the new nurse practitioner what’s next?€¦ · the new nurse practitioner graduate what’s...

2019 MICNP Conference 3/23/2019

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The New Nurse Practitioner Graduate

What’s Next?

March 23,2019

Credentialing

• Begins after you accept a job

• Varies with each institution

• Work with Practice Mgr or Credentialing Board to get list of required documents

• Understand how long the process takes

Licensing

• Apply for an NP license in state of your choice

• Your state will issue your license when they receive your certification from a nursing board

• Apply for DEA if needed

• Get your NPI number

Certification

• Choose a certifying body

• Apply for certification

• Receive your authorization to test

• Pass the certification exam

• Have your certification as an NP are sent to the state of your choice

CertificationLicensingCredentialing

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Certification

MULTIPLE CREDENTIALLING CHOICES ARE AVAILABLE:

1) ANCC certification

• http://www.nursecredentialing.org/certification.aspx

• Covers all specialties with reduced rates for members of professional organizations like GAPNA or ANA.

• Multiple specialty tests available (ie., Adult, Family): $395

• Apply on-line w/ standard processing (processing time: 3 weeks)

• Expedited Processing (processing time: 5 business days; $200)

• http://www.nursecredentialing.org/Expedited-Processing.aspx

• Please fax your Certification Expedite Review Form (PDF) to 301 628 5233

• If you fax and mail this form, you will be charged $200 twice and delay processing.

Certification

IN ADDITION:

• Must obtain signed ANCC validation of advanced practice nursing education form from Director of Program

• This form is available with application. http://nursecredentialing.org/APRN-Validation-Form.

• Send this form in a separate envelope to: American Nurses Credentialing CenterAttn: Certification RegistrationP.O. Box 8785 Silver Spring, MD 20907-8785

• Or sign electronically and email to: [email protected]

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Certification

• Transcripts must be original documents in separate, sealed envelopes directly from university registrar’s office, and must include degree awarded date.

• Transcripts can be sent electronically directly from the university registrar’s office to: [email protected].

• Once verified, YOU MUST REQUEST VERIFICATION BE SENT TO THE STATE OF LICENSURE. You will not receive state licensure until this verification is received.

• http://nursecredentialing.org/Certification/VerifyCertification

• Further information:

• http://nursecredentialing.org/GeneralTestingRenewalHandbook

• Phone:1 800 284 2378

• Email: [email protected]

Certification

2) AANP Certification

• PDF formhttps://www.aanpcert.org/resource/documents/AGNP%20

FNP%20Cert%20Exam%20Application.pdf

• Online: (need to create an account): https://www.aanpcert.org/createnewaccount

• More information can be found at:

• https://www.aanpcert.org/resource/documents/AGNP%20FNP%20Candidate%20Handbook.pdf


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Certification

2) AACN Certification

• [email protected]

• Covers multiple specialties for RN level; Adult/Gero for NP’s

• Cost for NP exam $255 AACN member; $360 non-member

• 73% are clinical judgement related to care of adult/gero patient

• Remainder are scope of practice, role of NP, system

• Study resources available through website


Certification

STUDYING FOR CERTIFICATION EXAM

Multiple Resources Available

• ANCC: http://www.nursesbooks.org/Main-Menu/Certification/ANCC-Resources.aspx

• AACN: [email protected]

• Barkley & Associates: http://www.npcourses.com

• Fitzgerald Health Education & Associates:https://www.fhea.com

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Certification

RE-CERTIFICATION FOR NURSE PRACTITIONERS

1) First, keep your RN license up to date

• CE requirements for re-certification vary by state:

• For Michigan, to keep the RN license up to date you need:• 25 hours of continuing education contact hours with 2 hours

additional credit in pain & pain symptom management.

Certification

2) Understand the requirements of your Certifying Board

• For re-certification, you must complete mandatory continuing education and clinical hour requirements (see certifying agency websites for details).

