for student conference, Need feedback / suggestions
2 Almost Time for Graduation! Getting your data togetherBecoming “Board Certified”Submitting your application for licensurePrograms should be advising you on what documents will need to be organized and sent out sealed or submitted by you directly to get process started.
3 Professional Associations Belong now! Take advantage of student ratesHow engaged should I be?State LevelNational LevelSpecialty OrganizationsMuch of what we are discussing is supported by professional associations
4 Professional Associations Networking OpportunitiesMentorshipContinuing EducationPractice and Legislative ConsultationsRepresentation in Harrisburg and Washington DCResources:List ServeEmployment/Career NewsMuch of what we are discussing is supported by professional associations
5 Professional Associations Resources: (continued)Partnership OpportunitiesPA Drug Card Malpractice CoverageNews Alerts Fellowship / Grant / AwardsStrengthens Your Negotiating PowerIt’s Your Professional ObligationMuch of what we are discussing is supported by professional associations
6 National Certification Requirement for initial applicants as of February 7, 2005:“Shall hold current National certification in the specialty in which the professional nurse is seeking certification.”Your choice will be driven by your educational programSome colleagues grandfathered, required for Medicare number, professional pride to be Board certified, Payers require, State-to-state transfer
7 Certification Options American Academy of Nurse Practitioners (AANP)Family Nurse Practitioner Adult Nurse Practitioner Gerontologic Nurse PractitionerMembership to AANP offsets testing price
8 Certification Options American Nurses Credentialing Center (ANCC)Acute CareAdultGerontologicFamilyPediatric Nurse PractitionerFamily Psychiatric and Mental Health Nurse PractitionerAdult Psychiatric and Mental Health Nurse Practitioner
9 Certification Options American Association of Critical Care Nurses (AACN)Acute Care NP
10 Certification Options National Certification Corporation (NCC)Women’s HealthNeonatal Nurse Practitioner
13 Certification Options Whichever certifying body you choose, you must request verification of current national certification to be sent directly to the Pennsylvania State Board of Nursing Copies submitted by the applicant are not accepted!
14 Certification Options May hold multiple certifications, but know you must maintain clinical hours and continuing education specific to each area of specialty. Recertification is typically every 5 years Can be a long process, so start with every CE certificate Credentials: NP-C, BC, NP-cYour certifying body will inform you of the credentials you can use, Hand out CE folders
15 Licensure in Pennsylvania Pennsylvania Bureau of Professional & Occupational Affairs (BPOA)State Board of Nursing (SBON)has sole regulatory authority over our professionNP Legal Designation: Certified Registered Nurse Practitioner (CRNP)Must sign your notes with CRNP and carry this title after your name
16 Licensure in Pennsylvania SBON Requirements for ApplicationActive, unrestricted professional RN LicenseCompletion of Accredited NP ProgramProof of National CertificationMaintain Professional Liability CoverageWritten Collaborative Agreement with a Pennsylvania Licensed PhysicianCriminal History Review, Out of State Details to Note if moving into state, Timelines—see application for details
17 Licensure in Pennsylvania Collaborative Agreements (CA)See “Details of Collaboration” (Pa Code)Effective 2009, CA must be in writingOnly Rx Authority CA needs filing with SBONMust keep Rx Authority CA at practice siteRequired to show upon requestVerification of Rx CA can be checked on SBON website
18 Licensure in Pennsylvania 3 Documents Issued From BPOA to practice:RN LicenseCRNP CertificatePrescriptive Authority CertificateCopy for workplace, but keep in secure file at home. Verification can be checked on SBON website.
