Taz Profile picture
18 Jan, 13 tweets, 3 min read
I want those of you reading this to understand the significance of this request. Physicians are being asked to function as nurses after some "training". Not NPs who are actually RNs. Not CRNAs who are actually CC RNs. Not LVNs. Not EMTs or paramedics. Physicians. Nursing is
2)not an entry-level position, it requires skill. Expertise. Physicians are not trained to be nurses, although there are a few who were nurses prior to becoming physicians. So exactly what training will be provided since it takes a minimum of 2 years to become an RN(AA degree)?
3)That is, real nurses, not the entry-level degree RNs who don't actually work as RNs. So nursing must be pretty easy if anyone can be trained to do it. Why not contact the ANA or the AANP to ask them to put out the word to their membership and request assistance from actual
4)nurses who may be available to help? The CNO of the hospital can reach out. The ONLY choice is to ask physicians? Am I the only one who sees the absurdity of this request when there are much better options? I alluded to the much worse nursing shortage in this article and my
5) concern that nursing organizations were not taking it seriously enough(authenticmedicine.com/2019/07/a-hist…). IMO, there is no appreciation or acknowledgment of the sacrifices physicians have and are making in this pandemic. We are being stretched thin, as are RNs. Nevertheless,
6)physicians are being asked to do more, in a profession for which we are not trained. As one colleague said, "I don't suffer from the delusion that I am able to walk into any medical situation and function in any given role because I stood next to someone once who was
7)fulfilling that role." Add to that the legality of this request. Will the hospital indemnify physicians for any mishap that may occur as a result of a "nursing" error? Will they be covered by their malpractice insurance for practicing outside their SOP? Has the state medical
8)board waived the scope of practice(SOP) for physicians in this scenario? If the physician is functioning as a nurse and is responsible for completing orders written by another physician, who is ultimately culpable? Were any of these questions asked? Was there clarification of
9)actual duties? Physicians, by nature, are altruistic. In being so, sometimes we are ready to jump in and help w/o considering the consequences of our actions. Even in a pandemic. Administrations are using the pandemic to skirt a lot of laws that leave physicians in the lurch.
10)If we can be terminated for speaking out about the lack of PPE, insufficient staffing, unethical practices, etc., what is the likelihood administrations will consider the legal ramifications doctors may suffer as a result of responding to their call to action? In other words,
11)who is looking out for our best interests? The irony in this particular request is that although they are desperately needed during this pandemic, the American Association of Nurse Anesthetists(AANA) specifically states that they do not endorse CRNAs being used as RNs. For
12)those who do not know, all CRNAs are also critical care nurses. In summary, physicians, who are not nurses, are being asked to perform in a nursing role. Yet a nursing organization has advised their members, who are actual nurses, to NOT perform in that role. Physicians, in
13)being altruistic, do not be gullible. Protect your license. It is all you have to take care of your family. aana.com/docs/default-s…

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More from @Suburbanbella

16 Jan
thehill.com/opinion/health… Here we go again. This time it is the American Academy of Physician Assistants(AAPA)using the pandemic to push their agenda of Optimal Team Practice aka OTP aka practicing medicine w/o a medical license. Same old broken record of "outdated regulations",
2)designed to protect the public, preventing them from practicing at the "top of their license", which to date, remains undefined. Same old tired a**"studies" that show equivalent or better outcomes than the physicians who train them. Studies that anyone with common sense can
3)review and see how poorly done they are. Same old rhetoric of claiming to want "collaborative" practice while their actions say otherwise. All under the guise of helping fill the physician gap when we have much better options such as unmatched U.S., IMG and FMG graduates.
Read 11 tweets
31 Dec 20
LONG TWEET. The WGN report by Rich McHugh set off a firestorm. The American Association of Nurse Practitioners(AANP) is on the defensive, claiming it disparaged NPs. Doesn't matter that WGN's anchorman clearly stated it was about transparency in health care, which all HCPs should
2)support. Nope, they had to resort to the predictable victimhood role and gaslighting to which we all have become accustomed. No comment about the parents and the fact that they were lied to, didn't even register on their radar. What became apparent after that story is that Full
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Read 17 tweets
27 Oct 20
This is why medicine is going into the toilet. FNP takes a liposuction course provided by two Ob/Gyns specializing in cosmetic gynecology. NP is from AZ, a state where NPs can practice "independently". Course is in NJ. FNP "specialty" is an O/P curriculum in primary care-the SOP Image
2)DOES NOT include surgery. There is no NP program or curriculum that exists for liposuction and fat transfer. This is basically a 2-day course/seminar. But since these docs teaching the course most likely don't know or care about NP SOP and the FNP has no oversight in Arizona, Image
3)what's to prevent her from practicing surgery w/o a license at her own medspa(renewedmedicalhealth.com)? Not a damn thing. She may claim she is "certified" because of the form she receives for the course/seminar. Who is the certification body? The International Society of
Read 10 tweets
30 Sep 20
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
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26 Sep 20
@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
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21 Sep 20
@ODAV17 @ihategetting @ace2blue @NewsNationNow Get your s**t straight. Her boyfriend was Kenneth Walker. Neither Breonna nor Walker had a h/o drug offenses. She lived with her sister, no boyfriend. The warrant was issued for Jamarcus Glover, her ex from 2 years before. He was 10 miles away at another home for which they also
@ODAV17 @ihategetting @ace2blue @NewsNationNow 2)had a warrant, including an ADRIAN WALKER, who is not related to Kenneth. You people make me sick. You are so eager to blame this innocent, 26 y/o Black mother and EMS worker living her life above the law that you just make up shit. Absolutely disgusting you have such hatred.
@ODAV17 @ihategetting @ace2blue @NewsNationNow 3)It is so f***ing easy for you to label Black people drug addicts that any lie is preferable to the actual truth. You ought to be ashamed of your disgusting self.
Read 4 tweets

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