MediMike

Can you say that in your 32 years of practice you've seen no change in the field in regards to our ability to practice, expanded scope or actual shift in what our career actually is? Can you say there has been no change in the ability of new graduates in our field to find a position? That there has not been massive encroachment by the nursing lobby and world that represents a danger to our future? Look man, I respect the hell out of all of you who paved the way for us, you've fought harder battles than I likely will in my lifetime. The fact is people aren't saying the moniker upsets them and provides a hindrance to their clinical ability to take care of patients but it may very well be a hindrance to their ACTUAL ability to provide care to patients as they may not have jobs when an NP is hired preferentially. When you're coming up in this world and that moniker may be the deciding factor between you or an independent practitioner getting a position well... people should care at that point. Thanks for fighting the fights you did, we appreciate it

Unless I am misreading the OP's initial post, it sounds like an exam was initially performed and then was being re-performed at that time by request of the surgeon. I'm guessing that an abnormal physical exam led to the imaging which revealed the SBO. Taking context from the post before replying in a condescending manner is important. Even in critical care we do that.

This isn't a situation where they respond to emergent dispatches. Community paramedicine has been designed to either prevent transports via education, home visits, and social support, or divert them to appropriate resources other than the ED. So no, I doubt they are giving a big middle finger to upper middle class America, that's jist not who this program is designed for. Although I'm willing to bet that if there was a high utilizer in that specific demographic then they would respond.

Regardless of our other disagreements...this is pretty funny.

Just saw a foundation funded NP fellowship for LGBTQ+ studies and care... https://callen-lorde.org/haringfellowship/

Similar to above, we did a monthly science project box for my kid and my nephew, they absolutely loved it. Building catapults and volcanoes and...stuff. Well worth it.

A primary care NP/PA with multiple years of experience and a strong collaborative team...yeah. Probably. Maybe. Making the assertion that a new grad PA/NP can walk in the door of a practice and perform at the same level as a residency trained MD is pretty disingenuous. O'Neal nailed it above with "easy to do, hard to do well". Could you shuffle patients through the day? Sure. Could you see 20 - 30, follow up on all the labs and calls and make sure that the vague symptoms your patient is showing up with isn't a sign of some zebra? Or a result of the polypharmacy inherited from the last provider? How about managing the complex social situations you run into? Let alone managing the inpatient if your group follows their own. Primary Care is hard.

A little more detailed search will reveal quite a few threads on LECOM, the +/-, people who have gone through, where they matched etc Good luck!

You did it wrong. #morehashtags

As a follow up to Hope's post... https://trackbill.com/bill/missouri-house-bill-907-establishes-a-licensing-procedure-for-paramedic-practitioners/1685013/ Sounds like what the PA profession started off as, much more dependence and oversight than most current clinical environments. But hell, bet they'll be cheaper. If you notice who testified for and against the bill...I see nurses associations and NP associations...sure don't see any PAs listed. Pretty sure the billed died this session but starting to look like death by a thousand cuts if we're not careful.

These have kept me comfortable in multiple styles. Although the ones I got weren't impermeable soles. So if anything happens to be dripping off of/pouring out of your patient it maaaaaay end up on your socks. Otherwise I absolutely love then. Shoe covers for the gooey patients.

Interesting, can MAs not do blood draws in your neck of the woods? Or is the pace of your office not fast enough to require that? These are honest questions, I work inpatient critical care, if I'm asked to start s peripheral line it's normally a hot mess but I remember in my clinical year having the MAs do the draws.

I've had one A so far in Western WA, had been inpatient for a while before decompensating so somebody brought it in...

I think in the vast majority of situations phlebotomy is "below" the skill level of a provider because your time can be spent doing other higher value generating procedures/visits. What generates more cash, an blood draw or a shoulder reduction? Starting an IV or seeing a turn and burn bronchitis? I think you're both in a bit of a specialized niche where maybe none of that applies to you, but for me at least I don't do blood draws for the same reason I don't take my own vitals, administer my own meds, insert Foley's or change linens. My time is better served generating revenue or working through some complexity.

Some weird correlation with intra-cranial processes too.