- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
re: How do you feel about Nurse Practitioners?
Posted on 3/20/24 at 5:18 pm to SaintlyTiger88
Posted on 3/20/24 at 5:18 pm to SaintlyTiger88
NPs don't know shite, which makes them better than MDs because MDs don't know shite but think that they do.
Posted on 3/20/24 at 5:21 pm to SaintlyTiger88
With as many people as are on health insurance these days, if it weren’t for NP’s and PA’s, the system would be overwhelmed. NP’s can handle most of the needs of the public. And it’s my perception that they are significantly more accessible than MD’s. I’m diabetic and have been treated by a NP for about 15 years. She is under an internal medicine MD at the same location, and she asks for his input when needed.
Posted on 3/20/24 at 5:24 pm to SaintlyTiger88
Love mine. To be so young, she is very professional, knowledgeable and meticulous. Her father was a Tomcat pilot that shot down a Libyan jet in Gulf of Sidra, so I understand where she gets her drive to succeed in life from. As a Navy vet, I asked her how does it feel knowing your father was an awesome fighter pilot. She replied, “He has always just been dad to me.” I thought that was cool.
Posted on 3/20/24 at 5:26 pm to saderade
quote:
wish they would overhaul their education process and experience requirements. I know some great experienced NPs but their schooling is lacking big time imo (especially if they are in a state with independent practice). Someone coming out of school, that could be online, with only 500 clinical practice hours and working with minimal oversight is scary as frick.
Agree.... but I will say Family Practice vs Acute Care are vastly different in competence in my personal experience. Acute care NPs are typically astute seasoned previous ICU nurses, and education is more involved with longer required clinical hours.
This post was edited on 3/20/24 at 5:29 pm
Posted on 3/20/24 at 5:26 pm to Bert Macklin FBI
quote:that's not true at all.
an NP had to work as a nurse prior to becoming a NP which means they have more hands on experience with actual patient care than the doctor.
From almost 2 decades of firsthand experience: there are np's leaving straight out of nursing school and, for all practical purposes, going right into np school. When they get into a medical setting, they can't perform even basic tasks that a 5 year rn knows in her sleep, especially in an emergency setting. As a result, at least in this area, there's no guarantee of quick employment or employment in a scenario ideal to the graduate. In many cases - and this is a blessing in disguise to their future patients - they have to take on a more traditional RN role, and for RN pay. There's so many of them that, at least in our area, they are becoming a dime a dozen - especially the mediocre ones that have an embarrassing amount of actual real world experience. The ones who have little to no practical application of administering healthcare to patients can just as likely be a liability than a hot commodity. Nobody, especially ones getting paid less, want to hold the hand of a coworker and help walk them through the baby steps of things that they ought to know if they've any business calling themselves a nurse, let alone a practitioner.
That said, I've seen a handful of NP's who worked for specialists and they were top notch. They acted as a liaison of sorts before I saw the specialist, but they got the whole story before doing so and had lots of helpful information and advice. Very knowledgeable and professional.
It should be mandatory that np students have a minimum of 3 (ideally 5) years of full time nursing experience in an ICU/ER setting, and the growing desire for np's to be able to practice without MD oversight in a GP setting is absolute lunacy. Nobody, and I mean nobody, should be okay with that idea.
Posted on 3/20/24 at 5:27 pm to Lokistale
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 on 3/20/24 at 5:33 pm to Landmass
quote:Look at this genius.
NPs don't know shite, which makes them better than MDs because MDs don't know shite but think that they do
Posted on 3/20/24 at 5:41 pm to Scooby
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
Posted on 3/20/24 at 5:45 pm to SaintlyTiger88
They let anyone become doctors these days. I trust more regular experienced nurses these days than I do doctors
Posted on 3/20/24 at 5:52 pm to MRTigerFan
quote:
Maybe someone can explain to me why a hospital will charge 15k for a procedure then accept 1500 from a large insurance provider for the same procedure.
It's largely because of a now antiquated system where charges did matter. In the 70s, 80s, and even a bit of the 90s, hospitals and doctors both were paid a % of charges, typically 70-80% and the patient paid a coinsurance % of 10-20%. Hospitals raised their charges to make more money as costs increased and as new technology that cost money was invented. Initially, hospitals would agree to take only 60 or 70% of charges when the insurance signed a contract with them to be "in network." This eventually evolved into hospitals agreeing to take a flat perdiem ($2000 per day for example) or a flat rate for various procedures, similar to Medicare's DRG payment system. Once all the insurance companies started doing this, essentially, charges no longer matter because the only thing that matters is the contracted rate between the insurance company and the hospital.
