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About mcclane

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    Physician Assistant

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  1. Oh, we are doing the poor, white pity party thing in here now?
  2. Let's have those opinions on the subject, then, rather than the backhanded mechanisms of systematically locking threads, deleting comments, and banning dissent. Right wing, anti-nursing, anti-woke threads receive your support through bans, careful pruning, and timely locks to allow the quasi-hate group circle jerk to maintain a dominant presence on this forum. The number one best thing for the PA profession right now would be burning this trash forum to the ground.
  3. Backtrack all you want. This is the dangerous sentiment you expressed. This is the attitude that leads to patient safety issues. And this is the approach that must be decried by forum moderators, rather than given a "like" by one. The relative safety of the order is not the issue, but the attitude held by the provider. As long as the leadership of PA forum continues to implicitly tolerate these attitudes, RNs will continue to lobby against expansion of PA practice rights.
  4. RNs are expected to navigate their way up the chain of command when an order does not seem appropriate. It is deeply ingrained in the training of any new RN. Just because a resident sticks to their guns, other healthcare professionals are not granted a free pass to execute a dangerous order, especially if the majority of other members of their own profession would have escalated the query. Everyone in every department at the hospital is supported by their management to second guess you. Your attitude here, and your "like" by an ex-RN, is antagonistic, dangerous, and non-team oriented. Honestly, I wager your attending doesn't like it, either, and would be surprised you display such hubris. God bless the employee who stands their ground to go for a second check when you do fuck up, as opposed to just pushing drugs because you're known as the "hard ass" on the unit. This isn't a matter of "shopping around" as you say, and I never suggested it was. The attitude displayed here is extremely immature, and frankly, embarrassing that it continues to receive a nod of support from forum moderation. I call upon the mods to immediately voice their opposition to your inappropriate expectations of being the "final word" on orders from within the medical hierarchy.
  5. RNs are expected, at their relative level of education and responsibility, to consider if an order would be overtly harmful to a patient. Case in point, orders do occasionally get entered on the wrong the patient. This isn't spin, this is the job. The same goes for pharmacists, etc. No one gets a free pass doing things that hurt patients. Executing orders that the majority of members of one's own profession would find questionable is a fast way to get fired and potentially hauled before your licensing body. I am not making excuses here for bad actors or bad attitudes, as in the original example, but this is not a complicated topic.
  6. I'll say the same thing I did in the other thread shortly before a moderator cleaned up the thread by deleting their own posts and then locking it. RNs are aware of the medical hierarchy. It is ingrained in the profession that they should escalate up the chain of command if an unsatisfactory conclusion is arrived at through discussion with a (respectfully) lower rung. Do I think that this RN in this example is behaving appropriately? No. But going over your head, rejecting your thought process and explanation - this is going to occasionally happen. In most cases, nursing management is going to support RNs who escalate. In rare cases, that RN is going to be right, or the attending will place orders to placate, rather than aggravate. This is working as intended. If you are real insulted and put out by the whole process, maybe working somewhere without RNs is in your immediate future, or maybe you will find a way to make peace with it, or present your arguments more effectively to the RNs who call you.
  7. Nursing is aware of the medical hierarchy. It is ingrained in the profession to escalate up the chain of command if something smells wrong and interactions with the lower rungs do not result in a satisfactory conclusion.
  8. Having a hard time wrapping my head around why an ex-ICU RN would be unable to formulate a handful of reasons for difficulties between RNs and PAs/NPs and a few effective strategies for managing this conflict. Emphasis upon effective, because while your ideas so far might work for some providers, it sounds like your execution has been so terrible that you've doomed yourself to failure. And how exactly are you going to receive reasonable advice on a PA forum, especially this PA forum, especially with the attitudes that you are projecting here? Seriously, I think they can smell you a mile away. They're onto you, dude.
  9. Yeah, some guest speakers are not great choices.
  10. Don't take the bait ya'll, let these guys have their forum.
  11. Always watch out for the guy who talks in slippery slopes 95% of the time.
  12. mcclane

    Pay Disparity

    Have you seen what good plumbers, etc make these days?
  13. https://www.kevinmd.com/blog/2019/08/how-to-help-physicians-end-maintenance-of-certification-nationwide.html
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