Is anybody else tired of the nurse practitioner craze? - page 5
Hi all. I am a new graduate RN who is enjoying his first job as a med-surg nurse. I don't know about everyone else, but I am so tired of the nurse practitioner craze that seems to be overtaking the... Read More
Aug 30, '11Occupation: FNP Specialty: 10 year(s) of experience in Family Medicine, Tele/Cardiac, Camp ; From: US ; Joined: Oct '07; Posts: 590; Likes: 1,126Wonderful articles Kona2. Thanks for these!
Aug 30, '11Joined: Aug '02; Posts: 38,015; Likes: 37,297Also do not agree. Have received superior care from nurse practitioners, not all of them, but often enough to notice. If given a choice, I would pick the NP, and take my chances on getting superior care again.
Aug 30, '11Joined: Feb '10; Posts: 64; Likes: 56I have had some of the best care in regards to diagnosing and planning of care by NP's for myself, wife, and children. From my NNP in the NICU to the FNP at the urgent care who did an excellent job at sutures. Two thumbs up overall for the field, and as with all professions, and yes MD's included, you will have the exceptions. I would not be suprised if the role continues to expand in the future.
Aug 30, '11Joined: Jun '07; Posts: 757; Likes: 560Totally disagree. Love the NP's that I work with!
Aug 30, '11Occupation: IMC/Tele Specialty: IMC/Tele/PACU ; From: US ; Joined: Jan '10; Posts: 41; Likes: 34Hey Will, news flash....NOBODY agreed with you....perhaps focus your angst elsewhere and maybe review your nursing notes on collegiality within your profession...its an important part of what makes OUR profession work as well as it does. You should try it sometime.....
Aug 30, '11Joined: Jul '11; Posts: 25; Likes: 51I may be a new as a nurse, but if you are gloating about how, as if it were supposed to be a "news flash," that a lot of people are disagreeing with me, then I think you need experience more badly than I do. It signifies that you need to grow up.
The purpose of this thread was not to "focus angst into getting people to agree with me." The purpose of this thread was to gather other people's *substantiated* opinions on a discussion that I thought was interesting and worthwhile. Several people in this thread have thanked me for the thought-provoking discussion and posted some legitimate rationales in disagreement, and I thank those people for being respectful, intelligent, and being able to see the larger picture.
The rest of the people in this thread seem to be NPs, NP students, or NP-lovers who got offended by the discussion, attacked me personally, posted faerie-tale stories about some prodigal NP they know, all in an effort to feel that their role is validated. That sort of coping mechanism was expected.
However, I don't feel that "filling the gap of PCPs" and "shortening wait times" and "being less costly" is a sustainable or respectable role. It resounds of settling for someone less educated and less trained due to convenience. By contrast, the bedside nurse has a real identity and a rather irreplaceable role. The NP is there to sub in for someone else's role. That is why I think the concept of NPs is flawed. They have no identity and unlike MDs, are forced into specializing in treating only a certain demographic or age group of patients. Truly, I see regular RNs as being more useful than them. My feelings toward NPs are "what's the point... just be an MD."Last edit by WillRegNurse on Aug 30, '11
Aug 30, '11Occupation: BSN student/hospice nurse Specialty: 15 year(s) of experience in LTC, psych, hospice ; From: US ; Joined: Mar '07; Posts: 1,752; Likes: 3,068I know that the NP I work with is excellent! She started out as a CNA, became an LPN, then RN, and finally a NP. So, she's been through the ranks. She knows about bedside nursing and so much more. I work in home hospice and our NP is available to do home visits whenever needed -- even after hours (try getting a doc to make a home visit).
I think the OP may feel threatened by the NP's he works with, but we are all a team. When we work together, the patient gets the best care. That's just myLast edit by Hospice Nurse LPN on Aug 30, '11 : Reason: typo
Aug 30, '11Occupation: Nurse educator Specialty: 10 year(s) of experience in Tele, Stepdown, Med/Surg, education ; From: US ; Joined: Jan '10; Posts: 147; Likes: 101I couldn't disagree more, NPs are very valuable to the healthcare field.
Aug 30, '11Joined: Sep '08; Posts: 52; Likes: 44I am an RN. I am not an NP nor an NP student. So with that out of the way I just want to say one of my clinical instructors was an NP and she could run circles around any MD in the facility we were at. She was very intelligent. NPs can also work alone in private practice and I know where I live they can prescribe narcotics. They are not used as fill ins for physicians. I have an NP for a primary care provider through my insurance. She is an FNP and that means she can work with pediatrics all the way up to geriatrics just like a family doctor can. She also makes darn good money. More than I would ever make as an RN.
