everybody wants to be a doctor but few want to go through the rigors and expense of medical school, residency, cost of initiating a practice, and paying for malpractice. Do any of you think that a DNP is going to make you better nurses, which is what you ultimately are. I think its all about perception and getting paid. Want to be a doc - take the time and effort to go to med school, period.
There are some courses offered online as part of our education curriculum, but we still have many many hours of clinicals on top of what we do as a RN. So we are prepared for what we do. Thank you and God bless.
I know these postings will create alot of strife among my own peers(NP's) who feel they are autonomous or they should be. For patients safety , i think patients chart should be reviewed every 2 weeks and review the tx plans. And to end my comments, I just wanted to say something about nursing education towards NP. I read one of the comment stating we get our education online, that is completely false.
Nurse practitioner or a PA are mid level practitioners not Doctors. Even if an individual obtains a doctorate as a NP, he or she should still tell the patient that they are functioning as an NP and not as a physician. And to expand or give NP's full autonomy to start a practice or to be an independent practitioner without supervision or collaborative agreement is not safe for the patients. I know these postings will create alot of strife among my own peers who feel they are autonomous or they s
I was not going to comment on this video, but some how I ended up on this video and as a NP I feel obligated to clear some confusion amongst the public. I work in a hospital and an out patient clinic as a psychiatric NP, I am not a Doctor of Medicine. In fact when patients call me Doctor so and so, i will correct them and remind them who I am and my scope of practice. Generaly speaking to be a NP, one has to have a Masters in Nursing in the specialty they want to specialize in.
I'm a dietary aide in a hospital while I'm studying in college. The pts think I'm an RN all the time. I don't even have the legal right to touch them!
Tell me... What average person knows the difference between an NP and a MD in the first place? They go to their "doctor", get treated, and go home.
My physician is an NP; her and her husband own a clinic that helps the uninsured and the poor. She has a MD that comes in every once and a while and checks over everything and does the legal work.
I know NPs that are getting their degrees ONLINE. That is ridiculous. Would you go see a doctor who got a medical degree online?? I'm sorry but this is crazy. I get that we need healthcare providers. But this is not the answer. NPs are less educated and therefore more prone to miss a potentially life threatening condition. Because its the new things on the block, people are excited, however, give it time, and some law suits and let's see how well these so-called practitioners work out.
@xamond ....ok I'm just gonna come out with it ..YOU BITCH ! how dare you call it easy ,this road isn't easy at all! I get your point but for you to call it a pussy way out is very ignorant on your part every job title has its stressors and benefits, pros and cons, I've spoken to many doctors who respect what NPs have to go through and they don't call it easy if anything they have mutual respect for eachother and work TOGETHER so shame on you sir!
we do, so if you approach pts with this type of attitude, you probably are not that good at what you do, and if you walk around with a chip on your shoulder because NPs want to be part of the solution that is you cross to bear. Don't place that negativity on others. Healthcare is changing and we need to change with it. Everyone deserves good care, so I hope all patients choose NPs :) No but I do want pts to have a choice in who their provider is. Lets work together, not against one another.
Place where there is a cohesive team working to care for them. When you have someones life in your hands there is no time or place for egos. I don't know what is wrong with the doctor posting such juvenile statements, but you have a lot to learn about what pts need and want. Don't you want to be part of the solution. I don't want to be a doctor because I respect the profession of nursing and know I'm better at getting pts to open up to me. Remember the history is the most important part of what
Place where there is a cohesive team working to care for them. When you have someones life in your hands there is no time or place for egos. I don't know what is wrong with the doctor posting such juvenile statements, but you have a lot to learn about what pts need and want. Don't you want to be part of the solution. I don't want to be a doctor because I respect the profession of nursing and know I'm better at getting pts to open up to me. Remember the history is the most important part of what
I have had lots of training as an RN, I recently became an NP but as an RN I have worked in every area of the hospital and understand what I'm doing and why, but I am not stupid, if there is something I don't know I will ask for help, I'm not arrogant, but I do know that I'm good at what I do. Pts need healthcare by qualified practitioners not ego maniacs, because soon pts will have a choice in who they want to provide their care, if they see this type of behavior, I think they will choose some
These type of conversations are divisive and disturbing. I have worked for 15 years in a teaching hospital, I have taught many residents and med students thing they did not know or understand why a certain thing was being done in the ICU. I disagree that NPs are taking care of healthy pts, have you had your head in the sand? There are no damn healthy folks in US, I'm an NP and every last one of my pts has a complex medical history that I deal with in addition to all their social issues.
