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

[Zero Day Defense]

There are good nurses and there are bad nurses.

The good nurses are nice.

The bad nurses leave your loved one unattended for more than an hour after being called even though he needs to use the bathroom and he can't get out of the bed, meaning that the bowel movement happens anyways and they're left egregiously and novelly disheartened and embarrassed.

The bad nurses can exist in even globally renowned hospitals.

 

[dunbrine47]

Interesting spin on the "Careercow" type of thread op.

 

[Mariposa Electrique]

The problem is that the health industry and education have become overly commercialized.

 

[Jeffrey Epstein]

Seeing a NP is how you become a psychiatric medicine trial patient without all of those pesky forms and releases. I have it on good authority though, that vyvanse will make you try to find a way though a fence in the Resident Evil 4 village, even though it is out of bounds, because 'you just know that something important is there.'

 

[Red Mask]

It takes seven years to be a Nurse Practioner as it requires a Masters. At least it does in Florida. The ones I’ve dealt with have been great and they certainly don’t think they’re doctors. You’re going to have assholes everywhere you go. NPs aren’t any different.

 

[Malodorous Merkin]

Once the lawsuits start flying, that's when the stronk and proud NPs transform back into humble buttwipers, and it's those highly-qualified doctors who should be put up on the stand to testify, not the lowly nurse who was only their to wipe the sweat off the doctor's brow

 

[Cryin RN]

It takes seven years to be a Nurse Practioner as it requires a Masters. At least it does in Florida. The ones I’ve dealt with have been great and they certainly don’t think they’re doctors. You’re going to have assholes everywhere you go. NPs aren’t any different.

Totally. The issue a lot of physicians have with NPs is with how hard it is to identify and defend against the ones that aren't qualified or who are actively dangerous to the public, like the Roc Doc, who was bangin ladies literally through a back door in exchange for writing them Fentanyl.

ETA: This was the pilot of his reality show lolll

 

[PaleTay]

The vulnerable populations classes are absolute shit. Most nurses will get triggered by the word "homeless" or other offensive words, but will scream at a homeless patient because their cries of pain are solely for the purpose of giving her a headache.

 

[Kerr Avon]

NPs definitely need a thread , especially after the TikTok shenanigans

 

[Christopher Robin]

The comments discussing the large number of competent NPs that exist are of course true. NPs filled a much needed role in the 70's, 80's, 90's and even 00's. What I want to address in this thread are the NPs that are now being churned out by degree mills in the modern day, by an industry that has no regard for their education, and instead is solely focused on getting their tuition. They are baited into these programmes with promises of being able to work independently and open their own practice after only a year or two of work, and then lobby aggressively to gain even more concessions. Their heads have been pumped up with such bullshit that a huge proportion of those that are coming out with these online degrees say and do stupid stuff that is thread worthy.

I did not mean for my post to seem as a massive dump on all nurses, although in hindsight, it does read that way. The original post refers entirely to this new generation of healthcare staff that is emerging from online or daycare courses, with egos pumped up by an all time high in public worship of medical staff, coupled with a distinct lack of formal education or practical experience in the field that would justify this ego and their claims of equality with Doctors.

The thread does not even have to be solely about NPs, as there are quite a few different groups worthy of ridicule in the medical world that think they are Gods gift to man because they have watched Greys Anatomy 5 times and watch Scrubs before bed every night. I'd be more than happy to change the thread title and expand its scope.

 

[likeimati]

It's painfully obvious that this is a personal matter for you.
No my particular cup of tea, but seems interesting and I'm intrigued, looking forward to it.

From my understanding, DNP or Doctorate of Nursing Practice, are higher on the scale than PAs, but without the shadowing hours. They are Doctors in name only, I'd honestly trust a Doctor of Philosophy more than your average DNP holder. The programme is more similar to some form of masters degree than a PhD.

This info found by someone from reddit shows just how weird the courses are

View attachment 1887766View attachment 1887769View attachment 1887767

"No clinical experience needed". Just look at the classes you take in one of the programmes,

View attachment 1887768
You take one Biostats class and the rest is waffle.


NP is just one of the names that these things come under, there are many different 2-3 letter jumbles that nurses can throw at you, they all basically sum up to "I'm not actually a Doctor" however.

Hey hey, don't insult doctors in philosophy.
Reading Descartes taught me a lot about human anatomy.

 

[GentlemanFaggot]

Here in Canada, Nurse Practitioners were trained at least as far back as the 1970s to provide care in rural and remote areas, Indigenous communities etc. where there is a lack of physicians. They provided (and still do provide) important services like checkups, immunizations, health teaching...

The thing is, most NP's want to practice safely within their scope, under the supervision of a physician. Unfortunately there's also the overconfident, don't-know-what-they-don't-know NP's who think they're equally qualified as a physician who's completed a 7 year residency program.

