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

Bottom Line in the sense of hospital budget. How much do they save strictly by paying MDs and NPs on staff. Does the hospital entity save money (budgeted salary) by being able to employ more autonomous NPs and reduce the number of employed MDs all while providing the same care (on paper). Is that the underlying intent of the bill, to save money on the bottom line?

There is a difference in pointing out the education and training difference between NPs and MDs and essentially saying you're smarter and know more than all NPs and implying they are basically functioning idiots.

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There is a difference in pointing out the education and training difference between NPs and MDs and essentially saying you're smarter and know more than all NPs and implying they are basically functioning idiots.

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I can understand how the argument appears this way, but I will try to do a better job of explaining it. Doctors don't like to admit they are wrong, but if you really sit down and ask them, they will tell you. Medicine is hard. It can be incredibly complex. We aren't perfect. We miss things. We screw up surgeries. Etc.

Which is why they are fighting so hard to let someone with 500 hours of clinical experience be autonomous in their decision making.

Has one physician in here said anything negative about CRNAs? No. Because they realize the level of training they receive prepares them for the majority of issues they will encounter. Unlike the outcome of this proposed bill.

I don't have short man syndrome at all. I actually enjoy working with anesthesiologists on very complex cases and appreciate their knowledge. It's a good team approach in my opinion.

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There is a difference in pointing out the education and training difference between NPs and MDs and essentially saying you're smarter and know more than all NPs and implying they are basically functioning idiots.

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It's really not though. Intelligence and training are quite different things. More intense training leads to more encounters with oversight from people who have been doing it longer which leads to more comfort and knowledge of a variety of situations. It's absolutely nothing to do with intelligence of the person in question. Just the vastness of where they draw their experience from. The intensity of residency is much higher than that of NP training and for good reason- residency is intended to create a practitioner capable of decision making without oversight. NP programs are designed to give people who are familiar with common situations the capacity to treat very common and simple things under the supervision of the aforementioned.


I'm all for the bill with one caveat: they tack on passage of Step 1, 2CK, 2CS, 3 and a minimum of 150 weeks of clinical practice with oversight to the requirements for DNP to see patients without oversight.

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You do realize that a CRNA is also considered an APRN? APRNs aren't just NPs.

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Totally different training. CRNA school is much more competitive to get in to. More rigorous and more focused on one thing...anesthesia. It's way closer to actual med school. There is a huuuuuuge difference between CRNA school and NP training and there is a big drop off from med school to CRNA school. My brother is a CRNA btw. Couldn't get into med school. Excelled in CRNA school. It's like med school lite but only focused on one area.

Why would anyone defibrillate sinus tach???

And then in response to the comments on the airway, the idea was not that the ophthalmologist manage the airway while simultaneously taking off the cornea, but that the optometrist should not be near an airway because they have no qualifications to operate/manage the body systemically in a surgery

Yeah and please defend the APRN online courses someone; there's no way that qualifies someone to autonomously manage a patient without oversight

One thing that is scary....is people becoming NPs without a lot of actual floor nursing experience. That's just crazy imo. Shouldn't be allowed, you should have to have so many years experience before you are eligible for NP programs. Online formats work well with nurses that already have years of nursing experience (including experience in critical care areas).

What's a DNP? A doctor/nurse? Explain to me how that is not deceiving the patient with regards to education and qualification

Blurring the lines is an attempt to change perception in the mind of the patient.

If you go to a clinic and the person who walks in the room says "Hey I'm Dr. Smith" and has on a long white coat, are you gonna ask them are you actually a doctor?

For clarification, there's no such thing as a doctor except a graduate of medical school