These type of conversations are divisive and disturbing. I have worked for 15 years in a teaching hospital, I have taught many residents and med students thing they did not know or understand why a certain thing was being done in the ICU. I disagree that NPs are taking care of healthy pts, have you had your head in the sand? There are no damn healthy folks in US, I'm an NP and every last one of my pts has a complex medical history that I deal with in addition to all their social issues.
I graduated two years ago with a BSN from a top 50 program can not find a job. In an FNP program because it is all I can find. There is no shortage of doctors or nurses.
@magickunderpants you weren't looking if you couldn't find a job in nursing, I don't work because I am in FNP school, but I have hospitals begging me to work for $40/hour, and that's in rural east Tennessee.
@Svoboda1234 I apply for 50-100 jobs a week. I live in southwestern Ohio and every employer here has a one year exp. requirement to work for them. I am willing to move anywhere for a position. If you do know of any hospitals in rural east Tennessee please give me the names of these hospitals I would like to apply for RN positions with them.
Nurse Practitioners should consider themselves lucky enough to be able to do the things doctors spend a decade of training to do, in a few years. Having a Ph.D does not make you a doctor. I know professors who have a doctorate degree but if asked if they are doctors, they duly say "No". Because they are not. Only people who sacrifice and struggle through med school and residency should have the deserved title of doctor, not those who took the easy way and feel they deserve it.
@xamond18 its not an easy way is a different model of patient care.. and by 2015 they will all have a doctor or nursing practice degree so they undergrad for 4 years, 2- 4 years experience, 2- 4 years for masters, and 4-5 years for dnp. shut up. and struggle? sacrifice? get over it my husband is an MD, he sees no difference in the daily grind nurses go through and the grind he went through in school. next time you visit a psychologist (which i believe you should) try not calling him "doctor."
@xamond18 Haha, in a few years? being an FNP normally requires a 4 year nursing degree, at least a year of practice, and 2.5 years of NP school (7.5 years). Go through a BSN program before or medical school before you comment. DNPs will be addressed as doctors within the next 10 years. They aren't ever going to be MDs, just as MDs are never going to be DNPs, it's a different field that seeks to accomplish the same goal from a different perspective.
@xamond18 I find your comment offensive, immature and unnecessary. You certainly have fear in your words. I hope that one day you grow and mature as a human being. Nothing good will be achieved in your life by hatred and bullying others. It would be better for you to concentrate on your people skills and become a better clinician. Nursing is not an easy way out - both disciplines are challenging and difficult. Stop the ego-a nurse might save your life one day. I do feel sorry for you.
"Nurses are the Foundation of health care"!? I'm sorry but the major difference between NP and doctors is that doctors have more training, more education, more practical experience. I have no problem with an NP working primary care but not specialized medicine. It may take an MD up to 10 years after college to become specialize in something, how is that the same as a nurse only going 2-3 more years after college!? Want to play doctor, go to MEDICAL school!
@vavh27 there are two different models! they have separate focuses. now if you have cancer... fine see a damn doctor, but for the majority of cases easily preventable with lifestyle or easily treatable you don't. for most specialities (women's health, Acute Care NPs, Occupational Health NPs, Certified Nurse Midwives, and Certified Registered Nurse Anesthetists) need a MD
@vavh27 I find your comment offensive, immature and unnecessary. You certainly have fear in your words. I hope that one day you grow and mature as a human being. Nothing good will be achieved in your life by hatred and bullying others. It would be better for you to concentrate on your people skills and become a better clinician. Nursing is not an easy way out - both disciplines are challenging and difficult. Stop the ego-a nurse might save your life one day. I do feel sorry for you.
Just saw this post. Here is some food for thought! Why do they use the general intensive care unit sedation algorithm form mechanically ventilated patients for?
Could sandmann be any more ignorant? NP's are trained on the nursing model, which does focus more on the patient as a WHOLE. Im speaking not only as a healthcare provider but as the patient of a nurse practitioner. I could not be any more satisfied with the care i recieve!
LOL you DR's sure are up in arms, maybe you should take a lopressor for your rise in BP. As a nurse going to a FNP degree, I'm under no illusion that I know more than a dr, quite the contrary. We NP's are not trying to steal your thunder so relax!The argument here is that with a rise in access to healthcare wouldnt you like a bit of help or would you like your case load to triple and the result is you get burnt out, or give shit care because you dont even remember half of your pt's names.
