Podcasts about aprns

On episode 509 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Dr. Jessica Chung, the founder of the International Business Association for Nurses (IBAN). In the course of their conversation, Keith and Dr. Chung discuss the multitude of independent business opportunities available to nurse practitioners, nurses, and even physician assistants. According to Dr. Chung, the sky's the limit for what nurses and APRNs can accomplish in the entrepreneurial space as long as they have the education and awareness to tackle each step thoughtfully, and adhere to the legal and regulatory frameworks of their scope of practice and the state and municipality where they live and work. Dr. Jessica Chung, DNP, FNP-BC, is the founder of J.C. Healthcare & Associates and the International Business Association for Nurses. Dr. Chung is a Doctor of Nursing Practice with expertise in healthcare business start-ups and private practice management.  After receiving her Associate's Degree in Nursing from NYC College of Technology in 2009, Dr. Chung worked as a charge nurse and nurse case manager before moving to Florida. She obtained her Bachelor's in Nursing from Utica College and gained clinical experience in various specialties. In 2018, she was inducted into Sigma Theta Tau International Honor Society. She earned her Master's Degree in Nursing with a Family Nurse Practitioner concentration from South University and her Doctoral degree in Nursing Practice from Samford University. Her research focused on patient education and medication adherence. Dr. Chung opened her private practice in 2019 and has been an advocate for mentoring healthcare professionals to become entrepreneurs. She is a dedicated educator, speaker, researcher, and provider with a passion for influencing others to pursue higher education and professional success. Additionally, she is actively involved in her church and considers healthcare a God-given gift and calling. Connect with Dr. Jessica Chung and IBAN: International Business Association for Nurses Facebook IBAN open Facebook group for APRNs and RNs in Private Practice Business Instagram LinkedIn Contact Nurse Keith about holistic career coaching to elevate your nursing and healthcare career at NurseKeith.com. Keith also offers services as a motivational and keynote speaker and freelance nurse writer. You can always find Keith on LinkedIn. Are you looking for a novel way to empower your career and move forward in life? Keith's wife, Shada McKenzie, is a gifted astrologer and reader of the tarot who combines ancient and modern techniques to provide valuable insights into your motivations, aspirations, and life trajectory, and she offers listeners of The Nurse Keith Show a 10% discount on their first consultation. Contact Shada at TheCircelandtheDot.com or shada@thecircleandthedot.com.

Primary Care and GLP-1: Navigating Weight Management Evaluation and Credit:  https://www.surveymonkey.com/r/medchat75   Target Audience             This activity is targeted toward primary care physicians and advanced providers. Statement of Need As GLP-1's are becoming more prevalent in the treatment of obesity, primary care providers should have the latest information to effectively and safely utilize this option in the care of their patients. In that GLP-1 are relatively new as a treatment for obesity, providers may not be aware of the latest treatment recommendations as well as management strategies to effectively manage their patients on these medications. Objectives Explain the mechanism of how GLP-1 receptor agonists work in the treatment of obesity. Describe the indications and strategies to select appropriate patients for GLP-1 as a treatment modality for obesity. Discuss best practices for initiation and titrating GLP-1 receptor agonists as well as ongoing patient management/monitoring. ModeratorJames T. Jennings, M.D., MBA Executive Medical Director Norton Medical Group Norton Healthcare Louisville, Kentucky SpeakerSteven Patton, D.O. Family Medicine Norton Community Medical Associates - Preston Louisville, Kentucky  Moderator, Speaker and Planner Disclosures  The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.   Commercial Support  There was no commercial support for this activity.  Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. Norton Healthcare is also a Kentucky Board of Nursing (KBN) approved provider. This activity has also been approved by Norton Healthcare for 0.75 KBN Pharmacology contact hour, which expires 12/31/2026. KBN approval of a continuing education provider does not constitute endorsement of program content.  This activity/session meets 0.75 CE contact hour (of the 3.0 contact hour annual requirement) of approved pain management and addiction disorder CE required by the Kentucky Board of Nursing (KBN) for annual license renewal for APRNs that are registered with the DEA and have a Prescription Drug Monitoring Program (PDMP) account– 201 KAR 20:215.” – 4-0002-12-26-004. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.  For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study/ReferencesImpact of a clinical pharmacist on provider prescribing patterns in a primary care clinic https://pubmed.ncbi.nlm.nih.gov/34756524/   Role of GLP-1 Receptor Agonists in Pediatric Obesity: Benefits, Risks, and Approaches to Patient Selection https://pubmed.ncbi.nlm.nih.gov/33085056/   Date of Original Release | Feb. 2025; Information is current as of the time of recording. Course Termination Date | Feb. 2028 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org   Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.

  Evaluation and Credit:  https://www.surveymonkey.com/r/medchat74 Target Audience This activity is targeted toward primary care physicians and advanced providers. Statement of Need With the 2023 DEA regulation changes, physicians can now treat patients with Opioid Use Disorder (OUD) without requiring an X waiver. As the demand for treatment providers rises, primary care providers are pivotal in addressing this gap by initiating OUD treatments. Given that primary care often serves as the first point of contact within the healthcare system, it's crucial for providers to identify patients who could benefit from OUD treatment. However, many providers fail to recognize these patients and may refer them elsewhere, missing opportunities for immediate care. Objectives Describe screening guidelines and key diagnostic criteria for Opioid Use Disorder (OUD) Discuss effective medications for the treatment of opioid use disorder (MOUD). Review treatment strategies for MOUD treatment including guidelines for detox in the primary care setting. ModeratorJames T. Jennings, M.D., MBA Executive Medical Director Norton Medical Group Norton Healthcare Louisville, Kentucky SpeakerKelly Cooper, M.D., MPH, FASAM Medical Director Addiction Services Norton Behavioral Medicine Norton Healthcare Louisville, Kentucky  Moderator, Speaker and Planner Disclosures  The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.   Commercial Support  There was no commercial support for this activity.  Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. HB1This program has been approved for .75 HB1 credit hours by the Kentucky Board of Medical Licensure, ID# 1124-H.75-NHC11a.  For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.  Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. Norton Healthcare is also a Kentucky Board of Nursing (KBN) approved provider. This activity has also been approved by Norton Healthcare for 0.75 KBN Pharmacology contact hour, which expires 12/31/2026. KBN approval of a continuing education provider does not constitute endorsement of program content.  This activity/session meets 0.75 CE contact hour (of the 3.0 contact hour annual requirement) of approved pain management and addiction disorder CE required by the Kentucky Board of Nursing (KBN) for annual license renewal for APRNs that are registered with the DEA and have a Prescription Drug Monitoring Program (PDMP) account– 201 KAR 20:215.” – 4-0002-12-26-004. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.  For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study/References Reframing conceptualizations of primary care involvement in opioid use disorder treatment; Chiu and Sud BMC Primary Care (2024) 25:356. Integrating Routine Screening for Opioid Use Disorder into Primary Care Settings: Experiences from a National Cohort of Clinics; J Gen Intern Med 38(2):332–40; DOI: 10.1007/s11606-022-07675-2.   Resources American Society of Addiction Medicine Provider Clinical Support System U.S. Centers for Disease Control and Prevention    Date of Original Release | Jan. 2025; Information is current as of the time of recording. Course Termination Date | Jan. 2028 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.

In this episode, HPNA and HPNF board members Rikki Hooper and Yvonne Ruathaiwat expand on their perspectives and experiences regarding the palliative continuum of care, and how they break down the silos between palliative care and hospice.  About the Speakers: Moderator: Lynn Reinke, PhD, ANP-BC, FAAN, FPCN, ATSF Featuring:  Richelle (Rikki) Hooper, MBA, MSN, FNP-BC, ACHPN, NE-BC, FPCN Yvonne Ruathaiwat, RN, MSN, GCNS-BC, NE-BC Rikki Nugent Hooper MBA, MSN, FNP-BC, ACHPN® NE-BC, FPCN Rikki Hooper joined Four Seasons, a not-for-profit Hospice and Palliative Care organization, in 2005 as a palliative care nurse practitioner and has been providing patient care since that time. Initially in a full-time clinical role she has also served in various leadership roles including Palliative Care Professional Development Director, Regional Director of Palliative Care, Vice President of Palliative Care and now Chief Clinical Operations Officer with leadership for both Hospice and Palliative Care programs. As a strong believer in quality care at end of life, Rikki consistently advocates for her patients and families to achieve their goals. Certified in Advanced Hospice and Palliative Nursing, she provides care for patients in all settings, both pediatric and adult in Palliative Care and Hospice services. She has presented at regional and national meetings on a variety of topics related to serious and advanced illness as well as operation of community-based programs and has served on the American Academy of Hospice and Palliative Medicine (AAHPM) Task Force for Quality, and on the Home-Based Workgroup for the Center to Advance Palliative Care. She has been part of the long-term care faculty for Bootcamp at the CAPC annual seminar for 3 years and facilitated Virtual Office Hours since 2018. Rikki is the author of several book chapters in APRN textbooks and Core Competencies and contributed to a number of articles published in HPM journals.  She has been part of the core team for several Project Echo projects at Four Seasons. Rikki has provided both didactic education and mentoring to APRNs on Palliative Care and Hospice to local students over multiple years.  Most recently she has attained certification as a Nurse Executive and was inducted as a 2023 Fellow in Hospice and Palliative Nursing. She has volunteered on the HPNA Clinical Forum planning committee, the AAHPM/HPNA Annual Assembly Abstract Review Committee, served as the Co-Chair for the Community Palliative Care SIG and currently serves as State Ambassador for North Carolina and on the FPCN Application Review Committee.  Yvonne Ruathaiwat, MSN, RN, GCNS-BC, NE-BC, CCM, PHN Yvonne Ruathaiwat has a diverse clinical and leadership background across the care continuum. Yvonne most recently served as the Chief Operating Officer/Senior VP of Clinical Services for Hospice of the East Bay in Northern California. Her previous experience involved operations and quality improvements for Palliative Care service line, transition of care programs, post-acute ambulatory care, skilled nursing facility partnerships, and population health management for medical respite/high utilizer groups. Yvonne's past roles ranged from advanced practice nurse to adjunct professor.   Yvonne obtained her Master of Science degree as a Geriatric Clinical Nurse Specialist with specialty in Nursing Education. With a passion to deliver seamless and timely access to services, Yvonne is certified as a nurse executive, case manager, and in hospice operations. She is active with the schools in her community to foster creativity and opportunities.    

