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

Yes it expands scope of practice

To infinity

SB 187 was pulled due to lack of support in the House and I'm sure that most are ready for this thread to die so this will be my last reply.

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I am not biased. I am a scientist.

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That's funny. Scientists rely on objective evidence to formulate their opinions. APRNs have been practicing since the 60's and there is no evidence that APRNs practicing as members of a collaborative team or independently produces worse patient outcomes.
"A wealth of studies comparing the quality of care provided by physicians and NPs have found no difference in clinical outcomes or patient satisfaction. Surveys find that most people who have seen health professionals other than physicians are satisfied with the experience, and would choose a non-physician provider if that meant receiving more timely care when needed. Dill et al. (2013) found that about half of patients expressed a preference for a physician as primary care provider; about one-quarter for a non-physician provider, and one-quarter had no preference. Recent systematic reviews suggest that patient satisfaction with these other professionals is greater than with physicians, and that outcomes are equivalent."
-Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative, Research Brief November 2014

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A nurse is not a doctor. That's deceptive

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This argument is laughable. A "doctor" is someone who earns a doctorate level degree, no matter the field. Most "doctors" are in fields other than medicine.
"Full Definition of doctor
1 a : an eminent theologian declared a sound expounder of doctrine by the Roman Catholic Church —called also doctor of the church
b : a learned or authoritative teacher
c : a person who has earned one of the highest academic degrees (as a PhD) conferred by a university
d : a person awarded an honorary doctorate (as an LLD or Litt D) by a college or university
2
a : a person skilled or specializing in healing arts; especially : one (as a physician, dentist, or veterinarian) who holds an advanced degree and is licensed to practice"
-Merriam-Webster
I bet you're one of those that thinks LSU sports are "mediocre."
Vocabulary is a powerful thing.

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I have never heard of the institute of medicine.

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The IOM is a division of the National Academy of Sciences founded in 1970 that is periodically commissioned by Congress, a division of DHHS, or others to undertake a study and make recommendations. Here's a link to their reports published since 1998. Some of the recent topics include trauma care, early childhood obesity, and health literacy. Check it out. You might learn something.
LINK
Here's a link to the Future of Nursing report. It may surprise you to know that some of the committee members who made the recommendation for nurses to practice to their full scope independently are physicians. LINK

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You are correct they are not trying to be physicians they are trying to make physicians non existent in primary care

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No one is trying to make physicians nonexistent. I have plenty of physician friends, and I don't hold it against them. NPs and other APRNs are trying to fill a growing void in healthcare. In 1965, Dr. Loretta Ford (a professor of nursing with a PhD, sorry if that Dr. title bothers you) and Dr. Henry Silver (a physician) developed the first Nurse Practitioner (NP) program at the University of Colorado to provide routine primary care to rural children in Colorado who had no access to a physician. It was an incredible success and thus the NP and APRN role were born and continue to grow.

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Putting a new name on your practicing medicine does not change the fact that you are attempting to practice medicine.

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It wasn't that long ago that obtaining vital signs and auscultating breath sounds were "practicing medicine."

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Yes it expands scope of practice To infinity

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The scope of practice of an RN or APRN is defined by each state's respective Nurse Practice Act.

It's funny that many physicians in this thread want the government to stop meddling in healthcare, but when a bill like SB187 comes up that reduces government involvement (a legally mandated CPA is government involvement in healthcare) they take up arms against it. Seems like they want the government involved when it suits them and not involved when it suits them. You can't have your cake and eat it too.

I truly believe that the physicians that have posted in this thread have patients' best interest at heart, but to think nurses don't is short sighted and ignorant of who nurses are and what nurses do. The promotion of health and wellness, compassion, and patient advocacy are the hallmarks of nursing. APRNs and all nurses are held to strict professional and ethical standards. The link below is to the ANA Code of ethics. Read it if you'd like to be more enlightened about the issue from another perspective.
LINK
While not everything that happens in the real world holds to this utopian ideal with nurses, physicians, or any other profession (teachers, priests, etc.), most people try to stick to their professions code of ethics. And if they don't the LSBN takes its job of protecting the public from unsafe nurses very seriously. Nurses should be regulated by the Board of Nursing; physicians should be regulated by the Board of Medical Examiners. You wouldn't want nurses regulating your profession, would you?

I'll give you this, you are one determined persistent SOB. If you carry out your work with that same determination, I'm sure your patients get excellent care. Don't be scared of APRNs, just because you don't fully understand their education and role. They're there to help patients, just as are you.