[NPInfo] collaboration question

[Lisa Meyer]

I don't know why Shelby doesn't see an NP, but I will tell you why I don't. 
I CAN'T.  There are no NP's (or PA's) within 100 miles (at least) who 
provide primary care.  Of the 10 NP/PA clinicians in my immediate area, we 
ALL work in some type of specialty (I work ER, mental health, and staff 
"walk-in" hours in one of our clinics), or are "Dr. So-and-So's" PA/NP.  In 
the case of the later, the clinician "helps out" the doc by seeing 
inpatients (especially after-hours admissions), the patients he doesn't want 
to see or is too busy to see, or basically being a grunt.  But they remain 
the patient of the physician.  None of the local clinics will hire us to be 
primary care providers because the physicians do not want to "lose" 
patients.  Even though many of our family practice docs have closed 
practices since they are so busy.  Anyway, your post just inspired me to 
rant a bit--sorry!  Thank you, though, as I do feel better now.

Lisa

----- Original Message ----- 
From: "Paula Sumner" <nurse_healer at yahoo.com>
To: "NP Info" <npinfo at nurse.net>
Sent: Friday, January 04, 2008 1:18 PM
Subject: RE: [NPInfo] collaboration question


> Shelby,
>  I wonder why you don't have an NP as your primary care provider. I have 
> one who works with 2 other NPs that I can call on. They are in a medical 
> practice, and it is nice to have this choice.
>  Paula
>
> Shelby Havens <shelbyhavens at hotmail.com> wrote:
>
>
> I just got home from a visit to my primary care physician. On the way out 
> of her office, I noticed a flyer on the wall announcing the hiring of a 
> nurse practitioner. There was a nice photograph of the NP in her lab coat, 
> and a brief bio listing her education, experience, and board cerfication. 
> At the bottom of the announcement, the following statement was posted:
>
> "Our physicians will be available to assist with the nurse practitioner's 
> clinical decision process if needed".
>
> What do yall think about that?
>
>
> Best Regards,
>
> Shelby Havens, ARNP
>> Date: Thu, 3 Jan 2008 13:21:28 -0800> From: bimbelaa at yahoo.com> Subject: 
>> Re: [NPInfo] collaboration question> To: npinfo at nurse.net> > More direct 
>> link to on-line articles:> > http://www.buppert.com/articles.html> > 
>> Joseph Reis wrote:> > I have been wondering if we have put together any 
>> information regarding the liability that collaborating physicians 
>> undertake when entering a collaborative agreement with NPs.> > I 
>> frequently hear physicians concerns about their liability if an NP makes 
>> a medication error or some such thing. Have any of our legal experts 
>> written anything definitive regarding this? Maybe an article or paper 
>> that I could have handy to show them when they misspeak regarding the 
>> legal ramifications of entering a collaborative agreement? > > Joe> > 
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