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

Posted on 4/9/16 at 11:34 am to
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 11:34 am to
And furthermore, the study of nursing is the study of nursing. Medicine is different than nursing. If you want to practice medicine, go to MEDICAL SCHOOL. If you wanna be a lawyer, GO TO LAW SCHOOL

If you wanna be surgeon, GO TO SURGERY RESIDENCY

These are simple concepts
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 4/9/16 at 11:35 am to
How long have the other states had the law on their books?

Are there studies showing it increases access to care? Reduction or increase in costs?

Effects of quality of care?

Until I see those results I will defend the OPs position based on what I have seen/heard. I don't think we should get into the practice of passing laws because "we haven't heard anything bad happen yet". What news are you waiting for? Some special on 60 minutes because NPs are ordering too many consults? Stories get written because someone is trying to benefit in some way. If this trend continues doctors will still go about their business and just shake their head. Healthcare costs will still be sky high. Everyone will continue to wonder why our system is screwed up and the average Joe will have no idea if the NP is mismanaging their chronic disease
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 11:36 am to
The difference is the curve distribution or intellect of the average student in the class and the difficulty level and expanse of the subject matter. You don't know what you don't know.

The books are different, the lectures are different, the teachers are different, the labs are different, the curve is different, the admissions scores are different, the length of coursework is different, the patient acuity is different, the standards are different, the students (on average) are very different, the board exams are immensely different, the test questions are different, the workload is different. The medical doctor trains in all major areas (psych, medicine, family medicine, neurology, pediatrics, surgery, OBGYN). The body is incredibly complicated and systems are inter-related. Live through some of this training and then come present your ideas
This post was edited on 4/9/16 at 11:40 am
Posted by SmackoverHawg
Member since Oct 2011
30957 posts
Posted on 4/9/16 at 11:36 am to
quote:

I just don't see why this is this doomsday thing?

It's not. It just bullshite. It a matter of principle. If you want to be a doctor, go to mf'ing med school. Period.

How many episodes of Matlock do I have to watch to be a lawyer? Same fricking difference.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 4/9/16 at 11:36 am to
Doctor of Nursing Practice

And DNPs are not allowed to call themselves doctors nor do they try to. No NP actually thinks they are on exact equal footing as a doctor, at least not the ones I know. Most know their place on the totem pole.
Posted by GVT
Lafayette
Member since Jan 2004
1015 posts
Posted on 4/9/16 at 11:40 am to
We'll said, and my wife is an NP. The training is pretty much a joke. You really have to educate and train yourself. She had to pretty much beg some MD's to precept her and wasn't all that interested in teaching. Its a terrible system the way it's set up now.
Posted by Boagni Swamp
Right next door to No Face
Member since Oct 2015
912 posts
Posted on 4/9/16 at 11:40 am to
quote:

How many episodes of Matlock do I have to watch to be a lawyer?



31 of Matlock
11 of LA Law
8 of Law and Order

You also need to have completed A Few Good Men, My Cousin Vinny, and To Kill a Mockingbird.

The Bar is considering adding Better Call Saul as required viewing, and I support that.
Posted by SmackoverHawg
Member since Oct 2011
30957 posts
Posted on 4/9/16 at 11:41 am to
quote:

many now require all NPs to have their DNP.

quote:

What does this mean? The training is still subpar.

It means more pt confusion. frick it. I'll just go with the flow and call myself whatever I wanna be that week. I can have a Dermatology/Neurosurgery/Plastics/Bariatric clinic. People are dumb. Giving NP's the right to call themselves doctors will just confuse the situation.

I don't give two shits though. I win either way. But many people will get fricked up by NP's along the way. This is first step towards European healthcare. You want "cheap" care? You see NP. You wanna pay? See the doc. Maybe it'll inspire doc's to step up. Who knows.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 4/9/16 at 11:41 am to
Why would you hang a degree on your wall which says doctor and not believe that is what you are.

The noun in the degree is Doctor (the rest is a prepositional phrase).

Why would you wear a long white coat and believe you are anything but a doctor with a long coat and a degree which says doctor
This post was edited on 4/9/16 at 11:42 am
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 4/9/16 at 11:42 am to
quote:

Most know their place on the totem pole.


