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

[Weeb Slinger]

I used to work in healthcare, in a country that is not the United States.

I would like to point out that I am not a doctor, and am therefore unqualified to weigh-in on any abnormal growths that I imagine the majority of the posters here will have on their feet or genitals. Images of such physical deformities should be forwarded to your favourite E-thot, who will be better placed than I to rank their precise level of grossness, and accurately inform you of your chances of ever having sex again.

A good nurse practitioner can be an invaluable asset in a supporting role. They are often more experienced and proficient in hands-on tasks than doctors. That being said, the person who is ultimately in charge of a patient's care will be a doctor. This will be either a named individual in the community, or, in the case of a hospital admission, a consultant who has expertise in the relevant field. These are the people who will make decisions on treatment and who will ultimately be held accountable if anything goes wrong. They may be guided by advice from other specialists but in the end it's the appointed doctor who will have the final say.

When a consultant is not around, and has left no guidance in regard to what should be done in a given situation, then their registrar may get involved. Another consultant working in the same field might be called in. At a pinch, a junior doctor may be called upon to make a difficult decision. I can think of one tragedy that resulted from a junior doctor, with only a few weeks hospital experience, being left unsupported, and embarking on a course of action that resulted in the death of a newborn.

One area where I have witnessed nurse practitioners being useful, is in assisting junior doctors during their early rotations at training hospitals. It is very daunting to be dropped onto a ward with a head full of medical theory and suddenly expected to work as a doctor under the intermittent guidance of a consultant. There will be days when these juniors are on their own and effectively in charge. An experienced nurse practitioner can be a good person to have in your corner in this situation. However, in any clinical setting there should be clear lines of accountability and you should not cross them.

 

[byuu]

In other countries vet techs are called veterinary nurses.

Seems like a shitty name tbh. If you want to shorten it you get "vet nurse".

 

[latter day taint]

I used to work in healthcare, in a country that is not the United States.

I would like to point out that I am not a doctor, and am therefore unqualified to weigh-in on any abnormal growths that I imagine the majority of the posters here will have on their feet or genitals. Images of such physical deformities should be forwarded to your favourite E-thot, who will be better placed than I to rank their precise level of grossness, and accurately inform you of your chances of ever having sex again.

A good nurse practitioner can be an invaluable asset in a supporting role. They are often more experienced and proficient in hands-on tasks than doctors. That being said, the person who is ultimately in charge of a patient's care will be a doctor. This will be either a named individual in the community, or, in the case of a hospital admission, a consultant who has expertise in the relevant field. These are the people who will make decisions on treatment and who will ultimately be held accountable if anything goes wrong. They may be guided by advice from other specialists but in the end it's the appointed doctor who will have the final say.

When a consultant is not around, and has left no guidance in regard to what should be done in a given situation, then their registrar may get involved. Another consultant working in the same field might be called in. At a pinch, a junior doctor may be called upon to make a difficult decision. I can think of one tragedy that resulted from a junior doctor, with only a few weeks hospital experience, being left unsupported, and embarking on a course of action that resulted in the death of a newborn.

One area where I have witnessed nurse practitioners being useful, is in assisting junior doctors during their early rotations at training hospitals. It is very daunting to be dropped onto a ward with a head full of medical theory and suddenly expected to work as a doctor under the intermittent guidance of a consultant. There will be days when these juniors are on their own and effectively in charge. An experienced nurse practitioner can be a good person to have in your corner in this situation. However, in any clinical setting there should be clear lines of accountability and you should not cross them.

I think NPs are a great idea for things like After Hour/Minute Clinics/Urgent Care where you are treating very routine cases like strep throat, sinus infections, UTIs, minor accidents, ect.

There is also a place for them in things like medication management and "frequent flyers" at the ER.

Pretty much their place should be to take the grunt work to free up the more trained doctor to deal with more complex cases.

 

[FarCentrist]

The recent media deification of low level nurses who have a God complex is a concern I think. The pushing of their egos and their normie tik tok dancing lack of optics is not a good combination.

I'll never look at nurses (especially the holier than thou fat ones) the same as I did precovid

 

[Justtocheck]

I'll never look at nurses (especially the holier than thou fat ones) the same as I did precovid

None of Covid health workers are heros and the shame brought to modern medicine by COVID will probably and hopefully never be forgotten.

