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Jaime FNP ™ 🩺🦦⚕ Profile picture
@JaimeAPRN
Jul 13, 2020 • 8 tweets • 3 min read • Read on X
This weekend has been unusual and unfortunately it is becoming normal. How do you look at this virus and see anything but devastation? It is awful!

I want to cry each time a new patient or coworker tests positive.

/1
And as we wait for our weekly test results an odd sense of fear, denial, anger, and relief go through me each week as I continue to test negative.

Then guilt floods me, as those around me test positive.

And I wonder ... when will it be me? What will happen then? /2
What will happen to my family who depends on my income to survive. What will happen to me if I get this virus? Will I end up on a vent? Will I be around to see my daughter grow up? What will happen if I am not, then I realize, "so this is what it means to face your mortality" /3
When you read about questioning your mortality in text books, it is abstract & in theory.

When you start to question, "Will this be the day I get this virus and have it kill me?" It is surreal.

This has to be a dream, right? Nope.
This is what I and many others are facing /4
Then, I think...did any of these healthcare workers who died from this virus question these things?

Then before I can dwell on it too much, I get a call - another patient is in respiratory distress, oxygen is not helping, nothing is helping - /5
This is the moment we have been waiting for, its finally time to send this patient to the hospital so they can get a higher level of care.

Why were we waiting?

Because our hospitals are at 94-100% capacity depending on the building. There are very few beds ... /6
So we wait. We provide all the care we can, and when they are ready for one of the few ICU beds left in our area, we call EMS for transfer.

Yet, our govenor says - "Florida is fine, hospitals always run full like this...."

There is a huge disconnect /7
Its just another day according to our Govenor. Another day where thousands test positive and hundreds die...

This is #COVID19 in Florida's #LTC population. /end

#CoronavirusOutbreak #COVIDflorida #NurseTwitter #MedTwitter

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More from @JaimeAPRN

Jaime FNP ™ 🩺🦦⚕ Profile picture
Sep 23, 2020
People have asked why I have “flipped” from a advocate of FPA to a advocate of Physician led team care. Although I have explained it several times, I am going to do it ONE last time for everyone to read. Please read carefully. /1
I have always been an advocate of safe care. Patients come first, always. Their needs outweigh my needs. Always. It’s been that way since day one. Since I first called myself a nursing student. That has not changed and will not change. /2
I used to be an advocate for Full Practice authority. I believed that nurse practitioners were every bit as capable as caring for patients on the same level as a physician, providing the same care, and that we were simply being held back by physicians and legislators, /3
Read 16 tweets
Jaime FNP ™ 🩺🦦⚕ Profile picture
Sep 16, 2020
Who defines the practice of NPs? You would think it would be other healthcare professionals. Instead it is legislation & money. When a NP states they "want to practice at the top of their scope" or "not have restrictions on their license to practice" that NP is sadly repeating /1
Rhetoric that lobbiestst use to change the scope of practice. Fact is, if the NP is following the rules set forth in their state they are practicing at the top of their education and utilizing all skills/scope that their boards approve them to use.

Please remember that.

/2
Next time you see a NP lobbying for increased scope, increased practice rights, etc.

There is a reason the original laws were put into place. The profession was created to work with a physician-- not on our own. /end

#MedTwitter #NursePractitioner
Read 4 tweets
Jaime FNP ™ 🩺🦦⚕ Profile picture
Sep 6, 2020
A 🧵 ~
As #nursePractitioners we must take a stand and say enough is enough. #FPA will continue to ruin our profession in many ways. Here is one way: forcing unprepared NPs into FPA to be marketable in today’s job market. /1
Over the last 10-15 years Nurse Practitioner educational standards have become less rigorous. Online schools rely heavily on paper writing versus hands on clinical learning, yet the drive for FPA has continued at full speed. /2
Some will state that “their school was just fine, very rigorous, with high quality education that taught them to practice at the top of their education. What is the “top of our education” and why do we equate it with FPA? /3
Read 11 tweets
Jaime FNP ™ 🩺🦦⚕ Profile picture
Sep 3, 2020
Today, I will ask my supervising physician what he thinks of independent practice for nurse practitioners. I will tell you his unfiltered response later today. Stay tuned!! #nursepractitioner #MedTwitter
Ok, here is the answer.
"I think it depends on the competency of the NP-but Primary Care isn't easy & shouldn't be thought of as easy. There needs to be a mandatory competency test prior to a NP working independently even after 20-years, just to make sure everyone is on /1
The same level. We have to be fair to our patients and provide high quality care across the board. Nurse Practitioners are usually more empathetic with patients, take time to connect with patients, and thus have happier patients - but the care needs to be equal. /2
Read 5 tweets
Jaime FNP ™ 🩺🦦⚕ Profile picture
Aug 29, 2020
Why doesn’t @AANP_NEWS address the education issues going on with today’s NP schools? We know you are not the accreditation board, but you do advocate for FPA around the country. How can AANP in good faith continue to advocate for FPA when NP schools appear to be getting worse /1
As a major association for all nurse practitioners shouldn’t AANP be advocating to clean up our educational programs first, before seeking to allow new grads FPA? Wouldn’t it benefit the entire profession to refocus efforts on strengthening our standards? /2
As a FNP I am worried about our profession. As a preceptor I witnessed numerous ethical issues with students in relation to their studies, Multiple students taking tests together, cameras covered in lockdown browsers, test banks being shared - and /3
Read 7 tweets
Jaime FNP ™ 🩺🦦⚕ Profile picture
Aug 24, 2020
I have been asked to clarify my tweet due to it possibly being misconstrued as total nonsupport of my profession, #NursePractitioners

So, I shall try.

First, here is the tweet I am going to attempt and clarify.

#MedTwitter
My tweet was meant to highlight my views on the failings of NP schools and training as is now in the U.S. I do not agree with diploma mill schools that offer 100% acceptance rates, force students to find their own preceptors often at hefty fees, and /2
Prep the NP student so much with practice boards, they have likely seen very similar questions by the time they take their test. Because for these schools, certification rates are how they measure success - not if their students get well rounded education. /3
Read 11 tweets

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