California Nurse Practitioner

This video advocates legislation for independent nurse practitioner practice in California as a means to increase access to quality and affordable care to Californians. The video presents information regarding the present health care crisis in California, NP capabilities and barriers to consumer access to NP services. Lastly, a discussion is provided regarding needed legislation with positive outcomes expected as well as those who will support and oppose legislative efforts eliminating the artificial barrier regarding physician supervision mandates for NP's.

Category:

People & Blogs

Tags:

• California
• Nurse
• Practitioner
• Independent
• Practice
• Duke
• School
• of
• Nursing
• University
• Doctor
• Advanced
• Health
• Care
• Barriers
• Primary

[jackooboy1]

The MD/DO review is a money making scheme for the doctors and a major disincentive to providing independent practice as a NP. New regulations will also free up MDs and DOs to use those allotted hours each month currently used to "check" the NPs' records to providing care to patients. For years MDs kept DOs out of the physician role, but finally relented as physician shortages became acute.

[DLuckyFNP]

@jackooboy1 Thanks much for your thoughts. For an article I'm writing, I'm trying to locate literature regarding the history of organized MD's acting as barrier agents to DO/OD/DPM advancement, as they are presently with the fight against pt. access vis-à-vis NP barrier formation. Any suggestions?

[zfellows]

So your argument goes... people need health care services, NP's are in the position to provide those services, but they require independence from physicians to do so?

Not seeing how that follows logically -> go find a collaborating physician (it's not difficult).

[DLuckyFNP]

Thanks for watching. The issue is not where finding a collaborating physician exists on the difficulty continuum--the issue is in the appropriateness of mandating a physician (or anyone outside of nursing for that matter) supervisor as a requirement for NP's to function and how this serves as a barrier to access to health care. In California--no physician supervisor--no NP practice. It's that simple. This is the essence of the barrier.

[teribunker]

Just keep trying to defend your turf. as a PCP the problem is we are all at the mercy of the insurance company or the MCO. Take your MD and go into specialty care. You don't want to sully your hands with the needs of the common man/woman anyway. You can't make enough money and its too stressful. Doctor is an adjective not a noun. You are all now Physician practitioners Or physician Doctors. Lets quit fighting each other and fight the real enemies. the insurance compaines

[teamjohntiger]

@DLuckyFNP Thank you for proving my point! You just said you know more than a doctor! "cleaning up messes" In FACT you just referenced yourself as a "doctor" The arrogance runs deep within you and all NP's. Sad, just sad.

[jasiodjasiodjasoidia]

@zfellows

Hey now Columbia (the premiere DNP school!!) had their grads take the watered-down USMLE too and only 50% of them failed it!

That's total equivalency. Plus, not all DNP programs let you get a bulk of your degree online...only some of them!

And who cares that DNP training is highly variable from school to school?? Their equivalent Doctors.

[jasiodjasiodjasoidia]

@DLuckyFNP To be fair, they'll have been Noctors for that long, splitting, driving wedges in the healthcare team approach, and pushing the idea that 1/10th-1/5th clinical hours are equivalent with no understanding of the medicine they are practicing.

Future? Just hire PA's and avoid hiring NP's. The anesthesiologist have started learning this after moving too slow to react to the CRNA militancy.

[jasiodjasiodjasoidia]

@teribunker

Oh please. This is such hogwash. Nurses do not have the market cornered on "whole patient" or "altruism". Give me a break and stop being so disingenuous. It's insulting to every other profession and patently false.

[jasiodjasiodjasoidia]

Hey chiropractors want to be primary care providers too! When are you going to lobby for their equivalency?

[teribunker]

wow--a lot of "action" on this topic. The reason MDs are not going into primary care any more is because primary care is broken. It has burned out MDs and it will burn out NPs next. Studies prove that after about 3 years all MD, DO, NP, PA are about the same with regards to knowledge, etc. The diff with the NP is that they usually get a "lighter" assignment or because they are truly altruistic at heart spend more time with pts.--the art of the whole thing is making pts. feel heard

[teribunker]

wow--a lot of "action" on this topic. The reason MDs are not going into primary care any more is because primary care is broken. It has burned out MDs and it will burn out NPs next. Studies prove that after about 3 years all MD, DO, NP, PA are about the same with regards to knowledge, etc. The diff with the NP is that they usually get a "lighter" assignment or because they are truly altruistic at heart spend more time with pts.--the art of the whole thing is making pts. feel that you "hear" them

[zfellows]

@DLuckyFNP You can try and make the 'oppression' of NPs/DOs by MDs an apples-to-apples comparison, but you're missing the point: today, the DO curriculum is everything the MD curriculum is - they can even take the USMLE. They do 3+ year residencies (not 40 hr/wk residencies, lets aim at 80 hrs/wk) minimum. They're not independent till they're done. The point is, when nurse practitioner education is up to this level, the medical community won't cry foul about independence. It's about safety.

[CitizenofDystopia]

@DLuckyFNP So you're saying that NP's, who have acquired a new skill in diagnosing and treating patients, should have their clinical training be less because they were doing a job that was not diagnosing and treating patients but in the same field? Would you be in favor of waiving all clinical training for CNA's that have 10 years experience and go onto get their RN?