In this episode of Nurses Uncorked, Nurse Jessica Sites and Nurse Erica interview Kelley Johnson, a nurse and former Miss California USA. The conversation highlights the impact of Kelley's monologue about nursing at the 2015 Miss America Pageant and the subsequent controversy on The View. Kelley reflects on her feelings during that time and her decision not to appear on the show. She shares her thoughts on pressing issues in nursing, such as safe staffing and nurse retention. The conversation also touches on the American Medical Association's Scope Creep Campaign and the importance of expanding the scope of practice for advanced practice registered nurses (APRNs). The episode concludes with a discussion on the solidarity of nurses in standing up for their profession.   Thank you to our sponsor, Stink Balm Odor Blocker! Please visit  https://www.stinkbalmodorblocker.com/  and use promo code UNCORKED15 for 15% off your purchase!   Interested in Sponsoring the Show?  Email with the subject NURSES UNCORKED SPONSOR to nursesuncorked@nursesuncorked.com    Chapters: 00:00 Patron Shoutouts and Welcoming Kelley Johnson 02:45 Cocktail of the Week 03:50 Kelley's Introduction 10:20 Pressing Issues in Nursing: Safe Staffing and Nurse Retention 12:25 The Challenges of Being 'Just a Nurse' 15:24 Motivation for Getting an Advanced Degree 18:20 Kelley's Journey in Beauty Pageants 21:30 An Untraditional Pageant Talent 25:00 The Controversial Monologue and The View 27:00 Apology and Deciding Not to Go on The View 31:43 Solidarity and Standing Up Together for the Nursing Profession 34:30 Show Me Your Stethoscope  45:36 Expanding the Scope of Practice for APRNs 48:30 Dear Jimmy Kimmel's Nurse - an Open Letter 52:20 Enema of the Week Award 55:10 Nurse Kelley's Upcoming Podcast    Follow Kelley: www.heyitskelley.com (coming soon) Instagram: @realnursekelley Tiktok: @heyitskelley    Cocktail of the Week: Alcohol Free Mocktail: Paloma  https://us.af-drinks.com/products/paloma-non-alcoholic-cocktail    Show Me Your Stethoscope: https://smysofficial.org/ https://www.facebook.com/groups/ShowMeYourStethoscope/    New episodes of Nurses Uncorked every Tuesday (Monday for patrons!). Help us grow by giving our episodes a download, follow, like the episodes and a 5 ⭐️ star rating!   Please follow Nurses Uncorked at!  https://www.tiktok.com/@nurses.uncorked?_t=8drcDCUWGcN&_r=1 https://instagram.com/nursesuncorked?igshid=OGQ5ZDc2ODk2ZA== https://youtube.com/@NursesUncorkedL https://www.facebook.com/profile.php?id=100094678265742&mibextid=LQQJ4d You can listen to our podcast at: https://feed.podbean.com/thenurseericarn/feed. https://podcasts.apple.com/us/podcast/nurses-uncorked/id1698205714 https://spotify.link/8hkSKlKUaDb https://nursesuncorked.com    DISCLAIMER: This Podcast and all related content [published or distributed by or on behalf of Nurse Erica, Nurse Jessica Sites or Nurses Uncorked Podcast is for informational purposes only and may include information that is general in nature and that is not specific to you. Any information or opinions expressed or contained herein are not intended to serve as legal advice, or replace medical advice, nor to diagnose, prescribe or treat any disease, condition, illness or injury, and you should consult the health care professional of your choice regarding all matters concerning your health, including before beginning any exercise, weight loss, or health care program.  If you have, or suspect you may have, a health-care emergency, please contact a qualified health care professional for treatment.   Any information or opinions provided by guest experts or hosts featured within website or on Nurses Uncorked Podcast are their own; not those of Nurse Jessica Sites, Nurse Erica or Nurses Uncorked Company. Accordingly, Nurse Erica, Nurse Jessica Sites and the Company cannot be responsible for any results or consequences or actions you may take based on such information or opinions. All content is the sole property of Nurses Uncorked, LLC. All copyrights are reserved and the exclusive property of Nurses Uncorked, LLC.  

This episode features Chris Acevedo, CHC, the presenter of HPNA's upcoming three-part APRN billing and coding webinar series. Chris discusses the series, which is designed for APRNs practicing in Palliative Care and within the hospice benefit. Moderated by HPNA Board member, Mansara Hassan, the discussion touches on recent changes to billing, EMR documentation, billing restrictions, and more.   Register for the three-part billing webinar series today! Registration is free for HPNA members.  The Basics on APRN Billing in Hospice and Palliative Care   June 24, 2024  3:00 – 4:00 p.m. ET  1 NCPD  Register Today  Nuances of APRN Coding and Billing in Hospice and Palliative Care  July 16, 2024  3:30 – 4:30 p.m. ET  1 NCPD  Register Today  Optimizing Revenue in APRN Hospice and Palliative Care Billing  August 12, 2024  2:00 – 3:00 p.m. ET  1 NCPD  Register Today    About the Speakers:  Moderator: Mansara Hassan, MSN, APRN, AGNP-C  Featuring: Christopher Acevedo, CHC  Mansara Hassan, MSN, APRN, AGNP-C, is a Palliative Care Nurse Practitioner in Dallas, TX. She earned her Master of Science in Nursing from the University of Pennsylvania. Mansara is deeply committed to ensuring equitable access to palliative care. She is also passionate about teaching and empowering nurses and is a proud End of Life Nursing Education (ELNEC) trainer. Mansara is an HPNA member and serves on the Board of Directors for HPNA and HPNF.  Christopher Acevedo, CHC is Chief Operating Officer and Partner at Acevedo Consulting Incorporated. He is a health care industry veteran with more than 20 years of expertise in combining the unique perspective of avoiding risk and liability with opportunities for optimizing reimbursement. Chris has a particular expertise in chart audits, compliance, and education related documentation and coding. He has assisted clients nationwide with these and many other organizational needs. His experience in operational management brings clients invaluable expertise in the operational aspects of organizations' billing processes and identifying areas for potential improvement. Through the firm, Chris often serves as an expert for clients undergoing alleged overpayment and/or fraud investigations, as the Independent Review Organization (IRO) representative in accordance with Corporate Integrity Agreements (CIA) with the OIG and as a litigative consultant to the US Department of Justice.  Chris is the Healthcare Compliance Officer for Barry University, is Adjunct Faculty at Florida Atlantic University teaching regulatory compliance and is a member of multiple CMS MAC Provider Outreach and Education Advisory Groups. 

In this episode, we welcome Dr. Heather Coats and Dr. Kelly Henrichs. Moderated by Dr. Betty Ferrell, this episode discusses the adult-gerontology nurse practitioner's role in hospice and palliative care. Listen in as Heather and Kelly touch on common areas for the nurse practitioner, examples of when two APRNs work together to care for a patient, the differences between primary and specialty care, and more.  This podcast episode coincides with an article written by Heather and Kelly in the June 2024 issue of the Journal of Hospice & Palliative Nursing. 1. Coats, Heather PhD, APRN-BC; Henrichs, Kelly DNP, RN, GNP-BC. The Role and Professional Standards of the Adult-Gerontology Nurse Practitioner in Hospice and Palliative Care. Journal of Hospice & Palliative Nursing 26(3):p 116-121, June 2024. | DOI: 10.1097/NJH.0000000000001025. Resources from the Episode: ACHPN® Credential AACN Call for Action: Nurses Lead and Transform Palliative Care ANA Call to Transform Palliative Care About the Speakers: Moderator: Dr. Betty Ferrell, PhD, MSN, RN, CHPN®, FAAN, FPCN, Director of Nursing Research & Education and Professor, City of Hope  Featuring:  Dr. Heather Coats, PhD, APRN-BC, FAAN, Director of Research, HPNA, and Assistant Professor, University of Colorado College of Nursing  Dr. Kelly Henrichs, DNP, RN, GNP-BC, Specialty Director, AGPCNP Program, Associate Professor, University of Colorado College of Nursing    Dr. Henricks  works at CU as an associate professor, where she has taught for nearly 10 years and her clinical specialty is Gerontology. She was recently appointed the specialty director of the Adult/Gerontology Nurse Practitioner Program at CU and teaches across the undergraduate and graduate program. Her research interests are focused on older adults, and how to shift nursing student attitudes toward them. She is passionate about improving care and outcomes for the older adult population. She currently practices in the UCHealth Senior's Clinic as a nurse practitioner.  Dr.  Coats, PhD, APRN-BC, FPCN, FAAN is Director of Research for Hospice and Palliative Nurses Association (HPNA) and faculty at the University of Colorado, College of Nursing, Anschutz Medical Campus, in Aurora, CO. With a well-founded base of palliative, oncology, and hospice care spanning over 26 years, Heather is sought out as a researcher, teacher, and consultant to nurses, physicians, and other health care professionals. She has been in numerous leadership positions and developed national/international recognition through her impact on the PC/EOL field. Heather is a well-known palliative care nurse leader who has communicated extensively through her publications, presentations and consultations with patients, families, and clinicians on the importance of palliative care for individuals living with serious illness.    Nationally, she was invited to the prestigious keynote at the AAHPM/HPNA National Assembly to present the “State of the Science” for three years, and a subsequent keynote for the HPNA Clinical Practice Forum. She was the 2021 HPNA Vanguard recipient, is a Fellow in Palliative Care Nursing, and a Fellow of the Western Academy of Nurses, and a Fellow of the American Academy of Nursing. Internationally, she has been invited to both India and Japan to share her knowledge and expertise in PC/EOL nursing.  Her program of research which investigates the use of person-centered narrative interventions to improve communication between patients, family caregivers, and clinicians has been funded by NIH and the Cambia Health Foundation. In 2015, she earned her PhD in Nursing from the University of Arizona, College of Nursing, earned her master's in nursing: Adult Nurse Practitioner from the University of Colorado, College of Nursing in 2006, and received her Bachelor of Science in Nursing from University of Arkansas, Eleanor Mann School of Nursing in 1996. 

The management of patients living with kidney disease is evolving as the complexity of patient care evolves. Join us as we discuss the team of clinicians who are involved in the care of patients with kidney disease, including nephrologists and advanced practice providers (APPs) - advanced practice registered nurses (APRNs) and physician assistants (PAs). This episode will review the roles of each provider type and what each brings to the team as well as the patients. It will also highlight the strengths of team-based care as well as what patients and their families can expect from an APP during clinic visits, hospitalizations, transplant workups, and on dialysis units. 