 

[Lasersuit Larry]

Interesting thread. There's a give and take here you'll be familiar with if you've spent a lot of time in a hospital. Nurses often are indeed more proficient than the doctors at things like doing needles and changing dressings, or at least better than the new doctor you're likely to get in that sort of situation. But there's absolutely a poisonous psychological thing about nursing, and I noticed this well over a decade ago. Tl;dr they're cunts.

I can't immediately summon this research, but nurses at all levels are, statistically, prone to bullying. Patients, each other, other staff, all of it. There,s been huge pushes within nursing to curb it, but from what I understood on last reading, it's endemic in a way similar to police work. The position of power and authority over the helpless, combined with the airs of selflessness and scientific education, seems to naturally attract disgusting personalities that enjoy domineering over others and abusing authority.

The difference being that policing as a profession has dealt with that concept for a very long time, while modern nursing is a relatively new and still evolving profession, full of narcissistic bullies who won't admit anything, and is beyond reproach by a society that sees criticizing nurse-nazis as trying to keep women out of STEM. So you get similar situations of 'we investigated ourselves and found no wrongdoing'.

Obviously there are still plenty of good nurses who do nursing to keep hospitals running, but these are widespread sentiments even within the field, from what I've seen.

Edit: One of many articles avalible on the subject.

 

[latter day taint]

The recent media deification of low level nurses who have a God complex is a concern I think. The pushing of their egos and their normie tik tok dancing lack of optics is not a good combination.

I'll never look at nurses (especially the holier than thou fat ones) the same as I did precovid

The ones who get me are the CNAs who call themselves "Nurses."

Bitch, you took a 3 week class on how to wipe asses.

 

[repentance]

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

Here you need 5000 practice hours (about 3 years) of advanced clinical nursing experience within the last 6 years on top of your masters. Your scope of practice is limited to your clinical speciality.

 

[Malodorous Merkin]

Surgeons are deathly afraid of scrub nurses.


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.

I've worked in hospital ORs for going on 20 years(I fix the very expensive machines that go PING!) and I've never seen any doctor show any fear of a scrub nurse. I've seen doctors dismiss scrub nurses right the frick out of ORs, but I've never seen a scrub nurse try the same thing on a doctor.

Operating rooms are where nurse's delusions of grandeur and superior competence collapse.

Nurses can pretend to be the dominant authority on the pediatric unit, or in some doctor's office somewhere, or at a health clinic, but you bring all those nurses into an operating room, and hand them a scalpel, and you're going to see the charade end very quickly.

When the cutting starts in an OR, the nurse bullshit ends.

 

[Crabbo]

At an area I used to work, they refer to all medical staff who meet with clients as 'Providers'
This is entirely due to the NPs, and ARNPs bitching about the few MDs being called doctors, and them not having a fancy term.

 

[Malodorous Merkin]

At an area I used to work, they refer to all medical staff who meet with clients as 'Providers'
This is entirely due to the NPs, and ARNPs bitching about the few MDs being called doctors, and them not having a fancy term.

I work in a ghetto hospital , and the doctor's ID badges used to say 'Physician' on them, but now they say 'Doctor'.

The reason it changed is because a frequent complaint from patients was that they were mad because they never got to see a doctor. When administration looked into it, they discovered that the dumbbell ghetto patients didn't know what "physician" meant, they thought it was like a therapist or something.

 

[Sage In All Fields]

Wait til OP finds out about surgeons

*leaves a scalpel in your torso* *drops phone on your intestine* *forgets gloves between your ribs*

 

[dacwcman68]

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.

To clarify, DNPs rarely practice clinically. They have the certification to, but most of them are administrative at either clinical or academic institutions. NPs that are practicing in private care facilities or hospitals are most often trained to a Master's degree in the states.

 

[⠠⠠⠅⠑⠋⠋⠁⠇⠎ ⠠⠠⠊⠎ ⠠⠠⠁ ⠠⠠⠋⠁⠛]

This is a problem almost entirely caused by the desire of American capitalist health'care' organizations to drive up their billing rates for staff that they can pay less.

