Moderator ventana Posted July 25, 2011 Author Moderator Share Posted July 25, 2011 Dude... YOU are pathetic... Your nerve endings are soooo exposed that as soon as YOU seen my reply to JwDavis... you ASSumed that it was directed at you. You then went on a defensive and spewed a bunch of nonsense. When it was pointed out that the response wasn't even directed at you... you attempted to backslide. A simple public "oh... my bad that wasn't directed at me" would have been sufficient... but no, YOU continued the silliness. And no... you don't get to make erroneous accusations in public... and then when called on them... get to 'take it to PM' to save face. Atleast not until you have recanted the public accusations PUBLICALLY. You are now trying to cover your mistake by making this about laws in MASS and asserting that "PA and NP are basically equal in MASS"... The continued silliness of this is that apparently the employers don't think so (like in many parts of the country)... and seem to prefer NPs (like in many parts of the country)... based upon their perceptions of this supposed "equality." If your reading and comprehension skillz were up to par... you would have also noticed were I stated "in states where no collaboration or supervision is required" in my original response to JwDavis. So your attempts at a backslide and trying to make this about ME not knowing the specific laws in MASS is transparent and ill-conceived. A simple... "oh... those posts were not directed at me or anything I posted... would suffice"... but you are tooo emotionally caught up into the game and to admit you were wrong is entirely tooo ego dystonic for you. Keep posting about this... its becoming clearer with each response. Again... for you slow readers... My initial post in this thread (and Andersen's) was directed solely at JwDavis... as evidenced by the arrows in my post pointing to JwDavis' post and the comments in my post about peri-care/toileting. My responses to JwDavis about the general and unfortunately nationally growing perception of NPs versus PAs concerning autonomy and the precieved medical liability was just that... a generalization that many a PA can attest to. The fact of the matter simply boils down to: NPs are winning the perception game and therefore come across as less of a hassle and potential liability to work with and/or employ... NATIONWIDE. I can hear those tap dancing shoes flying across the wooden floor now - I didn't put words in your post, you made all those statements about your "knowledge" of why they were doing this. You posted a private message (is your choice but isn't there a reason for private messages?), as far as me being wrong - sorry just don't see it - you stated things you have no clue about and now are trying to turn it personal - good riddens Contrarian - I for one don't believe a word you post.... You seem to make to much of it up...... just found the ignore setting for your posts so I don't have to read any more of your banter and dribble..... Link to comment Share on other sites More sharing options...
PAdaddy Posted July 25, 2011 Share Posted July 25, 2011 Like I said. It was an attempt at humor, you took offense to it and I apologize for that. I'm going to leave it at that. Link to comment Share on other sites More sharing options...
PAdaddy Posted July 25, 2011 Share Posted July 25, 2011 Like I said. It was an attempt at humor, you took offense to it and I apologize for that. I'm going to leave it at that. Link to comment Share on other sites More sharing options...
Contrarian Posted July 25, 2011 Share Posted July 25, 2011 I just found the ignore setting for your posts so I don't have to read any more of your banter and dribble..... Optimus Prime... Had you taken my advice and polished those reading and comprehension skillz ... you would have found that "ignore setting" yrs ago. Signed Megatron :heheh: Link to comment Share on other sites More sharing options...
Contrarian Posted July 25, 2011 Share Posted July 25, 2011 I just found the ignore setting for your posts so I don't have to read any more of your banter and dribble..... Optimus Prime... Had you taken my advice and polished those reading and comprehension skillz ... you would have found that "ignore setting" yrs ago. Signed Megatron :heheh: Link to comment Share on other sites More sharing options...
andersenpa Posted July 25, 2011 Share Posted July 25, 2011 So this company (Park Avenue) refuses to hire PA's - states NP are better and that they get paid more........ Have emailed them and stated that both PA's and NP's get the exact same payments and got a somewhat snide comment back from the HR person that stated in short NP's were better then PA's........ what??? so am posting their most recent ad here to hope that some very qualified PA's apply for their position so that they might "see the light" and realize PA's are just as good as NP's NURSE PRACTITIONER Williamstown Park Avenue Health Care is a prominent multi-specialty physician practice with 27-year history of providing exemplary medical and behavioral care to residents of Skilled Nursing Facilities. We currently have a full-time position available in Williamstown, MA for an experienced, certified ANP, GNP or FNP to provide primary care services to residents of an LTC facility. The NP is required to obtain medical histories, perform comprehensive physical examinations and outline treatment plans for residents; assess, diagnose, and prescribe clinical interventions and medications; order and interpret diagnostic tests (blood work, EKG's, x-rays); perform daily sick call and monthly re-certification in collaboration with the multidisciplinary team; and ensure that clinical practice and documentation are aligned with regulatory and accrediting agencies' standards. REQUIREMENTS At least 1 year of experience working as an APRN Current RN license ANCC or AANP certification as a GNP, ANP or FNP DEA privileges or eligibility. Long-term Care, Skilled Nursing Facility or Nursing Home experience is strongly preferred. We offer a competitive salary, uncapped monthly bonus, plus generous paid time off, 401(k), a flexible schedule and lots of independence! If you are highly motivated to maximize your talents and income and to join a dynamic team of health care professionals, please email your resume today to: Debra Zucker, Recruitment Director, dzucker@parkavenue.md Visit us at http://www.parkavenue.md EOE What are the specifics of what they told you? NPs better...how? Did they specifically mention anything about oversight/supervision/billing? Link to comment Share on other sites More sharing options...
