ryan83 Posted April 22, 2013 Author Share Posted April 22, 2013 I have been working with this doctor for the last year or so, i had privileges in 7 hospitals where i see all the patients in the morning and he rounds at night and sign all my orders , recently the administration of one of the hospitals called me for an urgent meeting-- i went and here what happened.. 1- A PA cant discharge patients 2- PAs cant give telephone order 3- PAs cant be in the hospital if the supervising physician is not on site 4- The supervising physician has to sign orders within 24 hours the PA writes 5- Nurses has to call the doctor to verify every order i write and they put me on suspension because i did the opposite of all of the above I was so shocked - i talked to the physician and we called all other hospitals to see if they have the same ****ty policies and it appeared that they do. Today the office manager calls me and tell me this" doctor X would like to let you know that he cant use you anymore for your USELESS PROFESSION and he is hiring an NP that has more scope of practice and would best fit him, it seems your profession needs a physician to baby sit the PAs" THAT WAS SO HARSH... Really.... Realy... we are concerned about changing the name and yet we have broken system and undefined scope of practice... You gona tell me ER pas have autonomy-- oh well there is always a supervising physician on site Surgery PAs -- there is always a surgeon on site Hospitalists PAs -- there is always intensivist on site where is the supervision we learned in school " THE DOCTOR DOESNT HAVE TO BE ON SITE" what a joke!!! Im talking about inpatient, i didnt have problems with outpatient -- i had my own panel of patients and never had problems Link to comment Share on other sites More sharing options...
ryan83 Posted April 22, 2013 Share Posted April 22, 2013 I have been working with this doctor for the last year or so, i had privileges in 7 hospitals where i see all the patients in the morning and he rounds at night and sign all my orders , recently the administration of one of the hospitals called me for an urgent meeting-- i went and here what happened.. 1- A PA cant discharge patients 2- PAs cant give telephone order 3- PAs cant be in the hospital if the supervising physician is not on site 4- The supervising physician has to sign orders within 24 hours the PA writes 5- Nurses has to call the doctor to verify every order i write and they put me on suspension because i did the opposite of all of the above I was so shocked - i talked to the physician and we called all other hospitals to see if they have the same ****ty policies and it appeared that they do. Today the office manager calls me and tell me this" doctor X would like to let you know that he cant use you anymore for your USELESS PROFESSION and he is hiring an NP that has more scope of practice and would best fit him, it seems your profession needs a physician to baby sit the PAs" THAT WAS SO HARSH... Really.... Realy... we are concerned about changing the name and yet we have broken system and undefined scope of practice... You gona tell me ER pas have autonomy-- oh well there is always a supervising physician on site Surgery PAs -- there is always a surgeon on site Hospitalists PAs -- there is always intensivist on site where is the supervision we learned in school " THE DOCTOR DOESNT HAVE TO BE ON SITE" what a joke!!! Im talking about inpatient, i didnt have problems with outpatient -- i had my own panel of patients and never had problems Link to comment Share on other sites More sharing options...
MediMike Posted April 22, 2013 Share Posted April 22, 2013 That sounds brutal Ryan. Sorry to hear about their decision, hope you're able to move on ok and without delay. Where are you located at? Link to comment Share on other sites More sharing options...
MediMike Posted April 22, 2013 Share Posted April 22, 2013 That sounds brutal Ryan. Sorry to hear about their decision, hope you're able to move on ok and without delay. Where are you located at? Link to comment Share on other sites More sharing options...
Febrifuge Posted April 22, 2013 Share Posted April 22, 2013 Yeah, what state are you in, and what does the law say you can and can't do? And even more relevant... Why did this MD not know any of this before hiring someone? Link to comment Share on other sites More sharing options...
Febrifuge Posted April 22, 2013 Share Posted April 22, 2013 Yeah, what state are you in, and what does the law say you can and can't do? And even more relevant... Why did this MD not know any of this before hiring someone? Link to comment Share on other sites More sharing options...
Will352ns Posted April 22, 2013 Share Posted April 22, 2013 To be honest, this seems a bit far fetched. To the point that you sound like you are trolling. Forgive me if I am wrong. What State? Link to comment Share on other sites More sharing options...
Will352ns Posted April 22, 2013 Share Posted April 22, 2013 To be honest, this seems a bit far fetched. To the point that you sound like you are trolling. Forgive me if I am wrong. What State? Link to comment Share on other sites More sharing options...
vet-up Posted April 22, 2013 Share Posted April 22, 2013 Sorry to hear your situation. I can only speak as a Pre-PA so please don't judge what I'm going to say. I know that you're not the only one has to deal with this problem. This was what I tried to tell me friends before that "there are two programs one is Physician Associate and another is Physician Assistant, and which one they think is best". They both said that "why do I want to become an assistant". Of course they did not research that both programs are the same. My point here is that many of PA want to have more autonomy and more privilege but the reality is how people are not from medical field recognize the PA profession. I truly believe that name change is the first step the PA profession needs to do before anything else. Now, I truly believe that the PAFT is heading to the right direction and the only thing they need up to this time is more supporters from the PA profession. Once again, I can only speak from a Pre-PA. I hope you will find the way to move on and successful in the PA profession. Link to comment Share on other sites More sharing options...
