Syllabus for Nurse Practitioner

[PinchandBurn]

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Hello

I just hired a new NP. She's literally fresh out of school. Any of you have a binder/syllabus or something of things we can have her read. I wanted to do tests/check off list once she's completed these reading assignments.

Good thing she is new. Bad thing is she's new.

She's part time for now. I just want to be able to give her stuff to read from to make her successful which in turn will help me...

 

[schmee90]

Good luck, we hired a fresh PA 2 years ago(work at a practice I have little say over this), she still has no clue. Two years later she is asking Qs like what is a laminectomy defect (wanted to refer to ortho spine because she read this on the MRI report). Would also love to hear how others "encourage" mid levels with close to no baseline knowlege to learn pertinent information about their patients and created a curriculum to get some level of baseline competency.

My experienece being about 3 years out of fellowship is that the Pa's and NPs in Pain are good for the I just want my injection every so often patients, would love to hear if other docs have have better expereinces then me.

 

[au bon pain]

This may get more traction on the private sub

 

[BoardingDoc]

Hello

I just hired a new NP. She's literally fresh out of school. Any of you have a binder/syllabus or something of things we can have her read. I wanted to do tests/check off list once she's completed these reading assignments.

Good thing she is new. Bad thing is she's new.

She's part time for now. I just want to be able to give her stuff to read from to make her successful which in turn will help me...

What do you want her to do? If your answer is "see patients" you need a better answer.

Med refills, MBB follow-ups etc are mostly idiot proof. Non English speaking patients she can go see and you can pop your head in once she's given you the one liner.

If you're looking for an algorithm to make her actually useful in a pain clinic, I'd recommend sending her to get an MD, then residency and pain fellowship.

 

[Agast]

My MAs interview and present the patients to me, and I’m constantly talking at them about what I’m diagnosing and doing. They’ve all seen me in the procedure room. I’m pretty sure they could function at the level of a pain NP at this point. Immersion is better than reading words on a page.

 

[PinchandBurn]

What do you want her to do? If your answer is "see patients" you need a better answer.

Med refills, MBB follow-ups etc are mostly idiot proof. Non English speaking patients she can go see and you can pop your head in once she's given you the one liner.

If you're looking for an algorithm to make her actually useful in a pain clinic, I'd recommend sending her to get an MD, then residency and pain fellowship.

med refills, mbb follow up , and yes non english speaking.

I feel med refills can be dangerous. I suppose if I instruct her to titrae slowly, then nothing bad could happen. I dont do suboxone or low dose naltrexone. I have heard these are something that a NP could do.

I just want to get them a curriculum to follow. More of a primer. I know they will never be me or a MD. But theres only so much time in the day to teach.

 

[BoardingDoc]

I feel med refills can be dangerous. I suppose if I instruct her to titrae slowly, then nothing bad could happen. I dont do suboxone or low dose naltrexone. I have heard these are something that a NP could do.

Med refills she can see. Med titration she can run past you. How often are you actually adjusting someone's meds anyway? During fellowship we saw a ton of COT patients. 98% of them were just there every visit for their refill.

 

[BobBarker]

I have a friend and he uses PA’s for med refills. If the patient wants to increase or change medications, the PA puts the patient on his schedule for the next month. I think the patients are all aware of that policy or I could see people getting upset about not getting much out of their visit.

 

[clubdeac]

My MAs interview and present the patients to me, and I’m constantly talking at them about what I’m diagnosing and doing. They’ve all seen me in the procedure room. I’m pretty sure they could function at the level of a pain NP at this point. Immersion is better than reading words on a page.

It’s interesting. Hospitals use APPs essentially as cheap physician replacements. I wonder if you told your admin your MA is basically doing the job of an APP, they’d allow your MA to work at the “top of their license” and function as your APP. Saves them money and you from having to hire a midlevel

 

[DrSpine]

What is this private forum? How does one get in?

 

[Drd105]

What do you want her to do? If your answer is "see patients" you need a better answer.

Med refills, MBB follow-ups etc are mostly idiot proof. Non English speaking patients she can go see and you can pop your head in once she's given you the one liner.

If you're looking for an algorithm to make her actually useful in a pain clinic, I'd recommend sending her to get an MD, then residency and pain fellowship.

Needed to hear this thank you. Glad it’s not just me realizing it will never be what I thought it would be.