Your Queen Bees are doing a deep dive today to discuss what is like to navigate as patient and trying to advocate for yourself to get your hormones or at least have an evidence based, shared decision discussion with your provider.  Today we interviewed Heather Maurer, the CEO of NPWH (The National Association of Nurse Practitioners in Women's Health), a leading organization for providers who care for women and gender related health concerns.  She shares her experience as patient and being denied her hormones at her last visit even after sharing the evidence with her provider. Heather L. Maurer, MA, CAE is the Chief Executive Officer for the National Association of Nurse Practitioners in Women's Health (NPWH), the national professional association for certified women's health nurse practitioners (WHNP-BCs) and other certified APRNs who provide women's and gender-related healthcare. Heather has over 25 years working in healthcare including nonprofit, association, and accreditation organization management. She is one of the co-founding board of directors for Mother Health International, a 501c3 nonprofit organization, who collaborates with traditional midwives and certified midwives in supporting a midwifery model of care, free-standing birth center in Northern Uganda. Heather is passionate about addressing the barriers that prevent people from gaining access to evidence based holistic healthcare. She is a fierce advocate in support of healthcare policies that address health disparities and access to healthcare. At the heart of Heather's work “is always the patient, the patient, the patient.”Heather Maurer- @heatherlmaurer NPWH -@npwh_officialTo Follow US check out: Heather- www.theshowcenter.comJackie- https://www.mymonarchhealthco.comThe podcast- @justaskhiveHeather- @showcenterdrqJackie- @jackiep_gynnpTara @thesexualhealthpharmacist

NP, entrepreneur, and professor, Gabrielle Abelard, DNP, PMHNP, PMHCNS-BC, APRN, FNAP, FAAN, joins The AJN Podcast and shares her business experience, wisdom, and insight on what APRNs need to know and do before opening their own practice. Some questions to think about: 1. What’s your “brand”? 2. How will you choose your practice name? 3. Which geographical location would you choose? 4. Will you go into business alone or take on partners? 5. Will you take health insurance or not? 6. What is your timeline? And many more! Recommended books: Nurse Practitioner's Business Practice and Legal Guide by Carolyn Buppert, JD, MS The Doctor of Nursing Practice: A Guidebook for Role Development and Professional Issues by Lisa Astalos Chism, DNP, APRN, NCMP, FAANP NP Notes: Nurse Practitioner's Clinical Pocket Guide by Ruth McCaffrey, DNP, ARNP, FNP-BC, GNP-BC, FAANP, and Humberto Reinoso, PhD, FNP-BC, ENP-BC

Explore the updated perspective on APRN shift lengths and fatigue as host Jill Beck discusses the recently revised position statement from the National Association of Neonatal Nurse Practitioners (NANNP). Joined by former NANNP Council members and co-authors Taryn Edwards and Roxanne Stahl, this episode delves into the research behind the update and offers practical recommendations. Discover insights on navigating the delicate balance between patient safety and the well-being of APRNs. Learn about creating a healthier work environment to ensure the safety of both patients and APRNs. Gain essential knowledge for addressing the challenges of APRN shift lengths and fostering a positive, sustainable workplace.

Dr. Ken on the award winning 101.7 The Truth asks do you miss anything you used to do before technology? Dr. Ken discusses Health Care and Education and the similar issues they both have after talking about the "APRN Modernization Act" that would create a new system that would allow registered nurses who meet certain qualifications to be licensed by the state board of nursing as advanced practice registered nurses, or APRNs.

Neonatal nurses and APRNs have all thought of how to design or develop products or technologies better than what is currently being utilized. How can we as NICU nurses and APRNs enter the world of product and technology development and engage stakeholders to innovate change? On this episode of NANNcast, Jill is joined by the leading clinical expert in industry, Dr. Karen Becker and nursing research scientist, Dr. Katherine Dudding to inspire you on how to move into action. 

039 - ACHPN Prep PART 4 - Intervention and Management Part 1 - Join Dr. Steven Baumrucker, Medical Director of Ballad Health Palliative Medicine Associates and Associate Editor in Chief of the American Journal of Hospice and Palliative Medicine, as he speaks with Amanda Stevens, Nurse Practitioner and Clinical Educator for Ballad Health Systems Palliative Medicine Consult Service and Carissa Depew, DNP,  Palliative and Hospice Nurse Practitioner at Ballad Health Hospice in part four of our new ongoing series designed to help APRNs pass the ACHPN exam.

038 - ACHPN PREP - PART 3: Assessment and Data Collection-Part 2 - Join Dr. Steven Baumrucker, Medical Director of Ballad Health Palliative Medicine Associates and Associate Editor in Chief of the American Journal of Hospice and Palliative Medicine, as he speaks with Amanda Stevens, Nurse Practitioner and Clinical Educator for Ballad Health Systems Palliative Medicine Consult Service and Carissa Depew, DNP,  Palliative and Hospice Nurse Practitioner at Ballad Health Hospice in part three of our new ongoing series designed to help APRNs pass the ACHPN exam.  Materials mentioned in this episode can be found here: https://epionepalliative.com

037 - ACHPN Prep PART 2 - Assessment and Data Collection - Part 1- Join Dr. Steven Baumrucker, Medical Director of Ballad Health Palliative Medicine Associates and Associate Editor in Chief of the American Journal of Hospice and Palliative Medicine, as he speaks with Amanda Stevens, Nurse Practitioner and Clinical Educator for Ballad Health Systems Palliative Medicine Consult Service and Carissa Depew, DNP,  Palliative and Hospice Nurse Practitioner at Ballad Health Hospice in part two of our new ongoing series designed to help APRNs pass the ACHPN exam.

036 - ACHPN PREP - Part 1 Part one of our new ongoing series designed to help APRNs pass the ACHPN exam,

Effective July 1, 2020, Advanced Practice Registered Nurses (“APRN”) will be able to register their own autonomous practice throughout Florida with the passage of House Bill 607. No longer will the APRN have to provide patient care within the framework of an established protocol with a supervising physician if they are properly registered. If the APRN is not registered then an established protocol will still be required. The term Health Care Provider has been re-defined to mean a physician, osteopathic physician, podiatric physician or an APRN registered under Florida Statute §464.0123. A registered APRN may only establish an autonomous practice in primary care, including family medicine, general pediatrics, and general internal medicine. APRNs certified as nurse midwives may engage in the practice of midwifery in accordance with Florida Statute §464.012(4)(c). APRNs engaging in autonomous practice must provide information in writing to a new patient about his or her qualifications and the nature of the autonomous practice before or during the initial patient encounter. A registered APRN may also (1) admit a patient to a health care facility; (2) manage the care that the patient receives at the facility: and (3) discharge the patient from the facility, unless prohibited by federal law. The ARPN may provide a signature, certification, stamp, etc., that is otherwise required by law to be provided by a physician so long as the APRN is not issuing a physician certification. There are many other requirements that an APRN has to comply with in order to legally establish and operate their autonomous practice in Florida. As more APRNs register I'm confident that additional laws and/or rules will be created to further regulate the practice area. It is important to hire a health law attorney who has the requisite experience, knowledge and training required to help you navigate the laws. Web: www.JonesHealthLaw.com Phone: (305)877-5054 Instagram: @JonesHealthLaw Facebook: @JonesHealthLaw Youtube: @JonesHealthLaw --- Support this podcast: https://podcasters.spotify.com/pod/show/joneshealthlaw/support

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Wendy Wright, DNP, FNP-BC, ANP-BC, FAANP, FAAN, FNAP Physicians and advanced practice registered nurses (APRNs) may practice differently but they can still get their patient to the same outcome. So where do the conflicts arise? Join Dr. Peter Buch as he walks us through this with Dr. Wendy Wright, nurse practitioner and founder of Wright & Associates Family Healthcare.

Podcast: Updates in Chronic Pain Management   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat48   Target Audience This activity is targeted toward all physician specialties and advanced providers.   Statement of Need Chronic pain is one of the most common reasons that patients see their physician. A report by the Institute of Medicine indicated that one in three Americans suffer from chronic pain. Therefore, it is important for providers to understand key factors in treating patients with pain that would affect diagnosis and treatment plans. Additionally, providers should be aware of effective nonpharmacological and pharmacology treatment options as well as the latest guidelines in the use of opioids for chronic pain management.   Objectives At the conclusion of this offering, the participant will be able to: 1.         Differentiate between acute and chronic pain. 2.         Describe the types and major drivers of chronic pain. 3.         Discuss effective treatment options in the management of patients with chronic pain; including identification of red flags. 4.         Highlight the latest CDC recommendations in the use of opioids for chronic pain management.   Moderator James Jennings, M.D., MBA Executive Medical Director of Quality, Provider Development and Innovation Norton Medical Group   Speakers Don Teater, M.D., MPH Pain and Addiction Specialist Southeast Alaska Regional Health Consortium Owner of Teater Health Solutions.   Moderator, Speaker and Planner Disclosures The planners, speaker and moderator of this activity do not have any relevant relationships to disclose.   Commercial Support There was no commercial support for this activity.   Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   House Bill 1 credits The podcast Updates in Chronic Pain Management has been approved for .75 HB1 credit hours by the Kentucky Board of Medical Licensure. ID# 1122-H.75-NHc5h   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 0.75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.   Norton Healthcare is also a Kentucky Board of Nursing (KBN) Approved Provider: Activity Number 4-0002-12-24- 012. The activity has also been approved by Norton Healthcare for 0.75 contact hours which expires 12/31/2024. KBN approval of a continuing education provider does not constitute endorsement of program content. This activity meets 0.75 contact hours of approved dual subjects of pharmacology and pain management CE required by the Kentucky Board of Nursing (KBN) for annual license renewal for APRNs with a Collaborative Agreement for Advanced Practice Registered Nurse's Prescriptive Authority for Controlled Substances (CAPA-CS) – 201 KAR 20:215(5)(1)(c).   For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Goldstick JE, Guy GP, Losby JL, Baldwin G, Myers M, Bohnert ASB. Changes in Initial Opioid Prescribing Practices After the 2016 Release of the CDC Guideline for Prescribing Opioids for Chronic Pain. JAMA Netw Open. 2021;4(7):   Rajput, K., Vadivelu, N. Acute Pain Management of Chronic Pain Patients in Ambulatory Surgery Centers. Curr Pain Headache Rep 25, 1 (2021)   Vargas-Schaffer G, Steverman A, Potvin V (December 12, 2021) Monitoring Pharmacological Treatment in Patients With Chronic Noncancer Pain. Cureus 13(12): e20358. DOI 10.7759/cureus.20358     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.   Date of Original Release |January 2023; Information is current as of the time of recording.   Course Termination Date | January 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org