Clear as mud? That's a very simplified description of what happened gradually over time.
This post was edited on 3/20/24 at 6:02 pm
Posted on 3/20/24 at 5:53 pm to SaintlyTiger88
One nearly killed an employee of mine. Employee had been running fever for a few days, went in to an urgent care. NP tested her for Covid and Flu which both came back negative, and told her to rest and drink fluids.
Next day employee is having trouble breathing and goes to ER, and is diagnosed with double lung pneumonia. She was in ICU for four days, and is likely going to miss two to three more weeks of work.
Next day employee is having trouble breathing and goes to ER, and is diagnosed with double lung pneumonia. She was in ICU for four days, and is likely going to miss two to three more weeks of work.
Posted on 3/20/24 at 5:53 pm to AMS
quote:
you missed the point of decreased right lung sounds -> foreign body.
Maybe they didn’t have decreased lung sounds on initial exam.
Posted on 3/20/24 at 5:53 pm to SaintlyTiger88
NPs and PAs can be good when subspecialized, particularly in surgical subspecialties.
They generally suck with primary care but to be fair a lot of MDs do as well
They generally suck with primary care but to be fair a lot of MDs do as well
This post was edited on 3/20/24 at 5:55 pm
Posted on 3/20/24 at 5:57 pm to 1BamaRTR
quote:
The CEO and admin are almost non-physicians though.
Are the medical directors part of the leadership? Yes. Do they make decisions on the finances? No.
Correct. As a whole, you wouldn't want a bunch of doctors running a hospital. They are generally very bad at this. They are trained in medicine, not business and quite often make very bad business decisions.
Posted on 3/20/24 at 5:58 pm to Scooby
quote:
Maybe they didn’t have decreased lung sounds on initial exam.
you still didnt read that post from which you quoted. there were multiple visits.
Posted on 3/20/24 at 6:00 pm to SaintlyTiger88
Here’s something I’ve never understood. What’s the difference between a NP and PA? I’ve seen both, the former for acute bronchitis the later post op after knee surgery.
Do they receive different medical training?
Do they receive different medical training?
Posted on 3/20/24 at 6:03 pm to SaintlyTiger88
My wife is an NP and I also work in healthcare as a provider. I’ll be there first to tell you that not all providers are created equal and there are some terrible doctors and NP’s out there.
I agree that experience is king and NP’s who have extensive experience (my wife in the ER for 12 years) is a way better provider and more knowledge then the baby nurse who worked two years before getting her NP.
Regarding a specialty, my wife works with a surgeon and is his first assist in surgery (which also requires more education and a certification). She has a very extensive knowledge of the surgical procedures they perform and also assists in the procedure itself. While yes she is not the surgeon, she is very aware of the procedure, care, and how to do a consult as well as treat you after surgery.
As an aside most people don’t realize that very often a PA or NP is the one stitching you back up not the surgeon.
I agree that experience is king and NP’s who have extensive experience (my wife in the ER for 12 years) is a way better provider and more knowledge then the baby nurse who worked two years before getting her NP.
Regarding a specialty, my wife works with a surgeon and is his first assist in surgery (which also requires more education and a certification). She has a very extensive knowledge of the surgical procedures they perform and also assists in the procedure itself. While yes she is not the surgeon, she is very aware of the procedure, care, and how to do a consult as well as treat you after surgery.
As an aside most people don’t realize that very often a PA or NP is the one stitching you back up not the surgeon.
Posted on 3/20/24 at 6:05 pm to Mr Breeze
quote:
What’s the difference between a NP and PA?
NP = nurse that went back for more training to be NP. These days most do it online.
PA = 3 year program similar to med school but less intense. They will do hospital rotations along with MD students
In general PAs are much more competent than NPs in my experience but a lot of outliers both ways,
This post was edited on 3/20/24 at 6:06 pm
Posted on 3/20/24 at 6:07 pm to SaintlyTiger88
They are great if you don’t have a real problem.
But how do you know that you don’t have a real problem?
But how do you know that you don’t have a real problem?
Popular
Back to top
Follow TigerDroppings for LSU Football News