wowza

wowza

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  1. Mrs T, Instead of building coalitions to advance what nurses are legally allowed to do, how about you spend some of that time improving nursing education so that DNPs graduate with more than 800...
  2. Ha. Touche. You took the words out of my mouth. - (real) Doctor
  3. Alternatively, are there any good studies that demonstrate contact precautions improve outcomes or infection control in a
  4. New idea for NP/PA to MD

    Just curious, how would the curriculum be structured... that is, what would you cut out from the current medical
  5. good
  6. So explain how it is more cost effective. Here are the facts: 1) the patient pays the exact same co-pay- so it's not cheaper for them 2) midlevels get paid what, 80-85% of what physicians get paid 3)...
  7. And if midlevels were really concerned about patient care, they would make their education more in line with physician training. Instead, what it really is about is money- not patients. You can house...
  8. The latest good news for all of us

    Then by methodology both are weak studies. Forget biases, both are poorly done studies. This is unquestionably the stupidest metric that has ever been devised by nurses or doctors or anyone else....
  9. Notice despite the fact that this lecture was 20 years ago, no medical school in the country has done this- for a reason. They never cut down the breadth or depth of medical school and many...
  10. Ha First of all, it's only anti-competitive if midlevels can do the same job... which they can't. Sorry. They never will be until their training is the same as a physicians. In that case, what's the...
  11. The way I look at it, the NP is a shortcut degree (I am not trying to be nasty). It was made so that nurses could treat the easier cases that did not require a physician and could extend the reach of...
  12. Insulin administration

    It makes sense to keep the basal insulin. So your body normally secretes some insulin at a basal rate whether you are eating or not. When you eat, it then revs up its insulin production. So the docs...
  13. Insulin administration

    Basal insulin should always be given (unless they are already profoundly hypoglycemic) even if the patient is newly NPO. The insulin that should be held if the patient is NPO or is eating poorly is...
  14. Common med complaints: UTI, PNA, asthma, COPD, R/o MI, MI, ACS, ARF, diverticulitis (non surg), acute hepatitis, pancreatitis, GI bleed, cellulitis, osteomyelitis,
  15. Sure, independent practice shouldn't be up to him to decide but quite it definitely shouldn't be up to some politician who knows next to nothing about healthcare to decide either. The people to...
  16. No argument? Argue
  17. Do you, seriously think you could argue hard enough against DNP education and autonomy as a DNP student? Probably not- it's almost a conflict of interest. You lose the argument and suddenly your...
  18. I can. Thank you. I have been busy and I am back. I have had a few patients actually tell me they weren't "real" doctors because they were PhDs etc. I still called them doctor out of respect. I...
  19. UP to Date

    Up to date is good and bad. A lot of times you have a question and it just doesn't answer it. Sometimes it is good though. Other times it is very long winded and verbose and you have to porifice...
  20. What does this mean?

    It's much cheaper to have an NP or PA do the procedures rather than hiring an MD. That is probably your answer. As to why it is under the BOM, in certain states NPs fall under the
  21. That's nice for us that the psychiatrists handle comorbidities on their own (seriously not being sarcastic). At my current hospital we get consulted for a ton of basic issues. If one goes by the...
  22. I see this everyday as a consultant for medicine. The vast majority of our consults come from psych. In my experience, psych doesn't manage any of those things by themselves. They consult medicine for...
  23. psychiatry is in its own world that does not deal with medical conditions. it deals only with psychiatric conditions- so much so that most of the docs have lost the ability to manage common medical...
  24. Technically they are practicing psychiatry. I can tell you as a consultant for medicine that psychiatry is definitely not practicing Medicine (although they are medical docs). Haha. But the field of...
  25. I am kinda equivocal about that one. I don't really care one way or another. Psych is really in its own realm of "medicine" and I am still not so sure I would include it under the title of "medicine."...