This episode concludes the podcast by discussing differences between practice authority, scope of practice, prescriptive authority, and autonomous practice licensure. We also discuss the way APRNs were granted greater practice authority within the Veterans Administration (VA) healthcare system! And we tackle the “title” debate over appropriate and inappropriate terms used for NPs before discussing how to support NPs being able to contribute to their fullest within the healthcare arena.---This is episode 3 of the series: Nurse Practitioner Regulations and Practice Issues: Pandemic to Future Considerations The COVID-19 pandemic and emergency measures allowed many nurse practitioners (NP) to practice at a greater capacity. Healthcare needs during the past few years have brought forward multiple opportunities for expanded NP practice through the influence and power of The Centers for Medicare & Medicaid Services (CMS), emergency measures, etc. What happens now though, as we navigate out of the pandemic and emergency measures expire? Might the future of NP practice be reformed again or will practice just return to more limited pre-pandemic conditions for many NPs?Nurses may be able to complete an accredited CE activity featuring content from this podcast and earn CE hours provided from Elite Learning by Colibri Healthcare. For more information, click hereView Episode Show NotesView Episode TranscriptAlready an Elite Member? Login hereLearn more about CE Podcasts from Elite Learning by Colibri HealthcareView this podcast course on Elite LearningSeries: Nurse Practitioner Regulations and Practice Issues: Pandemic to Future Considerations

In this episode, Dr. Cassandra Vonnes, a Gerontological Nurse Practitioner, and member of the GAPNA Communication Team, talks with Dr. JoAnn Coleman, DNP, ACNP-BC, AOCN, GCN, the Clinical Program Coordinator for the Sinai Center for Geriatric Surgery at Sinai Hospital in Baltimore, Maryland, and a member of the Gerontological Advanced Practice Nurses Association.In addition to her inspiration to become a gerontological nurse, Dr. Coleman discusses the specialty needs of the older adult undergoing surgery, the development and implementation of the Geriatric Surgical Verification Program by the American College of Surgeons, and implications for the gerontological advanced practice nurse.This episode was recorded on July 6, 2022.JoAnn Coleman, DNP, ACNP-BC, AOCN, GCN, the Clinical Program Coordinator for the Sinai Center for Geriatric Surgery at Sinai Hospital in Baltimore, Maryland. She was selected to serve on the American College of Surgeons grant given by the John A. Hartford Foundation to develop standards for geriatric surgery and establish a new quality program, the Geriatric Surgery Verification Program of the American College of Surgeons. Dr. Coleman is a member of GAPNA's Acute and Emergent Care Special Interest Group and contributed to the Gerontological Resources for APRNs in Acute and Emergent Care Settings.Cassandra Vonnes, DNP, GNP-BC, APRN, AOCNP, CPHQ, FAHA, is the Nurses Improving Care for Healthsystem Elders (NICHE) Coordinator, Geriatric Oncology, at the Moffitt Cancer Center, in Tampa, FL. She is a member of the Gerontological Advanced Practice Nurses Association Communication Team and is a host of the GAPNA Chat podcast series.© Gerontological Advanced Practice Nurses Association.All rights reserved. No portion of this podcast may be used without written permission.Discover GAPNA: https://www.gapna.org/Production management by Anthony J. Jannetti, Inc., for the Gerontological Advanced Practice Nurses Association.Opening Music by:Optimistic / Inspirational by Mixaund | https://mixaund.bandcamp.com
Music promoted by https://www.free-stock-music.comClosing Music by:Scott Holmes.http://www.scottholmesmusic.com

As nursing professionals, we strive to be better at our jobs -- from new graduates embarking on a nursing career to those aspiring to become APRNs. Join AACN's clinical practice specialist JoAnne Konick-McMahan as she shares advice on how to advance your nursing career.This episode is brought to you by: AACN's Certification, with information available at www.aacn.org/credentials 

In this episode, Dr. Cassandra Vonnes, a Gerontological Nurse Practitioner, and member of the GAPNA Communication Team, talks with Nanette Lavoie-Vaughan, DNP, CDCP, ANPC-C, a nationally recognized leader in gerontological nursing, and a member of the Gerontological Advanced Practice Nurses Association.In addition to her inspiration to become a gerontological nurse, Dr. Lavoie-Vaughan discusses Diogenes syndrome and its pathophysiology in the older adult population, the psychological effects and behavior challenges experienced by individuals with Diogenes syndrome, and treatments for Diogenes syndrome APRNs should integrate into their practice.With over 30 years of experience in the geriatric health care field, Nanette Lavoie-Vaughan, DNP, CDCP, ANPC-C, is currently a clinician at Transitions Medical Partners, providing house calls to older adults in Raleigh, North Carolina. She is a clinical assistant professor at East Carolina University College of Nursing, a clinical instructor at the University of North Carolina-Greensboro, and an adjunct faculty member at Vanderbilt University School of Nursing. She is the author of Eldercare: The Comprehensive Guide to Caregiving and a new evidence-based clinical practice guideline for the non-pharmacological management of behavioral problems in dementia. Cassandra Vonnes, DNP, GNP-BC, APRN, AOCNP, CPHQ, FAHA, is the Nurses Improving Care for Healthsystem Elders (NICHE) Coordinator, Geriatric Oncology, at the Moffitt Cancer Center, in Tampa, FL. She is a member of the Gerontological Advanced Practice Nurses Association Communication Team and is a host of the GAPNA Chat podcast series.© Gerontological Advanced Practice Nurses Association.All rights reserved. No portion of this podcast may be used without written permission.Discover GAPNA: https://www.gapna.org/Production management by Anthony J. Jannetti, Inc., for the Gerontological Advanced Practice Nurses Association.Opening Music by:Optimistic / Inspirational by Mixaund | https://mixaund.bandcamp.com
Music promoted by https://www.free-stock-music.comClosing Music by:Scott Holmes.http://www.scottholmesmusic.com

Please enjoy this pre-recorded session from our 2022 Student Conference. "Financial Planning Through CRNA School" - Henry Sink CRNAHello and thank you for taking the time to listen to what I want to teach! My name is Henry Sink, CRNA, a pseudonym. HENRY stands for “high earner not rich yet.” SINK stands for “single income no kids.” CRNA, as we all know, stands for “Certified Registered Nurse Anesthetist.” I graduated from my CRNA program in May 2020 and started working in August 2020 after passing the NBCRNA in June 2020. I earned my MSN.  I realized from an early point in my nursing career that though I was making good money, whether at the bedside or as a travel RN, that it was not about how much I was making but instead how much I was saving and investing for my future.  As a full time CRNA, with over 6 years as a bedside RN and over a year and a half as a CRNA, I have taken what I have learned and am passing it on to the next generation of nursing students, RNs, and APRNs. This is in an attempt to educate these individuals about the link between their income and financial independence. I created my platform, all on Instagram, during the summer of 2020. I had just finished my board exam, the NBCRNA, and realized I finally had time back on my hands. I knew that I wanted to talk about financial issues in the nursing community but wanted to specifically speak to SRNAs and CRNAs about their current and future financial positions.  In the future, I want to work to create financial literacy and financial independence resources for individuals at all levels of their nursing career. Whether it is a pre-nursing student who is nervous about taking out student loans to pay for nursing school, or a newly graduated CRNA who wants to know how to navigate their workplace retirement accounts, investing in different asset classes, or paying down their loans from their graduate program. Support the show

"There are different types of advanced practice providers that you may meet in an oncology practice - PAs, APRNs, NPs, but what's the difference between them? In the second episode of ASCO Education's podcast series on Advanced Practice Providers (APPs), co-hosts Todd Pickard (MD Anderson Cancer Center) and Dr. Stephanie Williams (Northwestern University Feinberg School of Medicine), along with guest speakers, Leslie Hinds (Centura Health), Martin Clarke (Arizona Oncology), and Kathleen Sacharian (Main Line Health), break down the differences and similarities between physician assistants and advanced practice registered nurses, share what their days might entail in each of these roles in an oncology practice, as well as address some common misconceptions surrounding these types of APPs. Duration 35:52. If you liked this episode, please subscribe. Learn more at https://education.asco.org, or email us at

In this episode,  Cara and Missi are joined by Dr. Teresa Ash  for a conversation around interprofessional collaboration between APRNs and Pharmacists.  Dr. Ash is a PharmD who is the Chief Operation Officer at Mercy Anderson in Cincinnati, OH.   Her wealth of experience provides insight on how to utilize pharmacy in the care of patients.  She offers up valuable advice on resources, chronic disease management, and clinical pearls for midwifery and women's health practice.

In this episode,  Cara and Missi are joined by Dr. Teresa Ash  for a conversation around interprofessional collaboration between APRNs and Pharmacists.  Dr. Ash is a PharmD who is the Chief Operation Officer at Mercy Anderson in Cincinnati, OH.   Her wealth of experience provides insight on how to utilize pharmacy in the care of patients.  She offers up valuable advice on resources, chronic disease management, and clinical pearls for midwifery and women's health practice.

A shortage of reproductive health professionals has resulted in wait times for some services in our state, including in-clinic abortions. Connecticut's "safe harbor" law expands the scope of care for advanced-practice clinicians to include procedural abortions, and is expected to lessen what is now up to a two-week wait. These clinicians are advanced practice registered nurses (APRNs), clinical-nurse midwives (CNMs) and physician's assistants (PAs). CNM and CEO and President of Planned Parenthood of Southern New England Amanda Skinner told the Connecticut Mirror she expects a "continued surge in patients" in the wake of the Dobbs decision. This hour, Skinner joins us to discuss the important role advanced-practice clinicians play in reproductive health care. At Planned Parenthood, these clinicians are primary care providers, she explains. Plus, Loren Fields is an advanced-practice nurse, educator and longtime member of Clinicians in Abortion Care, an arm of the National Abortion Federation. GUESTS: Amanda Skinner, CNM, MBA: CEO and President, Planned Parenthood of Southern New England Loren Fields, DNP, MSN, APRN: Clinician, Planned Parenthood of Southern New England; Lecturer in Nursing, Yale School of Nursing; Member and Former Advisory Committee Chair, Clinicians in Abortion Care Where We Live is dedicated to exploring the issues and impact of the Supreme Court's overturning of Roe. We wanted to create a space to make it easy for our listeners to find all of this content with one click. Visit ctpublic.org/PostRoeWorld for easy access to our ongoing coverage.Support the show: http://wnpr.org/donateSee omnystudio.com/listener for privacy information.

