platon20

platon20

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All Content by platon20

  1. Code status and end of life should be nursing decisions.

    platon20 replied to Woodenpug's topic in General Nursing

    Doctors would be happy to give up code decisions to nursing. They dont get paid for it, and its a very time intensive, pain the ass process to go thru. Now, do you agree to accept FULL LEGAL...

  2. Doctor Practices that Dump Patients

    platon20 replied to FireStarterRN's topic in General Nursing

    If doctors wont take new patients or discharge them, then tell them to go see an NP. There are plenty of NPs around in every corner of the country to treat patients. I seriously doubt that anybody...

  3. How is the NP role different from MD

    platon20 replied to abcdefg's topic in Nurse Practitioners, NP

    You're comparing the top 5% of NP salaries vs the bottom 5% of doc salaries (which is most likely to be MDs working part time anyways) NP salaries are tied to MDs in the same specialty/region. Can...

  4. Scope of Practice

    platon20 replied to paindoc's topic in Certified Registered Nurse Anesthetist, CRNA

    thats all fine and good. But lets quit playing games and call a spade a spade. The CRNAs are just as greedy as the MDAs are, and these turf battles have absolutely NOTHING to do with patient safety...

  5. How is the NP role different from MD

    platon20 replied to abcdefg's topic in Nurse Practitioners, NP

    And doctors will continue to earn double what NPs and PAs make. Even with an extra 100k in debt, 160k/yr vs 80k/yr is a no-brainer, the doc comes out way ahead in the

  6. Scope of Practice

    platon20 replied to paindoc's topic in Certified Registered Nurse Anesthetist, CRNA

    Let me throw that right back in your face. Why are CRNAs fighting against allowing AAs in a bunch of states since there is no evidence that they are inferior providers of anesthesia? The ego and...

  7. How is the NP role different from MD

    platon20 replied to abcdefg's topic in Nurse Practitioners, NP

    A pediatrician rarely consults other pediatricians about their patients. Now of course they refer out to subspecialists, but thats different than an NP role in which they have backup by a person...

  8. Differences (Educative/Clinical) between NP & PA

    platon20 replied to jstuben's topic in Nurse Practitioners, NP

    You do realize that your state nursing boards defines "diagnosing, prescribing, and treating" as the practice of nursing, right? The reason they do that is because if they defined it as the practice...

  9. Pressors and Sepsis

    platon20 replied to CraigB-RN's topic in MICU, SICU

    I wonder how many patients at your hospital have died from an otherwise treatable condition because of this blatant ignorance regarding fluids and

  10. Arterial line insertion by the RN

    platon20 replied to CactusFlower's topic in MICU, SICU

    Hospitals dont see the money that doctors can bill for art lines, so from their perspective they dont really care who does it. Art lines are actually a poorly reimbursed procedure anyways, most docs...

  11. Arterial line insertion by the RN

    platon20 replied to CactusFlower's topic in MICU, SICU

    Dont agree. Best case scenario is an IV/line team that does NOTHING all day but float thru the hospital and draw blood, put in IVs and art lines. An IV team that does nothing but sticks 24/7 is far...

  12. 12 hour shifts for students AND Med. school

    platon20 replied to Epona's topic in General Nursing

    Would you trust a med student who told you anything about nursing school? Of course not, because they dont know what they are talking about. Its the same way with nursing students talking about med...

  13. Pressors and Sepsis

    platon20 replied to CraigB-RN's topic in MICU, SICU

    Yes thats proven to improve mortality when therapy is initiated in the ED. Thats why the Rivers paper was particularly relevant to ED personnel and not quite as important to the ICU folks. By the...

  14. Explain ARDS?

    platon20 replied to JohnW's topic in MICU, SICU

    Series of immunologic reactions to various lung insults, among them being trauma, infection, burn. The most prominent inflammatory reaction is pulmonary edema. It has to be acute onset, bilateral,...

  15. Will somebody PLEASE tell these doctors....

    platon20 replied to UM Review RN's topic in General Nursing

    I'm sorry but thats just rude. I dont know why you think its your responsibilty to play neighborhood cop on the ward. If all they are doing is grabbing a chart, then let them

  16. The doctor will see your credit now

    platon20 replied to LydiaNN's topic in General Nursing

    Thats not true at all. The business model of any insurance company is to deny as many claims as possible. Thats the reason why their profit margins are higher than in any other industry....

  17. The doctor will see your credit now

    platon20 replied to LydiaNN's topic in General Nursing

    Sorry I agree with the GI practice here. Why should any doctor be FORCED to take any patient? The only time docs should be forced to care for patients is when its an emergency situation, and they...

  18. The doctor will see your credit now

    platon20 replied to LydiaNN's topic in General Nursing

    If you dont like it, then tell them up front that you are going somewhere else. Do you check your credit report every 6 months to see who has checked into it? You'd be shocked. Its common practice...

  19. Pressors and Sepsis

    platon20 replied to CraigB-RN's topic in MICU, SICU

    The protocol for early goal-directed therapy for septic shock as pioneered by teh Rivers et al group has not been implemented nationwide, because follow-up studies found that the key to improving...

  20. Do Nurses STILL want to marry Doctors?

    platon20 replied to showbizrn's topic in General Nursing

    Surgery for seizures is a method of last resort. Any neurologist or neurosurgeon who pushes surgery before trying every medical therapy is guilty of medical malpractice. Besides, your husband isnt...

  21. Do CRNA's do chronic pain management

    platon20 replied to jenj1928's topic in Certified Registered Nurse Anesthetist, CRNA

    the ruling came down today. The court ruled in favor of the MDAs, and said that interventional pain is the practice of medicine, not nursing. I'm sure hte board of nursing in Louisiana will appeal...

  22. Medical school Panama

    platon20 replied to bancho's topic in Nurse Practitioners, NP

    Im telling you right now that guy will never become a licensed doctor in the USA. State medical boards keep lists of diploma mill foreign medical schools and anybody who cites that degree wont even...

  23. neonatal/ NNP

    platon20 replied to mduval007's topic in Nurse Practitioners, NP

    That seems like a weird setup to me. Most of the NICUs I've seen have a group of NPs with no neonatologists or fellows. These NPs are 100% independent and dont collaborate or work with doctors at...

  24. CRNA malpractice costs

    platon20 replied to FLCRNA2B's topic in Certified Registered Nurse Anesthetist, CRNA

    You are forgetting that MDAs make more than double what CRNAs make on average. Average CRNA = 140k Average MDA =

  25. Nurse Anesthetist Shortage

    platon20 replied to meandragonbrett's topic in Certified Registered Nurse Anesthetist, CRNA

    The article said that there are 23 applicants for every open seat. I'm calling BS on that. If that were true, every single CRNA would have a 4.0 GPA and 95th percentile GRE scores. 23:1 is by far...