studentnurserachel 3,765 Views
Joined Aug 6, '05.
Posts: 144 (10% Liked)
I prescribe all of the drugs already mentioned all the time to patients I am convinced require them (but it takes objective diagnostic data to convince me -sleep studies, psych evals, imaging, etc). I feel comfortable with all of those and I do find situations where I think they are quite safe and appropriate.
I do not use Soma, ever. I will not even refill it, I change it. There are other perfectly good drugs in the class and I simply do not see any rationale to use a dangerous version of the same thing. I absolutely will not write for medical marijuana. I have very, very rarely written for methadone in egregious circumstances. I feel as a general rule that sort of thing needs to be handled in pain management. Oxycodone, oxycontin, morphine, MS contin, fentanyl, dilaudid, hydrocodone in all it's forms, all the benzos, sedative/hynotics I do every day with nary a thought. It seems hardly anyone can just shut their eyes and go to sleep anymore and everyone and their cat is anxious. The medications don't make me uncomfortable, but they do make me wonder how Americans coped before everyone was doped up.
While the salary quoted might be low for an NP, to compare NP to MD is ludicrous.
One thing you will learn as an NP is to have respect for all members of the healthcare team. Get in over your head and with a negative attitude, you will get hung out to dry. However, be respectful to everyone and the MDs will also have your back.
FWIW, I don't live in the NE.
As my family's finances are secure and retirement assured irrespective of our present and future income, we are no longer motivated by salary or cost of living issues, per se. We would never choose to live in any state that didn't allow NPs full independent practice and legally provide parity to my physician colleagues. I would never opt to work alongside colleagues that did not treat me as an equal in every way.
I do not use the term "midlevel." I always take the extra millisecond to say "nurse practitioners and PAs" when I want to make a statement intended to be inclusive of both professions. That said, I certainly do not object to NPs and PAs being "lumped together." I do feel somewhat badly for PAs; I think it is unfortunate for the group that they are precluded from practicing to the full extend of their education and training. I hope that changes in the future, and I think if there is anyway NPs can help PAs obtain any measure of autonomy we ought to do so. However, we have not yet even been able to free our own members from the chains in states in (ahem) certain parts of the country that I guess it is politically incorrect to specify, lol. Until we can get our own profession straightened out, we are in no position to assist out PA brethren!
Sorry, all advance practice nurses are created equally. None of them is superior to any other, and I don't know anyone who thinks otherwise except students who don't know any better. We think of ourselves, along with our PA brethren, as well as MDs and DOs, as colleagues. We have different specialties and backgrounds, but we are all peers. This constant need to "rank" people is jejune, and only diffident people feel the need to play that game. Everyone brings something unique to the table. When you are working within a group, you quickly learn how to work together toward everyone's strengths and all that ego nonsense falls away.
Grown ups do not discuss their salaries, how gauche.
I've got news, the coding police, practice managers and risk mangers ultimately out "rank" us all.
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