The latest good news for all of us

Specialties NP

Published

i just got this medscape update and was so thrilled i went directly to the crna thread and posted it but i think it is relevant to all apns so here it is. this is a meta study and a big one:

[color=#943634]"the authors used medicare inpatient (part a) and carrier (part b) data to study inpatient mortality and complications. it included 481,440 hospitalizations, of which 68,744 were in states that opted out of the supervision requirement"

comparing outcomes of crnas that are supervised to those that are not as well as favorable comparisons to solo crnas compared to solo physician gas:

[color=#943634]"despite the shift to more anesthetics performed by nurse anesthetists, no increase in adverse outcomes was found.... in fact, declining mortality was the norm," they said. "the mortality rate for the nurse anesthetist solo group was lower than for the anesthesiologist solo group."

again we have evidence that when in our scope of practice, we rock! let the typical flamers :crying2: :mad: come and start their typical lines of argument. this is a biiig:eek: study, not some undergrad project. i'm trying to dig through my ovid account for the full text, but the abstract is there so enjoy the article.

read the medline abstract here:

http://www.medscape.com/viewarticle/726427?src=mp&spon=24&uac=139135en

Specializes in Education, FP, LNC, Forensics, ED, OB.
I got the Email that said you had actually posted to this thrad so I decided that was worth an early reply. I agree that the same issues keep being rehashed but I hope you can see that it was a self identified non-nurse that brought those tired arguments to the thread. I will vigerously defend myself and my views against their attacks but it would be nice if APNs and APN students could actualy have a thread celebrating our sucess and acomplishments without seeing the same two or three individuals trolling around and pouncing anytime we say something positive about APN outcomes or studies. I dont troll medical discussions and engage in that kind of behavior and it would be nice if Allnurse admins would recognize trolling behavior for what it is and do something about it. It has got to the point that we are unable to say anything positive on our own "nurses" forum without having the thread hijacked by the same people and the discussion runs it's typical course.

Please do something. It tires a person to the point they are not interested in advocating for the profession when we recieve little support. Sounds a bit like the real world of nursing:twocents:

We are doing something and we totally support you.

When we see non-nurses (now, I'm NOT talking about nursing students and/or others truly interested in nursing) coming here and not allowing our NPs (or, nurses) to have a civil discourse w/o their trollish interjections, we do something. We respectfully request that our APNs (since we are in the APN forum), to help us in our nursing solidarity. When you see trollish-like posts, divisive behavior from these non-nurses, please report. That way, we can do something ASAP. But, if you engage these trollish individuals, it doesn't help. In fact, it just muddies the water and we then spend a lot of time trying to privately communicate with the APNs and at the same time, rid our site of these trollish people.

So, in saying this, the staff at AN are advocates for the Nurse in general and the NP specifically and we are doing our best to keep this site safe from these trollish non-nursing members.;)

Specializes in a lil here a lil there.

Thanks and I do appreciate your view on engaging the repeated offenders. The only reason I do so is that I fear that many nurses may become discouraged if they start believing the c#@p some are peddling. For some it makes it difficult to distinguish conversation from bs when the poster mixes in some truth along with the aforementioned cr&@ola. I also am a bit disappointed that more nurses are not researching and refuting these types of responses but perhaps many just don't have the time or are just plain tired of responding to it. In my view that is worse. When we give up on responding, we in essence give up on advocating, and validate the bs. I know It can become old though. I guess I'm just stubborn. Back to the books.

Specializes in Nephrology, Cardiology, ER, ICU.

Thanks!

I've been an APN for 4 years and to me, the only problem I've ever had with MDs is on this board. Now, maybe they are just keeping quiet to my face, but I've always thought that I have a good to great working relationship with my MDs. In our practice we have 5 mid-levels so we must be doing something right.

Specializes in Emergency, Cardiac, PAT/SPU, Urgent Care.

Please do something. It tires a person to the point they are not interested in advocating for the profession when we recieve little support. Sounds a bit like the real world of nursing:twocents:

Sadly, I think that's why they keep coming here and posting their nonsense. What you stated is exactly what they want to happen.

Specializes in ACNP-BC, Adult Critical Care, Cardiology.
Thanks and I do appreciate your view on engaging the repeated offenders. The only reason I do so is that I fear that many nurses may become discouraged if they start believing the c#@p some are peddling. For some it makes it difficult to distinguish conversation from bs when the poster mixes in some truth along with the aforementioned cr&@ola. I also am a bit disappointed that more nurses are not researching and refuting these types of responses but perhaps many just don't have the time or are just plain tired of responding to it. In my view that is worse. When we give up on responding, we in essence give up on advocating, and validate the bs. I know It can become old though. I guess I'm just stubborn. Back to the books.

It's not that many NP's in this forum have given up on responding or as you stated, refuting the responses that appear to attack the credibility of NP's as a whole. I always look at this website as a totally anonymous internet forum. I respect the founder of this forum and the administrators for the service they provide to the nursing community. However, this is still just an internet forum and whatever is said here can not be taken as absolute fact. Anyone who posts still draws from their own opinions and there is nothing stopping them from doing that as long as their statements are within the confines of the site's TOS.

I hope those interested in an NP career are smart enough to distinguish BS from what is truthful. I used to respond passionately about negative comments made about NP's in this forum. In the end, I realized that it only fuels more back and forth nonesense and doesn't really resolve anything. In the end, it becomes a matter of your opinion versus mine and quite frankly, I have no desire to waste my energies on that. I've been a nurse practitioner for six years now and as someone who works in acute care and interacts with physicians of all levels from interns all the way to department chiefs, I would say confidently that physicians who do not respect the value of a collaborative relationship between us and them belong to a minority.

On the other hand, I also would like to clarify that I do not practice primary care by choice and in my acute care setting, there is no subtitute for the services of a physician. I notice that many of those who defend autonomous practice of NP's are in primary care which I am certainly not an expert on.

Specializes in Nephrology, Cardiology, ER, ICU.

Thanks everyone - you guys bring up some very valid points.

I hope that potential NPs and APNs realize that whenever you post anonymously, you can say/be anyone/anything.

One of the reasons AN is so popular is because of the professionalism that hope we bring to the internet.

We are all very serious and passionate about what we do. This "argument" or discussion or whatever you want to call it about APN independence just doesn't exist in the real world. We are all governed by the state practice acts and each have their own set of restrictions/rules.

Specializes in Education, FP, LNC, Forensics, ED, OB.
When we give up on responding, we in essence give up on advocating, and validate the bs.
Never give up on responding/clarifying/setting the record straight/refuting erroneous claims and/or downright defending our "turf".

But, we do ask that all replies not be inflammatory/attacking/personal, etc., for we sink to "their" level. And, report trollish TOS posts. Staff have taken care of so many problems with these "members" and will continue to do so. There will be others who come on and try and divide our nursing membership. We will not tolerate this anymore...........

+ Add a Comment