Perhaps it might be time to reevaluate your position as a NP with the organization and to reflect on which profession you are in and which level you are at (see below). If you consider yourself a midlevel provider in the profession of medicine, then you are relegated as a dependent technician staff member and consequently, should have little, if any, input on the direction of any component of the practice more than just an advisory opinion.
As an example, and as a technical mid level provider, it might be decided that you start calling patients back from the waiting room, performing vital signs, then providing a technical assessment on patients followed by cleaning up the room afterwards and perhaps making sure the physicians have coffee.
If however, you view yourself as a top-tier member of the nursing profession, then this is a different story. In this case, you are not a mid level provider but a professional nurse at the top of the nursing-practice pyramid. Consequently, you—as a top-tier provider of nursing must set professional boundaries to ensure the best possible outcomes for your patients. This includes, making sure the practice—which is generating money from your professional services as a NP—not as a technican-- provides for those resources requisite in caring for your patients. Perhaps if they are not willing to do this, then they really don’t need you, but the services of a mid level provider. That’s OK, though, because there are plenty of mid levels around as well as places that really do need professional top-tier nurses.
Profession of Nursing Practice Levels
Profession of Medicine Practice Levels (not exhaustive)
Profession of Pharmacy Practice Levels
Profession of Dental Practice Levels
Profession of Physical Therapy Practice Levels
Physical Therapist Assistant
Physical Therapist Aide