@DrSandmann. I have worked as an RN on a cardiac/pulmonary ICU for 5 years, and I am currently going for my DNP. By holistic care he means looking at the patient in more than just a physiological sense. By the way, speaking of the knowledge of doctors, half of them can't even read swan strips. You're ingnorance and arrogance just shows the how pathetic you truly are. Grow up.
Not being able to prescribe narcotics is limiting this nurse-practitioner’s ability to practice?
Gee, I wonder..........what kind of pulmonary patients need narcotics? Last time I checked, you tend to avoid narcotics in patients with respiratory problems.
And for this a-hole to say that the only difference between nurse-practitioners and physicians is “philosophy of care” is a flat-out lie. The main difference is in the extent of training. NP’s training is a joke compared to a physician’s.
@DrSandmann Too bad the AMA didn’t send you to the interview; the NP would have mopped the floor with you. You asked, “what kind of pulmonary patients need narcotics?” Narcotics are commonly prescribed for mechanically ventilated patients. A 2008 study showed that “the most common form of sedation is a combination of benzodiazepines and narcotics; in particular, morphia and midazolam.” Being intubated / ventilated is extremely uncomfortable and painful. The critical care NP knows this.
You dumbshit. Narcotics aren’t PRESCRIBED for mechanically-ventilated patients. They are ORDERED for mechanically-ventilated patients (who are inpatients, for whom there will always be an attending physician to oversee the sedation). This idiot nurse in the video is talking about the right to prescribe schedule II narcotics for patients coming into outside clinics.
Get your facts straight. That way you sound like less of a moron.
Narcotics are commonly prescribed to mechanically ventilated patients. Make no mistake, an NP (or other provider) who orders narcotics in the hospital is prescribing. The NP was talking about prescribing to patients both within and outside of the hospital. You should watch the video to determine what he is saying. You already misquoted him once.
The PhD, DDS, DC, PsyD, DMD, DVM, EdD, DNP, DSN, DOT, DPT, MD, DO all called doctor. Give the public a little credit. They know full well who can do what, and the clinician also knows the limits of what they can safely do. The study was done by the way at the Columbia University Medical Center walk in clinic
Nurse Practitioners can and do provide a lot of the health care in the US and is 22 states do so without physician supervision or collaboration. In those states outcomes are similar to care provided directly by physicians. Study after study shows this. The groups that oppose independent practice for Nurse Practitioners do it because it may cut into profits not that it will hinder patient safety. Nurse Practitioners have been shown safe and effective. Raymond Zakhari, NP (Metro Medical Direct)
1. NP's do not treat (are not equipped) to treat critical/complex patients
2. A study comparing outcomes wherein both physicians and NP's treat complex patients has not been performed. Indeed if such a study were performed (obviously cannot be for ethical reasons) the outcome would be significantly different.
3. Independent/Autonomous practice cannot be allowed on the grounds listed in item 2.
4. The NP curriculum is not clinical training. It is research training.
@shenyingwu there have been many studies comparing outcomes and patient satisfaction studies done between physicians and NP's. Complex/critical patients require collaborative care from a variety of providers, no one should be treating this type of patient in isolation. Autonomous NP practice is already and has been happening in 24 states, successfully, improving access to care for patients, this is what is ethical. NP education is clinical. FYI
5. Within the context of a hospital a doctor is a Medical Doctor. If a patient asked to see a doctor and I brought in a history PhD this would not be acceptable.
6. Calling yourselves doctors confuses patients. Shame on you
7. NP's undergo a maximum of 500 hours clinical training. Occasionally more, more often less.
8. To practice independently, a physician must undergo tens of thousands of hours or CLINICAL training.
Let me be the first to point out to you that “study after study” that you cite don’t show what you think they show.
These so-called “studies” showing good outcomes for NP’s don’t take into account the fact that physicians are managing much sicker, more medically-complex patients than NP’s.
NP’s have good outcomes because they only treat healthier patients than physicians do.
Jesus, is there even ONE nurse out there who isn’t a fucking idiot? Just one??
Agreed. This faggot is lying through his fucking teeth, saying that the only difference between nurse-practitioners and physicians is “philosophy of care”, and the AMA couldn’t send a single member to expose his bullshit.