Yeah, I had an NP out here as my GP when I couldn't get a doctor. I had no problem with her and never doubted her competency, so I figured Canada's program for them was decent.

A little surreal to see the egos on some in the OP at play to me, as I never even knew this was a problem.

 

[Sintharia]

I think some of this may come back to the specializations, and the dynamic between the doctors and the NPs. If you’re selling people on this idea that only they can save the day, but you don’t bring on-board the people they’re going to be working with, you absolutely end up with a bunch of flakes running around thinking the world of themselves while they have the ability to make medical decisions for sick and injured people.

The good versus the bad likely comes back to the training programs, and over-inflating the value of the knowledge that they’re receiving. While yes, there’s a high chance that a nurse is more likely to be in the thick of patient care, that doesn’t substitute for the experience and knowledge that the doctor has.

 

[latter day taint]

In rural areas, NPs may be the only choice. The local clinic where some family live has an actual MD come in once a week to do controlled substances and complex cases. The rest of the routine stuff is handled by NPs. Fortunately the ones at the local clinic had 10+ years as ER/lifeflight nurses so they seem okay.

I really wish they would put a minimum number of practice hours for admission to a DNP program.

 

[Vect]

Fascinating. I suppose it's only natural in an increasingly for-profit industry to pad the walls with hacks, but this pandemic has exposed just how desperate these places are for manpower.

 

[Bugs_Galore]

I'm glad this thread was finally made, it was a long time coming.

Spoiler: Powerlevel

Both of my parents are Registered Nurse's and I myself originally planned to become a nurse before switching majors due to personal reasons. There is a joke that we like to tell each other around where I'm from and it goes something like this. "White girls in the midwest have 3 career choices: Porn, Child Support, or nurse." I always thought it was a tongue in cheek joke but not anymore. Easily 60% of the girls in my graduating class said they wanted to go to school for nursing.

I attended a small community college to get my generals out of the way and that school happened to have a relatively notable nursing program and let me tell you, the term "degree mill" was definitely what came to mind. 4 years of vaguely health-related classes at a community college and you were good to go. A bunch of 20 something white girls with a mountain of debt and an equally large unwarranted sense of self-importance. The thing I constantly wondered was how the hell they were going to survive in an actual hospital environment with how little they were prepared.

My father has been working as a nurse in the E;R for the better part of 3 decades and has quite a few stories. Suffice to say that the new batch of nurses are just as ill=prepared as I imagined they would be. I think the worst thing is how he says some of them can barely speak English, or how their accents are so thick that nobody can understand them. Gotta love those diversity scholarships

 

[Positron]

Wait til OP finds out about surgeons

Surgeons are deathly afraid of scrub nurses.

Nurses in general are crazy. I've looked through reddit archives, and they regularly talk with each other about how they severely injure patients during routine activities, but have gotten used to it.

Let's say it takes a certain kind of personality to be a competent nurse: observant, thorough, zero fault tolerance, pedantic, and of course a certain degree of aloofness to suffering. Such traits helps them with their job, but these unfortunately make them rather off-putting.

Nursing culture has a much stronger emphasis on bureaucracy than doctor culture. Nurses are far, far more likely to get into health administration than doctors. Not having to study for Fellowship exams frees up lots of time to get an MBA degree.

 

[User names must be unique]

I feel as if the UK is headed in a similar direction what with the nationwide worshipping of them during the pandemic which brought us the clappening, they didn't even need to participate in a meme-tier course to be reverred as the matron saints of the NHS.

We already have them. They supplement GPs especially in short staffed areas, out of hours practice and house calls, but from what I've seen/heard they're fairly decent and defer to doctors when they aren't sure.

Never seen or heard of anyone getting stitched up by one or being prescribed/administered anything stronger than mild antibiotics, topical steroids or laxatives.

 

[NOT Sword Fighter Super]

@Christopher Robin are you a doctor? I'm aware of a Doctor-Nurse rivalry.

It's not just doctors that pick up on NPs being full of themselves.
It's like reverse impostor's syndrome.

 

[Local Coyote]

There's also another strange rivalry that isn't seen unless you are in the industry; nurses and NPs versus veterinary technicians.

In other countries vet techs are called veterinary nurses. They are not called that in the US because nurse unions threw a bitchfit saying the term nurse is protected and that nurses get more training and work harder than vet techs. (In some states this is factually untrue as the requirement to be a registered veterinary technician is insane) There's still ongoing battles to standardize paraveterinary terms across the entire US and nurses are fighting against the term 'veterinary nurse.' I believe three states now use that term.

Ironically most girls that can't cut it in the veterinary field just go to nursing instead.