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re: SB 435 would allow advanced practice nurses to not work under a physician

Posted on 4/4/18 at 5:34 pm to
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 4/4/18 at 5:34 pm to
quote:

I would think it would depend on the scope of their practice. If they are working at an Urgent Care seeing routine sore throat/cold type things or a Minute Clinic for the same types of issues, probably not as a big a deal as say diagnosing and treating complex cardiovascular issues.


Is there a way to ensure that NPs only see “easy” cases? Do you just hang a sign that says “Sore Throats Only”?
Posted by Scooby
Member since Aug 2006
1886 posts
Posted on 4/4/18 at 5:49 pm to
quote:

Is there a way to ensure that NPs only see “easy” cases? Do you just hang a sign that says “Sore Throats Only”?


That's the problem. Something that can be deemed "easy" can turn into something complex. I had a patient in the ER the other day that complained of a "sore throat," and was sent to our FastTrack, where I was working at the time. Turns out the "sore throat" was actually a pneumothorax. Same scenario, "sore throat" ended up being retro-pharyngeal abscess. I was able to tell something wasn't right on both exams, and thankfully my physician was there to help guide me along in the management of these patients. I knew what needed to be done in both cases, but they were there to assure me and help further diagnose, treat, and monitor the patient with me.
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