Ad hominem attacks are a sign of a weak argument—among other things. Don’t misquote…he didn’t say the only difference…he said the “ultimate difference.” Another big difference between NPs and physicians are the higher patient satisfaction scores that NPs enjoy over those of physicians, all while maintaining equal or better outcomes.
Well......pardon me, then!!! The “ultimate difference”. Whoopdy-doo. Big difference.
The crux of that little twerp’s statement is that he does not acknowledge the difference in training between a physician and a nurse-practitioner. He thinks because he wears a tie and a white coat that he’s carrying around in his head the same extent of knowledge that a physician does. That makes him a con-artist.
On the contrary, the NP was acknowledging those differences in the training between a physician and an NP. Among those differences is the NP’s greater sense of holism.
“He thinks…[so now you’re a mind-reader]… that he’s carrying around in his head the same extent of knowledge that a physician does.” Considering his education and critical care experience I would say that he very probably knows more than most physicians.
I see. So basically, according to this asshole, the only difference between a physician and a nurse-practitioner is that the nurse also has training in treating the patient “holistically”...whatever that means. So next you’re going to claim that physicians only treat diseases, but somehow this nurse who “specializes” in pulmonary medicine...err...nursing...treats the “whole patient”, right? A pulmonary patient comes in, and he’s gonna ask about the patient’s knees and sex life.
@DrSandmann There you go with the “only” again. Why do you choose to oversimplify things? It is good to keep things simple, but wasn’t it Einstein that said “Everything should be made as simple as possible, but no simpler.” There are many reasons (holism among them) for patients to choose an NP’s care over that of a physician. Informed patients are doing just that. I guess I would be threatened too if I were you. However you can look at this as a chance to improve yourself.
Do you realize how old and tired that “physicians treat diseases while nurses treat patients” argument is? You nurses peddle that garbage over and over, but nobody buys it. Not even you.
Now, as for this little faggot’s “education” and “critical care experience”, he’s got a nursing degree. Nursing school is a farce compared to med school. And he’s got no residency under his belt. Only a 2-year NP degree. But you claim that he knows more than most physicians. Nice!
Why do you keep referring to this person with a homosexual slur and why do you care what’s under his belt? There you go misquoting again. Considering his education and critical care experience I would say that he very probably knows more than most physicians.
I suppose he also knows more than I do about ophthalmology, obstetrics & gyn, pediatrics, surgery, endocrinology, oncology, pathology, cardiology, and nephrology than I do. I mean, he probably covered those topics in great depth during his lengthy two-year NP program, right?
And the four years we spend in med school and 3-7 years we spend in residency....we physicians were just twiddling our thumbs!
Threatened, indeed! No one can say who has more knowledge among you and this fellow. How can you know? Do you often compare yourself to others? Do you feel undervalued? If you are a physician, do you feel that this one-upmanship is intrinsic to the culture of medicine? Do you feel that “growing up” professionally in this type of environment is good for patients? Do you think that defensiveness and arrogance are traits valued by patients?
everybody wants to be a doctor but few want to go through the rigors and expense of medical school, residency, cost of initiating a practice, and paying for malpractice. Do any of you think that a DNP is going to make you better nurses, which is what you ultimately are. I think its all about perception and getting paid. Want to be a doc - take the time and effort to go to med school, period.
jamaggik 3 weeks ago
EYe wanna be like doctor house!...Get me in med school...and give me mah MD:
aaahhhhaaaahhhh 1 month ago
There are some courses offered online as part of our education curriculum, but we still have many many hours of clinicals on top of what we do as a RN. So we are prepared for what we do. Thank you and God bless.
jacobpnp 1 month ago
I know these postings will create alot of strife among my own peers(NP's) who feel they are autonomous or they should be. For patients safety , i think patients chart should be reviewed every 2 weeks and review the tx plans. And to end my comments, I just wanted to say something about nursing education towards NP. I read one of the comment stating we get our education online, that is completely false.
jacobpnp 1 month ago
Nurse practitioner or a PA are mid level practitioners not Doctors. Even if an individual obtains a doctorate as a NP, he or she should still tell the patient that they are functioning as an NP and not as a physician. And to expand or give NP's full autonomy to start a practice or to be an independent practitioner without supervision or collaborative agreement is not safe for the patients. I know these postings will create alot of strife among my own peers who feel they are autonomous or they s
jacobpnp 1 month ago
I was not going to comment on this video, but some how I ended up on this video and as a NP I feel obligated to clear some confusion amongst the public. I work in a hospital and an out patient clinic as a psychiatric NP, I am not a Doctor of Medicine. In fact when patients call me Doctor so and so, i will correct them and remind them who I am and my scope of practice. Generaly speaking to be a NP, one has to have a Masters in Nursing in the specialty they want to specialize in.
jacobpnp 1 month ago
I'm a dietary aide in a hospital while I'm studying in college. The pts think I'm an RN all the time. I don't even have the legal right to touch them!
