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Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187

Posted on 4/9/16 at 12:23 am
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 12:23 am
Patient Alert: What if your "primary provider" never went to medical school? What if they would like to call themselves doctor but are not? What if they are lobbying to remove the doctor from your care altogether? What if your primary "provider's" training is far far less than that of the medical doctor?

LINK

Here we go again...

Liberal politicians, Louisiana nurse practitioners, the AARP, and mega-retailers are trying to pass a bill which would essentially turn nurses into doctors without the training or schooling of a physician.

Louisiana nurse practitioners and midwives are pushing to remove oversight by MDs in the primary care of patients. Eliminating the collaborative practice agreement is NOT safe for Louisiana patients. Nursing school is simply NOT equivalent education to medical school. Nurse practitioner school is NOT equivalent to medical residency training. Louisiana patients deserve to have the primary care of a Medical Doctor. The education/training pathways are simply not equivalent.
This post was edited on 5/23/16 at 5:11 pm
Posted by poops_at_parties
Member since Jan 2016
1545 posts
Posted on 4/9/16 at 12:24 am to
Is that really a thing? It's common knowledge that nurses aren't doctors.
Posted by NIH
Member since Aug 2008
112526 posts
Posted on 4/9/16 at 12:25 am to
On what grounds is this even being proposed? I don't think I know one nurse who could even think of hacking it at medical school.
Posted by lsu480
Downtown Scottsdale
Member since Oct 2007
92876 posts
Posted on 4/9/16 at 12:25 am to
How can your state full of thugs not make SB 187 about murder?
Posted by tigerpimpbot
Chairman of the Pool Board
Member since Nov 2011
66875 posts
Posted on 4/9/16 at 12:32 am to
It's about coming up and staying on top
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 12:33 am to
It's an attempt to remove the requirement of supervision for nurse practitioners and to make them autonomous providers of healthcare without completing medical school or residency training
Posted by Chuker
St George, Louisiana
Member since Nov 2015
7544 posts
Posted on 4/9/16 at 12:33 am to
quote:

LATigerdoc




Sorry doc, I'd rather pay a NP $30 to write me a antibiotic prescription for my strep-throat than pay you a $100.

May have to sell that summer home in Mankato bay.
Will send prayers.
Posted by jmarto1
Houma, LA/ Las Vegas, NV
Member since Mar 2008
33812 posts
Posted on 4/9/16 at 12:34 am to
I disagree with this but let's not neglect the fact that nurses are the ones that actually do the heavy lifting.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 12:35 am to
Not making this stuff up. Google it. The state legislature is yearly changing the practice of medicine and surgery in Louisiana actually at a very rapid pace and the public is seemingly not paying attention
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 12:35 am to
I don't treat strep throat.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 12:37 am to
Nurses typically enact orders written by the physician.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 12:39 am to
And the sum total of medical education/residency training is THOUSANDS of hours of rigorous study and clinical experience with patients and you cannot replace that with considerably less schooling with less extensive hard science subject matter and less clinical experience.
Posted by ihometiger
Member since Dec 2013
12475 posts
Posted on 4/9/16 at 12:39 am to
Not necessarily my GP sends all of his emergency patients to see the Nurse Practitioner for patients that he is too busy to see. She writes up the scripts and send us on our way. No issues with this from me.
Posted by GetBackToWork
Member since Dec 2007
6246 posts
Posted on 4/9/16 at 12:42 am to
Someone needs to file a bill allowing optometrists to perform cornea transplants.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 12:42 am to
There's almost no such thing as a GP anymore. A GP is someone who did med school and 1 year of internship and hung up his shingle without Internal Medicine (3 year residency) or Family Medicine (3 year residency) training or board certification in one of those fields. Family Practice Physicians and General Internists are primary care doctors, but a GP is also one who just did 1 year of internship after med school. Nobody really does that anymore except rarely so he's probably not a GP
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 12:44 am to
And your "GP" who's not a GP is proofreading the scripts behind the scenes when he finishes his 9-12 hour day. The bill would propose removing the MD's proofreading/oversight of medical care
Posted by jmarto1
Houma, LA/ Las Vegas, NV
Member since Mar 2008
33812 posts
Posted on 4/9/16 at 12:49 am to
quote:

Nurses typically enact orders written by the physician.


Yea, that's doing the heavy lifting. Essentially, Doctors are General Managers and the nurses are assistants.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 12:52 am to
Nurses are fantastic enactors of patient care, we're not disputing that. Doctors are the people educated to manage the patient and deal with complex physiology/medication/disease processes due to THOUSANDS of hours of training and rigorous study

But the idea behind this bill is to make the NP the autonomous "cook in the kitchen" without the education of a physician who has always been the cook
This post was edited on 4/9/16 at 12:53 am
Posted by KillTheGophers
Member since Jan 2016
6209 posts
Posted on 4/9/16 at 12:52 am to
Damn - I guess I can start using a staff accountant instead of a CPA for my financials and taxes in this state.

Stupid idea Louisiana - NPs are not doctors.


Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 12:55 am to
Are you aware that corneal transplant surgery requires anesthesia in an operating room? Optometrists are not medical doctors, they do not have hospital privileges, and they are not traditionally surgeons, and they have NO experience with anesthesia, intubating a patient, or following preoperative labwork. medical doctors actually practice intubation on anesthesia rotations in medical school. How are you gonna operating on a cornea in an OR when you don't go to the OR and you don't have experience with anesthesia?
This post was edited on 5/17/16 at 12:58 am
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