I have been a NP for over 10 years and am ready to throw in the towel. THe frustration and anger I feel cannot be expressed.
Over the last few years I have seen increasing numbers of physicians hiring RNs to help with their practice.
Theses nurses are functioning as physician extenders and perform all of the functions that a PA or NP would normally perform.
THey are able to do this because the MDs cover and sign for them. Yes the nurses are practicing outside their scope of practice. No one seems to care about the legality, much less the moral or ethical issues. THe physician is the big winner here. He can bill for his services on a daily basis in the office or hospital and then have his nurse provide the service.
He can then pay the nurse a fraction of what he would have to pay a NP. Imagine going to the hospital and seeing the MDs nurse for your initial encounter, who then performs your history and physical exam, writes all admitting orders, including medications and diagnostic studies. THen when you get the bill, it is for the MDs service ! This way he is able to get much more done in a day and continue to make money.
I think the bottom line is $$$$$ and that the future for those considering going back to school for an advanced practice role is in serious jeopardy.
