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

This is a common denominator argument among many optometrists, it is not unique to a single optometrist. It's in the schooling

Bravo and we'll stated Buford. Thanks for weighing in with a non-MD perspective

The PA profession in the 1970's was created and founded by working with the MD. Not saying I am smarter and better than a NP. What I am saying is that I am not trained to the level of a MD and should not practice Medicine independently like a MD

And they "practice nursing" is a good way of preventive medicine. Practitioner is a way saying they manage disease. Their scope of training is poor at diagnosis and treatment. Also, this issue is variable state from state. Having worked in TX and LA. PAs in Texas are very well respected and valuable with very little NPs. LA is very NP friendly state

You are correct G vice. The PAs that graduate from the military PA programs are some of the smartest mofos I have ever met

My daughter was at LSU nursing school in New Orleans and had a cadaver. Is that the test of knowledge?

Congrats on keeping this thread going on forever. I told you how to beat this back in the first ten pages. LOBBYISTS.

Imma just set this straight - cause you know I am the one and The only Louisiana Tiger Doc...


A practitioner is a family doctor / a medical doctor / a physician / town doctor who busted his (her) tail and Worked like a dog , studying and training for a decade to learn the human body and disease in order to serve society and to better people's lives and keep them from harm.

The nurses who are also the ones trying to pass this wild legislation - they usurped the name practitioner and have tried to camouflage themselves as FNPs when the term FP is a family doctor. They took the name straight up and squeezed the word nurse in there. Now they wanna be a doctor with the DNP and they're gonna try for autonomy and sport a a white coat though they didn't learn 1/5 of what the true practitioner did. If even. Maybe 1/10.

There, son, is your history lesson for the night

I replied in this thread earlier but I'll say a few more things since its still going.

I'm a new grad Nurse Practitioner. I will be starting my new job in June as a NP in the ER. I have almost 10 years as a RN in the ER and I'm comfortable as a RN but the training I went through in NP school has not prepared me to practice in the ER or anywhere independently. Actually I think my experience as an ER Nurse has me more prepared. I'm already stressing about all of the things I do not know. I chose this so I can practice under the supervision of more experienced MDs. I'm hoping to use the first few years of working as a NP as an on the job residency to learn more and even then I would want the ability to ask questions and consult others with certain cases I wouldn't be confident with.

In my opinion, the bill being proposed should not pass. It needs to be amended to add more collaborating practice hours but it shouldn't stop there. The NP program needs to be re-structured. The curriculum has several nursing theory classes and research classes that do not prepare you to actually practice medicine. NPs still take patho, pharmacology, and health assessment classes, I actually had patho, physiology, anatomy, and pharmacology classes to get a Bachelor's in nursing as well. The NP classes were more in depth. Also I actually did have a cadaver with the med students in nursing school. I'm getting off topic but basically the graduate nursing schools need to raise the standards for acceptance to graduate school. You should have a minimum of 5 years as a RN with a bachelor's degree before you can even be considered. It seems like they are just pumping people through these schools like crazy. There's no way I would trust some of the people I graduated with to make decisions about my healthcare without oversight from someone else. They just don't have the experience. I don't even trust myself making these decisions right now without supervision. It's what I signed up for, I don't know why it suddenly needs to change.

The NP vs. PA argument should have it's own thread. But I know several new graduate PAs that feel the same way I do about practicing fresh out of school. There's no way they would want to practice without supervision.

But I would pump the brakes on saying that PAs are so far and above superior in training when compared to NPs. I feel my experience as a nurse working with patients before becoming a NP has helped me. Most PAs that I know didn't have any medical experience before starting PA school. The only patient interaction they had was during school or maybe as a scribe before PA school.

So you are agreeing with me? I'm pretty sure I'm trying to say the same thing. Just making sure my post was clear.