Interesting Physician Perspective On NPs - page 8
by PMFB-RN 19,575 Views | 96 Comments
I am not an NP. I am a full time rapid response nurse at a teaching hospital. This morning I stopped in to residents office to update the night residents on what had happened with their patients and what I had done. They were in... Read More
- 0Nov 11, '12 by PatMac10,RNQuote from VICEDRNCome to my school and the hospital I work at. We've had a whole 2 days lecture on nurses and their role In policy and protocol development. Because, more often than not, it will be nurses and other staff who carry out the said protocol, they are affected by protocols, so they are part of development of them.The CEO of the hospital where I'm employed is a nurse (not even an APRN) she has an MSN. She does a pretty good job. And I live in the South.It's not bitterness and cynicism. Once upon a time, I let someone sell me on nursing school instead of medical school. After all, nurses are the real life savers, right? Took me about 8 weeks to see through that nonsense. The truth is, I'm an idealist usually and look at the trouble it has brought me. Med school is likely out of the question since I have borrowed for two bachelors. I see what I think is really real for a large part of the country. You may have found a little piece of shangri la but I live in the Deep South and I am skeptical that a) what you say is true (but rather is what you idealize) and b) if it is, that this sort of place is few and far between. I have never seen an np or pa make anywhere near the same pay as an md nor participate in the development of protocols. If you see me on the flip side, I am hoping it will be as a pa or md/do. I never want to hear the word nurse associated with my name again.
- 1Nov 11, '12 by AbeFrohmanThere is a lot wrong with NP and PA scope of practice in the south, particularly Alabama, which has the most restricted scope of any state in the nation for NPs. Louisiana won't allow CRNAs to practice chronic pain management, even though CMS has decided that it is within their scope and can be reimbursed for it. Many more examples.
- 0Nov 11, '12 by myelinIt absolutely amazes me how different NP scope of practice is state by state. It sounds like the south is one of the worst places to be. And the idea that nurses have no control over policy just makes me laugh. Tell that to my acute care CNS professor who spent 30 years working in the ICU at a level 1 trauma center... and yes, he has written many of the policies that both the floor nurses and providers (MDs, NPs, etc.) follow, as well as published in the field.
- 6Nov 14, '12 by SycamoreGuyQuote from Jeweles26In this case it is the very real resrictions southern states place on NP practice, and not the stereotypes you mentioned.I don't get what everyone has against the South. There are ignorant, bigoted people everywhere, although it seems to be a stereotype mostly associated with the South...
- 2Nov 14, '12 by BlueDevil,DNP5:21 pm by zenman
Quote from SycamoreStudentIn this case it is the very real resrictions southern states place on NP practice, and not the stereotypes you mentioned.
That's right, plus the very low salaries.
Yes, we are referring to practice restrictions, autonomy, salary issues, etc. I don't believe anyone was focusing on social or cultural matters unrelated to nursing/advanced practice nursing issues.
- 0Nov 15, '12 by SycamoreGuyQuote from Jeweles26It depends on the state and city. All things being equal I believe salary is lower even when cost of living is taken into account.Well as far as salary restrictions go, its been my understanding that cost of living is much lower in the South compared to the North. Please correct me if I am wrong though!