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

Even with basic healthcare guidance, most studies aren't racially segregated so health information is basically useless for anyone but whites. The physiological differences between the races impact which drugs have more efficacy for hypertension, diabetes, etc., the most common things people go to the doctor for. The literature barely saw that until a few years ago, because it's not PC to acknowledge.
This has already been neutered of any effect on the progressive narrative. Rather than being an after effect of shit like phrenology becoming viewed as racist pseudoscience, lack of awareness on racial physiological differences is just proof that modern Western medicine was inherently racist the whole time.

We have always been at war with Eastasia.
 
The real fun thing will be when AI is advanced enough to replace an internal med MD to make basic decisions (my patient's blood pressure is x can I give them hydralazine) with just one MD or an NP overseeing it.
This wouldn't be much different than standing orders, though, and I gotta say, standing orders are great and I miss having more of them. Nobody wants to call anyone for poop PRNs.
 
I didn't know how the mid-tier worked in the US, interesting. Someone posted a Reddit post in the Coof thread some weeks a ago by a freshly graduated nurse who lost her first patient. Apparently she convinced this new mother to get on the ventilator despite it not really being necessary:
I was wondering how anyone could have approved that procedure.

Generally I think the deification of nurses and the medical profession over the past year is pretty hilarious.
 
I didn't know how the mid-tier worked in the US, interesting. Someone posted a Reddit post in the Coof thread some weeks a ago by a freshly graduated nurse who lost her first patient. Apparently she convinced this new mother to get on the ventilator despite it not really being necessary:
I was wondering how anyone could have approved that procedure.

Generally I think the deification of nurses and the medical profession over the past year is pretty hilarious.
Reddit post didn't say anything about an NP, just the bedside RN second-guessing herself. Didn't mention who/what the intensivist was.

It also didn't say it wasn't necessary to intubate, just that it wasn't emergent. Not enough data from the post; looked in the post history and found this clarification:
She was breathing 50 on the bipap every time she would dose off. Put her on a precedes gtt to try and slow her respirs and kick some of that anxiety. Gave Ativan. Gave roxicodone. Would frequently keep waking her up and ask her to slow her breathing. She could slow her rate to 20s-30s with conscious effort but her body was trying to blow off Co2 by over breathing the bipap. She needed her rest. She was exhausted. The choice was either intubate now, non emergently, or intubate 3-4 hours later when she crashed and had a reduced chance of survival.
The glide scope malfunctioned during intubation. I couldn’t get a reading on her pressures. Most of our covids crump when we tube them. Some we get back, some not. Edit: *precedex
Ultimately doesn't seem relevant to midlevels.
 
I didn't know how the mid-tier worked in the US, interesting. Someone posted a Reddit post in the Coof thread some weeks a ago by a freshly graduated nurse who lost her first patient. Apparently she convinced this new mother to get on the ventilator despite it not really being necessary:
I was wondering how anyone could have approved that procedure.

Generally I think the deification of nurses and the medical profession over the past year is pretty hilarious.
Has anyone got the stats on those vents? I don't know of a single success story.
Have some tiktoks for my question:
 
Has anyone got the stats on those vents? I don't know of a single success story.
They're pretty fucking bad. Last study I read was around 80% deathrate (this is almost twice normal) with some ER doctors explicit that you should not ventilate covid patients because it causes their alveoli to explode.

This terrible mortality percentage may partly be because being intubated is reported as agonizingly painful even in sedated individuals. Severe pain and negative emotions like, absent a better way to put it, the acute fear produced by having something shoved down your throat 24/7, inhibit recovery from illness. So there's also a psychological factor that can keep people from recovering by putting them into depression.
 
From what I can gather ITT…I can hit up a DNP and get a script for dilaudid with little issue? And if I wanna make $70k/yr I can go to one of those “get’cher DNP degree in six weeks!” programs? I’m only joking about the first part but half joking about the second. I work as a tradesman in construction and I’d rather grift people indoors (and try not to kill them) to make a living instead of being honest and breaking my back in the elements.
 
When I was in college there was a big push for us to go direct to NP before we even sat for the board exams. My school was an NP mill with a lot of benefits if you opted to stay in Chicago. The bigger issue is that a lot of people are entering nursing for the wrong reason. You walk into day one of a nursing program and ask a room of one hundred people what field they want to work in more than two thirds will say pediatrics or labor and delivery.
Nursing is traditionally a woman's job. A woman's natural role is to care for children. Nonstop classmates posted videos of babies getting washed and crap like that saying "This is why I want to be a nurse <3". You didn't want to be a nurse. You wanted to handle babies. And when these people don't find a job with babies on day one they freak out and become bitter and jaded.
I've also noticed a big shift in the attitude of nursing over the last few years. Before I got my license I was a tech in a hospital for eight years and you could see a very clear generational divide. It wasn't until I got into school that I saw much more clearly what the cause was. Science. Too much focus on the science on the molecular level of why x does y and very little what you yourself need to do when y happens. A nursing degree used to be job training but now it's transitioned from a profession into a science. I think something was lost in that shift. Something human and less robotic.
In my class of one hundred we had thirteen boys. None of us said we were entering the profession because we love babies.
Long story short, people go to nursing school for the wrong reason and stuck in a job they didn't want. They get told they need to be NPs and this resentment sticks with them. Coupled with poor practical learning and you have killers wearing thongs twerking in the hallway.
 
