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Yes, you are quite right. From an economic/utility standpoint, if they are forced to do X, then they will try to adjust balance by taking away Y. What I like about having techs and assistants is...

I'm kind of conservative in many ways, but honestly, I would support this. There's no reason not to safely staff--unless there is some kind of emergent crisis.

I think each isolation room should have their own refrigeration and locked stocked drawer for meds, as well as their own scanner. Double checks are still a problem. Too bad they don't have computer...

Do you think if you found a position/area where you felt more challenged it would make a big difference for you?

Yes, more often they not they could IF objective systems for this were developed, tested, and here's the big one, CONSISTENTLY APPLIED.

Honest feedback is often just too darn subjective. What is most logical is to keep the process to as many more objective or near-objective measures and systems as possible. Subjective...

It's only odd if someone decides to make it odd. In a day and age where we are all supposed to be open and tolerant of everyone, I don't understand the problem with it. I feel like we are living in...

Role resistance? Wow. LOL. I think that is a term of projection—from nursing to physician practice. Holy crap. Scarier and scarier. "People have lost sight of the fact that it's not...

Oh brother, OK. Wow

"It is plain presumptive to say that having a physician on board will strengthen nurse-managed health centers' outreach to the community. Many NMHC's serve a population that has been marginalized and...

The trouble with this is they often do not have the proper tools. That is there should be clear delineations for the most objective evaluations as possible. This means there should be a more...

^This

I can show this too in a very well known and large inner city. I did required clinical stint at this great place for a particular program. The NPs and social workers have done a great job....

I would suggest that it protects patients. Again, what is wrong with having sound oversight with physicians. Where's the team effort?

I fully expect lawsuits to go up against midlevel practitioners, especially as school have allowed folks with manure for clinical experience to move right into these programs. But hey. Time will...

Last first. I already addressed this. It seems silly to repeat it. Other pieces: I'd ask anyone to argue that midlevels and physicians go more into suburban and urban areas for practice, in...

And that speaks volumes.

Sure squirrelly stuff like this happens all the time. It's a live and learn kind of thing. If you want to feel like you are at the mercy of some hospital HR/recruiter, so be it. But I refuse to...

Not as probable. Seriously....but that's the difference in education, training, mentoring...even selection in the first place in many cases. Whatever with the teen % for Nps in the hospital. In...

I edited some parts that speak to what you are saying myelin. Getting rid of laws that define the basis of practice is problematic. What falls under medicine and what falls under nursing? You...

Wow. How is her point trivial. . .at all? Susie, If you want to continue going back and forth with this, that's your perogative. I may be a little older than you are, and thus, I find it all...

Listen I have been helped tremendously my an incredible RN/doctor of naturopathy. She has some great stuff going on, and when her patients follow the guidelines, they see remarkable improvement in...

Policy will be made based on political agendas. . .and how data is spun to fit the agendas. You just can't compare most NPs clinicals to the residencies programs of most physicians. It's not just...

YOU choose how you TAKE things. That too is your perogative. I will not give all the dirty details and experiences of what I mean when I say, "I'm not playing" when it comes to my loved ones care....

Many patients have comorbidities that complicate the picture. My mother is a fine example. We are both nurses. She sees physicians only--and I vet the hell out of them. I've been down this road...