[NPInfo] Reply to np@c-zone.net

[Shelby Havens]

ROFL! What great comments. You hit the nail right on the head.

My point is, I have my autonomous role, the MD is there, and we've learned 
to live in peace. Could it really be any better? Perhaps, but why wish for 
pie in the sky? We've got NP's on this list who are rooming their own 
patients, being shunned when they ask an RN to give an injection, and being 
told they have to put "RN" on their name badge. I think my situation is 
pretty good compared to alll that.

Peace,

Shelby Havens, ARNP





>From: np at c-zone.net
>Reply-To: NP Info <npinfo at nurse.net>
>To: "NP Info" <npinfo at nurse.net>
>Subject: RE: [NPInfo] My Thoughts..(Reply to Meg)
>Date: Tue, 4 Sep 2007 21:42:37 -0700 (PDT)
>
>Well, of course they can do things at $120 an hour you can't - take up
>extra space, ask strange questions, and make the staff nervous.
>
>Your arrangement/practice scenario could only get better if they'd start
>using a Psychiatrist who did not speak well, was not particularly good at
>relating to patients, was not particularly adept at "playing well with
>others", was decidedly at the bottom of his class, has an array of
>difficulties well-documented in DSM-IV-TR, etc. etc.  Then, whenever you
>do not have "the" answer for something you see/or when questions arise for
>which you do not have a ready answer, you can alway say "If I were really
>smart I would have been a surgeon. But, here I am just practicing
>medicine, so bear with me while I figure it out".
>
> > Dear Meg:
> > I agree that we should focus on our own professional development as NP's
> > and
> > PA's, but I don't agree that we should stop focusing on what MD's do (in
> > relation to us). They are at the top of the food chain, and they control
> > what we do to a large extent, like it or not. We have to work within the
> > system that is currently in existence. That means we cannot leave
> > physicians
> > out of the picture.
> >
> > I didn't understand that concept when I was younger. When I was young 
>and
> > naive, I remember telling my medical director that I didn't want to work
> > WITH a psychiatrist, I wanted to REPLACE a psychiatrist. He just 
>laughed.
> > Now, almost 20 years later, I realize how stupid I sounded, even though 
>I
> > am
> > the director of mental health at a county jail and am the full-time
> > primary
> > prescriber for the psychiatry department in addition to having 
>supervisory
> > duties. We have actually discussed not having a psychiatrist, because 
>they
> > cost $120 per hour and they don't do anything that I can't do. But we 
>have
> > one working two afternoons a week, and it is nice to have someone who 
>can
> > back up my decisions at times.
> >
> > Can I function without an MD and do my job perfectly fine independently?
> > Of
> > course I can. The jail paid a LOT more for psychiatrist coverage before 
>I
> > was hired, and essentially I did replace one (there were two 
>psychiatrists
> > working there when I started). But it is good to have an MD show up a
> > couple
> > of times a week to act as a consultant on difficult cases. I have no
> > complaints with this arrangement, and it doesn't interfere with my
> > autonomy.
> >
> > Best Regards,
> >
> > Shelby Havens, ARNP
> >
> >
> >
> >
> >
> >
> >>From: mmhelgert46 at comcast.net
> >>Reply-To: NP Info <npinfo at nurse.net>
> >>To: npinfo at nurse.net (NP LISTSERV)
> >>Subject: [NPInfo] My Thoughts........
> >>Date: Mon, 03 Sep 2007 18:05:27 +0000
> >>
> >>I've been watching the listserv and feel compelled to jump in .....I
> >>feel...in order to get above this fray...we need to stop focusing on
> >>physicians,what they think, do and write and say......we have our own
> >>voices...we need to meet with legislators, reporters, write articles and
> >>get our voices out there...anyone can have an opinion including the AMA
> >>etc. and mostly that's all it is..opinion. We have data to support NPs
> >> and
> >>PAs, we have a track record...we have 30+ years in the business...plenty
> >> of
> >>time to focus on where we need to be going...and it isn't down this road
> >> of
> >>rehashing the AMA and Retail Health Clinic AMA opinions....we can set 
>our
> >>own record straight here.
> >>
> >>Meg FNP
> >>Portland Oregon
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>
>
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