You mean the ER nurses know what they are doing. The floor nurses generally are

Mar 26, 2023
1:10:54pm

waveslayer 3rd String

Are not the ones you want responding to your code. Yes they happen to be there... But my experience they aren't the ones you actually want there.

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waveslayer

Bio page: waveslayer
Joined: Jan 2, 2018
Last login: Sep 13, 2023
Total posts: 1,518 (721 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

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

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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