andersenpa Posted July 25, 2011 Share Posted July 25, 2011 So this company (Park Avenue) refuses to hire PA's - states NP are better and that they get paid more........ Have emailed them and stated that both PA's and NP's get the exact same payments and got a somewhat snide comment back from the HR person that stated in short NP's were better then PA's........ what??? so am posting their most recent ad here to hope that some very qualified PA's apply for their position so that they might "see the light" and realize PA's are just as good as NP's NURSE PRACTITIONER Williamstown Park Avenue Health Care is a prominent multi-specialty physician practice with 27-year history of providing exemplary medical and behavioral care to residents of Skilled Nursing Facilities. We currently have a full-time position available in Williamstown, MA for an experienced, certified ANP, GNP or FNP to provide primary care services to residents of an LTC facility. The NP is required to obtain medical histories, perform comprehensive physical examinations and outline treatment plans for residents; assess, diagnose, and prescribe clinical interventions and medications; order and interpret diagnostic tests (blood work, EKG's, x-rays); perform daily sick call and monthly re-certification in collaboration with the multidisciplinary team; and ensure that clinical practice and documentation are aligned with regulatory and accrediting agencies' standards. REQUIREMENTS At least 1 year of experience working as an APRN Current RN license ANCC or AANP certification as a GNP, ANP or FNP DEA privileges or eligibility. Long-term Care, Skilled Nursing Facility or Nursing Home experience is strongly preferred. We offer a competitive salary, uncapped monthly bonus, plus generous paid time off, 401(k), a flexible schedule and lots of independence! If you are highly motivated to maximize your talents and income and to join a dynamic team of health care professionals, please email your resume today to: Debra Zucker, Recruitment Director, dzucker@parkavenue.md Visit us at http://www.parkavenue.md EOE What are the specifics of what they told you? NPs better...how? Did they specifically mention anything about oversight/supervision/billing? Link to comment Share on other sites More sharing options...
Moderator ventana Posted July 25, 2011 Author Moderator Share Posted July 25, 2011 What are the specifics of what they told you?NPs better...how? Did they specifically mention anything about oversight/supervision/billing? they said that NP's get paid more from the insurance companies then PA's and due to this they would not employ a PA as they would make less money in reimbursments. I tried to discuss with them the fact both get reimbursed at 85% and the incident to rules apply to both. As well that the Medicare guidelines are the same for PA/NP in LTC facilities and that in MASS they are the same for supervision..... Link to comment Share on other sites More sharing options...
Moderator ventana Posted July 25, 2011 Author Moderator Share Posted July 25, 2011 What are the specifics of what they told you?NPs better...how? Did they specifically mention anything about oversight/supervision/billing? they said that NP's get paid more from the insurance companies then PA's and due to this they would not employ a PA as they would make less money in reimbursments. I tried to discuss with them the fact both get reimbursed at 85% and the incident to rules apply to both. As well that the Medicare guidelines are the same for PA/NP in LTC facilities and that in MASS they are the same for supervision..... Link to comment Share on other sites More sharing options...
andersenpa Posted July 25, 2011 Share Posted July 25, 2011 The first thing I am thinking is- what the nursing influence is in HR. Not that it' all that nefarious, but people tend to go with what they have heard and if there ar nursing types in hiring, they will put that influence out there, particularly if they don't know the facts as you have presented them. Link to comment Share on other sites More sharing options...
andersenpa Posted July 25, 2011 Share Posted July 25, 2011 The first thing I am thinking is- what the nursing influence is in HR. Not that it' all that nefarious, but people tend to go with what they have heard and if there ar nursing types in hiring, they will put that influence out there, particularly if they don't know the facts as you have presented them. Link to comment Share on other sites More sharing options...