Join us as I talk with Dr Jessica Chung DNP FNP-C, about..

Partners in cancer care – who are advanced practice providers? In the first episode of ASCO Education's podcast series on Advanced Practice Providers (APPs), co-hosts Todd Pickard (MD Anderson Cancer Center) and Dr. Stephanie Williams (Northwestern University Feinberg School of Medicine), along with guest speaker, Wendy Vogel (Harborside/APSHO), discuss who advanced practice providers are, share an overview of what they do, and why they are important to oncology care teams. If you liked this episode, please subscribe. Learn more at https://education.asco.org, or email us at education@asco.org   TRANSCRIPT Todd Pickard: Hello everyone, and welcome to the ASCO Education Podcast, episode number one of the 'Advanced Practice Providers' series, 'APPs 101: What and Who Are Advanced Practice Providers?' I'd like to introduce my co-host for this series, Dr. Stephanie Williams. My name is Todd Pickard. I'm an advanced practice provider, I'm a PA, and I work at MD Anderson Cancer Center in Houston, Texas. I'm also the Executive Director of Advanced Practice and my clinical practice is in urology. Dr. Williams, how about you introduce yourself? Dr. Stephanie Williams: Thanks, Todd, and thanks for this opportunity to present this incredibly important topic. I am currently retired from clinical practice. I had been in practice for over 35 years both in an academic setting, a private practice, and more recently in a large institutional, multi-specialty institutional type of practice. My primary clinical care has been in stem cell transplants and cellular therapy. And we have used APPs, both PAs and NPs for a couple of decades in our particular area. Todd Pickard: Great, thanks for that. I'd also like to introduce you to our guest panelist today, Wendy Vogel from Harborside, who is a certified oncology nurse practitioner with over 20 years of clinical experience and expertise. We're excited to be chatting with Wendy today about the basics of advanced practice providers and who they are. This will be an introduction for the rest of the upcoming episodes of APP Podcasts. Wendy, why don't you tell us a little bit about yourself and your practice. Wendy Vogel: Thanks, Todd. It is a pleasure to be here. I appreciate you asking me to talk. I am an oncology nurse practitioner as you said. I do a high-risk cancer clinic and do that a couple of days a month. And I am also the executive director of APSHO, the Advanced Practitioner Society for Hematology and Oncology. Todd Pickard: Great! We're looking forward to a robust and informative discussion today between the three of us. So, I'd like to get started with some basics. Wendy, do you want to always start with a definition of advanced practice registered nurse? Wendy Vogel: Okay, great question! So, APRNs or advanced practice registered nurse include nurse practitioners. It can include clinical nurse specialists, nurse anesthetists, and nurse midwives. And generally, APRNs hold at least a master's degree in addition to some initial nursing education as a registered nurse. Some APRNs have doctorates like the DNP or Doctorate of Nursing Practice. But licensure for APRNs generally falls under the State Board of Nursing.   So, we're also required to have a board certification, usually as some sort of generalist as in family medicine, pediatrics, geriatrics, women or acute care. But in oncology, many APRNs also carry oncology certification. Todd Pickard: Excellent! Thanks for that. I'll go ahead and add to the conversation by defining physician assistant. So, physician assistants are individuals who are trained in the medical model and are licensed to practice medicine in team-based settings with physicians. Very much like advanced practice registered nurses, we come from a variety of backgrounds, and our education model is really focused on thinking about the patient the same way that our physician colleagues do. We're trained in really taking a very broad look at patient care, and our education as a generalist model. PAs are certified by the National Commission on Certification of Physician Assistants, which is one national certification that includes all of the content areas in which we will practice. Dr. Stephanie Williams: For those out there who don't know, what are the differences between a physician assistant and an APRN? Or are there differences in practical terms, in terms of how we practice our field? Wendy Vogel: That is a great question, Stephanie, thanks for asking that. We function very much the same. The main difference is just in our educational background, where nurse practitioners come from a nursing background and the nursing model of care, and I'll let Todd speak to where PAs come from, but basically, our functions are very much the same. Todd Pickard: I very much agree. If you are in a clinical setting, and for some reason, Wendy or myself failed to identify who we are, you wouldn't really detect a distinction between the care either of us provide, because we are there in that provider setting and we're really there to assess the conditions you have like appropriate history in physical examination, think through differential diagnosis or a workup, create a diagnosis and then a therapeutic plan and also to educate you as the patient or to make an appropriate referral. So, really, when APPs, PAs, and NPs work side by side, there's really not a lot of difference in what people detect in what we're doing and how we're doing things. But there are some educational differences, which are pretty minimal. So, for example, one small difference is that PAs include surgical assisting as part of our core fundamental training, and our APRN colleagues generally don't. So, in my institution, we do have nurse practitioners that go to the OR and do assisting, but in order to get there, they did a Registered Nursing First Assist Program, it's a certification. So, they learn those fundamentals of sterile technique and surgical technique. So, in essence, there's really not a whole lot of difference. Dr. Stephanie Williams: I think what I was struck with about the difference was the history and the fact that PAs came out of the Mobile Army Surgical Hospitals. To me, that was just fascinating. I think Duke was the first graduating class. Wendy Vogel: You know, the role of the APRN has really changed drastically. It began in the 1960s, because there were not enough primary care providers, particularly for children in the urban and rural areas of the US, and the first nurse practitioner program was in 1965, at the University of Colorado. So, gosh! Have we come a long way since then, both the PA role or the NP role. When was the first PA role, Todd, when was that? Todd Pickard: We were born at the same time in 1965, we just happened to be at Duke University and y'all were in Colorado. You know, I think that the most important thing about working with advanced practice providers is that you look to work with somebody who has the competencies, the skills, interpersonal communication, and the pertinent experiences because honestly, I know fantastic APRNs, I know fantastic PAs, and I know some of either profession that really just don't quite fit a particular role. And so, there is some kind of mythology around PAs and APRNs, and who should work where, like PAs should be more procedural and more in surgery, and nurse practitioners should be more in medicine in the hospital. And really, there's nothing in our training that defines that per se, I think it's just a natural progression of we're over 50 now, so our professions are middle-aged. And we're starting to really have our feet underneath us. And I think people who've worked with PAs or NPs really understand, it's about the individuals and what they bring to the table. It's not really about the initials behind our names, because honestly, that's not what makes me do good work. It's not that I have the PA or NP behind my name. It's my commitment and dedication to my patients and supporting the rest of my team. Wendy Vogel: I think Stephanie, that's why we use the term advanced practitioner, advanced practitioner provider because it doesn't single out either one of us because we are functioning in the same manner. It's easier to say than say, PAs and NPs, so we just say, APPs. Todd Pickard: Yeah. And it doesn't mean that we don't identify as individual professions, because we do. I mean, I'm a PA, but I am part of a larger group. And part of that larger group is identifying as advanced practice provider because, at my institution, there are over 1000 of us, and we are a community of providers, and that's the way that we sense how we function within the team and within the institution. And so, it's really about that kind of joint interprofessional work. And speaking of work, Wendy, tell us a little bit about what are typical things that advanced practice providers do? Wendy Vogel: It might be easier to say what we don't do. I've got a list. Do you want to hear my list? Todd Pickard: Yeah, lay it on us. Wendy Vogel: Okay, here you go. Staff and peer education, survivorship care, palliative care, hospice care, pain management, acute care clinics, case management, research, cancer patient navigator, genetic services, lung nodule clinics, quality improvement. We're writers, we're authors, we're speakers, we mentor, and we do all kinds of public education. We can have clinical roles with faculty and professional organizations. We do procedures like bone marrows, paracentesis and suturing, and all that kind of stuff. We do a lot with all the other things like diagnosing, all the things you said earlier, diagnosing, ordering lab tests, ordering chemotherapy, etc. Todd Pickard: I think what's amazing about advanced practice providers is the flexibility we have to fill in gaps on teams or in service lines, no matter what that is. You know, I like to say and I'm sure everybody thinks that they originated this, but I feel that advanced practice providers are the stem cells of the team because we differentiate into whatever is necessary. At my institution, we recently had a gap in how our peer-to-peers were handled. Many times, you order an MRI or a PET scan, and the payer will, the day of or the day before, say, ‘Oh, I need to talk to somebody.' How that gets to the clinical team and when the clinical team has time to do that, it's really hard to coordinate. So, we created a team of advanced practice providers who spend one day a week doing the regular clinical roles, but then the rest of the time, they are dedicated to facilitating these peer-to-peer conversations. They have over a 95% success rate. And the payers, the medical directors, have actually gotten to know them. And so, they'll say, ‘Hey, I want to talk to so and so because she's fantastic and knows our program, and it's really easy to have these conversations.' And so, patients are taken care of and these business needs are taken care of, and then our clinical teams can really focus on what they're there for, which is to see those patients in and out every day. So, that's the power of advanced practice, its flexibility, filling in gaps; we can bend and morph to whatever we need to do because one of the things that's in our DNA is part of PA and advanced practice RN, we're here to serve, we're problem solvers or doers, too. When we see something, we pick it up and take care of it. That's just in our nature. Stephanie, tell us a little bit about your experience working with an advanced practice provider, is what Wendy and I are saying ringing true, or what's your experience? Dr. Stephanie Williams: Oh, absolutely! As I look back on my career, I'm not certain that I could have accomplished much of what I did, without my team members and advanced practice providers, both PAs and NPs. We also use them in an inpatient setting. And I can't remember Wendy mentioned that to take care of our stem cell transplant patients, because of residency, our requirements were removed from our services, and they became the go-to's to taking care of the patients. It actually improved the continuity of care that the patients received because they would see the same person throughout their 4 to 6-week course in the hospital, they also helped run our graft versus host clinics. I hate that term physician extender because they're really part of our health care team. We are all healthcare professionals working together, as Todd beautifully mentioned, for a common goal to help that patient who's right there in front of us. And not only that, from a kind of selfish viewpoint, they help with a lot of the work, doing the notes, so that we could all split up the work and all get out on time and all have at least some work-life balance. And I think that's a very important part of any team is that we can each find our own work-life balance within the team. So, I feel that they're a very important part of the oncology healthcare team. And I would recommend that everyone who wants to take care of patients, incorporate them into their team. Wendy Vogel: Can I say something right here that you mentioned that I'm so glad you did, which was physician extender. That is a dirty, dirty word in the AP world now because we don't know what part we're extending, that is not what we do. And also, we don't want to be called mid-level providers because – you can't see but I'm pointing from my chest to my belly - I don't treat just the mid-level, nor do I treat in mid-level care. I give superior care. I just give different care. And I give care on a team. And the last one is a non-physician provider. That is also a no-no because I wouldn't describe a teacher as a non-fireman, nor would I describe you, Stephanie, as a non-nurse practitioner. So, I don't want to be a non-physician provider either. Todd Pickard: It is an interesting phenomenon that even after 50 years, so many different places, whether it's the Joint Commission, or the Centers for Medicaid and Medicare Services, whether it's a state legislator, an individual state, an individual institution like Memorial Sloan Kettering or an MD Anderson or a Moffitt, everybody comes up with these different terms. And it's so interesting to me. Physicians are either physicians, doctor, sometimes they're called providers. But as a PA, who's an advanced practice provider, those are the two things that resonate with me: either call me PA or call me advanced practice provider. All these other names seem to just be, it's an alphabet soup, and it really doesn't carry any meaning because some places just come up with these strange terms. And I agree, physician extenders has been the one that always has amused me the most because it reminds me of hamburger helper. Am I some noodles that you add to the main meal so that you can extend that meal out and serve more people? I think what Wendy and I are really trying to get at, I know this has been with a little bit tongue in cheek, but we are part of the team. We work with physicians in a collaborative team-based setting, just like we all work with social workers and schedulers and business people and pharmacists and physical therapists. I think the main message here is that oncology care and taking care of patients with cancer is a team effort because it is a ginormous lift. It's a ginormous responsibility and our patients deserve a full team that works collaboratively and works well and has them in our focus like a laser, and I know that's what APPs do. Dr. Stephanie Williams: I think that's well said, Todd. What I enjoyed in the clinic in particular, was sitting down and discussing patient issues and problems with my APPs. And we worked together to try to figure out how to resolve issues that would come up. But we also learned from each other, you're never too old to learn something from people. I just felt the interaction, the interpersonal interaction was also very satisfying as well. Wendy Vogel: I think that the job satisfaction that comes from being a team player and working together is so much higher and that we're going to experience so much less burnout when we're working together each to the fullest scope of our practice. Todd Pickard: So, Wendy, one of the things that people ask a lot about when they work with advanced practice providers is, ‘Well, gosh! How do I know that they have this training or this experience or this competency?' And then the question arises about certification. So, let's talk a little bit about certification and what that means and what it doesn't mean. So, tell me, are advanced practice providers certified? And are they required to get a variety of certifications throughout their career? Let's talk a little bit about that. Why don't you open up the dialog. Wendy Vogel: Okay, happy to! So, to be able to practice in the United States, I have to have a board certification. And it can vary from state to state, but generally, it has to be either a family nurse practitioner certification, acute care nurse practitioner, geriatrics, women's health, pediatrics, there are about five. So, you are generally certified as one of those. There are a few oncology certifications across the US, board certifications to be able to practice at the state level, but not all states recognize those. So, most of us are educated in a more generalist area, have that certification as a generalist, and then can go on to get an additional certification. So, many nurse practitioners in oncology will also get an advanced oncology nurse practitioner certification. So, that's a little bit different. It's not required to practice. But it does give people a sense that, ‘Hey, she really knows what she's doing in oncology.' Todd Pickard: The PA profession has one national certification, and it is a generalist certification. It's probably similar to USMLE, where you really are thinking about medicine in its entirety. So, whether that be cardiology, orthopedics, family medicine, internal medicine, geriatric, psychiatry, or ophthalmology. I mean it's everything – and oncology is included as well. And that