So AB 890 was signed into law by our CA governor, unfortunately. Some may feel as if it is a win, I do not. To clarify, nothing was preventing NPs from caring for the underserved...nothing. The lack of logic to their claims that physicians never work rural/underserved areas but
2)somehow prevented them from doing so did not register with legislators. The thing when one talks BS is you have to remember the lie. It's tough. They have been given license by our legislators to practice medicine w/o a medical license. The irony is the only nursing body to
3)oppose AB 890 was the CA BON who has now been forced to supervise what they did not want nor are equipped to supervise. So a fake-a** "advisory committee" made up of 4 NPs, 2 token physicians and one community member. No idea how members will be selected but I can guarantee you
4)it won't be objective. What bothers me most as a person with a conscience and a physician is that not one organization, legislator or person is concerned that no one has followed up quality of care in states with FPA. EVER. Seems to me when state legislators pass a law
5)asserting that care provided by NPs w/o supervision or regulations is of high standards, doesn't it make sense that perhaps someone would see fit to see if this is actually the case, instead of assuming? There is nothing that states so clearly that human beings are expendable
6)lab rats undeserving of further consideration. And our legislators in CA have jumped on that moving train, undisturbed since they have physicians to care for them. Anyway, the good news is that with the new law, NPs are not only required to advise patients they are NPs, they
7)must post in an obvious location that they are regulated by the BON, post in a conspicuous location the website where patients can go to check their licenses and if necessary, file a complaint. NPs must "have an identified referral plan specific to the practice area, that
8)includes specific referral criteria." Unfortunately, the bill cannot mandate docs accept those referrals if they do not believe them to be warranted or they don't want to increase their liability enabling an unqualified NP practicing medicine w/o a medical license. Because you
9)see, the BOM may just consider that aiding and abetting the illegal practice of medicine. Gray areas almost never work in favor of the docs. The idea of lawsuits makes docs nervous. So good luck with that Jim Wood. The NPs can call you. Because when you wrote this bill, you
10)failed to include docs at the table while expecting them to be available for the convenience of your bill. It just doesn't work like that. Docs just don't like their licenses being played with. It's how they feed their families and pay their bills.
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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
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.
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.
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.
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
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
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…
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.
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…