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21 Jan, 13 tweets, 3 min read
FYI CALIFORNIA PHYSICIANS: As most of you may know, AB 890, the bill sponsored by a nutwad dentist who thinks that NPs and physicians are the same, was passed into law on 9/29/20. As is typical with FPA, the plan on how that law will be executed is disorganized. Oversight by a
2)BON who is not only under investigation for falsifying documents, but who also voted against the bill and wanted no part of supervision but were forced, a weak "advisory" committee to the BON which has no enforcement powers whatsoever, a "transition to practice", provided NPs
3)have 3 years of FT "equivalent" work in good standing, (although this requirement can be modified if they have a DNP degree), etc. The legislature made their intent clear: "2837.100. It is the intent of the Legislature that the requirements under this article shall not be an
4)undue or unnecessary burden to licensure or practice. The requirements are intended to ensure the new category of licensed nurse practitioners has the least restrictive amount of education, training, and testing necessary to ensure competent practice." God forbid NPs be
5)over burdened by more education to take care of human beings. This same courtesy is not afforded to physicians. As it stands, NPs will practice medicine w/o a medical license. It is up to them(honor code) to refer patients they think need to be referred to a higher level of
6)care. Remember, they only need enough education be competent. But here's the kicker and why patients are f***ed. {The jury should not be instructed that the standard of care for a nurse practitioner must be measured by the standard of care for a physician or surgeon when the
7)nurse is examining a patient or making a diagnosis. (Fein v.Permanente Medical Group (1985) 38 Cal.3d 137, 150 [211 Cal.Rptr. 368, 695P.2d 665].) Courts have observed that nurses are trained, “but to a lesser degree
than a physician, in the recognition of the symptoms of
8)diseases and injuries.”(Cooper v. National Bearing Co. (1955) 136 Cal.App.2d 229, 238 [288P.2d 581].)}. In summary, NPs will be allowed to practice medicine, w/ pathetic "oversight" by BON, removal of standardized procedures(which were guidelines which
9)permitted NPs to perform duties that would be otherwise be considered the practice of medicine), 3 years of FT equivalent experience which can be modified to less if they have a DNP degree and should mismanagement and/or negligence occur, as it inevitably will when medicine is
10)practiced by those not formally trained in it, they will not be held to the medical standard. Let me tell you what else is may happen in a litigious society like CA. NP malpractice carriers or even the BON can demand they NPs get a paid "collaborating" physician, aka a
11)supervising physician(semantics you know) aka legal safety net aka a lawyer's wet dream. Patients will have no recourse and no choice except to sue the physician of record. The law is scheduled to be enacted in January of 2023. Docs who are employed or
justia.com/trials-litigat…
12)hospital attached are at most risk of course, because you are forced to choose between "supervising" or losing your job. Independent docs have a choice. DON'T BE A PHYSICIAN OF RECORD. PROTECT YOUR LICENSE. I've said it before and I will say it again. Collaboration does not
13)have to be mandated. Supervision does. Regardless of what term is used, it is still supervision. And docs are still culpable. FPA doesn't affect who they choose to sue. Not one iota.

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More from @Suburbanbella

18 Jan
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
Read 13 tweets
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
3)Practice Authority(FPA) aka: "independent" practice aka: practicing medicine w/o a medical license should never have been an option in the U.S., because it represents two-tiered care. Now the AANP has set out to prove they are being discredited because physicians had the
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
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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
Read 10 tweets
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
Read 13 tweets

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