certification really is the entree into getting licensure within the states. It's basically that last examination that you take before you can get that license just to make sure that you have the basic knowledge and fundamentals to practice. And so, I always respond to this kind of question about certification, I say, ‘Well, is it really the experience and the onboarding and the training that one gets on the job and the mentoring and the coaching that one gets from our physician colleagues and other advanced practice providers that brings them the most value? Or is it going through an examination, where basically you're responding to a certain amount of information, and you either pass it or you don't, and you can get a certification? I'm not saying there's not value in that, but I'm also making the argument that if you are working with your APPs well, and they have good mentors, and they have good resources, they're going to be excellent clinicians. And having an additional certification may or may not make some huge difference. Many times I see people use it as a differentiator for privileges or something. It's really an external kind of a pressure or a desire, it doesn't really have anything to do with patient care. I mean, Wendy what has your experience been around that need for additional certification? Wendy Vogel: I've seen it used in practices to merit bonuses, which isn't really fair when a PA does not have that opportunity to have a specialty certification per se. So, I've seen it used negatively. I'm a great believer that any additional education that you can get is beneficial. However, I will say just like you said, if you are getting your mentoring, you have good practice, you're doing continuing education, then it's essentially the same thing. To be able to have an oncology certification, I had to practice for a year and I had to take a test that really measured what I should know after one year. And that's what a certification was for that. Is it beneficial, do I want it? Yeah, I want it. Do I have to have it to practice? No. Todd Pickard: I think that is a great way to segue to having a brief conversation about how you bring APPs in? I mean, just at a very high level, should people expect for an APP to come in right out of school and just hit the ground running without any additional investment? And I could ask the same question about a resident or a fellow who completes an oncology training program. Do you just put those people to work? Maybe that's an older model, and now really mentorship and that additional facilitated work is, I think, critical. So, I'll start with Stephanie, tell us a little bit about what's your experience been with advanced practice providers, or even young physicians as they enter the workforce? What's the role of onboarding or mentoring program? Dr. Stephanie Williams: So, it's important. We had a set process for bringing on our new APPs and it pretty much followed the guidelines from the American Society of Cellular Transplantation in terms of the knowledge base that they would need to know. So, it was a checklist. And we would also have them do modules from ASCO's oncology modules, as well looking at primarily hematologic malignancies, so they could get a background there. And then we would slowly bring them on board. Usually, they would start taking care of autologous patients, a certain subset of patients, and then move on to the more complicated patients. We did the same clinic, whether they were clinic or inpatient APPs. So, it took us about three to four months to onboard our APPs. In terms of a fellow becoming an attending physician, I'd like to say that there's specific onboarding there. Unfortunately, sometimes they're just, ‘Okay, these are your clinic days, this is when you start.' I mean, you're right Todd, we really need to work more on onboarding people. So, that one, they like their jobs, they're not frustrated, and they want to stay and continue to work in this field. I see many times after two or three years, if they're not onboarded properly, they just get frustrated and want to move on to a different area. Wendy Vogel: We know that most of the advanced practitioners who come into oncology don't have an oncology background, PA or NP.  They just don't, and we don't get a lot of that in school. So, it takes months, it would probably, I dare say, take 12 months of full-time practice to feel comfortable in the role. But how many practices particularly in the area that I've practiced in you get this AP, and you throw them in there, and in four weeks, you're supposed to be seeing patients. How can you make those decisions when you haven't been properly mentored? So, absolutely important to have a long onboarding time till that APP feels comfortable. Todd Pickard: Yeah, I think that it is critically important that we set up all of our team members for success, whether they be physicians, or PAs, or nurse practitioners or nurses, or pharmacists, and I think that is the role of onboarding and mentoring, having people who will invest time and energy in what you're trying to accomplish. You know, Wendy is spot on. Advanced practice providers have specific types of training within their educational program. As a PA, my focus in oncology was to screen for and detect it. So, to understand when a patient presents with a mass or some symptoms that may make you think that, oh gosh, maybe they've got acute leukemia or something else and looking at those white counts and, and understanding. But that transition from identifying and screening and diagnosing cancers is very different than how do you care for specific types of tumors and specific disciplines, whether it be radiation oncology, surgical oncology, medical oncology, cancer prevention. There's a lot that folks need to be brought up to speed about the standards of what do we do in this practice and how do we care for these types of cancers? And that really is the role for the onboarding and mentoring. You know, you may be lucky, you might get an advanced practice provider who used to work at a big academic cancer center in the same field, whether it be breast medical oncology or GI, and yeah, that's a much easier task. That person probably really needs mentoring about the local culture, how we get things done, what are the resources, and which hospitals do we refer to. But for the most part, working with an advanced practice provider means that you've got a PA or an NP, who has a strong foundation in medical practice. They know how to care for patients, they know how to diagnose, they know how to do assessments, they know how to critically think, they know how to find resources, and they know how to educate. But they may not know how long does a robotic radical prostatectomy patient going to be in the hospital? And how long does it take to recover and what are some of the things you need to be considering in  their discharge and their postoperative period? That is very detailed information about the practice and the local resources. Every advanced practice provider is going to need to have that kind of details shared with them through mentorship, and a lot of it is just how do we team with each other? What are the roles and responsibilities? Who does what? How do we have backup behaviors to cover folks? So, a lot of this really is just deciding, ‘Okay, we've got a team. Who's doing what? How do they work together and how do we back each other up?' Because at the end of the day, it's all about the team supporting each other and that's what I love about advanced practice. Wendy Vogel: Very well said, yes. I had an AP student yesterday in clinic, who told me - I was asking about her education in oncology and what she got - and she said, ‘Well, so for lymphoma, we treat with R-CHOP. So, a student, of course, raised their hand and said, ‘What's R-CHOP? She's like, ‘Well, the letters don't really line up with what the names of the drugs are, so, just remember R-CHOP for the boards.' So there you go. That's kind of what a lot of our education was like specific to oncology. And again, I'm a little tongue in cheek there also. But Todd, are you going to tell everybody about the ASCO Onboarding tool that's now available? Todd Pickard: Absolutely! ASCO has done a really great job of trying to explore what advanced practice is, and how teams work together. All of us are part of the ASCO Advanced Practice Task Force. One of the things we did was really to look at what are some best practices around onboarding, orientation, scope of practice, and team-based cancer care, and we created a resource that is available on the ASCO website, and I think that it is a great place to start, particularly for practices, physicians, or other hospital systems that don't have a lot of experience with advanced practice. It's a  great reference, it talks about the difference between orientation and onboarding. It gives you examples of what those look like. It talks about what are the competencies and competency-based examinations. So, how you assess people as they're going through the onboarding period. It has tons of references, because ASCO has done a lot of great research in this field, around collaborative practice and how patients experience it, and how folks work on teams, and what do those outcomes look like. So, I highly recommend it. Wendy, thank you for bringing that up. It's almost like you knew to suggest that. Well, this has been a really, really good conversation. I'm wondering, what are some of those pearls of wisdom that we could all provide to the folks listening? So, Stephanie, what are some of your observations that, you know, maybe we haven't just thought about, in your experience working as a physician with advanced practice providers? Dr. Stephanie Williams: One, it's important to integrate them into the team, and, as Wendy mentioned, to mentor them – mentor anybody correctly, in order for them to feel that they're contributing the most that they can to the care of the patient. I think there are other issues that we'll get into later and in different podcasts that come up that make physicians hesitant to have nurse practitioners or physician assistants. Some of those are financial, and I think we'll discuss those at a later time. But really, that shouldn't keep you from employing these particular individuals for your team. It really is a very rewarding type of practice to have. You're not alone. You're collaborating with other providers. I think it's just one of the great things that we do in oncology. Todd Pickard: I wanted to share a moment as a PA, advanced practice provider, when I most felt grateful for the opportunity to work as an advanced practice provider. My clinical practice has been in urology for the past 24 years for the main part. I've had a few little other experiences, but mainly urology, and I'll never forget a patient who was a middle-aged lady who had been working with transitional cell bladder cancer. It was superficial. So, the treatment for that is BCG and repeat cystoscopies and surveillance. And I walked into the room and I was going to give her BCG installation, and she was so angry. I wanted to know what was going on. I thought, gosh, should I make her wait too long or something else? So, I asked her, I said, ‘How are you doing today? You seem to be not feeling well.' And she said, ‘Well, I'm just so tired of this. I don't understand why y'all don't just fix me. Why don't y'all just get this right? Why do I have to keep coming back?' And as I looked at the medical record, this patient had had superficial bladder cancer for years. And I thought, ‘Has nobody ever really kind of sat down and mapped this out for her?' So, I asked her to get off the examining table, and I pulled the little paper forward, so I had someplace to draw. And I drew a big square and I said, ‘This is a field, just think of any big field anywhere near you. And it's full of weeds.' And I drew some weeds on there. And I said, ‘You know we can pull them out and we can pluck them, and we can put some weed killer in that field,' I said,  ‘do you think that if you come back in three months and there will be any weeds on that field?' She said, ‘Of course, there will be. There are always weeds because they always come back. It's very hard to get rid of.' And I said, ‘Well, this field is your bladder. And the type of cancer you have are like these weeds, and we have to constantly look for them, remove them, and then put this treatment down, that's why you come.' And she started crying. And I thought, ‘Well, I've blown it.' Because this was in the first couple of years of working as a PA in urology. And I said, ‘I'm so sorry. I really apologize.' She said, ‘Don't you dare apologize to me.' I said, ‘Man, I've really blown it now.' She said, ‘Todd, I've had this disease now for this many years. This is the first time I've ever fully understood what's happening to me. I am so grateful to you.' I will never forget this patient. I will never forget this experience. And I'm extraordinarily proud. It's not because I'm the smartest person in the world. I just happened to investigate, take the time, and I drew it out. I explained it in the simplest of terms because I wanted her to understand. And then whenever she came back, she always wanted to see me. So, it was great. I really developed a really lovely relationship with this patient. It was very rewarding. Wendy, can you think of a story that you have about an advanced practice provider that makes you particularly happy or where some big lesson was learned? Wendy Vogel: Yeah. I love your analogy. That's a great analogy. I think that part of what I love to do is similar to you, Todd, in that I like to make things understandable because I consider myself an East Tennessee southern simple person, I want to understand things in the language that I understand. So, I like using a language that a patient understands. I think if I was to say about some of the proudest things, or what makes me so excited about oncology is what we've seen in our lifetime. So, Todd, you and I practice probably about the same number of years and we could say we remember when Zofran came out, and how that revolutionized chemotherapy nausea and vomiting – Stephanie's nodding here, too. We all know that. And then wow! When we found out that we could maybe cure CML, that we're having patients live normal lives in our lifetime, that we've seen non-small cell lung cancer patients living past a year that are metastatic – Oh my gosh! This is such an exciting field and we learn something every day. There's new drugs, there's new treatments, there's new hope, every single day, and that's what makes me proud to be a part of that. Todd Pickard: Yeah, I think that oncology and the work that we get to do as a team is so incredibly rewarding. It's challenging, and we have losses, but we also have wins, and those wins are amazing, and transformative, not only for us but for our patients. So, some final pearls of wisdom. I'll share and then Wendy, I'll turn it over to you. One thing that I really want to convey to folks is to know about the state that you work in and what are the practice acts for advanced practice providers. Because, unlike our physician colleagues who have a very standard scope of practice across the country, advanced practice can drastically change from state to state and place to place even from institution to institution. So, be aware of that, so that you can build your team-based practice around what are the constraints, what is the scope of practice, and you can comply with that. It just takes a little bit of pre-work at the beginning. It's not daunting. These things are written in English. We're all smart folks. We can understand them and we can build our teams in the right way. So, just keep that in the back of their mind. It is not an obstacle. It's the instruction manual of how to build your team. That's all it is if you just think about it simplistically like that. So, Wendy, what's one or two things that you would say you really want our listeners to understand about advanced practice? Wendy Vogel: I loved what you said, Todd, both of our PA Associations and our Nurse Practitioner Associations have that information online, so it's very easy to find. But I think I would say, don't be afraid to stand up for yourself as an advanced practitioner or as a physician who wants an advanced practitioner. Don't be afraid to stand up for yourself and your scope of practice, know what you can do, know what you can't do, know and demand the respect that you deserve. I would always say that just don't forget that ‘no' is the first step to a ‘yes,' and keep on trying. Todd Pickard: I think we can all appreciate that sentiment, whether we be a PA an NP or a physician. Many times, we're advocating for our patients within our systems or our practices or with our payers or insurance providers. And yeah, sometimes you start from a place of ‘no' and then you work until you get to that ‘yes', or at least a compromise, if you can get to a 'maybe,' that's a good place too. Stephanie, any particular last words of wisdom or wrap us up with our conclusion? Dr. Stephanie Williams: Thanks, Todd and Wendy, for sharing your insights today. It's always a pleasure chatting with you both. Stay tuned for upcoming episodes where we plan to dig deeper into the various types of APPs, how they are trained, what a day in the life looks like for an oncology APP, their scope of practice, and the importance of team-based care, especially in oncology. Thank you to the listeners as well. Until next time. Thank you for listening to the ASCO Education Podcast. To stay up to date with the latest episodes, please click subscribe. Let us know what you think by leaving a review. For more information, visit the comprehensive education center at education.asco.org.   The purpose of this podcast is to educate and inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product , service, organization, activity or therapy should not be construed as an ASCO endorsement.  

