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Mar 25, 2023
10:43
:39
pm
cougfanz
All-American
Yep and no so great when they’re manning the ER when your 8 year old
Comes in with anaphylactic shock.
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cougfanz
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ndfan
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cougfanz
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Author
Time
POLL: Opinion on Utah passing law that nurse practitioners can work independently
Whip
3/25/23 9:53pm
As a doc, I’m all for it. The “physician oversight” thing is a farce and mostly
cougfanz
3/25/23 9:56pm
I'm more worried about us patients who will die by their decisions
Digital Gangsta
3/25/23 10:20pm
Yea, me too.
cougfanz
3/25/23 10:22pm
Nobody is forcing you to see a NP.
fldnstrm
3/25/23 10:50pm
Not always true
Littlerich
3/25/23 10:54pm
Insurance companies probably pretty excited by this . . .
Gustav
3/26/23 8:10am
Assuming more will die is interesting
Deleted
3/26/23 4:18am
docs make mistakes. The nurse reponsibility is to follow orders and catch the
Flyoverstate
3/26/23 1:22pm
Sounds great...but will insurance pay without a doc signature? State law can
Preppy
3/25/23 10:01pm
Already do
I'mBatman
3/25/23 10:08pm
I didn't know that. Good. We have a shortage of physicians and need more from
Preppy
3/25/23 10:11pm
Insurances are happy to pay them less than they would have to pay a doc.
Virginia Ute
3/25/23 10:41pm
I guess with older NP/PA's I don't see it as a big deal tbh, but like what about
TO11
3/25/23 10:05pm
Most people don't realize that many small - mid sized hospitals don't have enough physicians on site during night shifts
Division Bell
3/25/23 10:11pm
I'm a little skeptical of the training most NPs get. I have NP buddies and many
Backcountry
3/25/23 10:12pm
You should be really skeptical. It’s a total joke.
cougfanz
3/25/23 10:16pm
Society? Don't you mean the Victims?
Les IsMore
3/25/23 10:37pm
I was trying to be delicate.
Backcountry
3/25/23 10:53pm
It's been 4 years since I've seen my heart specialist. Every appt with him...
Les IsMore
3/25/23 10:56pm
I'm no internist or cardiologist but I'd demand an echocardiogram, which would
qwerew
3/26/23 1:18am
my dad died two weeks after a normal EKG of a massive heart attack. Demand a
qwerew
3/26/23 1:28am
Spot on. It’s a year of online school followed by 6 months of “rotations,” most of which are very hands off.
Virginia Ute
3/25/23 10:43pm
Oh and their shadowing rotations can be totally unrelated to whatever they
cougfanz
3/25/23 11:02pm
Doctors have the training/experience to make the tough decisions when it counts. And then have to live with those
dingus79
3/25/23 11:09pm
Agreed, there are few rigorous programs out there, but they’re the exception
BringYourUltimate
3/25/23 11:33pm
Rigorous for what? That’s the whole point is that they don’t even have formal
cougfanz
3/25/23 11:44pm
Just a general comment that many NP programs feel like most MBA programs…
BringYourUltimate
3/26/23 2:10am
Great for most visits of flu-like symptoms
Plato
3/25/23 10:30pm
Yep and no so great when they’re manning the ER when your 8 year old
cougfanz
3/25/23 10:43pm
Thank goodness there will be nurses there, that know what to do and do it.
ugo1st
3/25/23 10:46pm
I'll take "Things that never happen" for $1000, Alex
SJS
3/25/23 10:50pm
Two simultaneous codes last week. Doc didn’t help on either. Both died.
ugo1st
3/25/23 10:54pm
So the doc was sleeping while there were two codes? Not buying that
SJS
3/25/23 10:56pm
You can buy whatever you want. I’m just telling you what happened.
ugo1st
3/25/23 10:57pm
I've seen situations where one provider is tied up and can't help
SJS
3/25/23 11:01pm
Yeah so many missing details. Likely a lot of sensationalizing.
Virginia Ute
3/25/23 11:02pm
Kind of like all of the bashing of midlevels you guys are doing.
Nakedbootleg
3/25/23 11:49pm
Link to bashing on midlevels?
SJS
3/26/23 12:00am
That’s crazy. Were you one of the nurses?