Tell me... What average person knows the difference between an NP and a MD in the first place? They go to their "doctor", get treated, and go home.
My physician is an NP; her and her husband own a clinic that helps the uninsured and the poor. She has a MD that comes in every once and a while and checks over everything and does the legal work.
TheDiverpro 1 month ago
I know NPs that are getting their degrees ONLINE. That is ridiculous. Would you go see a doctor who got a medical degree online?? I'm sorry but this is crazy. I get that we need healthcare providers. But this is not the answer. NPs are less educated and therefore more prone to miss a potentially life threatening condition. Because its the new things on the block, people are excited, however, give it time, and some law suits and let's see how well these so-called practitioners work out.
buckhippo 2 months ago
@buckhippo Nurse Practitioners if they want to be doctors need to go to Medical School. No one is stopping you. Period.
EdmundoMD 1 month ago
wtf. Every physician is trained to look at the "whole" person. Nps are great but they're not physicians. You want the title Dr. go to medical school.
usfdude 3 months ago
@xamond ....ok I'm just gonna come out with it ..YOU BITCH ! how dare you call it easy ,this road isn't easy at all! I get your point but for you to call it a pussy way out is very ignorant on your part every job title has its stressors and benefits, pros and cons, I've spoken to many doctors who respect what NPs have to go through and they don't call it easy if anything they have mutual respect for eachother and work TOGETHER so shame on you sir!
MikeyDayy1023 3 months ago
Why don't we all become "doctors" and walk around in long white coats?
dlm13cwru 3 months ago 6
we do, so if you approach pts with this type of attitude, you probably are not that good at what you do, and if you walk around with a chip on your shoulder because NPs want to be part of the solution that is you cross to bear. Don't place that negativity on others. Healthcare is changing and we need to change with it. Everyone deserves good care, so I hope all patients choose NPs :) No but I do want pts to have a choice in who their provider is. Lets work together, not against one another.
nnivey1 4 months ago
This has been flagged as spam show
Place where there is a cohesive team working to care for them. When you have someones life in your hands there is no time or place for egos. I don't know what is wrong with the doctor posting such juvenile statements, but you have a lot to learn about what pts need and want. Don't you want to be part of the solution. I don't want to be a doctor because I respect the profession of nursing and know I'm better at getting pts to open up to me. Remember the history is the most important part of what
nnivey1 4 months ago
Place where there is a cohesive team working to care for them. When you have someones life in your hands there is no time or place for egos. I don't know what is wrong with the doctor posting such juvenile statements, but you have a lot to learn about what pts need and want. Don't you want to be part of the solution. I don't want to be a doctor because I respect the profession of nursing and know I'm better at getting pts to open up to me. Remember the history is the most important part of what
nnivey1 4 months ago
I have had lots of training as an RN, I recently became an NP but as an RN I have worked in every area of the hospital and understand what I'm doing and why, but I am not stupid, if there is something I don't know I will ask for help, I'm not arrogant, but I do know that I'm good at what I do. Pts need healthcare by qualified practitioners not ego maniacs, because soon pts will have a choice in who they want to provide their care, if they see this type of behavior, I think they will choose some
nnivey1 4 months ago 6
These type of conversations are divisive and disturbing. I have worked for 15 years in a teaching hospital, I have taught many residents and med students thing they did not know or understand why a certain thing was being done in the ICU. I disagree that NPs are taking care of healthy pts, have you had your head in the sand? There are no damn healthy folks in US, I'm an NP and every last one of my pts has a complex medical history that I deal with in addition to all their social issues.
nnivey1 4 months ago
These type of conversations are divisive and disturbing. I have worked for 15 years in a teaching hospital, I have taught many residents and med students thing they did not know or understand why a certain thing was being done in the ICU. I disagree that NPs are taking care of healthy pts, have you had your head in the sand? There are no damn healthy folks in US, I'm an NP and every last one of my pts has a complex medical history that I deal with in addition to all their social issues.
nnivey1 4 months ago
I graduated two years ago with a BSN from a top 50 program can not find a job. In an FNP program because it is all I can find. There is no shortage of doctors or nurses.
magickunderpants 6 months ago
@magickunderpants you weren't looking if you couldn't find a job in nursing, I don't work because I am in FNP school, but I have hospitals begging me to work for $40/hour, and that's in rural east Tennessee.
