Mid-levels using pandemic to push their agenda

[Rekt]

AANP Statement on Administration Meeting Supporting Nursing Community Coronavirus Response

Official White House Image by Shealah Craighead AUSTIN, TEXAS — David Hebert, JD, Chief Executive Officer of the American Association of Nurse Practitioners ® (AANP), issued the following statement today following a meeting with President Donald Trump, Vice President Mike Pence and members of the…

www.aanp.org

Crickets from all the physician organizations.

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Members don't see this ad.

 

[Backpack234]

lol. just wait for it. "In response to the china virus, I am now letting all nurse practitioners. They're amazing people. Great nurses. To practice without doctor supervision. They do such a good job. It's gonna be great."

 

[southerndoc]

They're trying to get around physician supervision in Georgia and to allow no supervision for out-of-state NP's during the pandemic. For one, I feel like it's opportunistic that they try to push their agenda during a pandemic. Second, I don't think we should pull resources from one state during their disaster situation to bring NP's into Georgia for our own disaster situation.

 

[wholeheartedly]

Huh. Ours tried to refuse to go in and evaluate a possible covid pt. with full gear and PAPR because she has kids at home, Yeah, so does everyone else chica, including the nurse over there with a 5 mo old at home who has gone in with all of them.

 

[deleted836128]

This IS legitimately what they’re doing and it’s ridiculous. I, as a PA, reallllly don’t want to be in the same category...

 

[GeneralVeers]

Huh. Ours tried to refuse to go in and evaluate a possible covid pt. with full gear and PAPR because she has kids at home, Yeah, so does everyone else chica, including the nurse over their with a 5 mo old at home who has gone in with all of them.

Lame excuse as kids are essentially immune. We had one quit PA over it: "I'm not bringing this home to my kids". K-bye.

 

[Angry Birds]

kids are essentially immune.

Not all children are spared from coronavirus

A small percentage of kids develop serious illness from COVID-19.

www.livescience.com

 

[GeneralVeers]

Not all children are spared from coronavirus

A small percentage of kids develop serious illness from COVID-19.

www.livescience.com

I said "essentially". Not "completely". You will always find outlier cases in a widespread disease that affects millions. I'm certain kids will die from this, just like influenza, pneumonia and strep.

 

[wholeheartedly]

Well, the oil companies have been generous donating their extra tyvek suits, face shields, and gloves.

There’s a local sewing group working on making us washable gowns and masks too. It’s crazy.

 

[NYEMMED]

Any midlevel can practice independently, all they have to do is go to medical school.

Otherwise not what you were trained to do, not what you signed up for.

 

[greatnt249]

I think actual docs need to start pushing propaganda to the public that "NPs aren't doctors." Maybe with those large highway billboard signs. Scare them into realizing that NPs aren't qualified to care for them independently.

"Propaganda" makes it sound like we have an agenda as opposed to just stating facts, much like saying we should spread "pro-vaccine propaganda." The fact is that what you're suggesting should be self-evident without a campaign; physicians have more education and training before independent practice than physician assistants or nurse practitioners. To be honest, as frustrating as the encroachment seems, I have yet to encounter anyone from John Q. Public who thinks these roles are physician-equivalent, despite the agenda some organizations are trying to push.

That being said, if they want to practice independently, I feel that they should have their own liability instead of piggybacking off of a physician's license.

 

[Splenda88]

Until we give the beancounters a cheaper alternative, NP will continue to make inroad into medicine...

 

[Old_Mil]

AANP Statement on Administration Meeting Supporting Nursing Community Coronavirus Response

Official White House Image by Shealah Craighead AUSTIN, TEXAS — David Hebert, JD, Chief Executive Officer of the American Association of Nurse Practitioners ® (AANP), issued the following statement today following a meeting with President Donald Trump, Vice President Mike Pence and members of the…

www.aanp.org

Crickets from all the physician organizations.

I think the saddest thing about this whole mess (well, aside from the patients who are dying from it and their families) is the willingness of a wide range of people to try and use this to advance an agenda.

 

[67552931811]

I think the saddest thing about this whole mess (well, aside from the patients who are dying from it and their families) is the willingness of a wide range of people to try and use this to advance an agenda.

It’s disturbing and sick when you think about it.

