Which States Allow Nurse Practitioners to Prescribe Suboxone?

Nurse practitioners are newly allowed to prescribe buprenorphine (Suboxone) as part of the Comprehensive Addiction and Recovery Act signed into law by former President Obama. While the Act augments nurse practitioners' scope of practice from a federal standpoint, some states are more limiting in the freedoms they allow NPs. In which states can nurse practitioners actually prescribe Suboxone?

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Clinical Pearls for Otic Foreign Body Removal

When I began working in the emergency department, I was surprised the first time I encountered a patient presenting with a case of insect-in-the-ear. Really? It just crawled in there?! Then, the scenario played itself out over and over again. Whether it's an exploring insect, a bead, or a pea that makes its way into a patient's ear canal, as a nurse practitioner you may find yourself removing otic foreign bodies from time to time. While the procedure is usually quite simple, if done improperly serious complications can result. 

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Strategies for Mastering a NP Specialty Transition that Actually Work

I kicked off my nurse practitioner career in primary care. Two years in, I decided it was time to make the transition to emergency medicine which had always been my goal. The transition was not easy I felt like a new graduate all over again. As nurse practitioners, our schooling prepares us for a broad range of specialties. There are very few formal education options for NPs interested in a particular niche of medicine, so we learn on the job. 

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4 Common Charting Inconsistencies and How to Fix Them

Wouldn't it be nice if you could see patients without worrying about documentation? I often lament that box-checking is a soul-sucking part of my job as a nurse practitioner. But, documentation is a must for NPs and has its benefits as part of patient care (i.e. remembering where you left off at a follow-up visit). Protecting ourselves legally is, of course, another reason charting is an essential part of the patient visit. Unfortunately, as nurse practitioners, we're often in a hurry and are prone to some easy-to-remedy documentation errors. Where are your charts falling short?

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How Do NP and PA Salaries Compare?

A state-by-state snapshot

Nurse practitioners and physician assistants perform very similar, if not identical, roles in most states. In fact, in the emergency department where I work, NPs and PAs are hired interchangeably. While this is true in many geographic areas, in certain instances state law, Medicaid guidelines, and/or the job market lead to wage disparities between nurse practitioners and physician assistants. NPs might be paid more than PAs and vice versa. How do the salaries for these individuals compare in your area?

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Attention NJ New Grads: NP Residency Opportunity

Alright, you don't have to be from New Jersey to apply for this nurse practitioner residency opportunity. If you're an NP (or soon-to-be) looking for an East Coast opportunity, we just might have the right fit for you. The facility offering this residency opportunity in New Jersey is looking for a new grad motivated to provide community-based, affordable and accessible health services to an underserved population. 

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How Much Should You Conform Your Employer's Practice Recommendations?

Medical practices and often the individual clinicians working within them have their own practice styles and personalities. Some clinics and hospital departments allow each individual clinician to diagnose, prescribe and manage a workflow very independently, aligned with individual preferences. Other practices, in contrast, are more standardized with the employer directing providers to practice aligned in things like prescribing habits and workflow management. In this setting, where do you draw the line when your practice preferences as a nurse practitioner differ from those of your employer?

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Do Review Courses Actually Help You Prepare for the NP Certification Exam?

If your nurse practitioner program is wrapping up this spring or summer, you're probably (at least you should be) starting to think about your study strategy for the NP certification exam. How much and for how long will you study? When can you fit study sessions in between work and classes? Will you purchase review books? Practice tests? Or, is attending an in-person review session in order?

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4 Unexpected Sources of New Grad Anxiety

Hey, hey nurse practitioner new grads - congratulations are in order. Becoming a nurse practitioner is no easy feat and, well, you did it! While you may be donning your cap and gown this month, stress and anxiety don't go away as you walk down the steps of your university one last time (good riddance nursing school!). In fact, your worries may be just beginning. 

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Nurse Practitioner Residency Application Deadline Approaching!

Have you thought about next steps following your nurse practitioner school graduation this spring? Or, maybe you finished your NP program this spring and are still trying to figure out what your first move as a newly minted nurse practitioner will be? If you've already graduated, or are graduating from a nurse practitioner program in 2019, a residency or fellowship is a great way to build a clinical foundation for the rest of your career. 

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Free eBook! Licensing Guide for New Grad NPs

As we round the corner to graduation season, we've got new grad NPs on the brain here at MidlevelU HQ. One thing we hear a lot from readers is that the licensing process can be pretty difficult to navigate for new graduate nurse practitioners. It seems like every time you turn the corner there's more paperwork to fill out or a different designation to apply for. Having been through the NP licensing process myself I understand where you're coming from. 

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How to Answer the Most Dreaded Interview Question

Preparation is key when it comes to interviewing for a nurse practitioner job; after all, the interview process is where the rubber meets the road. While you usually can’t predict the exact questions you’ll be asked, there is one you can always count on coming up: “Tell me about yourself”. This open ended question, and other variations like it, seem like an innocent way to break the ice, especially as it’s usually a segue from the small talk you and the interviewer were just having about the weather to the start of the interview. As nonchalant as it may seem, it is by no means one you should respond to on the fly.

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