Taz Profile picture
Sep 26, 2020 13 tweets 9 min read Read on X
@DocStrange_1 @GallaherCaren "However, our national organizations strongly oppose the view that emergency care is solely “physician-led” or that physicians should dictate education and practice standards for advanced practice registered nurses (APRNs). APRNs undertake rigorous preparation through their
@DocStrange_1 @GallaherCaren 2)education and clinical training through nationally accredited graduate programs, as well as pass national board certification exams. APRNs practice in accordance with the scope of practice determined by national standards and state law." I have no qualms in stating that there
@DocStrange_1 @GallaherCaren 3)is no emergency nurse practitioner(ENP) curriculum that can compare to the training required to become an emergency physician. Not even remotely close. If the AANP does not want physicians to dictate education or practice standards, then don't ask us to precept. Don't apply to
@DocStrange_1 @GallaherCaren 4)"residency" and "fellowship" programs developed by physicians in the ER. Because that is exactly what those programs, that have been supported by NPs, are doing. No one taught physicians how to train NPs because it was never supposed to be our job. I have always maintained that
@DocStrange_1 @GallaherCaren 5)the worst thing that ever happened to nursing education was when they allowed doctors to become the main educators for NPs. The best NPs with whom I have ever worked were trained by their own leadership. The physicians simply refined what was already present so that it fit into
@DocStrange_1 @GallaherCaren 6)their clinic practice model. Now docs are training nurses. So explain to me how a doc trains a nurse to be a NP when a doc has never been a NP? Therefore they must be teaching NPs to practice medicine because that is all docs know is medicine. Is that legal? Nope. But we do it
@DocStrange_1 @GallaherCaren 7)anyway because we think we know. There was no course or program that taught docs to transition from medical training to nursing training. And with the new NP grads from the degree mills today, we are teaching from scratch. The old school NPs knew their stuff--and their
@DocStrange_1 @GallaherCaren 8)limitations. The new grads--it is as if they never attended school. So imagine how smooth the transition is when a doc untrained in nursing is teaching a nurse poorly trained in nursing how to practice medicine. It's a joke. Education should not be a joke, especially when it
@DocStrange_1 @GallaherCaren 9)involves patient care. And as much as the AANP wants to spout nonsense about "rigorous education"--they know it it's inconsistent. Want to know who leads in ER nursing care? ER RNs, that's who. The ones who never get mentioned. Nothing like a good, seasoned ER nurse. I've
@DocStrange_1 @GallaherCaren 10)worked in EDs where it is just me and two ER nurses and been just fine. And those RNs never had a problem with me being the team leader. They also knew I could not do it w/o them. The NPs today don't have the RN experience to be good ER nurse, let alone a good NP. But the AANP
@DocStrange_1 @GallaherCaren 11)will never admit that, because if they do, they have to put a stop to their own agenda. That will never happen. The multitude of subpar NP schools need to go the way of Corinthian Colleges, Inc. because they are doing a disservice to nursing education and its reputation.
@DocStrange_1 @GallaherCaren 12)I agree with the AANP. They should direct their own education and practice standards. So just do it already.

Vanderbildt Emergency Nurse Practitioner and EM residency curriculums are attached. They are different because they are supposed to be. Two distinct disciplines.

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More from @Suburbanbella

Oct 19
2)When I started on this journey to oppose anyone who is not a physician practicing medicine w/o a medical license, it began with NPs/PAs. The PAs whined that they shouldn't be lumped in with NPs. My counter was that their leadership did that s**t when they decided to follow the
3)NP playbook on scope creep. And they are following it, hook, line and sinker. Including crowd-sourcing for answers for life-threatening s**t. Sometimes I'm forced to take a break from this nonsense because it is so distressing. When I said permitting this s**t to continue
Read 10 tweets
Aug 6
Sooo..the American Academy of Physician Assistants(AAPA) wants a truce so the AMA will stop opposing their attempts to have "broader clinical rights" aka the unsupervised practice of medicine aka practicing medicine w/o a license. Because it's "divisive".
medpagetoday.com/special-report…
2)What is divisive is the AAPA pushing the agenda that they can practice medicine w/o going through the appropriate training. Let's not forget it was the AAPA who wanted to cut docs completely out of the picture with Optimal Team Practice(OTP). The PAEA president at the time
3)emphasized why that was not a good idea and further intimated that the PAEA would not sign on for OTP unless the AAPA agreed to not sever that relationship. In addition, he emphasized that PA programs DO NOT prepare PA students for independent practice.
Image
Image
Read 17 tweets
Jun 20
As long as I have been on Twitter pontificating about the scope creep issue, it should be evident by now that the claim by NPs that they wanted FPA(aka the unsupervised practice of medicine) so they could "improve access" to care in rural & underserved areas was a bald-faced lie.
2)The intent, which began with the Future of Nursing Campaign in 2009, was always to expand their scope by legislation-not education. FOR ONE REASON ONLY. To dabble in lucrative medical areas in which they are not properly trained. Pay close attention to the s**t below. Image
3)This NP is "expanding" into female HRT; apparently they plan to learn as they go. On the job. This is not how medicine works folks. That's why Endocrinologists have extensive training. Ob/Gyns as well. Hormones are nothing to f**k around with because you don't want to find out.
Read 14 tweets
May 12
People, it is imperative to understand that this is not ok. This is not "modernization", this is some 5th world kind of s**t. I want the public to understand that this is not how medicine/surgery works. Some 100+ years ago standardized medical training became a necessity because
2)the sloppy, haphazard, subjective, apprenticeship type model that existed at the time did not bode well for patients. What has been exposed in this article is the regression, not the progression of medicine. This surgical dept and/or team arbitrarily decided that this SCP,
3)a nurse, was "qualified" enough such that she could be trained to perform cholecystectomies since she had assisted in enough surgeries. Exactly how was her qualification and competency objectively validated? Or was it? It is apparent, by their response, that this move was not Image
Read 13 tweets
Apr 30
Specialties that don't have a scope creep issue yet..be wary. You will. It is a common marketing ploy by current NP leadership & corporate medicine to claim that there is a "projected shortage" in some medical specialties & that the answer is to use nurses to fill that shortage.
2)It is important to delve deeper to determine what the real issue is and that should not come from people who don't know jack about medicine. The shortage in Rad Onc is staffing shortages. They need RNs in RadOnc, now that is a position they should seek as it aligns w/ their Image
3)education and training--provided they did not matriculate at an entry-level program. Know where there is a massive shortage where NPs are actually needed? Nursing. Crisis levels. Worse than any medical shortage. AANP likes to stay mum on thta s**t.
uschamber.com/workforce/nurs…
Read 6 tweets
Apr 27
In 2020, myself and other colleagues in PPP vigorously opposed AB 890, the bill granting NPs unsupervised practice in CA. It unfortunately passed and was enacted in Jan 2023. One of the most dangerous parts of the legislation is the removal of standardized procedures. Image
2)By removing this regulation, Jim Wood, the sponsor of the bill, & sycophantic legislators effectively granted NPs the right to practice medicine w/o a medical license. I had warned that there were NPs, prior to introduction of the bill, that were using their sham s**t DNP
3)degrees to imply they were physicians. In Aug 2019, a complaint was filed against Sarah Erny, a CA NP who had opened her own medical clinic, for misrepresenting herself as a medical doctor.
s3.documentcloud.org/documents/2330…
Read 16 tweets

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