nomadcrna

nomadcrna DNP, CRNA, NP

Anesthesia, Pain, Emergency Medicine

Nurse Anesthesiologist/Family Nurse Practitioner/Emergency Nurse Practitioner

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All Content by nomadcrna

  1. No wonder our profession is messed up

    I have seen some pretty bad physicians doing anesthesia. Of course I've seen some pretty bad CRNAs providing anesthesia. Initials don't mean much. I discovered this soon after school. I told the story...
  2. No wonder our profession is messed up

    I was doing OB anesthesia years ago in Texas. We had a pediatrician come in labor. We had an all CRNA group. She insisted on a MDA doing her epidural. Her OB doc made arrangements to have an MDA come...
  3. Well, after 22 years of doing anesthesia, ER medicine and primary care. I can tell you that I've seen many physicians that I'm as good as, some that I'm better than and some that are better than me....
  4. Then why is our care judged by MD/DO standards instead of a lower standard? AND, actually, NPs are able to take the comprehensive board exam which is basically the USMLE. As of now, it has about a 50%...
  5. All Those NPs with No Bedside Experience

    You can always find someone better. Since one of my hats is anesthesia, I consider myself an expert in the ventilator field. :) But, you are
  6. Here ya go.So you see, it is insulting. http://www.aanp.org/NR/rdonlyres/5AC2D9E3-74FA-4BF2-BF2F-1E424A62E516/0/AANPMLP.pdf In October 2004, the American Association of Colleges of Nursing (AACN)...
  7. Please stop using the term midlevel. We are not midlevels. Every NP organization has come out against that term. We provide the same level care as our physician counterparts. We are judged (peer...
  8. All Those NPs with No Bedside Experience

    NPs are independent in OR and yes NPs do colposcopies in OR. They also have full prescriptive authority. No limitations on scope of practice. Don't you hate it when FACTS are actually supported...
  9. Role of office manager

    Absolutely none. She is not medical and has no business getting
  10. If you were an NP, you would understand what may have been happening. So yes, you would be much more credible. AS it is now, you are an outsider looking on and making judgements that may or may not...
  11. All Those NPs with No Bedside Experience

    Once again, someone who is not even an RN yet much less a NP talking about "how scary" the NPs will be. Are you for
  12. All Those NPs with No Bedside Experience

    And yet you give your OPINIONS about NPs when you are not an NP? But since you work the ER, and that ER does not let NPs practice to their full extent. You assume that is the norm? So it may be YOUR...
  13. you would have more credibility if you were a np. discussing np programs and what they need to do when you are not an np damages your argument. [h=2]registered user[/h] educationrn-asn nursing...
  14. Just because you may have issues with online learning, self learning or self motivation does not mean others have the same difficulty. You could look at your brick and mortor education and ask...
  15. Tim, Get real. We are not talking about surgeons. Surgeons learn during residency, which is hands on. I'm having a hard time following your reasoning and communication. "Never, at least the type of...
  16. Tim, Get real. We are not talking about surgeons. Surgeons learn during residency, which is hands on. I'm having a hard time following your reasoning and communication. "Never, at least the type of...
  17. Because we have always done it this way. Really? You do know that there are the same clinical requirement? You do there is a national certification exam? Do you really think NPs from either program...
  18. LOL, no it can work either way. It does not have to be online educator who do the study. The premise is crap. Everyone has to pass the same boards. Everyone has to have the same amount of clinical. Do...
  19. Until you can show me a peer reviewed, scientific study that says distance education NPs practice is not as good as brick and mortor NPs then it is an OPINION. Thats it, just an OPINION. Come on...
  20. Retail Clinic salaries

    Why would you think that practicing without protocols is "practicing medicine without a license"?I practice independently and even if a site had "protocols", there is nothing illegal about not...
  21. Retail Clinic salaries

    I can't imagine treating a patient according to an algorithm. I can't imagine any NP agreeing to such a thing. Just does not make sense. I don't think legally the clinic can "hold" you to any...
  22. NPs practicing as DRs

    PAs get a 4-6 week rotation through psych. FNPs get a full semester of psych didatic which builds on our previous didatic psych and clinical psych rotations in our RN education. That is one reason it...
  23. NPs practicing as DRs

    I was around as an RN in the days when DOs had to have their own hospitals to practice. Even back then the education was not less then the MDs, just different. The states allowed them to do the same...
  24. NPs practicing as DRs

    benm93, The below is what I was referring to. :) FNPs can and do do other things besides family practice. They practice in all areas to include ortho, neurology, neurosurgery, hematology, cardiology...
  25. I practice according to EBM. If the current literature supports a use for a medication, I am willing to use it. Off label use is using a medication for a process for which it is not currently approved...