Hi guys-I kind of wanted everyone's opinion on a topic that has been bothering me. I would prefer no judgmental comments about the thought process and invite constructive comments.Starting several months ago, our large ER has staffed an NP or PA to our triage area during the busiest parts of the day. The end result of this has been that the NP now orders the overwhelming majority of labs, protocol meds, and radiology in triage. They also override triage decisions throughout the day. Needless to say, I don't like this. I enjoy the assessment and the implementation in triage and feel it improves my skills. One of the NPs that I am friendly with told me that they are also hoping that the NPs will start charting moderate sedations and traumas such that RNs are not needed in sedations at all. Certainly, we have a lot of RNs that could do with improving their skills and I have,myself, thought about getting an MSN but frankly, I feel bitter about spending a fortune on an education just to keep doing a job I was doing up until a few months ago and it looks like its gonna get worse with them doing the sedations and all.Have you guys see or do you think we will soon see less of the autonomy that ER nurses have historically enjoyed in the ER? Do you think this is right or wrong direction for the er?