vet-up Posted April 22, 2013 Share Posted April 22, 2013 Sorry to hear your situation. I can only speak as a Pre-PA so please don't judge what I'm going to say. I know that you're not the only one has to deal with this problem. This was what I tried to tell me friends before that "there are two programs one is Physician Associate and another is Physician Assistant, and which one they think is best". They both said that "why do I want to become an assistant". Of course they did not research that both programs are the same. My point here is that many of PA want to have more autonomy and more privilege but the reality is how people are not from medical field recognize the PA profession. I truly believe that name change is the first step the PA profession needs to do before anything else. Now, I truly believe that the PAFT is heading to the right direction and the only thing they need up to this time is more supporters from the PA profession. Once again, I can only speak from a Pre-PA. I hope you will find the way to move on and successful in the PA profession. Link to comment Share on other sites More sharing options...
ryan83 Posted April 22, 2013 Author Share Posted April 22, 2013 To be honest, this seems a bit far fetched. To the point that you sound like you are trolling. Forgive me if I am wrong. What State? I live in northern california , If you dont know , i researched it heavily , a hospitals policy overrides AAPA and CAPA , basically the hospital have the right to set up your scope of practice regardless what the law says.... but what pisses me off is that these hospitals put cuffs on PAs but never mess up with NPs. Link to comment Share on other sites More sharing options...
ryan83 Posted April 22, 2013 Author Share Posted April 22, 2013 To be honest, this seems a bit far fetched. To the point that you sound like you are trolling. Forgive me if I am wrong. What State? I live in northern california , If you dont know , i researched it heavily , a hospitals policy overrides AAPA and CAPA , basically the hospital have the right to set up your scope of practice regardless what the law says.... but what pisses me off is that these hospitals put cuffs on PAs but never mess up with NPs. Link to comment Share on other sites More sharing options...
physasst Posted April 22, 2013 Share Posted April 22, 2013 I live in northern california , If you dont know , i researched it heavily , a hospitals policy overrides AAPA and CAPA , basically the hospital have the right to set up your scope of practice regardless what the law says.... but what pisses me off is that these hospitals put cuffs on PAs but never mess up with NPs. Yeah, this is not unheard of. I've actually seen it more times than I care to think about. I'm sorry for your difficulties. My guess is that the nursing administration (which has more power than anyone else in almost every hospital I've been in) has had a large say in these policies. Have you reached out to CAPA? Link to comment Share on other sites More sharing options...
physasst Posted April 22, 2013 Share Posted April 22, 2013 I live in northern california , If you dont know , i researched it heavily , a hospitals policy overrides AAPA and CAPA , basically the hospital have the right to set up your scope of practice regardless what the law says.... but what pisses me off is that these hospitals put cuffs on PAs but never mess up with NPs. Yeah, this is not unheard of. I've actually seen it more times than I care to think about. I'm sorry for your difficulties. My guess is that the nursing administration (which has more power than anyone else in almost every hospital I've been in) has had a large say in these policies. Have you reached out to CAPA? Link to comment Share on other sites More sharing options...
jsfelder0417 Posted April 22, 2013 Share Posted April 22, 2013 Wow, that is ridiculous. Link to comment Share on other sites More sharing options...
jsfelder0417 Posted April 22, 2013 Share Posted April 22, 2013 Wow, that is ridiculous. Link to comment Share on other sites More sharing options...
sartort Posted April 22, 2013 Share Posted April 22, 2013 "Today the office manager calls me and tell me this" doctor X would like to let you know that he cant use you anymore for your USELESS PROFESSION and he is hiring an NP that has more scope of practice and would best fit him, it seems your profession needs a physician to baby sit the PAs" THAT WAS SO HARSH..." Did you do something to upset the office manager? That is an extremely unprofessional way to let someone go, even if it's the viewpoint of the physician for some reason. Link to comment Share on other sites More sharing options...
sartort Posted April 22, 2013 Share Posted April 22, 2013 "Today the office manager calls me and tell me this" doctor X would like to let you know that he cant use you anymore for your USELESS PROFESSION and he is hiring an NP that has more scope of practice and would best fit him, it seems your profession needs a physician to baby sit the PAs" THAT WAS SO HARSH..." Did you do something to upset the office manager? That is an extremely unprofessional way to let someone go, even if it's the viewpoint of the physician for some reason. Link to comment Share on other sites More sharing options...
Teasip Posted April 22, 2013 Share Posted April 22, 2013 It's what many of us dealt with back in the mid-80's here in Texas but I haven't heard of such a thing in years. It is the facilities' discretion to determine who/how they wish to allow practitioners to practice. Link to comment Share on other sites More sharing options...
Teasip Posted April 22, 2013 Share Posted April 22, 2013 It's what many of us dealt with back in the mid-80's here in Texas but I haven't heard of such a thing in years. It is the facilities' discretion to determine who/how they wish to allow practitioners to practice. Link to comment Share on other sites More sharing options...
ToppDog Posted April 22, 2013 Share Posted April 22, 2013 A good example of how one's livelihood is determined at the whim of another. C & the others are right. Link to comment Share on other sites More sharing options...
ToppDog Posted April 22, 2013 Share Posted April 22, 2013 A good example of how one's livelihood is determined at the whim of another. C & the others are right. Link to comment Share on other sites More sharing options...
bradtPA Posted April 22, 2013 Share Posted April 22, 2013 Northern Cali, especially the San Francisco Bay area, is controlled by the nursing lobby. Good luck in finding a better place to work. Link to comment Share on other sites More sharing options...
bradtPA Posted April 22, 2013 Share Posted April 22, 2013 Northern Cali, especially the San Francisco Bay area, is controlled by the nursing lobby. Good luck in finding a better place to work. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted April 22, 2013 Moderator Share Posted April 22, 2013 Northern Cali, especially the San Francisco Bay area, is controlled by the nursing lobby. Good luck in finding a better place to work. very true...come to the pacific nw where all that stuff goes away...PAs run ERs without a doc on site.... Link to comment Share on other sites More sharing options...
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