• EXAMPLE: Current ANCC guidelines for a five-year period:• 1000 clinical hours in your NP specialty

• 75 Continuing Education Credits (25 pharmacology credits)

• Academic credits

• Publication or Research

• Presentations

• Preceptorship (120 hours)

• Professional Service (2-year commitment)

• Application is due 8 weeks prior to certification expiration

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Licensing

YOU MUST FILL OUT AN APPLICATION FOR LICENSE

Varies by State

• http://www.michigan.gov/lara/0,4601,7-154-72600_72603_27529_27542---,00.html

• 6-8 week processing time, variable fee (depends on RN license renewal)

• Process can be started when you fill out application for certification. The state will hold your application until verification of certification is sent from certifying board.

Licensing

APPLYING FOR YOUR DEA

• DEA form 224 – apply after you have a job

• Some employers will reimburse the cost of the DEA

• In some practice settings, a DEA is not needed

• https://www.deadiversion.usdoj.gov/drugreg/index.html#3

• $731/3 years

• Contact DEA Registration Service Center at 1-800-882-9539

• Email [email protected] - Be sure to include your DEA Registration number in your email

• Controlled Substance Prescribing Delegation Form (see next page)

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Controlled Substances Prescribing Delegation for

- NURSE PRACTITIONER -

Applicant’s Full Name _____________________ DEA Registration # _____________________

Michigan License # _______________________ Active Date of License ___________________

Supervising Physician ______________________________

Supervising Physician’s DEA # ________________

Supervising Physician Michigan License # _________________

Practice Address _______________________________________________________________

Practice Phone Number ____________________ Practice Fax Number ____________________

I understand that the delegation is conditioned as follows:

- I must maintain my license to practice in my profession and DEA registration in good

standing.

- I must maintain my credentials to practice at the above listed facility.

- I am responsible to renew the delegation annually.

Failure to meet any of these conditions will result in automatic suspension of my delegation.

I, ________________________ hereby delegate the prescribing of controlled substances listed in

Schedules II through V to ___________________________, Nurse Practitioner. Limitations or

exceptions, if any, to the delegation to read as follows:

______________________________________________________________________________

______________________________________________________________________________

Effective the _____ day of __________, 20____

_______________________ _______ _________________________ _______

Delegating Physician Date Nurse Practitioner Date


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Licensing

• For NP’s practicing in Michigan: The application and required documents are sent to the DEA in Washington D.C.

• To expedite application process, submit a copy of your State of Michigan Nurse Practitioner license/certification + a copy of the Delegation of Prescriptive Authority Agreement signed by your supervising physician to:

DEA431 Howard StreetDetroit, MI 48226

OR faxed to 313-234-4017, attention as follows based on last name (they may not always be able to respond to every submission to acknowledge receipt, however you may call within a few days after submission to confirm/check on the status fax):

Teresa Adams-Blair, Registration Program Specialist Diversion Unit

Michigan Registration A-R (last name begins with )

313-234-4187

313-234-4017 fax

Debbie DeVitis, Registration Program Specialist Diversion Unit

Michigan Registration S-Z (last name begins with)

313-234-4229

313-234-4017 fax

Licensing

• Controlled Substance Licensing - N/A in Michigan (do not fill out section)

• Overnight address:Drug Enforcement AdministrationATTN: Registration Unit, ODRR8701 Morrissette DriveSpringfield, VA 22152

• General questions: 313-226-4000, M-F 8a-5p

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Licensing

APPLYING FOR YOUR NATIONAL PROVIDER IDENTIFIER (NPI) NUMBER

• You need an NPI number to bill insurance companies, refer patients, or write prescriptions

• No cost

• https://nppes.cms.hhs.gov/NPPES/Welcome.do

• You can apply now: just change your professional designation from RN to NP after you have your NP license

• Takes about 20 minutes

Credentialing

CREDENTIALING TO WORK IN AN INSTITUTION

• Begins after you have accepted a position

• Specific to each institution but required paperwork may include:• Copy of Diploma

• Copy of Certification & License

• NPI number/DEA number

• Job description/place of practice

• Some Credentialing Boards meet only monthly• May delay your start date by weeks/months – ask during interview

• Work with practice manager or Credentialing Board to collect necessary information to facilitate completion

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Questions?