Delicate Genius
3/26/23 4:36pm
You are funny! Hope you never need a nurse. Wait for a
Flyoverstate
3/26/23 1:13pm
Wait, I thought you said both patients died:
SJS
3/25/23 11:17pm
They knew what to do. And did it. Doesn’t mean the outcome was favorable.
ugo1st
3/25/23 11:35pm
LOL ok. That's not what your first post made it sound like to me
SJS
3/25/23 11:45pm
Still waiting for details...
SJS
3/25/23 11:54pm
No need. Doubt it would contribute to discussion in any way
PositivelyCougar
3/26/23 6:30am
Yeah no way that details and context to a story that seems very unbelievable would help at all.
Virginia Ute
3/26/23 7:32am
Your definitive (and wrong) opinion means nothing to me.
ugo1st
3/26/23 12:18pm
I think your refusal to provide any further clarification speaks for itself
SJS
3/26/23 12:21pm
Yeah, in the end he’s telling stories that he’s heard second hand that were obviously embellished.
Virginia Ute
3/26/23 1:24pm
Nurses are always there first on codes. Nurses do the majority of work and
Flyoverstate
3/26/23 7:51am
You actually just described CNAs (certified nursing assistants)
SJS
3/26/23 9:58am
Agree
Backcountry
3/26/23 10:01am
Tell another nurse that. CNA's don't do anything with codes. This may be true if
Flyoverstate
3/26/23 4:11pm
CNAs work really hard and aren’t paid much
SJS
3/26/23 4:40pm
Not sure I agree.
Backcountry
3/26/23 10:00am
Hmmmm, how on earth could a nurse but the first to a code? I just can’t figure…
IGlowInTheDark
3/26/23 10:34am
You guys must not work in a hospital or trauma center. I have a BSN (bachelor's
Flyoverstate
3/26/23 1:03pm
You mean the ER nurses know what they are doing. The floor nurses generally are
waveslayer
3/26/23 1:10pm
If it were not for the floor nurses, the patient would not be alive by the time
Flyoverstate
3/26/23 4:06pm
Most decent to large sized hospitals have RRTs (rapid response teams)
SJS
3/26/23 4:43pm
That was our structure. I was an ICU charge and was the first to get there and
Backcountry
3/26/23 5:16pm
<< Deleted >>
cougfanz
3/26/23 2:22pm
Have you ever watched someone die in that situation after everything has been
Flyoverstate
3/26/23 4:19pm
Lol, cougfanz definitely has
SJS
3/26/23 4:44pm
Agree. Never easy for them as well
cougfanz
3/26/23 4:59pm
if you're underpaid, over worked and not appreciated then take step up to NP or
qwerew
3/26/23 2:37pm
Thank you. I like right where I am at. As a floor nurse you get to know your
Flyoverstate
3/26/23 4:25pm
Anesthesiologist. Staffed trauma ICU in Level 1 trauma center plenty.
IGlowInTheDark
3/26/23 2:43pm
yep, some of our local rural hospitals have PA or NP covering some shifts of
qwerew
3/26/23 3:10pm
I don't think he was serious when saying the doctors were sleeping. I think
Flyoverstate
3/26/23 4:03pm
I am in a level 1 trauma center. I never said that a doctor isn't integral in
Flyoverstate
3/26/23 4:39pm
You’re taking offense where none is intended
SJS
3/26/23 4:41pm
There are good NPs and there are good PAs, but the group of healthcare providers
Littlerich
3/25/23 10:33pm
Goofball is a PA I trust, he knows his craft and is sub-specialized in peds
Littlerich
3/25/23 10:56pm
I think anybody can be trained up if they are on a job long enough. Its all
Backcountry
3/25/23 11:03pm
How many of the people who vote for these bills have an NP as their PCP?
WorfoSAUR
3/25/23 10:34pm
I don’t see a practical alternative suggestion from you. Are you saying status quo is best?
Unibro
3/26/23 10:47am
I believe AZ already does this.
CougBlu
3/25/23 10:37pm
about half the country already does this
Bernie
3/26/23 12:41am
The less government regulation and barriers to entry, the better. Let people
UNLVcougar
3/25/23 11:06pm
Lol sure then you'll be the first to complain when things go bad
Deleted
3/26/23 5:33am
Sounds good! Common sense deregulation.
Unibro
3/25/23 11:11pm
In my community, NPs significantly over-refer even the simplest issues
SJS
3/25/23 11:16pm
As long as they confine their practice to bread and butter kind of stuff
SouthernCoug
3/26/23 7:11pm
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