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

Posted on 4/9/16 at 12:55 am to
Posted by jmarto1
Houma, LA/ Las Vegas, NV
Member since Mar 2008
37955 posts
Posted on 4/9/16 at 12:55 am to
quote:

But the idea behind this bill is to make the NP the autonomous "cook in the kitchen" without the education of a physician who has always been the cook




That is why I disagree with it. I've just never been big on discounting nurses.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 12:56 am to
Y'all's complete unawareness of all this stuff is disturbing. Wake up people!
Posted by Spirit of Dunson
Member since Mar 2007
23111 posts
Posted on 4/9/16 at 12:56 am to
Deregulate it all and let the market decide!
Posted by Mudge87
NOLA
Member since Apr 2014
559 posts
Posted on 4/9/16 at 12:56 am to
Meh. The last couple times I've had to go in to a clinic it's been a NP or PA who basically did everything. Seems like these jobs are becoming much more in demand with most stuff being outpatient treatment these days. I have no big issue with this fwiw.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 12:57 am to
Right we are totally for RNs and nursing care of patients. Nobody's against that; you couldn't have hospitals without nurses. What is not ok is autonomous attempted medical management of patients by APRNs who are less educated that physicians without MD oversight. That's completely overhauling medical care in the state.
This post was edited on 4/9/16 at 12:58 am
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 12:59 am to
You can do that, but then the law should read that anyone without any certification or degree is free to practice medicine/surgery.
This post was edited on 4/9/16 at 1:01 am
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 1:00 am to
Still there was an MD operating behind the scenes checking the medical chart (hopefully) to ensure you were done no harm.
Posted by Finch
Member since Jun 2015
3696 posts
Posted on 4/9/16 at 1:00 am to
quote:





Sorry doc, I'd rather pay a NP $30 to write me a antibiotic prescription for my strep-throat than pay you a $100.

May have to sell that summer home in Mankato bay.
Will send prayers.




When your insurance goes up because readmission rates go up due to inadequate care for things more difficult than strep throat, you will have to downgrade to a single wide


Your insurance co-pay won't be less because you are seeing a mid level but nice try
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 1:02 am to
And then that's the thing. You get health care by someone with half or less the education, but they fight for state laws to charge you close to the same price. There is a Jindal optometry law I believe where they charge equivalent for an eye exam to the fee from an MD who has twice as much schooling as the optom
This post was edited on 4/9/16 at 1:08 am
Posted by athenslife101
Member since Feb 2013
20229 posts
Posted on 4/9/16 at 1:04 am to
I know plenty of doctors who shouldn't have made it through medical school. What's your point?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 1:06 am to
The point is they made it thru and passed the tests so they have the standard level of knowledge. If you don't even go to the school, you can't say you have the standard level of knowledge from the school
Posted by Finch
Member since Jun 2015
3696 posts
Posted on 4/9/16 at 1:08 am to
I am agreeing with you, Doc

This is a great idea if they only treated strep, flu, sinusitis, etc. but when they miss a diagnosis and people die, insurance rates will go way up.


ETA: The lack of medical school isn't the biggest thing for me, it is the thousands of hours of training during residency (under the supervision of doctors) that they lack. My grandmother can diagnose me with strep but that doesn't mean she will also pick up the pneumonia and know to alter treatment because I had staph 2 weeks prior
This post was edited on 4/9/16 at 1:12 am
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 1:09 am to
Thanks but have you ever heard of post-streptococcal glomerulonephritis?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 1:12 am to
Hence the need for MD supervision. There's a plethora of stuff that can go wrong with the human body from seemingly "simple" "cookbook" primary care stuff that requires THOUSANDS of hours of reading/training. You just don't get it until you've lived thru trying to learn all this stuff. 1 of the board exams in medical alone takes 400-1000 hours of studying.
Posted by Finch
Member since Jun 2015
3696 posts
Posted on 4/9/16 at 1:13 am to
What part of I AGREE WITH YOU is so tough?
Posted by Mudge87
NOLA
Member since Apr 2014
559 posts
Posted on 4/9/16 at 1:13 am to
You obviously have a vested interest in this. I don't. But I'd be pissed too if someone who didn't have as much schooling was trying to take my job.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 1:13 am to
Nah I'm all for that!
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 1:14 am to
I do not. Go read my other thread
** Actually I do, it's called patient safety/patient care advocacy and the Hippocratic Oath
This post was edited on 4/9/16 at 1:15 am
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 1:15 am to
And no one yet has given a coherent argument on here for why the bill is a good idea
Posted by Finch
Member since Jun 2015
3696 posts
Posted on 4/9/16 at 1:17 am to
Walk away from this thread for 30 minutes, you're arguing with yourself
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