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

Posted on 5/23/16 at 5:52 pm to
Posted by Bleeding purple
Athens, Texas
Member since Sep 2007
25349 posts
Posted on 5/23/16 at 5:52 pm to
@ hopeful doc

quote:

I'll almost definitely wind up in (redacted). I'm actually going look at a practice down that way tomorrow.

Private ~60 bed hospital, almost entirely primary care driven. There's a solo practice that's inviting me to potentially step in. FP guys still see newborns and are the NICU team, a few of them still scope, won't be doing any OB.

I don't think I could ever enjoy being employed by a hospital or live in an area where direct access to subspecialists exists.




This IS us if you are interested.


Posted by SmackoverHawg
Member since Oct 2011
31609 posts
Posted on 5/23/16 at 6:18 pm to
The NP program and training was never intended or designed for them to practice solo. If they are going to try and practice medicine, it should be under the medical board's supervision and only after passing a certification test approved of by that state's medical board, and be able to show however many hours of "appropriate" supervision prior to testing.

That seems fair does it not?
Posted by guttata
prairieville
Member since Feb 2006
22654 posts
Posted on 5/23/16 at 6:28 pm to
Sure, as long as the medical board puts a NP on the board so their is someone there to have their best interests at heart, just like the MDs on the board have MDs best interest at heart. Why the heck would NPs blindly allow the medical board to determine what is required of them to be qualified to treat patients with out a collaborating physician. They don't fall under the medical board, they have their own board which determines their scope of practice.
This post was edited on 5/23/16 at 6:33 pm
Posted by SmackoverHawg
Member since Oct 2011
31609 posts
Posted on 5/23/16 at 6:32 pm to
quote:

Sure, as long as the medical board puts a NP on the board so their is someone there to have their best interests at heart, just like the MDs on the board have MDs best interest at heart.

That's what the nursing board is for. If you wanna practice medicine, you have to play by the same rules we do. Fair is fair.
Posted by SmackoverHawg
Member since Oct 2011
31609 posts
Posted on 5/23/16 at 6:34 pm to
In order for me to practice medicine unsupervised, I had to pass a series of exams. USMLE step 1,2, and 3. If I didn't pass these exams, I wouldn't be able to practice. Pass the test...win the prize.
Posted by guttata
prairieville
Member since Feb 2006
22654 posts
Posted on 5/23/16 at 6:36 pm to
They already pratice medicine. They just want to do without the collaborating physican.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/23/16 at 6:42 pm to
They "practice medicine" under supervision like their training intended. If they want to act in an autonomous fashion they need to prove that they are capable of that and there needs to be an appropriate board to oversee them. Not a board of nurses that have no experience acting autonomously.

What they want has absolutely no relevance in this conversation
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/23/16 at 6:48 pm to
We know what you are about. You are about changing standards through legislation to allow you to do what you want.

There are standards in place for a reason. To make sure that there is a minimum level of knowledge and experience required to practice medicine. There is nothing wrong with that. Those rules are not a monopoly in any way.

You are trying to undermine that for personal gain
Posted by SmackoverHawg
Member since Oct 2011
31609 posts
Posted on 5/23/16 at 6:50 pm to
quote:

They already pratice medicine. They just want to do without the collaborating physican.

Just as I did as an intern. Then I passed a test to show I was competent to practice alone.
Posted by guttata
prairieville
Member since Feb 2006
22654 posts
Posted on 5/23/16 at 6:55 pm to
Please explain to me how any healthcare profession (outside of a MD or DO)is suppose to evolve if that evolution does not also include changing the laws?
Posted by Parallax
Member since Feb 2016
1459 posts
Posted on 5/23/16 at 6:56 pm to
Different healthcare professions have different roles. How can you not understand that?
Posted by SmackoverHawg
Member since Oct 2011
31609 posts
Posted on 5/23/16 at 6:58 pm to
Answer me first. Why shouldn't they have to pass an exam similar, if not the same, as ours to practice unsupervised? If they are as good as y'all seem to think, it'll be a cake walk.
This post was edited on 5/23/16 at 7:00 pm
Posted by guttata
prairieville
Member since Feb 2006
22654 posts
Posted on 5/23/16 at 7:06 pm to
I agree that they need to pass a test/certification that proves their competence to practice without a collaborating physican.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 5/23/16 at 7:06 pm to
quote:

Please explain to me how any healthcare profession (outside of a MD or DO)is suppose to evolve if that evolution does not also include changing the laws?


What the frick?

Who ever said a healthcare profession was supposed to evolve into something they weren't trained to do? The specific professions were started to fill a specific role.

Wow. This explains why your logic is so flawed.

What other professional schools evolve into something else? Should construction management programs evolve into engineering programs by circumventing the boards engineers are required to take?
This post was edited on 5/23/16 at 7:09 pm
Posted by SmackoverHawg
Member since Oct 2011
31609 posts
Posted on 5/23/16 at 7:12 pm to
They can evolve by improving at the job they were created to do and quit trying to be something they are not and were never intended to be. If they really want to evolve, they can go to med school. Pass USMLE steps 1,2, and 3 and practice solo all they want. Of course, they'll have to pass a board certification as well after they complete 2 more years of residency.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 7:22 pm to
Yes they do practice medicine (supervised) and should be under the medical board. But they deceptively term it advanced practice nursing
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 7:22 pm to
And the vast majority would not pass it
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 7:26 pm to
First off. Professions involve law, medicine, and the clergy.

These other things (Pa, PT, OT, OD, etc) should not be evolving.

You picked the field you picked. Go to school for what you want to go to school for and then do what you went to school for.
This post was edited on 5/23/16 at 7:29 pm
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 7:26 pm to
Now you see what we have to struggle against in the eye world
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/23/16 at 7:28 pm to
This evolving stuff is akin to running the forty yard dash and then asking at the end for a trophy for the 100 yard dash and then changing the rules to say you ran the 100 yard dash and should qualify for the next race in the 100
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