Svoboda1234 4 months ago
@Svoboda1234 I apply for 50-100 jobs a week. I live in southwestern Ohio and every employer here has a one year exp. requirement to work for them. I am willing to move anywhere for a position. If you do know of any hospitals in rural east Tennessee please give me the names of these hospitals I would like to apply for RN positions with them.
magickunderpants 4 months ago
Nurse Practitioners should consider themselves lucky enough to be able to do the things doctors spend a decade of training to do, in a few years. Having a Ph.D does not make you a doctor. I know professors who have a doctorate degree but if asked if they are doctors, they duly say "No". Because they are not. Only people who sacrifice and struggle through med school and residency should have the deserved title of doctor, not those who took the easy way and feel they deserve it.
xamond18 6 months ago
@xamond18 its not an easy way is a different model of patient care.. and by 2015 they will all have a doctor or nursing practice degree so they undergrad for 4 years, 2- 4 years experience, 2- 4 years for masters, and 4-5 years for dnp. shut up. and struggle? sacrifice? get over it my husband is an MD, he sees no difference in the daily grind nurses go through and the grind he went through in school. next time you visit a psychologist (which i believe you should) try not calling him "doctor."
901asyde901 5 months ago
@xamond18 Haha, in a few years? being an FNP normally requires a 4 year nursing degree, at least a year of practice, and 2.5 years of NP school (7.5 years). Go through a BSN program before or medical school before you comment. DNPs will be addressed as doctors within the next 10 years. They aren't ever going to be MDs, just as MDs are never going to be DNPs, it's a different field that seeks to accomplish the same goal from a different perspective.
Svoboda1234 4 months ago 2
@xamond18 I find your comment offensive, immature and unnecessary. You certainly have fear in your words. I hope that one day you grow and mature as a human being. Nothing good will be achieved in your life by hatred and bullying others. It would be better for you to concentrate on your people skills and become a better clinician. Nursing is not an easy way out - both disciplines are challenging and difficult. Stop the ego-a nurse might save your life one day. I do feel sorry for you.
peaceful881 3 weeks ago
"Nurses are the Foundation of health care"!? I'm sorry but the major difference between NP and doctors is that doctors have more training, more education, more practical experience. I have no problem with an NP working primary care but not specialized medicine. It may take an MD up to 10 years after college to become specialize in something, how is that the same as a nurse only going 2-3 more years after college!? Want to play doctor, go to MEDICAL school!
vavh27 6 months ago
@vavh27 there are two different models! they have separate focuses. now if you have cancer... fine see a damn doctor, but for the majority of cases easily preventable with lifestyle or easily treatable you don't. for most specialities (women's health, Acute Care NPs, Occupational Health NPs, Certified Nurse Midwives, and Certified Registered Nurse Anesthetists) need a MD
901asyde901 5 months ago
This has been flagged as spam show
@vavh27 I find your comment offensive, immature and unnecessary. You certainly have fear in your words. I hope that one day you grow and mature as a human being. Nothing good will be achieved in your life by hatred and bullying others. It would be better for you to concentrate on your people skills and become a better clinician. Nursing is not an easy way out - both disciplines are challenging and difficult. Stop the ego-a nurse might save your life one day. I do feel sorry for you.
peaceful881 3 weeks ago
Just saw this post. Here is some food for thought! Why do they use the general intensive care unit sedation algorithm form mechanically ventilated patients for?
if they dont give sedation narcotics to patients?
jmwer 7 months ago
Could sandmann be any more ignorant? NP's are trained on the nursing model, which does focus more on the patient as a WHOLE. Im speaking not only as a healthcare provider but as the patient of a nurse practitioner. I could not be any more satisfied with the care i recieve!
saylor0420 8 months ago 3
LOL you DR's sure are up in arms, maybe you should take a lopressor for your rise in BP. As a nurse going to a FNP degree, I'm under no illusion that I know more than a dr, quite the contrary. We NP's are not trying to steal your thunder so relax!The argument here is that with a rise in access to healthcare wouldnt you like a bit of help or would you like your case load to triple and the result is you get burnt out, or give shit care because you dont even remember half of your pt's names.
munggone 8 months ago 2
@DrSandmann. I have worked as an RN on a cardiac/pulmonary ICU for 5 years, and I am currently going for my DNP. By holistic care he means looking at the patient in more than just a physiological sense. By the way, speaking of the knowledge of doctors, half of them can't even read swan strips. You're ingnorance and arrogance just shows the how pathetic you truly are. Grow up.