19 Licensure in Pennsylvania Licensure FeesRN Application $65Initial CRNP Application $100/75Initial Prescriptive Authority $50Each Additional Rx Authority $30Rx Authority Renewal $25Rx Authority Change Form $30Negotiate to have fees covered by your employer, if not tax deductible. These are most likely going to go up in the near future
20 Licensure in Pennsylvania Where Do I Look for Scope of Practice parameters? Professional & Practical Nurse Laws Pennsylvania CodeHand Out Books; PA Code online
21 Scope of PracticeKnow the regulatory language Intentionally vague, so can be confusing Not written in this form: a. May insert chest tubes b. May do this, but not that…Hand Out Books; PA Code online
22 Scope of Practice Good Recordkeeping while building your portfolio: Document hours of clinical oversightCategorize hours of CE pertaining to specific areas of expertiseAsk for letters of summary from Department chairs, collaborators, number of cases performedHand Out Books; PA Code online
23 Nurse Practitioner Practice Differs state to state; know the laws!As a professional, and it is expected of you to know your practice parameters and scopeDon’t rely on other professions to define your own
24 Professional Liability 1 million per occurrence / 3 million annual aggregateCommonly Used Companies1. Marsh Affinity2. Nurses Service Organization (NSO)
25 Professional Liability My Own Coverage or Employer Coverage or both?
26 Maintaining Professional Licensure Cycles every 2 yearsAll require renewal at the same timeRenewal can be done onlineContinuing Education Requirements:30 credits bi-annually, and 16 pharmacology credits to maintain prescriptive authorityAudits of LicenseesHand Out CE Folder
27 When Do I Notify The SBON? It is your obligation to notify SBON of:Name ChangeAddress ChangeCriminal History Change / DUIChange in Collaborative Agreement (Rx CA)Ignorance is no excuse!
28 Transitioning To NP Practice Anxiety is a common feelingKnow where to find resources to help youProfessional Associations Faculty support MentorshipApproach clinical site placements as a career possibility
29 Finding Your First Position Patient FactorsColleague FactorsClinic FactorsSzanton & Alhusen, 2010
30 Patient Factors Type of Practice Patient Population Patient Acuity Resources AvailableSzanton & Alhusen, 2010
31 Colleague Factors Will you have positive mentorship? Does the practice style of providers foster a learning environment?Clinical support staff available to you?Has the practice used NPs for providers?Szanton & Alhusen, 2010
32 Clinic Factors Productivity expectations? Mission of practice—is it aligned with yours?Technology support?On-call requirements?Will you be required to supervise staff? Precept students?Szanton & Alhusen, 2010
33 Contract Negotiations Questions to be considered during interviews or negotiations:Know background on the practice (provider mix, patient pop, etc)How much autonomy will you have?Will you be able to practice to your full scope of practice?Is the practice supportive of clinical research? Precepting? Publications?What percentage of your time will be administrative? Clinical?Are there special skills or training required for the job (i.e biopsies, suturing, etc.)Is patient satisfaction evaluated?What method of performance evaluation is in place for NPs?
34 Position Benefits Salary Paid time off Education/Conference Time supportLicensure, professional association, journal supportCell phone, Smart phone, data packages for prescribing supportDEA coverageLiability insurance
35 What to Negotiate? “Everything Is Negotiable” Pay Benefits Schedule Goal/Profit SharingRestrictive Covenants, Termination Clauses, etc.
36 Resources AANP Website – “Contract Negotiations for NPs” NP Central, ADVANCEBooks(Carolyn Buppert, Sally Reel, Kevin Letz, Heidi Bourne)
37 Resources Market Review—know your location/practice setting Is it comparable?Online reviewADVANCE Salary SurveySalary.comPayscale.comCorporate ‘Pay Grades’
39 References Articles: www.pacnp.org www.aanp.org Articles:Philipsen & Grandjean: Comprehensive Malpractice Insurance (2010) The Journal for Nurse Practitioners, Vol 6 (9):Lavoir-Vaughan: Negotiating Employment Contracts (2010) ADVANCE for NPs & PAsSzanton, Mihaly, Alhusen & Becker: Taking charge of the challenge: Factors to consider in taking your first nurse practitioner job (2010) Journal of the American Academy of Nurse Practitioners, Vol 22 (7):