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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Posted by Rouge

Floston Paradise

Member since Oct 2004

136939 posts

Posted on 3/20/24 at 5:45 pm to AMS

PA >>>>>>> NP

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Posted by Scooby

Member since Aug 2006

1888 posts

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.

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Posted by riverdiver

Summerville SC

Member since May 2022

1351 posts

Posted on 3/20/24 at 9:32 pm to AMS

quote:
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.

To be fair, on an otherwise healthy child most MD’s wouldn’t initially order a CXR either until it was noted to be an ongoing problem.

If it was an 85 year old, probably a different story. Every situation is different.

There are good and bad NP’s, just as there are good and bad MD’s.

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