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re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187
Posted on 5/20/16 at 4:52 pm to Dale Murphy
Posted on 5/20/16 at 4:52 pm to Dale Murphy
quote:
And you don't think that will change with mid levels having complete autonomy?
I wish I could live in utopia along with you
Well they haven't yet for years in those states where NP's have the autonomy.
0
Posted on 5/20/16 at 4:54 pm to LATigerdoc
quote:
There should be required review of all NP charts
Posted on 5/20/16 at 5:12 pm to lsujro
What do you think NPs, PAs, and optometrists want out of all of this?
Answer: To increase their income and scope of practice without having to undergo the same rigorous training and pass the same exams.
Answer: To increase their income and scope of practice without having to undergo the same rigorous training and pass the same exams.
Posted on 5/20/16 at 5:14 pm to Blob Fish
Nailed it
Posted on 5/20/16 at 5:15 pm to Blob Fish
quote:
What do you think NPs, PAs, and optometrists want out of all of this? Answer: To increase their income and scope of practice without having to undergo the same rigorous training and pass the same exams.
And pharmacy chains and big hospital groups that want cheap help regardless of skill or quality for quick clinics and urgent care. Fast food medicine.
Fine with me though. I'll put one at the pharmacy. shite got kicked to the curb here Arkansas, but I figure it's just a matter of time.
Posted on 5/20/16 at 5:26 pm to Tigerpaw123
quote:
and only a handful or so charts are reviewed, then the majority of patients being seen by a NP, nothing would change, and if we are so worried about safety then shouldn't every chart be reviewed? so, if that is the way it is, I am inclined to support the bill,
This. Doctors, as a group, have done this to themselves. Under most current situations, it's hard to argue that ANY supervision is taking place. I do things the way I do because I feel it's right. Even if I don't have a legal requirement to review their work and be as available as I am, I have an ethical requirement and I also am keenly aware that ultimately anything that occurs in my office reflects on me.
I can't refute the claims by many of the NP's that they are basically paying for "supervision" in name only. Doctors need to step up and provide more appropriate oversight and collaboration or accept that eventually this will pass. Can't have it both ways.
Posted on 5/20/16 at 5:26 pm to LATigerdoc
I'm a pathologist. My specialty has its own problems, but there will never nurses or PAs signing out path reports haha.
Posted on 5/20/16 at 5:28 pm to Blob Fish
quote:
I'm a pathologist. My specialty has its own problems, but there will never nurses or PAs signing out path reports haha.
Never say never!!! Slippery slope and all.
Posted on 5/20/16 at 5:32 pm to Blob Fish
The pathologist is the doctor's doctor
Posted on 5/20/16 at 5:33 pm to LATigerdoc
Any path report from a non MD I would toss in the trash
Posted on 5/20/16 at 5:34 pm to SmackoverHawg
Doubtful. Med schools are hardly even teaching pathology anymore, much less nursing schools and PA schools. No, our foe is a different animal altogether... Pigeons
LINK
LINK
Posted on 5/20/16 at 5:36 pm to LATigerdoc
So the board that will oversee independent NPs will be comprised of nurses? Is that right?
Posted on 5/20/16 at 5:37 pm to LATigerdoc
quote:
Any path report from a non MD I would toss in the trash
But a non-MD would. Just like our local "Dermatologist" is an NP. Fresh out of FP NP training. Collaborating physician NEVER on site. Physicians are inviting this.
Posted on 5/20/16 at 5:37 pm to WaWaWeeWa
quote:
So the board that will oversee independent NPs will be comprised of nurses? Is that right?
Correct.
Posted on 5/20/16 at 5:42 pm to SmackoverHawg
That's a scary thought. Melanoma is nothing to frick around with.
Posted on 5/20/16 at 5:43 pm to Blob Fish
quote:
That's a scary thought. Melanoma is nothing to frick around with.
Yes. Had a pt self refer not knowing any better. Had shave biopsy done on melanoma.
Posted on 5/20/16 at 5:46 pm to SmackoverHawg
That's not uncommon sadly. They think it's a seborrheic or actinic keratosis. Sometimes they try to freeze it first. Oops. General pathologists hardly even touch melanocytic lesions anymore. They leave it up to dermatopathologists. It's so difficult, and there's such a high price to pay for missing the diagnosis. PERFECT argument against shortcuts around the medical degree.
Posted on 5/20/16 at 5:53 pm to SmackoverHawg
That is what is so crazy.
How is a board of nurses that has no experience practicing independently and operating autonomously going to oversee a group of people who can? While simultaneously overseeing all nurses?
Im not a big government guy, but laws and standards exist so that I can go about my everyday business without having to vette everything I interact with. Following most logic on here, let's lower the standards for construction managers to practice engineering or air traffic controllers to fly planes.
When I get on a plane and I see that the pilot is in his suit, I trust that he has accomplished the minimum training required to operate the plane. I don't want to have to worry or ask him about his training.... That's the "let the market sort it out theory"
I'm all for competition, it does lower costs. But competition needs to be Between qualified individuals . You don't lower standards. You can create competition among doctors by making costs transparent and getting insurance out of the equation.
How is a board of nurses that has no experience practicing independently and operating autonomously going to oversee a group of people who can? While simultaneously overseeing all nurses?
Im not a big government guy, but laws and standards exist so that I can go about my everyday business without having to vette everything I interact with. Following most logic on here, let's lower the standards for construction managers to practice engineering or air traffic controllers to fly planes.
When I get on a plane and I see that the pilot is in his suit, I trust that he has accomplished the minimum training required to operate the plane. I don't want to have to worry or ask him about his training.... That's the "let the market sort it out theory"
I'm all for competition, it does lower costs. But competition needs to be Between qualified individuals . You don't lower standards. You can create competition among doctors by making costs transparent and getting insurance out of the equation.
Posted on 5/20/16 at 5:57 pm to WaWaWeeWa
Have an upvote. You just hit a home run.
Posted on 5/20/16 at 6:16 pm to SmackoverHawg
That is quite worrisome
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