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

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No, the root of the discussion is you have a provider practicing medicine that isn't a MD and the education /training associated with it.

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well to be fair, your argument is pretty tautological

They should not. That is not what they went to school for

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but the root is privileges vs education.

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you mean like social privileges or hospital privileges?

I don't know if pharmacists have any clinical training while in school. But I've been around them during their residencies and don't think I've ever seen one talk to a patient. They'd sit with us during table rounds and occasionally follow us during floor rounds.

The little consult clinics I've seen at Walgreens are scary. I've personally seen some green Asian pharmacist have the most awkward patient encounter I've ever seen about a rash.

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could NPs be a good supplement to day-to-day GP work in the medical field? almost assuredly

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And they do. This legislation changes NOTHING. How is that so hard to understand. It literally removes all restraints from their practice. The will be able to do anything they are ballsy/ignorant enough to do. And they won't be monitored by the medical board.

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but can a paralegal do lower-level work like family law or criminal? oh yeah. i seent it

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That's what NP's were designed to do. Nothing more, but they are changing the rules. And they only ones standing to benefit are large groups, hospitals and retail chains that will then be able to drop doctors entirely.

You want to be a doctor? Go to med school. Wanna be a NP? Go to nursing school. It's absolutely fricking retarded that it's even made it this far.

But like I said, frick it, primary care will become even less attractive and no new docs will go into. I predict a boon for those of us that do and are good at it. Create a shortage and then profit. No way in hell the specialists are gonna want to handle all the bullshite referrals they'll be flooded with by NP's. Not to mention, they'll have to work them up and do all the footwork we'd generally do.

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This legislation changes NOTHING. How is that so hard to understand.

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i am talking bigger picture and not about this particular piece of legislation

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It literally removes all restraints from their practice. The will be able to do anything they are ballsy/ignorant enough to do. And they won't be monitored by the medical board.

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and if they screw up, they won't be protected by the med mal statutes and i presume they will have to carry insurance. if seriously dangerous trends develop then people will stop going to them for treatment in those areas. that's how markets work

It's amazing to me that certain fields can lobby to be given privileges of a physician, prescriptive authority, independence, a long white coat, and a doctorate degree - calling themselves doctor - all the while pointing the finger at doctors and claim the physicians are the ones who are confused and wrong and somehow physicians are evil. What's left of a doctor if all that is part of being a midlevel? Seems to me a midlevel would no longer be a midlevel. Some people will decide against going through medical school if there is no longer anything different about a doctor. Society will suffer as a result. Plus without the education you should not tell the patient or appear to the patient to be something on the outside which you are not on the inside

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and a doctorate degree - calling themselves doctor

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A Doctorate of Nursing I have always felt was an overreach. There has always been a business model within nursing to make career students. Pushing ADN RN's to get a BSN when it has absolutely ZERO benefit to your career. I was recently told by a hospital nurse educator that I should consider going back to school?

frick YOU!!! I am 43. A BSN does a person with zero desire for management NOTHING for their career. But still they constantly push for it. It is not my fault that a Pandora's Box was opened decades ago with Associate degrees and diploma degree programs. If it were going to be an issue later, dont open the box. It goes on now to the Doctorate of Nursing. Useless. A buddy of mine is going to school for it. I tell him if he ever asks that I call him Doctor Nurse I am punching him in the suckhole.

To the origin of the thread. How much of this has to do with Louisiana sucking for MD's? I know it sucks for nursing. When compared to other states how does Louisiana rank for MD's opening a practice? My assumption is that it is shite, but it is only an assumption.

Docs and insurance opened another Pandora's box when beginning with PA's and NP's. It was done as a way to get more people seen. Now I guess NP's are looking to get more of the pie?

I completely agree about people calling themselves doctor around a patient or other clinicians. Call yourself whatever you want at home or during your morning self pep talk but not around people coming to you for information.

There are some good physicians in Louisiana but there are a lot of really bad ones. I don't know if they lack knowledge or simply don't care but I've seen/heard of some pretty crappy care. I don't like the idea of physicians role becoming limited but I REALLY don't like poor care.