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From what I can gather ITT…I can hit up a DNP and get a script for dilaudid with little issue? And if I wanna make $70k/yr I can go to one of those “get’cher DNP degree in six weeks!” programs? I’m only joking about the first part but half joking about the second. I work as a tradesman in construction and I’d rather grift people indoors (and try not to kill them) to make a living instead of being honest and breaking my back in the elements.
You have indeed grasped the essential of the argument at hand.
 
When I was in college there was a big push for us to go direct to NP before we even sat for the board exams. My school was an NP mill with a lot of benefits if you opted to stay in Chicago. The bigger issue is that a lot of people are entering nursing for the wrong reason. You walk into day one of a nursing program and ask a room of one hundred people what field they want to work in more than two thirds will say pediatrics or labor and delivery.
Nursing is traditionally a woman's job. A woman's natural role is to care for children. Nonstop classmates posted videos of babies getting washed and crap like that saying "This is why I want to be a nurse <3". You didn't want to be a nurse. You wanted to handle babies. And when these people don't find a job with babies on day one they freak out and become bitter and jaded.
It's a trap for women who want to be homemakers and mothers. You're 100% correct here.
 
From what I can gather ITT…I can hit up a DNP and get a script for dilaudid with little issue? And if I wanna make $70k/yr I can go to one of those “get’cher DNP degree in six weeks!” programs? I’m only joking about the first part but half joking about the second. I work as a tradesman in construction and I’d rather grift people indoors (and try not to kill them) to make a living instead of being honest and breaking my back in the elements.
Uh...well there certainly is a direct-entry MSN program if you already have your bachelor's degree. It's 32 months. That's somewhat scary.

Y'know what if you can handle a powersaw I'm sure you'll make a great NP.
 
You have indeed grasped the essential of the argument at hand.
Fuuuuuuuuck. Coming from a tradesman background I could at least bring a familiarity with the “own your mistakes” attitude but I still have a hefty amount of skepticism that I could get a degree (“degree”?) in a couple years and get a cushy job practicing-medicine-but-not-practicing-medicine for a significant raise in pay scale compared to what I make as a commercial electrician.


Uh...well there certainly is a direct-entry MSN program if you already have your bachelor's degree. It's 32 months. That's somewhat scary.

Y'know what if you can handle a powersaw I'm sure you'll make a great NP.
Bachelors degree? What is that? I barely have an electricians license, you’re not talking to some fancy pants “educated” hoi polloi here
 
You walk into day one of a nursing program and ask a room of one hundred people what field they want to work in more than two thirds will say pediatrics or labor and delivery.
When was this? Everyone wants to do psych now (though usually ped psych specifically...)

I'm guessing you wound up in the emergency department?
 
When was this? Everyone wants to do psych now (though usually ped psych specifically...)

I'm guessing you wound up in the emergency department?
Pediatric psychiatry is almost worse. That's one where they're sure to get the job they want and then either A) they fuck up children's lives with woke tranny shit or B) they're well-intentioned but become jaded due to how insane pediatric psychiatry is. Psychiatric nurse practitioners are, in practice, mostly just medicine managers though.
 
When I was in college there was a big push for us to go direct to NP before we even sat for the board exams.
In my time it seemed like the big aspiration was to SAVE BABIES or they were just marking time until they could be a CRNA (and they would tell you this whether you asked or not). Now it's NP instead, and going for DNP without any experience under your belt is possible, but doesn't seem like it's how it was intended. CRNA programs at least require their X years of ICU experience, and you can't fast-track that.

Nonstop classmates posted videos of babies getting washed and crap like that saying "This is why I want to be a nurse <3".
There don't seem to be a lot of videos of washing and diapering grandpas, it's true, and the ones that are out there are monetized.

TikTok is an annoying young person thing, and some nurses are young people, or think they're still young people. It's dumb for them to put their faces and names out there, but I don't think it's more sinister than the slightly less-young nurses making resin badge reels or Cricut decals for their water bottles. People follow the trends that are popular in their age group.
 
There don't seem to be a lot of videos of washing and diapering grandpas, it's true, and the ones that are out there are monetized.
An actual real-life nursing video would be hilarious.

As long as they include trying to insert a Foley into a profoundly morbidly obese man. Although I guess this would probably be a fetish too.
 
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