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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
Jul 26
FINALLY! A series exposing NP substandard education and how patients are being affected by this nonsense. I have been waiting 8 f***ing years for this to happen. For a spotlight to be shined on this s**t.
bloomberg.com/news/features/…
2)Included in the articles are John Canion, NP, a long-time advocate for improvement and standardization in NP education and Rayne Thoman, RN, who spoke out about the lousy NP education and sued her NP program for not providing the education promised. Somebody finally listened
3)to the ethical NPs who want s**t done right. The same NPs who have been harassed, threatened and bullied by the masses of morally corrupt NPs who don't want anyone to know about this. Two of the reporters, Caleb Melby and Polly Mosendz, wrote an exposé on Cerebral, an online
Read 9 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
Jun 17
This is rich. The AZ board of nursing has issued a position statement that NPs can supervise PAs, amongst other HCPs. Arizona, the wild west that allows NPs(including CRNAs) & PAs to practice unsupervised. I'm sure the Arizona State Association of PAs would take issue with this. Image
Image
2)Even more absurd is that PAs have their own academic programs, exams and licensing/regulatory boards. They are not nurses and have no business being supervised by nurses. They are trained by physicians and other PAs. Unless a NP is also a PA, they don't know jack about
3)their practice. The PA program was created by a physician, which is why they fell under the auspices of medicine. This is the NP scope creep machine attempting to convince dumba** legislators that they know medicine despite the fact they have no formal training in medicine.
Read 10 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

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