menetopali

Advise charge, call RR and/or send pt back to ED if the pt is deteriorating and provider is non-responsive. Remember that the nurse's primary obligation is to the patient, not anyone else.in this case the provider may not have responded for any number of reasons but they are the ones responsible for ensuring coverage and therefore they should be reprimanded through the medical staff oversight process. If you are getting grief from nursing admin for advocating for your patient then you may consider looking at another place to work.

Never trust a computer you can't throw out the window.... Wozniak

I am an FNP and DoN for the hospital I work in, I know that a hospital CEO in the valley is also an RN so there are definitely options out there

Strongly recommend you seek a place to practice elsewhere. If policy says x and practice does y then you are in a very bad position should there be a negative outcome, audit, or legal action taken. Get out now.

My immediate supervisor is the CEO and not an MD. I am in an interesting position in that I am the DoN and an FNP. With the FNP hat I am , I join the outpatient psych medical director and inpatient psych medical director as the primary care director as an equal member of the medical staff executive committee. As the inpatient DoN I report to the CEO and join the Inpatient director of social work and inpatient medical director as an equal member of he hospital executive committee. I would not be concerned about reporting to a non-clinician for administrative issues (most CEO's are not clinicians after all) but as an APRN I would expect that you are treated as a member of the medical staff or the APRN staff with equal standing to the other providers.

I'm done with the troll. As is common with trolls - no cogent argument is presented, no evidence supplied, no counter-point to any argument raised. The troll merely acts to raise emotional tension.

the DNP is a doctor. i will say that claiming a professional credential (physician) that one does not posses is unprofessional and i find it hard to believe that the DNP actually said that. As i noted before, med school isn't an exclusive club for mensa members and frankly find it a it patronizing that you believe DNPs just couldn't get into to med school.

i'll answer with a bit less vitriol than was originally posted - first, if i wanted to go to med school and be a physician, that's what i would have done. i am in fact a nurse and very proud of that fact. second, i find it a bit insulting and degrading to claim that completing medical school demonstrates some level of intelligence above those who complete another doctoral program. After all approximately half of med school applicants are accepted to a U.S. med school and 98% of those who start, graduate [Wake Forest, 2003] - not exactly a club reserved for mensa members. third, i practice nursing - not medicine - and that means that instead of treating a lab test, a radiology study, or a collection of symptoms, i treat patients - and do so under my own license, my own DEA#, and my own NPI# without paying a kick-back to somebody who never went to nursing school. is a DNP a doctor? - yes. is a DNP a physician? no. is a psychologist a doctor? - yes. is a psychologist a physician? - no. is a physician a doctor? - yes. is a physician a nurse practitioner? no. they training is different, the approach is different, the emphasis is different - not better or worse but definitely different. fourth, i treat the entire patient - not just neck-to-waist ("mid-level") fifth, NPs in primary care provide care with equal outcomes, fewer prescriptions, and better patient satisfaction than MDs or DOs - [Cochrane Review, 2007], hardly "endangering patients". To date I have seen no study that empirically supports the opinion of those with clear economic interest in preventing competition from other provider types - a point that was made almost thirty years ago in a congressional report of delivery of primary care and several other health policy organizations have come to the same conclusion. On top of all of this, even the American College of Physicians acknowledges the high quality of NP care. last, but not least - if one wishes to be a floor nurse, that is a noble and important thing to do, but to claim upset when others choose to move on to other pursuits is bit childish - surely you have no issue when a nurse specializes in emergency nursing or critical care while another nurse goes into education or administration or public health? why the animosity when a nurse moves into the specialty of providing primary care as a doctoral prepared nurse?

short answer is that attending a program that is not accredited by a recognized agency is a risk that you must weigh. most schools have several accrediting bodies - one for the college or university itself, another for the college within the university, and another for the program within the college. if the program isn't accredited but is applying for it or is 'provisional' and the college/university are accredited then it's probably a low risk gamble. on the other hand if the college/university isn't regionally accredited then i would avoid them as there is a real risk that the education you receive will not be recognized by other institutions of higher education or industry.

ASU has a hybrid program, UofA has a program with local clinicals and two weeks every year, UofP has a hybrid program.

BSN was a cakewalk as it was mostly a rehash of the ADN with a couple of extras - half the MSN was that way as well (ie "nursing theory", research, ethics). The tough part of the MSN was the patho, pharm, and clinicals. I worked full time through the BSN and it was almost a hobby. For the MSN it was busting hump every day while working a Baylor in the ED (it was a great choice for an FNP student - much better experience than the ICU to see primary care stuff). hope this helps.

Arizona is like that - you can check the Pearson report at: http://www.webnp.net/ajnp08.html for a comparison of practice environments from state to state.

The University of Arizona has an interdisciplinary (physicians, nurse practitioners, and physician's assistants) fellowship in integrative medicine directed by Dr Weil

maybe in any state law - but federal law, specifically the social security act (and medicare by extension), defines "physician" a bit more broadly to include dentists, podiatrists, chiropractors, and optometrists - 42 U.S.C. 1395 1861® to the OP - an NP is not a physician and a physician is not an NP. the patient may have used the colloquial 'physician' to refer to their provider, it is unlikely that either they were mistaking the professions as the patient clearly identified the NP, I think it is also unlikely that the patient was 'humoring' the NP. this helps demonstrate two things - (1) acceptance of the NP as PCP in the public eye and (2) the need to continue to educate the public about the NP profession and that while an NP may be their 'doctor', an NP is not a physician and a while a physician may be their 'practitioner', physicians are not Nurse Practitioners.

sure, i'll participate.