#NursePractitioner | #Neurology 🧠 | No medical advice |🍁 Fall Lover🍂🎃 | #pitbullRescue🐾 🐶| #medtwitter ⚕ 🩺 👩🏼⚕️ | #Headaches #AQH
Sep 23, 2020 • 16 tweets • 4 min read
People have asked why I have “flipped” from a advocate of FPA to a advocate of Physician led team care. Although I have explained it several times, I am going to do it ONE last time for everyone to read. Please read carefully. /1
I have always been an advocate of safe care. Patients come first, always. Their needs outweigh my needs. Always. It’s been that way since day one. Since I first called myself a nursing student. That has not changed and will not change. /2
Sep 16, 2020 • 4 tweets • 1 min read
Who defines the practice of NPs? You would think it would be other healthcare professionals. Instead it is legislation & money. When a NP states they "want to practice at the top of their scope" or "not have restrictions on their license to practice" that NP is sadly repeating /1
Rhetoric that lobbiestst use to change the scope of practice. Fact is, if the NP is following the rules set forth in their state they are practicing at the top of their education and utilizing all skills/scope that their boards approve them to use.
Please remember that.
/2
Sep 6, 2020 • 11 tweets • 3 min read
A 🧵 ~
As #nursePractitioners we must take a stand and say enough is enough. #FPA will continue to ruin our profession in many ways. Here is one way: forcing unprepared NPs into FPA to be marketable in today’s job market. /1
Over the last 10-15 years Nurse Practitioner educational standards have become less rigorous. Online schools rely heavily on paper writing versus hands on clinical learning, yet the drive for FPA has continued at full speed. /2
Sep 3, 2020 • 5 tweets • 2 min read
Today, I will ask my supervising physician what he thinks of independent practice for nurse practitioners. I will tell you his unfiltered response later today. Stay tuned!! #nursepractitioner#MedTwitter
Ok, here is the answer.
"I think it depends on the competency of the NP-but Primary Care isn't easy & shouldn't be thought of as easy. There needs to be a mandatory competency test prior to a NP working independently even after 20-years, just to make sure everyone is on /1
Aug 29, 2020 • 7 tweets • 3 min read
Why doesn’t @AANP_NEWS address the education issues going on with today’s NP schools? We know you are not the accreditation board, but you do advocate for FPA around the country. How can AANP in good faith continue to advocate for FPA when NP schools appear to be getting worse /1
As a major association for all nurse practitioners shouldn’t AANP be advocating to clean up our educational programs first, before seeking to allow new grads FPA? Wouldn’t it benefit the entire profession to refocus efforts on strengthening our standards? /2
Aug 24, 2020 • 11 tweets • 3 min read
I have been asked to clarify my tweet due to it possibly being misconstrued as total nonsupport of my profession, #NursePractitioners
So, I shall try.
First, here is the tweet I am going to attempt and clarify.
My tweet was meant to highlight my views on the failings of NP schools and training as is now in the U.S. I do not agree with diploma mill schools that offer 100% acceptance rates, force students to find their own preceptors often at hefty fees, and /2
Aug 5, 2020 • 10 tweets • 4 min read
Today, the Dr. I work for stood up for me again.
Patient: We drove all this way, we don't want to see you, we want the doctor.
Me: OK, you will see the doctor but can I ask you just a few questions first to help him?
Patient: NO! Get the doctor we don't want to see a nurse.. /1
Me: Yes, I will go get him right now.
Me to Dr: They would like to see you, and do not wish to even speak with me, a nurse.
Dr: You told them you are a Nurse Practitioner, right?
Me: Of course, right when I introduced myself...
/2
Jul 13, 2020 • 8 tweets • 3 min read
This weekend has been unusual and unfortunately it is becoming normal. How do you look at this virus and see anything but devastation? It is awful!
I want to cry each time a new patient or coworker tests positive.
I had to reprimand & educate several this weekend after I found them working w/active #COVID19 patients w/o A mask, face shield, etc on..
Going from room to room w/o washing hands or changing PPE
/2
Jun 16, 2020 • 18 tweets • 5 min read
Update thread on COVID at SNF
If you have not ever worked in a SNF it can be hard to imagine the realities we face each day, on a normal basis.
1. Nurses have between 20-40 pts each, differs shift to shift & acuity levels of patients. /1
2. C.N.A.'s have between 9-20 patients each, again varies based on shift & acuity of patients.
3. There is, in an ideal situation, a RN facility supervisor on each shift.
4. M-F 8-430p there are a lot of admin nurses: DON/ADON/UM/Clinical Ed./Infection Cntrl/Risk Mngr /2
May 27, 2020 • 12 tweets • 6 min read
🧵 Thread on Random Videos of People
TOTD: There is always 2 sides to every story. Does that make either side correct, no not always.
However, as I see the #videos of people behaving badly, acting like jerks, or even trying to get another person in trouble. /1
I ❓🤔 What happened before the recording started? As far as I am aware we don’t as a society walk around with our phones videotaping our days. There is always going to be a lag between the beginning of a situation versus what is shown on video, unless /2