In this episode of The Nurse Practitioner Podcast, Dr. Efrat LaMandre PhD, FNP-C and Gina LaMandre PA-C discuss how to create an LGBTQ+ affirming practice. eghealthcare.net efratlamandre.com When it comes to treating persistent, hard-to-heal, or complex wounds, you need a solution you can trust. Dakin's Wound Cleanser is an FDA approved device for wound cleansing and management. It's powerful, cost effective, and easy to order. Studies have shown this formulation to be effective in killing 99.99999% of MRSA, VRE and biofilm-forming bacteria within 30 seconds! (Barsoumian et. al) Visit www.GetDakins.com/ASWC to request a sample today!

In this episode of The Nurse Practitioner Podcast, Dr. Efrat LaMandre PhD, FNP-C discusses inflammation. When it comes to treating persistent, hard-to-heal, or complex wounds, you need a solution you can trust. Dakin's Wound Cleanser is an FDA approved device for wound cleansing and management. It's powerful, cost effective, and easy to order. Studies have shown this formulation to be effective in killing 99.99999% of MRSA, VRE and biofilm-forming bacteria within 30 seconds! (Barsoumian et. al) Visit www.GetDakins.com/ASWC to request a sample today!

I was introduced to Life and Weight loss coaching by Katrina Ubell and her podcast Weight Loss for Busy Physicians. I am eternally grateful for her, link to her podcast is below. To say her podcast changed my life is an understatement. Learning about emotional eating and applying coaching tools she teaches in her podcast helped me lose a lot of the weight that I had struggled with for so long. I was so compelled by the power of coaching that I decided to enroll in the same Life Coach training through the Life Coach School so I could do more work on my brain, learn how to be a coach, be better at coaching myself, go deeper into changing my relationship with food, and ultimately coach other CRNAs,  APRNs and women in healthcare to help them permanently lose the weight through Life and Weight Loss Coaching.  Helping women do this is my passion. I know what it's like to struggle with your weight, and I'm here to tell you it doesn't have to be a struggle, you can do this, and I am hoping this podcast will help give you some tools to get you going in the right direction.  I introduce several coaching concepts in this podcast that were taught to me in my life coach certification program that will help move you in the right direction to get some control back over food. I referenced the self coaching model in this podcast which was created by Brooke Castillo.  This coaching model was taught to me in her Coach Certification Program through the Life Coach School.  If you are interested in learning more, here is the link to her podcast which goes in depth. I also highly recommend you listen to at least the first 20 episodes of her podcast at a minimum. It will change your life.If you are interested in my 6 month CRNA Only Group Weight Loss Coaching Program, I would love to chat with you.  We are getting started July 5, 2022! Information on how to sign up for a free 30 minute consultation is on my website. Link below. Weight Loss for Busy Physician's Podcast  The Self Coaching Model Life Coach School Podcast #26 www.weightlossbybrittany.com

I was introduced to Life and Weight loss coaching by Katrina Ubell and her podcast Weight Loss for Busy Physicians. I am eternally grateful for her, link to her podcast is below. To say her podcast changed my life is an understatement. Learning about emotional eating and applying coaching tools she teaches in her podcast helped me lose a lot of the weight that I had struggled with for so long. I was so compelled by the power of coaching that I decided to enroll in the same Life Coach training through the Life Coach School so I could do more work on my brain, learn how to be a coach, be better at coaching myself, go deeper into changing my relationship with food, and ultimately coach other CRNAs, APRNs and women in healthcare to help them permanently lose the weight through Life and Weight Loss Coaching. Helping women do this is my passion. I know what it's like to struggle with your weight, and I'm here to tell you it doesn't have to be a struggle, you can do this, and I am hoping this podcast will help give you some tools to get you going in the right direction. I introduce several coaching concepts in this podcast that were taught to me in my life coach certification program that will help move you in the right direction to get some control back over food. I referenced the self coaching model in this podcast which was created by Brooke Castillo. This coaching model was taught to me in her Coach Certification Program through the Life Coach School. If you are interested in learning more, here is the link to her podcast which goes in depth. I also highly recommend you listen to at least the first 20 episodes of her podcast at a minimum. It will change your life.If you are interested in my 6 month Group Weight Loss Coaching Program, I would love to chat with you. We are getting started January 3, 2023 and there are only 4 spots left. I will close enrollment December 16, 2022. Information on how to sign up for a free 30 minute consultation is on my website. Link is below. Weight Loss for Busy Physician's Podcast The Self Coaching Model Life Coach School Podcast #26 www.weightlossbybrittany.com

In this episode of The Nurse Practitioner Podcast, Dr. Wendy L. Wright, DNP, ANP-BC, FNP-BC, FAANP, FAAN, FNAP discusses vaccine hesitancy.