Certification

Preparation for Certification Examination

Identify certifying body: https://www.nonpf.org/page/18

Develop a timeline and study plan

Evaluate options for adjunct test preparation materials

In-person course, online course, audio course, self study

Practice examinations

Exam FAQ - https://www.apea.com/faqs

AACN - https://www.aacn.org/certification/get-certified/acnpc-ag

APEA - https://www.apea.comFHEA - https://www.fhea.com/store/CategoryNPCert.aspx

ANA- https://www.nursingworld.org/continuing-education/?q=practitioner&ResultPage=12&SortBy=A-Z

B&A - http://www.npcourses.com

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Certification

Examination Day Recommendations

• Visit test site prior to exam day

• Check weather for exam day

• Well rested prior to exam

• Layer clothing for test site temperature variation

• Request and/or bring unopened set of ear plugs PRN

• Protein rich meal prior to testing

• Bring watch to keep time

• Isotonic fluid hydration on test day -https://www.livestrong.com/article/442094-what-are-the-benefits-of-isotonic-drinks/

• Utilize marker and white board/pencil and paper

• Utilize test break(s) – snack, hydration, mobility/restroom

• Exam item preparation -https://www.americannursetoday.com/test-taking-tips/

Nurse Practitioner Job Market Trends

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National Nurse Practitioner Job Market

Job Opportunities

➔ Baby Boomers➔ Ten year shortage➔ Comparable care

National NP Job Market

➔ 36% job growth for NPs between 2016 and 2026

➔ 23,000 graduating NPs each year entering the market

➔ 2% unemployment rate for NPs

➔ Top 50% of NPs earn salaries greater than six figures

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Average Salaries Across the U.S.

➔The average FNP salary was $100,910 per year as of May 2016, according to the Bureau of Labor Statistics.

➔Adult Health Primary Care NP averages $107,046/year.

➔Acute Care NP averages $108,000.

➔Psychiatric- Mental Health NP averages $97,800/yr.

➔Pediatric NP averages $99,058/yr.

#4 in Top 100 Best Jobs (according to US News and World Report)

⚫Highest concentration of NP jobs available

⚫Massachusetts

⚫Maine

⚫Mississippi

⚫Tennessee

⚫States with the highest number of NPs

⚫California

⚫New York

⚫Texas

⚫Florida

⚫Ohio

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Michigan Nurse Practitioner Market

➔448 Nurse Practitioners jobs currently posted for Michigan Market.

➔35 Part Time positions posted.

➔The average Nurse Practitioner salary in Michigan is $102,417 as of January 16, 2019, but the range typically falls between $95,032 and $111,259.

➔Search Indeed, GlassDoor, ZipRecruiter, Simply Hired, LinkedIn, AANP, AACN

Job Application Tips

➔ Candidates need to always write a cover letter that will accompany the CV ➔ Candidates need to have a "robust" LinkedIn profile.➔ Candidates applying for an internal position should treat the process as if they are

an external candidate.➔ 65% of jobs are gained through employee referrals➔ 80% of jobs are filled via networking➔ Referred applicants are 15x more likely to be hired than from a job board➔ 79% of candidates never receive any updates from HR.

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CV vs. Resume

➔A resume is a brief summary of your skills and experience over one or two pages

➔A CV is more detailed, in-depth document that includes:◆Education◆On-going Degrees◆Professional Development◆Accomplishments - Publications, Awards, Honors

➔ The resume will be tailored to each position whereas the CV typically doesn’t change for different positions

Resume Formatting Trends

The typical resume length is one to two pages. However, it’s okay to have a resume longer than two pages.

