5 Tips to Avoid Awkwardness When Asking for a Raise

In an ideal world, we wouldn’t have to ask for raise as a nurse practitioner; your boss would be in tune with your productivity and all of your accomplishments, and reward you for such by their own initiative. But unfortunately, in the real world, that is rarely the case. Instead it’s up to you to take charge and ask for an increase in compensation. 

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Up for Interpretation: Are Nurse Practitioners Required to Use Interpretors?

Have you ever had a text message conversation that came across totally wrong? Maybe the words in the message were in all the appropriate places, but the underlying tone was not conveyed as intended? Communication is complex, consisting not only of words, but also tone and body language. As nurse practitioners, we face even greater struggles getting the message across as we must communicate detailed medical concepts in a way that makes sense to those without a health education. The equation becomes even more complex when crossing cultural communication boundaries. 

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Rediscover Your Reason for Becoming a Nurse Practitioner

I talked with a hospital administrator recently who honed in on something that I think goes largely ignored in the healthcare community. As nurse practitioners, we may not be burnt out, but we do grow frustrated and disillusioned by the challenges we face in our jobs. Our patients can be non-compliant, meaning our time and effort seems to be in vain. We may work with 'difficult' patients - drug seekers, confrontational attitudes etc. Facing these aspects of working in healthcare is enough to leave us critical of our career circumstances. 

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Newsflash! Demand for Nurse Practitioners Higher than Physicians

...Some physicians, anyway

This week, Forbes reported that demand for nurse practitioners is higher than the demand for most physician specialties. Only family physicians, psychiatrists and internists are more highly sought after than NPs in today's job market. Demand for nurse practitioners was higher than that of 15 other physician specialties. Why the changing employment tide?

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Are You Following These 4 Practical Prescribing Principles?

Most often, when I read research articles, I find them interesting, but not directly applicable to my practice. Or, the article presents an interesting perspective, however the research is young and not widely tested. Recently, however, a journal article was recommended to me that proved to be practical and directly applicable to my work as a nurse practitioner. The article? Principles of Conservative Prescribing published in the Archives of Internal Medicine

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An NP's 5 Rules for Being Friends with Coworkers

The emergency department where I work has a very collegial environment. Physicians, NPs and nurses spend time socially with one another., One friend/coworker group, for example, vacationed together at the Hangout Fest music festival in Alabama earlier this year. A Kentucky Derby viewing party is an annual event held in one MD’s home and all ED staff are invited to attend. Yet another group of workplace friends organizes regular lunch meet-ups with an open invitation. While socialization between coworkers is generally positive, I often wonder if the nature of our workplace social structure has the potential to lead to professional pitfalls.

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AAFP Objects to Subspecialty Nurse Practitioner Referrals, Thoughts?

As nurse practitioners, we're all well aware that there can be tension between NPs and MDs, particularly when it comes to organizations representing these professions. While nurse practitioners and physicians typically get along well in the workplace, a war wages behind the scenes as to the rights and privileges NPs should be granted. Physicians fight to keep a superior stake in the ground and maintain a hierarchy in medicine. A recent op-ed, I Referred My Patients to Subspecialists; So Why Did They See NPs?, posted on the American Academy of Family Physicians website takes an angle in the argument against nurse practitioners that I hadn't previously considered.

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Beer's List- Medications You Shouldn't Give to Old People

Do you ever get stumped when it comes to prescribing medications for the elderly? Or, maybe you just don't know what you don't know concerning drugs and old people. It seems like some of the most common feedback my colleagues and I working in the emergency department receive from primary care providers relates to prescribing in the elderly population. 

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Blame North Carolina's Medicaid Policies for the Tough New Grad Job Market

New graduate nurse practitioners inevitably face challenges when it comes to the job market in many locations. Without experience in the provider role, employers can be understandably hesitant to hire. Lack of experience, however, is not the only thing hindering new grad NPs in the job market. Other factors like state scope of practice regulations and payer policies play a role. One such scenario is currently playing out in North Carolina. 

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Beyond Wikipedia: Keeping Up With Evidence-Based Practice

Keeping up with the latest evidence-based practice guidelines is no easy feat. Medicine is always changing and as a nurse practitioner or physician assistant you are always running into new clinical situations. Even the brightest clinicians have questions at times. So, where should NPs and PAs turn for the latest reliable clinical information?

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