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Lightspeed last won the day on October 27 2019

Lightspeed had the most liked content!

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About Lightspeed

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    Nurse Practitioner

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  1. Just gotta keep pushing forward! Things have changed considerably since I considered PA years ago. I get the sense that there won’t be much enthusiasm in the future for leaders that don’t have an appropriate vision for the profession, which is awesome for you guys. Back then the AAPA was run almost exclusively by boot lickers who couldn’t or wouldn’t imagine a future without a subservient relationship with physicians. You don’t need that relationship to function, and function well.You can run questions by a colleague without paperwork enforcing a formal relationship to do so. Plenty of em
  2. In that specific circumstance with restraints, there would be two professions allowed to handle the sign off on restraints, and neither of them would be dependent providers because elsewhere in the bill, NPs would be given status as independent providers. That explanation came in the sentence immediately following what you quoted. It could be a big conspiracy by the nursing lobby to specifically exclude PAs, but I think the more likely scenario is that the nursing lobby simply didn’t take steps to include PAs. Dragging PAs along with their efforts would 1) Expend political capital for individu
  3. Sigh.... I’ll use this awesome new link provided by one of the leaders of MAPA: https://journals.lww.com/jaapa/Fulltext/2019/09000/Are_PAs_and_NPs_interchangeable_.2.aspx And again, when direct entry NP programs are much more common than they are, you’ll have more license to use that. As it stands, they actually seem to turn out a pretty good product from what I’ve seen. And similar to Lexapro, I’ve seen some interesting cases of PAs with non pertinent previous experience who did a psyche rotation and then eventually applied to pretty intense psych positions due to mar
  4. Sweet... evidence that PAs aren’t light years ahead of NPs. Guess we can quit arguing about that. The reason PAs were relegated to 2nd class status in that bill was simply because NPs were seeking to be liberated to be independent providers. With that fact came the exclusion of PAs in the case of restraints because the process would be supervised by either physicians, or else NPs (who would have had independent licenses). It’s just part of the state by state legislative push to become independent. That’s why this freak out seen here is so instructive..... if you guys aren’t ready to
  5. I think that every time PAs are taking up the argument that they are better trained, which is usually where things always go, they look cynical. Instead of going into a defensive mode every time they are put into this situation, they should go on the offensive for once and take a positive tone to their approach. Your profession is reactive and negative rather than proactive and positive. It kills you guys every time. The NPs didn’t so much as do anything to bring you guys down in that bill, they just didn’t include you in their expansion. The PA profession was a NON ENTITY in the whole process
  6. When autocorrect becomes fully aware, it will be more powerful than the Terminator. No, I'm with you on how concerning it is on its surface. I don't even know if the blame can entirely be left at the door of the state chapter. So this kind of bill from a governor hits the legislature and gets butchered (or completely ignored). Panic isn't warranted at this point. I think its fair to say that it highlights what lobbying groups stand out to me as starting from a position of strength. In the cursory glance that I gave the legislation, I didn't see where physicians fit in, so keep in mi
  7. I’m fascinated that you responded to the fact that I listed (where I cited Bakers 73% approval rating) by suggesting his ideas aren’t politically sound. I would suggest right back that expert politicians know where their bread is buttered. It might help your PA organization to also learn how to butter bread as well, because being late to the game reveals that they were never taking the time to do the proper advocacy so that this wasn’t a surprise action. In the furniture, the best course of action might include: -Not resting on the laurels of physicians. In this case, they might ral
  8. The letter sounds highly critical of the most popular governor in the US, who pulls in a 73% approval rating in a state dominated by his opposition party. The MAPA couldn’t even put together a press release with a non adversarial approach. That’s not how you are going to get an invite to the conversation. It was a big mopey mess. Those places where PAs are the preferred providers are areas where I would expect them to be the preferred providers, because the physicians are the main event, and their skills are paramount. An APP doesn’t need to have an independent license, because
  9. Holy cow! If I’m reading that bill correctly, it grants independent practice rights to NPs and CRNAs, albeit after a supervisory period of two years..... or else after appropriate professional experience in another realm (registered nursing maybe?). The supervisory experience that is required is a period of two years, and can be performed under the supervision of an experienced nurse practitioner, CRNA, or even a physician if need be. So I have to admit, I had a hard time finding places that made mention of physician assistants. Could be that they are hidden somewhere within that 179 pag
  10. Nobody really brought up ethics until you first did, so I’m not sure the deep dive into the well of philosophy gets to the essence of what the OP is asking, nor what most of the comments address. Ethics exist in regard to right and wrong. If you don’t see a violation of the law as an ethical lapse, then so be it, but the practical argument really comes down to how this would play out in the regulatory environment as it currently exists. Yeah, change the law, and all of a sudden what was once illegal (and arguably unethical by extension) instantly becomes legal, and arguably ethical. The physic
  11. In your situation, you only need to get in touch with how you feel about it. It’s up to you what it means to function optimally, and whether or not you want that. If I were in your position, I’d try my best to get to the core of why I am for or against taking the medication. Try to get past any stigma that has influenced you, even what you might have felt subconsciously or indirectly. It wouldn’t hurt to consider how you think other people are affected by your condition. But at the core, it really comes down to how you want to feel and perform in any given day. Id suggest that if ADH
  12. Statute doesn’t change just by willing yourself to practice according to your own training and not someone else’s, no matter how anyone feels about it. Multiple entities might care about that arrangement under the right circumstances... insurance companies, commercial loan originators, malpractice lawyers....even in the absence of state regulations to the contrary. I’d suggest that at the point where you have to consult a physician outside of their scope of specialty, it’s actually ethics that dictate whether you remain on or off course.
  13. At first I felt like shadowing was potentially reasonable and benign vs them seeing you in action. But I loved the mention above regarding the potential liability of simply being out in their work environment and risking something happening that makes the practice liable for your safety. Even the disclosure of confidential information potentially complicates the circumstances for you. If a patient revealed something that implicated someone else in a crime, you’d be a witness to that revelation. If a patient made an accusation or filed a lawsuit based on anything they perceived, then you are a
  14. Yep. And an interview or two with the admin and other providers should solve the mystery as to whether you interact well with others, without the pettiness of participating in that entire exercise... new grad or not. To have to go out and demonstrate anything to them in action is humiliating for a provider. Even as an RN, I’d have shown myself out. I’m embarrassed for any NP or PA forced to do that. How do you think a physician (even fresh out of residency) would feel if they made that a condition of the hiring process? They’d keep looking, because it would reflect bad on the practice. But a p
  15. You aren’t trained on their EMR system, so you probably won’t need to be do anything other than interact, assess, plan, and communicate that to the provider that’s going to be with you in the room. It’s most likely they want to make sure you aren’t a weirdo with their patients, and get a glimpse at your skills. I’d pass. It’s offensive to me that anyone would “test me”, and I’d decline and move on....if I even gave them any further conversation at all. I’d be fine telling them how I feel about that too. That’s even as a new grad.
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