This comforts you? I'm sure. Because you know the difference between the ones that do and the ones that don't.

What about the innocent old lady that lives by herself and doesn't have a clue who is managing her 15 medications?
Posted by TheOcean
#honeyfriedchicken
Member since Aug 2004
45188 posts
Posted on 4/9/16 at 11:43 am to
quote:

These are simple concepts


You and 911moto would make a great gay couple
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 4/9/16 at 11:47 am to
Won't be me. I have noooooo desire whatsoever to become an NP. Ever. If I tire of hospital bedside nursing I'll go in case management or take a paycut and take some easy job working at a doctor's office.


It is crazy now all the nurses that think they just have to get their masters now and then work to get their DNP. Even with expanded scope of practice here....I know nurses that are Peds NPs and are still working as regular RNs....cause they can't find a Peds NP job. That has to suck having all that extra educational debt....but I'm making pretty much the same as you without even a BSN
Posted by Scooby
Member since Aug 2006
1940 posts
Posted on 4/9/16 at 11:48 am to
quote:

Why would you hang a degree on your wall which says doctor and not believe that is what you are.


It says doctorate of nursing practice.
Posted by KarlMalonesFlipPhone
Member since Sep 2015
3848 posts
Posted on 4/9/16 at 11:50 am to
quote:

We'll said, and my wife is an NP. The training is pretty much a joke. You really have to educate and train yourself. She had to pretty much beg some MD's to precept her and wasn't all that interested in teaching. Its a terrible system the way it's set up now.


This is spot on from my anecdotal experience. On rotations during med school I came across a few RNs pursuing their NP and all they were doing was shadowing the MD. No seeing patients, no clinical decision making, simply following the MD around. One of the girls was getting her DNP online through some school in Alabama. Didn't leave me with very much confidence in the process.
Posted by SmackoverHawg
Member since Oct 2011
30957 posts
Posted on 4/9/16 at 11:51 am to
quote:

cause they can't find a Peds NP job. That has to suck having all that extra educational debt....but I'm making pretty much the same as you without even a BSN

Even if this law passes they can't go solo. If it's like the one they're pushing for in AR, they have to work like 2000 supervised and then go to an area of need. It got struck down. As well as it should have, both of my NP's have given testimonials against it. I have a peds NP and a FP NP. They both KNOW they don't need to be alone...ever.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 4/9/16 at 11:56 am to
quote:

an area of need.


Another place that you really need someone well-trained, otherwise you start hurting people.
Posted by jennBN
Member since Jun 2010
3242 posts
Posted on 4/9/16 at 11:57 am to
I am not an NP and have no desire to be one. It pays less than bedside nursing and requires more education/responsibility. However, this thread could benefit from a healthy dose of humility. Maybe the reason some prefer the NP is the difference in bedside manner. Docs, some of you sound condescending and arrogant. Maybe your patients agree...
Posted by jennBN
Member since Jun 2010
3242 posts
Posted on 4/9/16 at 11:57 am to
I am not an NP and have no desire to be one. It pays less than bedside nursing and requires more education/responsibility. However, this thread could benefit from a healthy dose of humility. Maybe the reason some prefer the NP is the difference in bedside manner. Docs, some of you sound condescending and arrogant. Maybe your patients agree...
Posted by KarlMalonesFlipPhone
Member since Sep 2015
3848 posts
Posted on 4/9/16 at 11:59 am to
quote:

I have a peds NP and a FP NP. They both KNOW they don't need to be alone...ever.



Whenever I read your posts about them in this thread I imagine you as a pimp and they are your hoes.

"you know you can never leave me, bitches"
"yes, daddy hawg"
Posted by guttata
prairieville
Member since Feb 2006
22631 posts
Posted on 4/9/16 at 12:02 pm to
How do you address the need of more primary care providers? Med schools have pretty much tried everything to pursuade students to go into primary care. Students simply don't feel the payoff is worth the investment when compared to docs who specialize. The other option is to just have pcps see more patients per day. I hear the argument that allowing NPs to become pcps will compromise standard of care, however, making pcps see 10 more patients a day does nothing but comprise the standard of care as well. So what is the answer?
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