 

[RustedFox]

Until we give the beancounters a cheaper alternative, NP will continue to make inroad into medicine...

I hate to repeat this, but I really think (and have said so on many numerous occasions) that the only fix to this is to give them just what they want, and let the lawyers feast on them. Only once they've learned their lessons the hard way will they have any respect for what they don't know.

Oh, and PHYSICIANS HAVE TO STOP TRAINING THEM.

 

[Splenda88]

Independent Practice Q&A

NP & Student Resources »Independent Practice

Share| With the passing of HB 607 (Independent Practice in Florida) on March 11, 2020 there have been numerous questions sent in for clarification. We know everyone has questions so we hope this page will provide some of the answers. If you have a question that is not answered here, please feel free to email us at [email protected]. (Last update 3/21/2020) Are ALL nurse practitioners able to practice independently? Unfortunately no. Nurse Practitioners who are issued a licensed to practice autonomously/independently, must engage in such practice only in primary practice, including family medicine, general pediatrics, and general internal medicine, as defined by board rule. Certified Nurse Midwives (CNM) are also able to practice independently. Are psychiatric nurse practitioners included? Unfortunately no. Psychiatric nurse practitioners, any specialty nurse practitioners, Certified Registered Nurse Anesthetists (CRNA), Clinical Nurse Specialists (CNS), and Physician Assistants (PA) were removed from the final amended version of this bill. Why weren't other groups/specialties included? They were included in the original version of HB 607. As the legislative process moved forward the bill was amended and approved by both the House and the Senate. FLANP continuously advocated for the original version of the bill throughout the 2020 session. In some ways we won the battle and in some ways we lost. The good news is now that we have a start and have gained support of the House and Senate, we will have a little easier time advocating for other groups/specialties in the future. This is on our agenda for the next session! Can I apply now to practice independently? Unfortunately no. The law does not go into effect until July 1, 2020. The next step is for the Board of Nursing and the new council to work on the guidelines and processes. As soon as we have more information on this we will let you know. With the passage of the Independent practice bill, are we now able to sign DNR's, terminal condition forms, etc.? Once the law takes effect on July 1, 2020 AND the APRN license of independent practice is successfully issued, the NP is granted signature authority which includes the Baker Act involuntary examination, signing death certificates, admitting/discharging patients from a facility and “provide a signature, certification, stamp, verification, affidavit, or endorsement that is otherwise required by law to be provided by a physician (except for medical cannabis)". I graduated over 5 years ago but the new law will be requiring a completion of 3 graduate-level semester hours in differential diagnosis and the completion of 3 graduate-level semester hours in pharmacology, do I have to go back to school? Many NPs are in the same situation as this and we expect that there will be an equivalent requirement or some type of grandfather clause to allow for completion of the determined courses. The next step is for the Board of Nursing and the new council to work on the guidelines. FLANP will be involved in this process and will be advocating for an equivalent and/or grandfather clause. What is your advice for obtaining the necessary 3 hours of CEU in differential diagnosis and pharmacology? Do you think it will be offered online prior to July when the law becomes active? Unfortunately we do not have an answer for this yet. We are curious and looking into this as well. As soon as we have more information regarding what the Board of Nursing and new council determines are the equivalents to the college courses we will let you know. Since CMS is Federal- will we still need to get a physician signature on 485s and Home Health Care orders? Yes, this state law does not impact CMS guidelines. For changes at the federal level, AANP is spearheading legislation. This is true of everything from diabetic shoes to home care authority specifics. Will we be able to sign home health certifications, and will we be able to prescribe schedule II drugs longer than 7 days at a time with independent practice? Our understanding is that the answer is no to both. Home Health is a federal issue and must be changed at the CMS level. The DEA legislation is also enshrined in other statutes and that applies until otherwise changed. LOL

 

[TooMuchResearch]

We had a couple hospitals start signing us up to have NO students rotate with us. We told them to stop.

I hate to repeat this, but I really think (and have said so on many numerous occasions) that the only fix to this is to give them just what they want, and let the lawyers feast on them. Only once they've learned their lessons the hard way will they have any respect for what they don't know.

Oh, and PHYSICIANS HAVE TO STOP TRAINING THEM.

 

[TooMuchResearch]

Um, should have been NP.