Nurse practitioner delusion / "Noctors" / "Midlevel staff" - Nurses get a 1 year degree and start thinking they are better than doctors

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I’ve been lurking the Reddit for benzo addicts (users, not recovering) and it’s astounding how many of them get their prescriptions filled by non-doctor muppets. One guy couldn’t get his lithium filled, though, because the psych PA considered it “too much work”. Sure, it’s nice that they avoid causing benzo DTs by cutting someone off abruptly, I guess, but you know what else should be avoided if you’re in psych? Yeah, causing god damn affective episodes. Makes me downright MATI.

Sometimes I’m glad to be practicing in a country with a physicians’ union that reeeees hysterically if anyone even mentions extending prescribing privileges to PA/NA types. (Plus my working week has never exceeded 40 hours, how about that, yanks?)
 
Zemblan Physics said:
I’ve been lurking the Reddit for benzo addicts (users, not recovering) and it’s astounding how many of them get their prescriptions filled by non-doctor muppets. One guy couldn’t get his lithium filled, though, because the psych PA considered it “too much work”. Sure, it’s nice that they avoid causing benzo DTs by cutting someone off abruptly, I guess, but you know what else should be avoided if you’re in psych? Yeah, causing god damn affective episodes. Makes me downright MATI.

Sometimes I’m glad to be practicing in a country with a physicians’ union that reeeees hysterically if anyone even mentions extending prescribing privileges to PA/NA types. (Plus my working week has never exceeded 40 hours, how about that, yanks?)
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Considering how many people go to the doctor for a simple sniffle or a strep throat, I can see how some kind of noctor/PA is a good idea.

Just need some antibiotics? Or someone telling you it’s viral and drink lots of fluid? Go see the PA at the pharmacy. If it’s still continuing a week later, go see a doctor.
 
Zemblan Physics said:
it’s astounding how many of them get their prescriptions filled by non-doctor muppets
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if you knew how frustrating it is to sit an hour past the scheduled appointment at an actual doctor's family care, only for them to give you a different doctor than you asked for for a physical exam that's required with your prescribed medication every three months,

yeah sometimes it's just better to go to a non doctor for meds you're already prescribed. They're less booked up than doctors and you really don't need a doctor specifically to refill your medication. If I want a doctor it's for rare medical questions that likely can't be answered by a nurse. At that point might as well visit a specialist.

General doctors are for people who can't google their problems. I'm starting to understand why they're being pushed aside in favor of nurses. However, APN/PN/whatever should never be able to start a patient on new medication such as concerta or schizomeds. That needs to be done by a real doctor.
 
This thread has cured me of any inclination I had towards getting my DNP. It was definitely a low-level consideration of mine before I found it but now it's been entirely shit-canned. First, fuck the cirriculum. A thing I absolutely despised in nursing school was the wildly overblown consideration for the DEI/kiddy diddlers/"vulnerable" populations bullshit. To get my DNP I'd have to pay a shit ton of money to write more papers about the poor lil' niggers and mentally ill coomers/groomers and how nursing needs to cater to them? Fascinating how I'm not leaping at the chance! Second, dealing with other NPs sounds fucking exhausting.

I know only one NP currently. No clue what's she's like professionally but personally she's fantastic. When I initially got into nursing school a few years back I expressed interest in moving on to a DNP after a few years. She didn't tell me that I definitely shouldn't but she did strongly encourage me to really, really consider if I was certain that would be good for me. I didn't understand why at the time but now that I'm knee deep in this shit as an RN and this thread confirms some suspisions I've had for a bit, I get it.
 
Dean Pentel said:
When I initially got into nursing school a few years back I expressed interest in moving on to a DNP after a few years.
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No disrespect for li'l you and your career plans, but isn't it weird how so many people these days go into nursing programs planning to be an NP these days? Like, they plan to start immediately after graduation.

Back in the day it was only the big-talking assholes who loudly planned to be CRNAs before they even graduated. And like everyone's said, at least CRNA has a narrow focus and required amount of RN experience and clinical time.

If things made sense, anyone saying that in their nursing program interview would get cut and told to study to be a PA instead. The whole NP idea was that it was a formalizing add-on for a very experienced RN who fucked up her back too much to be bedside but had too much medical knowledge to go into Administration.

If a student is training for a field where they provide direct care, with the stated intention to stop providing direct care ASAP, is that really the best student to spend limited nursing education slots on?
 
Aunt Carol said:
No disrespect for li'l you and your career plans, but isn't it weird how so many people these days go into nursing programs planning to be an NP these days? Like, they plan to start immediately after graduation.

Back in the day it was only the big-talking assholes who loudly planned to be CRNAs before they even graduated. And like everyone's said, at least CRNA has a narrow focus and required amount of RN experience and clinical time.
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No disrespect taken. For me, I thought I'd want to move not immediately into it but likely within a few years of hitting the floor as an RN because I felt I'd be dissatisfied with being "just" an RN. Some people with some more experience told me, "You have no clue what it's like to even be a nurse yet so why are you so sure it won't be enough?" That gave me pause.

Speaking of CRNAs, because I spent the last 3 years working alongside anesthesia in an OR, I've expressed interest in becoming an AA (the hospital I work at employs AAs in the OR instead of CRNAs). So not only have I been told many times that CRNAs are better than AAs, I've also heard plenty from many other students and nurses we were assigned to in clinicals about how they're going to become CRNAs. Thinking about having to work with some of those people and the ICU experience requirement also made sure CRNA is very unlikely to be a post-graduate pursuit of mine.
 
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