DanceGavinDancee 10 months ago
Not being able to prescribe narcotics is limiting this nurse-practitioner’s ability to practice?
Gee, I wonder..........what kind of pulmonary patients need narcotics? Last time I checked, you tend to avoid narcotics in patients with respiratory problems.
And for this a-hole to say that the only difference between nurse-practitioners and physicians is “philosophy of care” is a flat-out lie. The main difference is in the extent of training. NP’s training is a joke compared to a physician’s.
DrSandmann 1 year ago
@DrSandmann Too bad the AMA didn’t send you to the interview; the NP would have mopped the floor with you. You asked, “what kind of pulmonary patients need narcotics?” Narcotics are commonly prescribed for mechanically ventilated patients. A 2008 study showed that “the most common form of sedation is a combination of benzodiazepines and narcotics; in particular, morphia and midazolam.” Being intubated / ventilated is extremely uncomfortable and painful. The critical care NP knows this.
cwmillerrn 1 year ago
@cwmillerrn
You dumbshit. Narcotics aren’t PRESCRIBED for mechanically-ventilated patients. They are ORDERED for mechanically-ventilated patients (who are inpatients, for whom there will always be an attending physician to oversee the sedation). This idiot nurse in the video is talking about the right to prescribe schedule II narcotics for patients coming into outside clinics.
Get your facts straight. That way you sound like less of a moron.
DrSandmann 1 year ago
@DrSandmann
Narcotics are commonly prescribed to mechanically ventilated patients. Make no mistake, an NP (or other provider) who orders narcotics in the hospital is prescribing. The NP was talking about prescribing to patients both within and outside of the hospital. You should watch the video to determine what he is saying. You already misquoted him once.
cwmillerrn 1 year ago
A male nurse-practitioner? Someone should check this guy to see if he has testicles.
DrSandmann 1 year ago
The AMA is only interested in maintaining the astronomically high salaries of their members.
jackooboy1 1 year ago
The PhD, DDS, DC, PsyD, DMD, DVM, EdD, DNP, DSN, DOT, DPT, MD, DO all called doctor. Give the public a little credit. They know full well who can do what, and the clinician also knows the limits of what they can safely do. The study was done by the way at the Columbia University Medical Center walk in clinic
rzakahri 1 year ago
Nurse Practitioners can and do provide a lot of the health care in the US and is 22 states do so without physician supervision or collaboration. In those states outcomes are similar to care provided directly by physicians. Study after study shows this. The groups that oppose independent practice for Nurse Practitioners do it because it may cut into profits not that it will hinder patient safety. Nurse Practitioners have been shown safe and effective. Raymond Zakhari, NP (Metro Medical Direct)
rzakahri 1 year ago
@rzakahri
1. NP's do not treat (are not equipped) to treat critical/complex patients
2. A study comparing outcomes wherein both physicians and NP's treat complex patients has not been performed. Indeed if such a study were performed (obviously cannot be for ethical reasons) the outcome would be significantly different.
3. Independent/Autonomous practice cannot be allowed on the grounds listed in item 2.
4. The NP curriculum is not clinical training. It is research training.
shenyingwu 1 year ago
@shenyingwu there have been many studies comparing outcomes and patient satisfaction studies done between physicians and NP's. Complex/critical patients require collaborative care from a variety of providers, no one should be treating this type of patient in isolation. Autonomous NP practice is already and has been happening in 24 states, successfully, improving access to care for patients, this is what is ethical. NP education is clinical. FYI
hcolfer 1 year ago
@rzakahri
5. Within the context of a hospital a doctor is a Medical Doctor. If a patient asked to see a doctor and I brought in a history PhD this would not be acceptable.
