Content That SoldierNurse22 Likes

Content That SoldierNurse22 Likes

SoldierNurse22, BSN, RN, EMT-B 47,811 Views

Joined Mar 29, '10. Posts: 2,217 (67% Liked) Likes: 6,984

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  • Jun 1

    To "Cayenne06" above;
    I understand what you are saying also, and your viewpoints matched most of my coworkers at the time. I found I couldnt do L&D nursing anymore because of the termination issue; I was too stressed out about it & had so much guilt. That was the best choice for me - to leave that field and do something else. I didnt think it was fair to me OR my potential patients to stay. If I feel like I cant be non-judgemental and give the care I should be giving, then it's time for me to leave.

    My "beef" was that the hospital never told me assisting with terminations was an expectation of the job, and I feel they should've - at the interview, before it was too late.

    There's ethical dilemmas in every area of nursing! No way around it, that's for sure. Thank you for speaking about this professionally; it can be a tough topic :-)

  • Jun 1

    Quote from Theworldisourspot
    I have been offered a position in L&D at Northside. Anyone have advice? This is the business L&D hospital in the nation. I am excited but nervous at the opportunity and would love some "real life" feedback from L&D nurses...do you love it? What parts do you least enjoy? Any input in Northside as an employer? Thanks!
    Congrats on the job offer! To answer your questions....

    I like it not love it most days.

    I least enjoy the hideous amount of documentation necessary to cya. Next up would be the unnecessary interventions. Pretty much everyone has more intervention than they need. It's hard having patients that are less than stellar parent candidates.

    I'm not familiar with the facility you've been offered a position, sorry I hope someone chimes in that does.

  • May 18

    The thought of being able to see my abdomen open right in front of me... No thanks! Skin-to-skin right after the baby's out would be sufficiently "natural" for me.

  • May 18

    I'd feel okay with it if they would all just put masks on. That's not a big request!

  • May 18

    Looks like a contaminated surgical field to me. I'm all for making the experience better but wow. Curious to see infection rates.

  • May 18

    We need MD's we need NP's, we need RN's we are all spokes on the wheel, different overlapping supporting roles.

  • May 18

    Quote from RiskManager
    If the OP was concerned over overtrained healthcare professionals representing a waste of resources, then he should look into the how the US military does it. Some valid arguments based upon decades of experience can be made that a US Navy Independent Duty Corpsman, US Air Force Independent Medical Technician or US Army Special Forces Medic can autonomously provide a great deal of primary care at a considerably lower cost than a physician, nurse practitioner or physician assistant.
    This is true however consider that IDC, independent duty corspman mostly are dealing with a very healthy population that's extremely physically fit. People develop many conditions medically boarded out of the military.

  • May 18

    Maybe the MAs will replace the nurses and we can make healthcare a low-wage field for everyone.

  • May 18

    Quote from AAC.271
    The medical model churns out doctors without any prior healthcare experience. Is an np driven healthcare model so radically different? Not necessarily. I would argue it is even more meritocratic because providers must slowly gain that experience to move up the chain.
    That's incorrect. To get accepted to medical school most program require extracurricular activities including Physician shadowing, volunteering, hospital experience (a lot of the students take scribe positions) and undergraduate research. The first 1-2 years of schools are sciences. The last 2 consist of full time rotations doing clerkships and sub-intern years. You pass the steps and require certain scores to be competitive for your desired specialty. Then there is 3 - 7 years of residency that is completed before you're able to be a full fledged physician that practices without oversight. The medical model trickles out providers that have >40,000 hours (estimated) medical experience.

    The PA model requires 2,000 hours prior practice, a year of theory followed by a year of full time clinical hours that is equal to another 2,000 hours. So all together your PA has about 4,000 hours of experience.

    The NP? You've got people that have 15 years RN experience, that go to a competitive on campus program and graduate after completing 1200 hours of clinical. Then you have the "I just completed my RN and don't want to practice as a nurse, apply to walden with a 2.5 gpa and pay someone to shadow for 4 hours a week for a total of 700 hours of watching someone else practice". The NP model is not going to replace MD's anytime soon outside of *maybe* rural primary care. Definitely not in the big cities or desirable areas and until the NP model can figure itself out and standardize entry requirements, get rid of for profit online schools and have solid clinical hours it's just not going to happen.

  • May 18

    The premise is moronic. There is a vast difference, and I mean vast, between an NP and MD in both knowledge base and training. There seems to be this militant arm of the ANA or some other organizations trying to reach clinical parity with physicians. This will never happen, despite any billing or operational changes in healthcare.

    I have peers who literally went to school 100% online and did 16 hours of clinical weekly for only one of their two year program. Any one who thinks that is the same as medical school and residency is drinking the kool aid. This is the problem with nursing collectively. We want our cake and we want to eat it too- all without logging the training hours.

    Here is how you end the debate once and for all. Have all NPs take the the medical boards for whatever specialty they want to practice in. I doubt the NPs would be willing to be held to the same standard as medical training because their education is not of the quality.

    Imagine the uproar from nurses if they allowed paramedics and EMTs to work in hospitals at full-RN wages without going to nursing school.

  • May 18

    Quote from RiskManager
    Let me know how the 2 year online Master's NP does with your pituitary tumor resection.
    I have a 2.1 GPA from the University of Phoenix in English literature of the 1900 and would like to pursue this Doctor of NP surgery degree. I am looking for a program that doesn't require RN experience (eewww... poopie!), can be completed fully online because I have 3 DUI's and cannot drive to campus, and comes with virtual clinical rotations. Plz respond.

  • May 18

    Let me know how the 2 year online Master's NP does with your pituitary tumor resection.

  • May 18

    Quote from AAC.271
    Serious philosophical question about the state of healthcare.
    I doubt that v. much. Looking to "catch" NPs claiming to be equal to physicians??

  • May 18

    Welcome to Allnurses. I see you joined 25 minutes ago. This is ludicrous to suggest replacing our current medical system of physician providers. You obviously underestimate the education & knowledge of physicians. Statistics can be twisted & misinterpreted in many ways. As a NP and a nurse for almost 40 years, I know that my education is not at the level of physicians. NPs have a role & a place in healthcare but no we can not replace physicians & and anyone who thinks it can be done does not understand the healthcare system. As to "so many states gaining autonomy" only about 22 states currently NPs have independent practice. I live in New Mexico where we have had Indy practice for about 23 years. We are a rural state & many areas lack providers of any type. Have you heard of the AMA? They are pretty powerful. As for you NP peers suggest you pick up an MCAT exam book then decide if you have what it takes to "replace a physician". Have any of your peers ever worked in a teaching hospital? I'm thinking you are trolling!

  • May 18

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