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

Posted on 5/7/16 at 12:24 pm to
Posted by tigerbutt
Deep South
Member since Jun 2006
26333 posts
Posted on 5/7/16 at 12:24 pm to
Tell them to Vote YES!
Vote Yes
Vote Yes
Vote Yes
Posted by saderade
America's City
Member since Jul 2005
26397 posts
Posted on 5/7/16 at 1:03 pm to
Definitely pros and cons to the PT law but overall I don't think it is a huge deal. However I am definitely against the NP law. If they want it passed they absolutely need to have a provision requiring years of experience.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/7/16 at 2:30 pm to
When a patient with osteosarcoma of the spine or melanoma mets to the spine presents to a clinic, the person taking care of him should have taken pathology and be an MD so his back pain doesn't get overlooked as benign and lead quickly towards death. It's as simple as advocating patient care. And I am personally not in primary care so your thing about competition is really irrelevant
Posted by Kracka
Lafayette, Louisiana
Member since Aug 2004
42358 posts
Posted on 5/7/16 at 3:13 pm to
You are leaving out the fact that in Louisiana NP's are required to attain a doctorate degree to become an NP now. It does not grandfather in existing NP's but all new students must complete it.
Posted by Respublica88
Lake Charles, LA
Member since Nov 2011
3618 posts
Posted on 5/7/16 at 4:07 pm to
Does that doctorate degree mean they had the same training ... In time, work load, and breadth of knowledge base as a doctor

It was a title given to NP's to dispute the argument they aren't even doctors of their own profession .... So basically the title was just changed, that's all
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/7/16 at 4:19 pm to
quote:

frick off doc. You know damn well it's all about competition to your clinic. These NP's tend to be more involved with their patience and not running a stop watch to regulate their time with them. Most doctors are so old school they do not even practice the latest medicines designed to counter today's illnesses and problems.


Right, because there aren't and never will be any old school NPs. Or NPs that try to run a high volume clinic to maximize profits.

Only doctors get old and dumb. Only doctors are looking to rip people off.

Geeze. You really can't fix stupid. Your claim is one of the most idiotic, factless pieces of garbage I have ever seen on here.

No, in reality what you are going to have is NPs who practice the same way as MDs once they have to manage the overhead and all the headaches of running your own private clinic. And they will be doing that with VASTLY inferior training. Brilliant.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/7/16 at 4:33 pm to
Or are you trying to imply that NPs simply have a higher moral standard and won't be enticed to see more patients and make more money when they are on their own?

It's great that the NP can spend lots of time with you and pat you on the back when you have a common cold because they have only 15 patients to see that have been triaged to them. Makes you feel all warm and fuzzy inside right? In reality, the MD is saying this person just has a URI, I need to move onto someone else with a complicated condition and multiple medicines to manage.

I mean, think about what you are saying. You are saying NPs are simply more compassionate, better time managers, better managing a business, less greedy, etc.

I'm saying NPs and MDs are the same. Human nature is human nature. When the NP realizes they are on their own and can see 20 patients spending 30 minutes each or see 40 patients and spend 15 minutes each but make twice as much, what do you think they will do?

Atleast an MD will have the proper training
Posted by MrSpock
Member since Sep 2015
5126 posts
Posted on 5/7/16 at 5:00 pm to
quote:

You are leaving out the fact that in Louisiana NP's are required to attain a doctorate degree to become an NP now. It does not grandfather in existing NP's but all new students must complete it.



Would you be comfortable with having graduating medical students given full practice privileges sans residency?
Posted by VicVinegar03
Member since Apr 2016
149 posts
Posted on 5/7/16 at 5:01 pm to
I love hearing doctors complain about this when none of them want to be primary care physicians. I also love the condescending tone y'all always use
Posted by VicVinegar03
Member since Apr 2016
149 posts
Posted on 5/7/16 at 5:06 pm to
From reading your comments you don't even know what nurses do
Posted by Shakita Bonita
5-0
Member since Dec 2015
1538 posts
Posted on 5/7/16 at 5:13 pm to
quote:

Nurses enact the orders of physicians


Correct. That is one thing that nurses do.
Posted by Shakita Bonita
5-0
Member since Dec 2015
1538 posts
Posted on 5/7/16 at 5:14 pm to
Did I go to sleep and wake up in the 19th century
Posted by Shakita Bonita
5-0
Member since Dec 2015
1538 posts
Posted on 5/7/16 at 5:17 pm to
Boom. It's frightening how stupid residents are these days. And seeing people with no insight pontificate on "what nurses do" just makes it hilarious
Posted by Shakita Bonita
5-0
Member since Dec 2015
1538 posts
Posted on 5/7/16 at 5:22 pm to
The fact that you're getting downvoted shows that people have absolutely no idea what they're talking about. And lol at OP thinking the surgeon has anything to do with anesthesia
Posted by Shakita Bonita
5-0
Member since Dec 2015
1538 posts
Posted on 5/7/16 at 5:25 pm to
quote:

RN is an RN regardless of the AP


That is so goddamn stupid it's making my head spin.
Posted by Shakita Bonita
5-0
Member since Dec 2015
1538 posts
Posted on 5/7/16 at 5:30 pm to
You must know that an anesthesia residency and crna school are essentially identical right?

Or that the average crna performs ~900 cases in school right?

Or that crnas are independent practitioners and have been for quite some time right?

Wait what's that? You don't have a clue what you're talking about? Got it.
Posted by MrSpock
Member since Sep 2015
5126 posts
Posted on 5/7/16 at 5:36 pm to
quote:

Did I go to sleep and wake up in the 19th century



You are responding to month old posts.
Posted by Parallax
Member since Feb 2016
1459 posts
Posted on 5/7/16 at 5:36 pm to
Honestly, what do nurses do besides carry out orders? For inpatients, we define how often to check vitals, labs, etc. if you have questions, you call the doc. What decisions do nurses make independent of the doctor?

quote:

You must know that an anesthesia residency and crna school are essentially identical right?

This thread isn't about CRNAs, but this isn't true.
quote:

You don't have a clue what you're talking about? Got it.

Pot meet kettle.
Posted by Scooby
Member since Aug 2006
1945 posts
Posted on 5/7/16 at 5:38 pm to
quote:

When a patient with osteosarcoma of the spine or melanoma mets to the spine presents to a clinic, the person taking care of him should have taken pathology and be an MD so his back pain doesn't get overlooked as benign and lead quickly towards death. It's as simple as advocating patient care. And I am personally not in primary care so your thing about competition is really irrelevant


Sounds like you're assuming an MD in a walk in clinic has never missed one of these either.
Posted by Shakita Bonita
5-0
Member since Dec 2015
1538 posts
Posted on 5/7/16 at 5:39 pm to
Are you a doctor or a nurse?

Also, yes it is true in regards to actual anesthesia related care, not ordering a liter of fluid here and there in an ICU which I understand CRNAs don't do.
This post was edited on 5/7/16 at 5:41 pm
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