Teggie

This part of the article is what made me come to that implication: "More nurses are now also working completely on their own in many poor inner-city neighborhoods and rural communities where doctors in private practice are few and far between." It stated completely, to me that means they are the only contact with that patient. I can only assume they must be working under a physicians direction somewhere? It doesnt specify in what capacity they are seeing these patients. I know when I worked for the health department, we saw patients initially by ourselves but they also attended a medical clinic where they were properly seen by a physician. Maybe I am just reading too much into that or perhaps the author should have elaborated a bit more about that. I understand the trends to which you are referring, I just question our liabilty in meeting those trends as our responsibilities ever increase. And with physicians possibly leaving areas altogether where does that leave our patients? And us? [h=3][/h]

http://www.nursingprogramshq.com/what-does-obamacare-mean-for-nurses/ Not sure I agree with this. Wouldn't we in a sense, be practicing medicine? Physicians, PA's, NP's and RN's work best together as a team. Not as different entities. This article implies we will essentially be stepping into physician roles. Are we trained enough for that liability? Does our scope of practice include that? Am I missing something here? Nurses are trained to be nurses. Our scope of practice does not include diagnosing and treating illnesses. Not putting us down in any way but we only receive half the training our physicians do. I don't want that responsibility. Maybe this article should have been named "Nurses, the new scapegoats of healthcare"? Healthcare needs physicians AND nurses. One does not work well without the other. We need our docs to diagnose and dictate the treatment plan for our patients. Our docs need us to carry that plan out and teach and encourage our patients. Separating the two, in my opinion is a disaster. If this causes many physicians to leave essential areas of healthcare who is going to treat and care for the patients? I try to think of it this way, what if this concerned your Parent? Sibling? Child? Spouse? Would you be comfortable with this scenario? What are your thoughts?

What works for some families may not work for others. I have to beleive that whats good for the kids and family is whats best. This is 2004 lol not 1950. I have a nursing degree and the capability to be able to work 24-36 hrs a week and still bring home a decent paycheck. My husband does not have a degree, he is a simple high school educated fella, any job he could get that would pay anything would require him to be away from home frequently forcing our 3 kids into daycare, and then a majority of what he made would be spent on childcare. He also has a bad back and neck limiting the types of work he could do. My husband takes care of the kids, takes them to and fro to school, takes care of the house, takes care of me, keeps the yard up and works in his shop woodworking or keeping the vehicles running. I help with the house on my days off, and we do the shopping and stuff together. He has time to do fun stuff and so do I since I'm not burdened with everything I can enjoy my days off. I make enough to keep us comfortable, he makes things easier for me, I don't have to pay a daycare and I don't have to worry about whether my kids are being taken care of. That in itself is worth it to me. Is he lazy? No he's not, he's often more tired than I at the end of the day. To us it is the fact that it is more profitable for me to work than him at this time. It works for us. Kudos! Teggie