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Started By
Message
re: SB 435 would allow advanced practice nurses to not work under a physician
Posted on 4/4/18 at 1:27 pm to Hopeful Doc
Posted on 4/4/18 at 1:27 pm to Hopeful Doc
quote:
Hopeful Doc
And all of this is why I defer to those with much more experience than I.
Posted on 4/4/18 at 1:27 pm to TheWiz
quote:
You would make a decision to go into a clinic to see a NP rather than seeing a MD?
If Im not mistaken I think this bill is for hospitals and nursing homes. I didnt see anything about clinics
Posted on 4/4/18 at 1:28 pm to tgrbaitn08
quote:
If Im not mistaken I think this bill is for hospitals and nursing homes. I didnt see anything about clinics
Ahh, I should read more closely.
Posted on 4/4/18 at 1:28 pm to 50_Tiger
This does not pertain to PAs. Nor should it.
Posted on 4/4/18 at 1:29 pm to TheWiz
quote:
You would make a decision to go into a clinic to see a NP rather than seeing a MD?
As someone said earlier in this thread, some mid-levels are good and some suck. The same applies to physicians. Some are good and some suck.
Also, I don't need a physician to prescribe a z-pak.
Posted on 4/4/18 at 1:29 pm to TheWiz
quote:
You would make a decision to go into a clinic to see a NP rather than seeing a MD?
Possibly. Hell, it already happens thousands of times each day.
But again, that's beside the point. I may not decide to see an NP over a MD, but I don't need a regulation telling me to do such. Let the consumer decide for themselves what is reasonable and prudent for their situation.
Posted on 4/4/18 at 1:32 pm to TheWiz
The amendment states:
quote:
AMENDMENT NO. 1
2 On page 1, line 14, after "who is" delete the remainder of the line and on line 15, delete
3 "nursing duties in a hospital" and insert "employed under contract or arrangement with
4 hospital systems"
Posted on 4/4/18 at 1:34 pm to Golfer
quote:
Let the consumer decide for themselves what is reasonable and prudent for their situation.
The bad part is that I think the general public is ignorant to what medical professional they actually see. Overall, I personally think this is how the quality of healthcare becomes diluted. Imagine all of the wasted visits patients will make, IF the NP can't diagnose the issue and they have to refer to a MD. All of which may have been somewhat avoidable if the mid-level had physician oversight.
Now that being said, there are some bad physicians out there and sometimes they don't do a good job diagnosing the issue.
Posted on 4/4/18 at 1:37 pm to TheWiz
quote:
The bad part is that I think the general public is ignorant to what medical professional they actually see.
Then that's their own fault. I'm tired of regulating stupidity.
Posted on 4/4/18 at 1:37 pm to Epic Cajun
quote:
Also, I don't need a physician to prescribe a z-pak.
I'd argue it's also a problem that people come in with the notion of needing a Z-pack and won't stop seeing providers until they find someone who writes one, regardless of their actual need for one.
Posted on 4/4/18 at 1:40 pm to TheWiz
quote:
Imagine all of the wasted visits patients will make, IF the NP can't diagnose the issue and they have to refer to a MD. All of which may have been somewhat avoidable if the mid-level had physician oversight.
The physician isn't standing over the NP's shoulder anyway, he's basically just "reading" the NP's notes and co-signing them.
Also, this doesn't seem to be aimed at outpatient visits anyway.
Posted on 4/4/18 at 1:41 pm to Hopeful Doc
quote:
I'd argue it's also a problem that people come in with the notion of needing a Z-pack and won't stop seeing providers until they find someone who writes one, regardless of their actual need for one.
From watching "My 600lb Life" I didn't realize how easy it is for someone to seek a certain medication, narcotic or not, many...MANY times!
I also did not know Texas has an actual system of tracking these prescriptions. It's something I hope every state has to track abuse and actual prescriptions given.
My SO helps facilitate clinical trials for new drugs and it's crazy how some clinics/Private Practices lie or forget what they prescribe.
Posted on 4/4/18 at 1:41 pm to Hopeful Doc
quote:
I'd argue it's also a problem that people come in with the notion of needing a Z-pack and won't stop seeing providers until they find someone who writes one, regardless of their actual need for one.
I was just using that as an example of a visit that does not need physician intervention.
Posted on 4/4/18 at 1:41 pm to Hopeful Doc
quote:
I'd argue it's also a problem that people come in with the notion of needing a Z-pack and won't stop seeing providers until they find someone who writes one, regardless of their actual need for one.
People always want the placebo. You can talk until you're blue in the face about viruses vs. bacterial, but it is a waste of time.
Posted on 4/4/18 at 1:43 pm to 50_Tiger
quote:
it's crazy how some clinics/Private Practices lie or forget what they prescribe.
Most of these probably have e-prescribing and can have reports run on which meds are ordered, and the frequency of the orders.
Posted on 4/4/18 at 1:45 pm to Golfer
How does the public know which provider they need to see?
Posted on 4/4/18 at 1:51 pm to LZ83
quote:
How does the public know which provider they need to see?
The same way they're currently seeking out medical care?
Posted on 4/4/18 at 1:53 pm to Golfer
quote:
The Government needs to stop assuming everyone is a moron and needs regulation to protect themselves from the boogeyman.
While I understand your thought and somewhat agree... you have to admit that many more people need the government to protect them from themselves, than those of us who can make a smart decision.
Pathetic as that is.
Posted on 4/4/18 at 1:54 pm to Golfer
You should see the shite NPs can come up with. If you could you would change your mind or not.
Posted on 4/4/18 at 1:57 pm to Epic Cajun
quote:
The physician isn't standing over the NP's shoulder anyway, he's basically just "reading" the NP's notes and co-signing them.
That's my issue.
If I go see an NP or an advanced nurse... many times they are working alone. I damn sure know that for my average cold/flu case, they are not running over to the doctor while I'm in the room and asking him for his advice/consent.
I feel like there should be a program, certification, something, that says if you meet the qualifications/tests, then you can do X without needing to work under a physician. And as long as you stick to X, then all is well. But X needs to be a pretty low thing.
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