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re: How do you feel about Nurse Practitioners?

Posted on 3/20/24 at 5:27 pm to
Posted by Scooby
Member since Aug 2006
1881 posts
Posted on 3/20/24 at 5:27 pm to
quote:

Yes, the NP could have easily ordered the CXR, but was trained to give breathing treatments and oral steroids for wheezing episodes.


Ummmm, just because a kid wheezes doesn’t mean they need an immediate CXR, especially if no fever. If kid continues to wheeze, then order the CXR. Can’t blame that on “NP protocols.”
Posted by AMS
Member since Apr 2016
6498 posts
Posted on 3/20/24 at 5:41 pm to
quote:

Ummmm, just because a kid wheezes doesn’t mean they need an immediate CXR, especially if no fever. If kid continues to wheeze, then order the CXR. Can’t blame that on “NP protocols.”


its like you didnt even read the post you quoted.
you missed the point of decreased right lung sounds -> foreign body. the point was the doc's expertise helped solve the problem when the np didnt order the cxr for continued wheezing. the point was theres a difference in midlevels and physicians competence.

the thing is, midlevels are probably fine for 80% of encounters... but you might not know if youre the 80% or the 20% that would benefit from more rigorous and comprehensive training and education
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