That was our structure. I was an ICU charge and was the first to get there and

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Mar 26, 2023
5:16:18pm

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A hospitalist or ER doc was always there shortly after.

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Backcountry

Previous username: The Lone Wolf
New username: Simple Jack
Bio page: Backcountry
Joined: Sep 6, 2008
Last login: Aug 8, 2023
Total posts: 0 (0 FO)

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Messages

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

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