➔ Applicants are using more modern font styles and don’t use too small of a font size.

➔ Applicants are leaving off their personal mailing address.➔ When listing dates of employment you can leave off the month

◆ Example: using 2014 – 2016 instead of March, 2014 – November, 2016

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Resume Elements

➔The Summary Paragraph needs to contain:◆A Value Proposition – a statement that tells employers why they

should hire you instead of someone else◆Your technical strengths

◆How do you build rapport and interact with patients

◆How do you interact with physicians and staff◆This can be written in a paragraph or bullet format.

Value Proposition

Compassionate Acute Care Nurse Practitioner with seven years experience in care of complex patient populations. Proactive and proficient in emergency situations, while remaining composed and attentive to detail. Excellent ability to establish rapport even in difficult patient care dynamics. Exceptional clinical skills, with drive to constantly learn and grow, ensuring high quality patient outcomes.

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Seven Job Interview Strategies

1. Choose your outfit carefully.

2. Practice greeting including a proper handshake and eye contact.

3. Study your resume and know everything about it.

4. Practice your answers to the most common interview questions.

5. Research the company and the job position you are applying for.

6. Find out the type of interview you will be going on.

7. Consult GlassDoor.com

Tips for a Great Interview

➔ 1. Clarify your "selling points" and the reasons you want the job.➔ 2. Anticipate the interviewer's concerns and reservations.➔ 3. Prepare for common interview questions.➔ 4. Line up your questions for the interviewer.➔ 5. Practice, practice, practice.

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What NOT to say during an interview…

➔ I don’t have much experience but….➔ It’s on my Resume.➔ I didn’t get along with my last boss.➔ How much vacation time do I get?➔ Yes! I have a great answer for that!➔ Nope. No questions.

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Always, always, always make a salary counter offer no matter how good the offer looks to you!

Negotiate in person. Avoid email negotiations

Affirm your interest in the job. Let the potential employer know your enthusiasm and what contributions you can make to the organization

Pay gap for women is widening! Women earn 93 cents for every $1.00 men earn.

➔Women set less aggressive goals.

➔Women make less assertive opening offers.

➔Women choose not to negotiate. (concern about backlash)

Develop A Negotiating Script

➔Initiate Negotiations – Don’t Wait.

➔Show Gratitude “Thank you so much for this offer to work with a great team.”

➔Ask for permission to discuss the offer. “I would like to ask a few questions about the contract you sent to me.”

➔Inquire “Thank you very much for reviewing this with me. What is the flexibility in this salary?” Have an alternative salary in mind.

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⚫Questions?

Credentialing• Begins after you accept a job

• Varies with each institution

• Work with Practice Mgr or Credentialing Board to get list of required documents –May include:

• Specific to each institution but required paperwork may include:

• Copy of Diploma

• Certification & License

• NPI /DEA number

• Job description/place of practice

• Understand how long the process takes

Licensing• Apply for an NP license in

state of your choice

• Your state will issue your license when they receive your certification from a nursing board

• Apply for DEA if needed https://www.dea.gov/domestic-divisions/detroit

• Get your NPI number -https://nppes.cms.hhs.gov/NPPES/Welcome.do

Certification• Choose a certifying body

- ANCC http://www.nursecredentialing.org/certification.aspx

- AANP https://www.aanpcert.org/certs/index

- AACN [email protected]

• Apply for certification – Costs vary – up to $400

• Receive your authorization to test

• Pass the certification exam – multiple study aides

- Barkley - http://www.npcourses.com

- Fitzgerald - https://www.fhea.com

- Certifying Boards

• Request NP certification sent to the state of your choice (part of appl process)

What’s Next for the New Nurse Practitioner Graduate

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the new nurse practitioner what’s next?€¦ · the new nurse practitioner graduate what’s...

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