Thread by @Suburbanbella

I want every physician who is following me to understand exactly what is happening in CA. AB 890 is the bill that will allow the unsupervised practice of all NPs, including those from degree mills and/or w/o clinical RN experience. The bill was sponsored by Jim Wood, a dentist

2) and puppet of the NP lobby. The bill is before the Senate Business, Professions and Economic Development committee, where it is waiting review of its most recent amendment. The CA chapter of Physicians for Patient Protection and the California Medical Association are

3) vigorously opposing this bill. No one should be practicing medicine w/o a medical license. Period. I have included a link to the amended part of the bill(leginfo.legislature.ca.gov/faces/billText…) On that page, you can pull up the complete bill if you like. I have also attached the statements

4) that I find to be so indicative of the deception in this bill. A)There will be no NP board overseeing their practice, it will be the nursing board which has 9 members. However, there will be an advisory committee which will include a majority of NPs and a few docs.

5)Who selects the committee? That remains to be seen. I believe the advisory committee was a compromise because the NPs did not want a separate NP board that included physicians who would have influence over their practice. They want us to train and precept them..and then STFU.

6) B)They will be permitted to practice w/o standardized procedures(which is currently required) in any facility except the Dept. of Corrections and Dept. of State Hospitals. Yep, inmates and the mentally ill will still have supervised, standardized care. But not the public.

7)In the very last line, none of the other facilities can interfere with, control or direct the NPs judgement once they are "independent". Understandable, since corporations cannot direct medical or nursing care. However, it includes private medical groups. Not sure how physician

8)owners cannot dictate management when they are ultimately liable, but ok. C)My biggest pet peeve is and always will be that the definition that defines NP practice is, for all intended purposes, describing the practice of medicine. If this bill passes, it only requires that NPs

9)have 3 years of practice in good standing or 4600 hours. However, the standard can be LOWERED if they have that sham non-clinical DNP degree. So get ready for the myriad of entry level RN/NP combined degree graduates with no RN experience obtaining their DNP. There is no way to

10)filter them out once they are in the population because the bill does not take that into account. Yes, the bill clarifies they must have attended a program that MANDATES clinical hours, but that means nothing. And it already exists. The problem is that there is no regulatory

11)agency reinforcing it. What good is a mandate with no oversight? Yes, CCNE, I'm talking to you. Unfortunately, once those sub-par students are "out there" practicing, the patients are at their mercy. Can't rely on the CA nursing board because they are unreliable, especially in

12)light of their recent audit(hosted.ap.org/article/4f13e7…). And last but not least, NPs are advised to refer patients beyond their SOP or who are too complex to physicians(as they should). Unfortunately, that will also include the inevitable malpractice and/or negligence cases that

13)will occur under the "care" of the poorly-trained, sub-par, unsupervised NPs. Yep, physicians will have increased liability through no actions of their own. Legislators don't care about that either. So in summary, if AB 890 passes, CA NPs, poorly trained or not, will be

14)sanctioned to practice medicine w/o a medical license, courtesy of Jim Woods and his legislative co-horts, with only 3 years or 4600 hours of practice under their belt. There will be an advisory board with NPs and token physicians. As usual, any mistakes or errors by the

15)educationally deficient NPs will ultimately be managed by physicians, increasing our risk of liability. I'm asking all you docs reading this, in or out of the state of CA and the public to oppose this bill by going to the link, sbp.senate.ca.gov

16)creating an account and submitting a letter of opposition. We have to defeat this bill. It does not benefit the public--it creates a two-tier system. If anyone wishes to practice medicine independently, then they should become a physician. That's it. Anything else is a crime.

@threadreaderapp unroll

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