Aug 30, '11Occupation: Med./Surg. nurse, small hospital Specialty: Med./Surg. and paramed. exams ; From: US ; Joined: Nov '10; Posts: 155; Likes: 185Quote from WillRegNurseIn the end, it's the appendectomy that saves the patient with appendicitis. Not the NP's "holistic" spew.
No disrespect to the NPs out there, or their training, but I see the bedside nurses as more important to the patient's care than the NP's visits that usually just reinforce the MD's diagnosis and plan of care. I truly see bedside RNs as more integral to the healthcare team and more vital to the patient's wellbeing than anything an NP could ever do (write limited, crappy scripts).
"Treat the disease not the person" is a silly little overused catchphrase. Please don't repeat it in this thread. This is not an alternative medicine thread. Do you have any evidence that shows that an NP's "attitude" is better than an MD's? Is there a poll? May I see it? Well..?
Maybe if your bedside nursing was better the NP wouldn't have to waste their time by coming into the room to reinforce the MD's plan of care.
Aug 30, '11Joined: Aug '10; Posts: 7,236; Likes: 27,965Quote from fromtheseaI don't agree with this at all. I've had more than my share of MDs who were able to do more than just "treat the disease." Why the need to denigrate MDs just to defend NPs?md's come at a patient treating only the disease. np's, coming from a holistic background, treat the whole person. in my state an NP requires 7 years of school, which is just short of a medical student (minus the residency). if you honestly wanted to look at data, you can just as easily type that into google, rather than troll the boards. seems to me like you're the one doing the "ignorant chest beating."
In all honesty, I would prefer to see an MD over a mid-level.
Aug 30, '11Joined: Aug '10; Posts: 7,236; Likes: 27,965Quote from lckrn2paI'll take that one.Hmm, interesting comment, please elaborate your reasoning for one over the other. I've worked with both over the years and found them equally competent. Just curious as to why people believe one to be better than the other. I've never seen it nor do I believe as a PA that I will be better than a NP, I'll see them as a colleague.
The handful of PAs I worked with were not that swift, and they had major attitude that was hard to deal with. I don't need to hear a spiel on how you are just as qualified as an MD. In one case, the PA ordered a tx that would have been lethal to the pt. and told me I had to follow his orders because "he was the PA, and I was the nurse." So, as "the nurse," I called his SP who agreed with me and countermanded the order. Lucky pt...that day, anyway.
Aug 30, '11Joined: Jun '02; Posts: 2,255; Likes: 5,186I think a lot of nurses are going into the NP field due to the poor working conditions at the hospital. I don't blame them, sometimes I wish I had done this years ago. Floor nursing is very difficult, stressful and dangerous! Let's not kid ourselves!
NP's still are caught in the assembly line pace at clinics, but at least they don't have to do any heavy lifting and have a better quality of life, more pay and more prestige. Granted you don't have to be a primary care NP, many just work as an assistant for doctor groups, cardiologists, surgeons, etc. Not a bad gig, if you can get it, in my opinion.
Floor nursing is very frustrating, you are forced to work in understaffed, at times unsafe conditions, have no real control over your work environment and I'm sorry I don't see magnet status and shared govt really do much to change things. The bottom line is always money, there's no money in the budget, blah, blah, blah! It's very common for nurses not to get a paid break for lunch to be forced to work thru lunch, etc, etc.
It seems it will take an act of congress to get the hospitals to provide safe lift equipment to provide a no-lift environment when the patients are becoming ever more obese 200-300 to even 500+ pounds!
Why is it the hospitals always have money to pay the top dogs $100,000's to over a million when they say their non-profit or throw $400,000 away to the Ritz for customer service but never have the money to pay for adequate staffing ratios, equipment, lift equipment, etc, etc!
Since we don't have real control over are work environment, are overworked, overstressed, and put in needless dangerous situations to save a buck; I would advise people to consider going back to school for NP or something like that! If you have the money and time and ability, it would be a risk worth taking.
Know that you may have to compete and actively market yourself, let doctors know your avail, or be willing to relocate if necessary but it is a better choice than staying in floor nursing wondering how you'll make it and hoping you don't end up crippled with a disabling back/neck injury or suffering in chronic pain!
If you have a choice, its just not worth it! Once you are injured you'll be set aside and they'll just put a new person in your place. So I think NP is a good choice rather than staying in dangerous, poor working conditions!Last edit by brandy1017 on Aug 30, '11