viral2010

In our unit there is no anonymity. We follow the "talk to me not about me" rule. When nurses or other staff approach our manger about issues, there is an immediate sit down with the staff in question and thiings are worked out face to face. If nurses or other staff members have issues with each other, it should be worked out face to face, this is the adult way of correcting interpersonal issues.

I would never consider putting patients at danger like that. Its not the safe thing to do.

I would advise working longer than a year in the ICU prior to trying CRNA. This is a program, like the NP programs, that builds on your nursing experience at the bedside. The more bedside ICU experience that you can attain will only serve you better in the long run. Also, CCRN is a great idea. Our local programs all but require it for admission.

I trained as a Peds Crit Care NP at UPenn. I do have the background and training but not to the level of a physician:D

That's great for you but I feel sorry for all of the kids you misdiagnose, mistreat, and put at risk without physician oversight. Once again, there is no reason for a dnp/NP to function in total autonomy. This puts patients at risk because they are receiving suboptimal treatment from individuals who dont have the education or training to function completely autonomous.

Ok. What does this tell me? I'm ignorant so use little words for me:bowingpur What does this have to do with the fact that I don't feel that autonomy for a NP/dnp is the right thing?

THere's not going to be a time where physicians aren't available. I have insurance and live in the good ole USA!

You shouldn't take this so personally:)

I dont need a citation to back up the fact that healthcare is a priviledge not a given right. I didn't go to school for my NP to provide free healthcare to individuals who feel the need to bring their child to the ER for a sore throat or an earache when there are perfectly good pediatricians in the community with actual offices. The ER is not a primary care center and when the parents start referring to the ED doc as their pediatrician, something is wrong. By the way, where's your citation that they don't:redpinkhe

definitely your opinion

Def your opinion....

I know for a fact that many of them do.....

Its not about personal freedom...its about patient safety. It's not unconstitutional. Can you show in the constitution where suboptimally trained providers should be able to care for patients on their own? The people who are ruining healthcare are everyday people, not unlike yourself, who utilize the system for their own benefit. People with 150 visits to the ER because they don't want to pay for the physcian's service and know they won't be turned away due to nonpayment. People who feel as though they are entitled to healthcare but shouldn't have to pay for it. Also, you shouldn't take this so personally.