PAdaddy Posted July 26, 2011 Share Posted July 26, 2011 I agree with this to some degree. I have been dropping hints for 2 years in our VP council about hiring PA's in support roles to our hospitalists and other contracted MD services. They had always hired NP's for this until last year on of the MD's suggested a PA he knew from the local program and low and behold the last 3 mid level's have also been PA's. So much is to be said for "what they don't know DOES hurt them" to some extent. Link to comment Share on other sites More sharing options...
PAdaddy Posted July 26, 2011 Share Posted July 26, 2011 I agree with this to some degree. I have been dropping hints for 2 years in our VP council about hiring PA's in support roles to our hospitalists and other contracted MD services. They had always hired NP's for this until last year on of the MD's suggested a PA he knew from the local program and low and behold the last 3 mid level's have also been PA's. So much is to be said for "what they don't know DOES hurt them" to some extent. Link to comment Share on other sites More sharing options...
Moderator ventana Posted July 26, 2011 Author Moderator Share Posted July 26, 2011 My whole point in posting this was not to debate anything but instead have some qualified PA's send in some comments and or CV's to get them thinking. I already emailed the HR specialist and found the email for company president on their web site and cc him as well. No reason this should not be open to PA's and NP's alike. Link to comment Share on other sites More sharing options...
Moderator ventana Posted July 26, 2011 Author Moderator Share Posted July 26, 2011 My whole point in posting this was not to debate anything but instead have some qualified PA's send in some comments and or CV's to get them thinking. I already emailed the HR specialist and found the email for company president on their web site and cc him as well. No reason this should not be open to PA's and NP's alike. Link to comment Share on other sites More sharing options...
gavin Posted August 10, 2011 Share Posted August 10, 2011 girls....girls.....girls.....your both pretty!!! Link to comment Share on other sites More sharing options...
dxu Posted August 10, 2011 Share Posted August 10, 2011 If it makes you feel better, the very large EM group that staffs the ED where I work refuses to even entertain the idea of NPs and will only hire PAs. And this group has numerous branches all over the country. They have had NPs apply but they never even open the application. Link to comment Share on other sites More sharing options...
brookspa Posted August 10, 2011 Share Posted August 10, 2011 Have a friend who is a neurologist , former NP himself, hired a PA. not sure what that means...maybe he is just a good PA? or the best qualified applicant? Link to comment Share on other sites More sharing options...
Moderator ventana Posted August 10, 2011 Author Moderator Share Posted August 10, 2011 if it makes YOU feel better, ALL of the emergency medicine groups in my area got rid of every single midlevel provider and refuse to entertain the idea of having NPs or PAs in the emergency departments they cover (which is every hospital in the region... with ever increasing expansion contracts being signed with the rural facilities). they wont open any applications from non ER residency trained physicians. turns out that facilities that can boast that doctors treat you when you walk into an ER feel there is a competetive advantage to operating that way. nobody around here wants to be the facility that throws a PA or NP at you. so i guesse when someone feel s pretty cool, there is always someone out there that will bring them down a notch. gotta love that elitist model the owners will face a difficult decision with increase work demands, decreasing availability to ER resident trained doc's (check out the recent reports on ER demand versus training), the aging baby boomer generation and the desire for doc's to retire. I see no issues (other then it is stupid) with not hiring NP/PA's - some people are stuck in an old paradigm - but time and $$ will likely "get them to see the light" in a few years one of their doc's will realize they can make an extra 100k off a PA/NP as compared to the doc and this means more profit and POOF they are hiring midlevels.... I just don't like it when NP or PA's are excluded at the expense of the other - honestly I have seen great NP's that I have provided reference letters for and places would be lucky to get them, and the same with PA's. course have seen some horrible PA MD and NP's so no real logic..... but marketing is real and it works Link to comment Share on other sites More sharing options...
Guest TerryF Posted August 10, 2011 Share Posted August 10, 2011 I only worked with one NP in my life, in the navy. He was a swell guy. We did exactly the same practice. However, I felt I knew more and was more confident than he was, consequently better trained. Being a nurse doesn't make one a practitioner. Likewise, being a navy corpsman didn't make me a practitioner, but my training certainly did. I am speaking with prejudice, but I think PAs get better training. Personally, if I don't know something, I won't hesitate to go ask somebody. It doesn't bruise my ego one bit. TerryF Link to comment Share on other sites More sharing options...
khbpac Posted November 14, 2011 Share Posted November 14, 2011 I've devoted 12 years to overnight, high acuity inpt psych. I'm now fighting for my job due to the exact statement. I've outlasted the last 5 NP's and 4 MD's. Link to comment Share on other sites More sharing options...
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