- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187
Posted on 5/7/16 at 9:07 pm to Shakita Bonita
Posted on 5/7/16 at 9:07 pm to Shakita Bonita
I'm an anesthesiologist and the CRNAs I work with on a daily basis are outstanding. Anesthesia is so safe nowadays that many CRNAs could likely complete a case (and do) without the supervision of an anesthesiologist.
However our training is very different. We can are have a pissing contest about how CRNAs do 2 years of clinical training where anesthesiologists do an internship year then 3 years of clinical training (personally I worked 65-70 hours a week during those years). But really we approach patient care from different perspectives.
However our training is very different. We can are have a pissing contest about how CRNAs do 2 years of clinical training where anesthesiologists do an internship year then 3 years of clinical training (personally I worked 65-70 hours a week during those years). But really we approach patient care from different perspectives.
Posted on 5/7/16 at 9:22 pm to pleading the fifth
Like I said before, I enjoy the care team model bc I like the knowledge sharing and it is ultimately safer for patients. Furthermore, I don't have any intention of pushing for independent practice and I would hope that the docs I work with wouldn't lobby for AAs a second time.
Posted on 5/7/16 at 9:46 pm to Parallax
Meh We got off topic.
The point is you're a dumbfrick who doesn't actually know what nurses do and you've proven that in this thread.
The point is you're a dumbfrick who doesn't actually know what nurses do and you've proven that in this thread.
Posted on 5/7/16 at 10:20 pm to Shakita Bonita
I just wanna come in and ask something. If NPs practice themselves, wouldn't you the patient, essentially be diagnosing yourself by thinking you don't have anymore than what's obvious? Maybe a MD would find something else.
Posted on 5/7/16 at 11:11 pm to LATigerdoc
This entire thread makes me ashamed to be in health care....
I swear bartending was a more honest profession with far more integrity.
I swear bartending was a more honest profession with far more integrity.
Posted on 5/7/16 at 11:14 pm to LATigerdoc
I've been fairly disappointed with medical care I and others I know have received. It usually takes several office visits, seeing the doctor maybe 5 minutes at a time to get any results. Usually I'm healed or recovered before the medical professionals figure out what's wrong.
It's a turn and burn industry.
It's a turn and burn industry.
Posted on 5/7/16 at 11:15 pm to Paul Allen
Trust me, if I could make the same money and get free health insurance I would.
The ego in this thread is nauseating.
The ego in this thread is nauseating.
Posted on 5/8/16 at 1:07 am to LATigerdoc
quote:
Here we go again...
Louisiana nurse practitioners are pushing to remove oversight by MDs in the primary care of patients. Eliminating the collaborative practice agreement is NOT safe for Louisiana patients. Nursing school is simply NOT equivalent education to medical school. Nurse practitioner school is NOT equivalent to medical residency training. Louisiana patients deserve to have the primary care of a Medical Doctor. The education/training pathways are simply not equivalent, and there is no way to accurately argue otherwise.
It seems inevitable that bills similar to this will become increasingly popular due to shear necessity, as the State increasingly struggles provide services to a rapidly expanding population. As mentioned multiple times throughout the this thread, the system will remain largely unchanged for those with convenient access to physicians. On the other hand, it's a matter of finding adequate alternatives for those with access to care issues, even if the approach is less than ideal.
There are currently 1 Million+ people participating in Bayou Health. It's anticipated that another another 300K+ will be added to the system in the next 60 days. When you consider the LSBME only lists about 15,000 physicians in the state, some alternative method will be needed to augment the doctor labor pool.
Nonetheless, even if a massive recruitment of additional doctors was realistic, cheaper alternatives are always preferable. Currently, (where authorized) Medicaid pays providers 80% of the physician rate for services provided by NPs.
I'd imagine the next step in the logical progression will lead to a legislative push to approve physician outsourcing with some type of telemedicine initiatives.
Posted on 5/8/16 at 8:29 am to lsuconnman
1. Are there NPs out there right now that cannot see patients, that after this bill passes will then be able to see patients?
2. Most NPs are billing directly as it is (at 85% the rate of an MD). They can only bill "incident to" (100% MD rate) if the physician has already seen the patient, the MD is present in the building, and NOTHING has changed about the plan of action. If there is a new symptom/complaint the physician must see the patient again and establish a new plan of care. So how much money will this bill save?
Please answer those 2 questions for me.
Thank you
I would definitely be for this bill if it included language that required an NP to open up shop in rural areas, and required them to practice under a physician for a significant amount of time (like a residency). Otherwise, this bill won't change anything about healthcare in this state. You will just have 10 more urgent cares on every corner in New Orleans and Baton Rouge.
2. Most NPs are billing directly as it is (at 85% the rate of an MD). They can only bill "incident to" (100% MD rate) if the physician has already seen the patient, the MD is present in the building, and NOTHING has changed about the plan of action. If there is a new symptom/complaint the physician must see the patient again and establish a new plan of care. So how much money will this bill save?
Please answer those 2 questions for me.
Thank you
I would definitely be for this bill if it included language that required an NP to open up shop in rural areas, and required them to practice under a physician for a significant amount of time (like a residency). Otherwise, this bill won't change anything about healthcare in this state. You will just have 10 more urgent cares on every corner in New Orleans and Baton Rouge.
Posted on 5/8/16 at 9:16 am to LATigerdoc
1000% agree with Tigerdoc.
Posted on 5/8/16 at 9:17 am to RogerTheShrubber
Maybe because you're in Alaska? I've been very satisfied with my healthcare in La. Doctors spend 20 or more minutes with me and they take quick action getting me in to see specialists in 2 weeks or less.
Posted on 5/8/16 at 9:20 am to LATigerdoc
God forbid we give the PATINET the right to choose their provider
Posted on 5/8/16 at 2:52 pm to Overbrook
Overbrook, you're the man. Next thread's on you.
Posted on 5/8/16 at 2:58 pm to Tigerpaw123
quote:
God forbid we give the PATINET the right to choose their provider
You can choose to have an NP be your provider right now you dolt.
Posted on 5/8/16 at 3:03 pm to LATigerdoc
Psychologists who prescribe in LA successfully removed that requirement to be supervised and report to MDs in 2009. Of course they only are able to Rx psychotropic meds. I am sure the proposed autonomous practice of APNPs is limited in scope too.
Posted on 5/8/16 at 3:05 pm to MrSpock
One of the biggest problems with medicine is the knowledge and communication gap. Patients just don't understand our thought process and what goes into our training, clearly as seen in this thread.
The idea of a nurse practitioner practicing solo with their level of training after they finish schooling is downright scary. It's akin to a medical student hanging their own shingle without residency, except medical students have more training coming out of school than NPs.
The idea of a nurse practitioner practicing solo with their level of training after they finish schooling is downright scary. It's akin to a medical student hanging their own shingle without residency, except medical students have more training coming out of school than NPs.
Posted on 5/8/16 at 3:18 pm to LSUTANGERINE
quote:
I am sure the proposed autonomous practice of APNPs is limited in scope too.
That's my point. How does the patient know what the scope is? You are essentially diagnosing yourself by not going to a MD.
Posted on 5/8/16 at 3:25 pm to Hu_Flung_Pu
Not necessarily. APNPs would be allowed to automously diagnose and treat only certain disorders. If they need a differential diagnosis ruled out that their scope does not allow, they would have to refer to a physician.
Popular
Back to top


1