6. Calling yourselves doctors confuses patients. Shame on you
7. NP's undergo a maximum of 500 hours clinical training. Occasionally more, more often less.
8. To practice independently, a physician must undergo tens of thousands of hours or CLINICAL training.
shenyingwu 1 year ago
@rzakahri
Let me be the first to point out to you that “study after study” that you cite don’t show what you think they show.
These so-called “studies” showing good outcomes for NP’s don’t take into account the fact that physicians are managing much sicker, more medically-complex patients than NP’s.
NP’s have good outcomes because they only treat healthier patients than physicians do.
Jesus, is there even ONE nurse out there who isn’t a fucking idiot? Just one??
DrSandmann 1 year ago
Worthless interview. The AMA "couldn't make it"? They couldn't spare a single physician to crush this idiot?
zfellows 1 year ago
@zfellows
Agreed. This faggot is lying through his fucking teeth, saying that the only difference between nurse-practitioners and physicians is “philosophy of care”, and the AMA couldn’t send a single member to expose his bullshit.
DrSandmann 1 year ago
@DrSandmann
Ad hominem attacks are a sign of a weak argument—among other things. Don’t misquote…he didn’t say the only difference…he said the “ultimate difference.” Another big difference between NPs and physicians are the higher patient satisfaction scores that NPs enjoy over those of physicians, all while maintaining equal or better outcomes.
cwmillerrn 1 year ago
@cwmillerrn
Well......pardon me, then!!! The “ultimate difference”. Whoopdy-doo. Big difference.
The crux of that little twerp’s statement is that he does not acknowledge the difference in training between a physician and a nurse-practitioner. He thinks because he wears a tie and a white coat that he’s carrying around in his head the same extent of knowledge that a physician does. That makes him a con-artist.
DrSandmann 1 year ago
@DrSandmann
On the contrary, the NP was acknowledging those differences in the training between a physician and an NP. Among those differences is the NP’s greater sense of holism.
“He thinks…[so now you’re a mind-reader]… that he’s carrying around in his head the same extent of knowledge that a physician does.” Considering his education and critical care experience I would say that he very probably knows more than most physicians.
cwmillerrn 1 year ago
@cwmillerrn
I see. So basically, according to this asshole, the only difference between a physician and a nurse-practitioner is that the nurse also has training in treating the patient “holistically”...whatever that means. So next you’re going to claim that physicians only treat diseases, but somehow this nurse who “specializes” in pulmonary medicine...err...nursing...treats the “whole patient”, right? A pulmonary patient comes in, and he’s gonna ask about the patient’s knees and sex life.
DrSandmann 1 year ago
@DrSandmann There you go with the “only” again. Why do you choose to oversimplify things? It is good to keep things simple, but wasn’t it Einstein that said “Everything should be made as simple as possible, but no simpler.” There are many reasons (holism among them) for patients to choose an NP’s care over that of a physician. Informed patients are doing just that. I guess I would be threatened too if I were you. However you can look at this as a chance to improve yourself.
cwmillerrn 1 year ago
@cwmillerrn
(Cont’d).
Do you realize how old and tired that “physicians treat diseases while nurses treat patients” argument is? You nurses peddle that garbage over and over, but nobody buys it. Not even you.
Now, as for this little faggot’s “education” and “critical care experience”, he’s got a nursing degree. Nursing school is a farce compared to med school. And he’s got no residency under his belt. Only a 2-year NP degree. But you claim that he knows more than most physicians. Nice!
DrSandmann 1 year ago
@DrSandmann
Why do you keep referring to this person with a homosexual slur and why do you care what’s under his belt? There you go misquoting again. Considering his education and critical care experience I would say that he very probably knows more than most physicians.
cwmillerrn 1 year ago
@cwmillerrn
(Cont’d 2)
I suppose he also knows more than I do about ophthalmology, obstetrics & gyn, pediatrics, surgery, endocrinology, oncology, pathology, cardiology, and nephrology than I do. I mean, he probably covered those topics in great depth during his lengthy two-year NP program, right?
And the four years we spend in med school and 3-7 years we spend in residency....we physicians were just twiddling our thumbs!
DrSandmann 1 year ago
@DrSandmann
Threatened, indeed! No one can say who has more knowledge among you and this fellow. How can you know? Do you often compare yourself to others? Do you feel undervalued? If you are a physician, do you feel that this one-upmanship is intrinsic to the culture of medicine? Do you feel that “growing up” professionally in this type of environment is good for patients? Do you think that defensiveness and arrogance are traits valued by patients?
cwmillerrn 1 year ago