Follow @TexasNursesAssn Welcome to season two of #TexasNursesPod! In season one, our policy episodes focused on issues that matter to nurses with nurse leaders, such as nursing shortages and workplace violence. This year we're back with new hosts, new topics, and awesome guests! Listen to host Chasity Shaw, RN, BSN, MSN and Blake Hutson, an Associate State Director at AARP, discuss what it would mean for APRNs in Texas to have full practice authority in Texas. APRNs can practice to the full extent of their education and training only when they contract with a physician to “supervise” their practice. Meanwhile, research shows that expanding practice freedoms could increase access for patients and lower care costs. Where does that leave Texas nurses - and their patients? Stream now, and stay tuned for more! (And check out the older episode Chasity mentioned here.) Instagram Facebook Website

In this episode of The Nurse Practitioner Podcast, Jessica Van Meter, DNP, APN-BC, CCRN, A-EMT discusses global and public health.

In this episode of The Nurse Practitioner Podcast, Christian Ketel, DNP, RN discusses his experience with suicide detection and treatment.

In this episode, Dr. Cassandra Vonnes, a Gerontological Nurse Practitioner, and member of the GAPNA Communication Team, talks with Dr. George Peraza-Smith, DNP, APRN-C, GNP-BC, GS-C, CNE, FAANP, President of the Gerontology Nursing Certification Commission. Dr. Peraza-Smith discusses his dedication of being a nurse treating patients across the lifespan, from pediatrics to gerontology; the role of APRNs in the care of older adults; the importance of continuing education and obtaining nursing certification in the specialty of gerontology; and the mission and vision of the Gerontology Nursing Certification Commission. Dr. George Byron Peraza-Smith, DNP, APRN-C, GNP-BC, GS-C, CNE, FAANP, has been a certified gerontological nurse practitioner for over 20 years. He teaches gerontology nursing to undergraduate and graduate programs and maintains a practice in long-term care and primary care. Dr. Peraza-Smith is graduate department chair and professor at South University in Tampa, Florida. Dr. Peraza-Smith has been an active GAPNA member serving as the Treasurer and Chairperson for the Geropsychiatric Special Interest Group. He was a co-author with the Consensus Statements on Proficiencies for the APRN Gerontological Specialist and currently serves as President of the Gerontology Nursing Certification Commission. In 2020, Dr. Peraza-Smith was awarded the Dave Butler Spirit of Gerontological Advanced Practice Nurses Association (GAPNA) Award.Dr. Cassandra Vonnes, DNP, GNP-BC, APRN, AOCNP, CPHQ, FAHA, is the Nurses Improving Care for Healthsystem Elders (NICHE) Coordinator, Geriatric Oncology, at the Moffitt Cancer Center, in Tampa, FL. She is a member of the Gerontological Advanced Practice Nurses Association Communication Team and is a host of the GAPNA Chat podcast series.© Gerontological Advanced Practice Nurses Association.All rights reserved. No portion of this podcast may be used without written permission.Discover GAPNA: https://www.gapna.org/Production management by Anthony J. Jannetti, Inc., for the Gerontological Advanced Practice Nurses Association.Opening Music by:Optimistic / Inspirational by Mixaund | https://mixaund.bandcamp.com
Music promoted by https://www.free-stock-music.comClosing Music by:Scott Holmes.http://www.scottholmesmusic.com

In this episode of The Nurse Practitioner Podcast, Victor Czerkasij, AS, BA, MA, MSN, FNP-C, APRN-BC discusses psoriasis.

As a nurse, if you heard a colleague say I'm not a nurse, I'm a nurse practitioner - would you be offended? Or are they justified in saying that to clearly identify their role and scope of practice with patients which is different from the registered nurse? I know, it may sound like a betrayal because you can't be a nurse practitioner without being a nurse first but before you write them off as having a superiority complex, consider the fact that they do have advanced education, additional licensing and certifications, and a greater responsibility to directing the patient's care as the ordering healthcare provider. Dr. James Simmons, an acute care nurse practitioner and hospitalist talks with Nurse Alice about the title animosity within our profession between RNs and APRNs because of title and scope. At the end of the day, we're all responsible for the patient, just in different ways.Read more at Nurse.org 

During National Nurse Practitioner Week, Dr. April Kapu, President of the American Association of Nurse Practitioners discusses the role of the APRN as provider, the role of the AANP in support of the APRN, and how nurses and APRNs have stepped up during the pandemic to selflessly care for patients. Dr. Kapu also discusses self-care and taking the time to “fill your tank” and “find your joy”. Nurses often put their own care “on the backburner” (Dr. Kapu). Knowing your “why” for being a nurse and bringing your best self to patients starts with self-care. “We have to center ourselves on the why”. Don't forget to “focus on yourself and replenish, recover and refill your tank” (Dr. Kapu).We talk about Full Practice Authority for nurse practitioners and modernizing those laws to allow nurse practitioners to practice to the fullest extent of their education and training. Lifting restrictions provides greater access to care for over 80 million Americans. During the course of the pandemic, Massachusetts and Delaware removed restrictive access to care barriers. Way to go Massachusetts and Delaware! Other legislation that the AANP is advocating for includes the Increasing Access to Quality Cardiac Rehabilitation Care Act and Promoting Access to Diabetic Shoes Act. During National Nurse Practitioner Week celebrate yourself with acts of self-care. If you know a nurse practitioner, thank her, him, or them for all that they do to keep patients safe and healthy in our country.

Executive Director, Nikki Gibbs and Partnership & Training Coordinator, Deborah Townsend from A Step Ahead Foundation discuss the foundation's mission to "empower women to reach their life's goals by eliminating barriers to voluntary, long-acting, reversible birth control through educational programming, services, and funding.

The guests for this episode are co-founders Whitney Trotter, RDN, RN and Rachel Haaga, Executive Director of RestoreCorps. Rachel & Whitney discuss human trafficking and the fight for victims and survivors. RestoreCorps is a non-profit organization that advocates for victim and survivor rights, and meaningful legislative change.

The RN2writer Show helps nurses and other clinicians learn how to become freelance writers. And, NO, you don't have to be an RN! LPNs, LVNs, NPs, APRNs - all nurses welcome! (And, to be honest, we welcome non-nurse clinicians, too, such as PAs, LCSWs, MDs - anyone with a healthcare background who wants to be a writer is welcome to join us.) Here's what you can expect in each weekly episode: • Interviews with successful nurse writers to inspire you and help you see the possibilities for this career path • Interviews with experts – editors and content directors – to demystify the writing industry and share their secrets for what makes someone their “go-to” freelance writer • 10-minute coaching sessions, where Beth sits down with a nurse writer via Zoom and blasts through any obstacle that's impeding their progress • Tutorials that walk you through common freelance tasks • Occasional glimpses into La Vida Freelance – to illustrate the fabulous lifestyle a writing career can afford you Don't forget to subscribe!

In this week's episode of Health Law Talk, Conrad Meyer and Rory Bellina discuss APP's or advanced practice providers. In the 1960s and 70s, a family physician was usually in a solo practice with maybe one or two fellow physicians. Supporting that practice were the nurses, aides, lab technicians, or even a spouse who might help with obtaining lab work, blood draws, or other services. In today's complex healthcare delivery system, mid-level providers, often referred to as advanced practice providers (APPs), include advanced practice registered nurses (APRNs), physician assistants (PAs), and clinical nurse specialist (CNS), just to name a few. These APP's are continuing to increase in number as well as their scope of respective practices. The nuances involving the APP scope of practice along with the needs of an ever demanding population craving healthcare require decisions involving the role that APPs will play alongside physician providers in delivering the healthcare that is desperately needed in today's marketplace. This episode will delve into these topics and more so please join us for this exciting episode on APP's with Health Law Talk. --- Send in a voice message: https://anchor.fm/rory-bellina6/message Support this podcast: https://anchor.fm/rory-bellina6/support

In this episode, we feature the perspectives of 4 different APRNs. You will be inspired by their passion!

This the audio version of the legislative advocacy update meeting from January 6th. In this update meeting, lobbyist Julianna McConnell discussed the new L.E.A.D. program the new Virtual Legislative Education and Advocacy Development Program for the 2021 legislative session. There was also an update given on SB321 and what APRNS need to know to take advantage of this new ability. Stay up to date with UAPRN - https://uaprnofga.org/ . #APRNS #NursePractitioner #nursepractitionerstudents #CertifiedNurseMidwives #ClinicalNurseSpecialist #NurseAnesthetist #nurses #registerednurses #unity #Georgia #Atlanta #Healthcare #health #medical

On this episode of the NP Dude podcast I respond to a question about a new grad malpractice insurance policy from CM&F.  I also give more updates on the CNPC group and call all APRNs to send their email to the CCNE to let them know we are watching.  Send comments to Jeff@theNPDude.com and don’t […] The post Episode 135 – New Grad NP Insurance Plans and CNPC Update first appeared on The NP Dude.