 

[Large]

*leaves a scalpel in your torso* *drops phone on your intestine* *forgets gloves between your ribs*

*replaces your knee with pizza*

 

[TheShedCollector]

All nurses are whores. I don't know what it is about the profession that turns normal feminine women into angry bitter sluts but it's a known fact.

 

[Hongourable Madisha]

Wait til OP finds out about surgeons

I'm not sure how it is in other countries, but in the UK, surgeons train as doctors and then when they specialise in surgery, they lose the "Dr" title and go back to "Mr/Mrs/Ms/Miss", and most of them are really insistent on it, they hate being called "doctor". It's a throwback from when they were two different professions, doctors (who dealt with humours and weird woo shit like that) and barber-surgeons (who did amputations and dentistry), and there's still a rivalry between doctors and surgeons now. British surgeons seem to have a real superiority complex over doctors and doctors think surgeons are all psychopaths. You especially see it with surgeons vs anaesthetists, because they work together so closely. I have a couple of anaesthetists in my family and they would always rant at me about the surgeons after a long day, though they would act pretty high and mighty over the surgeons too ("I'm the one keeping the patient alive while you dig around in them" etc), and both surgeons and anaesthetists are huge autists tbh.

 

[Lasersuit Larry]

I have a couple of anaesthetists in my family and they would always rant at me about the surgeons after a long day, though they would act pretty high and mighty over the surgeons too ("I'm the one keeping the patient alive while you dig around in them" etc)

It has always seemed to me that a lot of people in medicine have this kind of childish competitiveness to them. Like they enjoyed science in school because it made them feel smarter than everyone, got into medicine because they saw it as the ultimate one-up move in flexing your intellectual superiority, and just never stopped trying be smarter and more important than everyone they meet, even each other and especially if their professions overlap. Coming from an American.

 

[Dr. Troon Lagoon]

We have Nurse Practitioners over here as well, but my overall experience with them has been positive, although I would have to dig a bit to find out the training requirements. As far as I know they do have to report to an MD over her, but they are convenient as they can manage a lot of low-medium difficulty patient care while the MD's get focused on more complex cases.

Was is it also not a US NP Troon that carried out the study to get MtF Lactating?

Edit: Yes, yes it was! Case Report: Induced Lactation in a Transgender Women. I got suspicious when I saw the name Zil (who names himself just Zil?) Goldstein

Spoiler: Zil Goldstein

Zil Goldstein, BSN, RN, MSN, FNP-BC, AAHIVS - Virology Education

Zil Goldstein is a nurse practitioner and a transgender activist working to promote better health care in marginalized communities. She is the Associate Medical Director for Transgender and Gender Non-Binary Health at Callen-Lorde Community Health Center.She has served as a clinical specialist...

www.virology-education.com

Zil Goldstein is a nurse practitioner and a transgender activist working to promote better health care in marginalized communities. She is the Associate Medical Director for Transgender and Gender Non-Binary Health at Callen-Lorde Community Health Center.

She has served as a clinical specialist in transgender and HIV health at multiple institutions, and, with over ten years of experience in managing the healthcare of transgender individuals, has played an instrumental role in building transgender services throughout the Mount Sinai Health System.

She is a published author on transgender and sex worker health and is a nationally recognized leader in both fields.

Nice Hair

The authors, at Mount Sinai (Because ofcourse)

Hey instead of just dreaming of being that LACTATING BIG TIDDY GOTH GF, you better get to work to make it come true, no

 

[Crunchy Leaf]

Wow, wasn’t expecting to see this as a topic.

You could also discuss CRNAs (nurse anesthetist). They’re supposed to be supervised by an anesthesiologist, but a lot of them aren’t, and deaths result.

When I saw people talk about what high percentages of nurses refused the corona vaccine, the inevitable response was ‘they’re worried about fertility!’ But doctors always had a vaccine acceptance rate of over 90%, and I refuse to believe, in an era where most people entering med school are women, that a hospital would have so few female doctors of reproductive age that them refusing the vaccine wouldn’t make a difference in the numbers.

The thing about being a CNA is it pays terribly, so the only people who do it are the people who can’t do anything else. I met a guy last fall who had previously been a CNA, and his wife suggested he go back to it. He said no, they only paid 12 an hour (a big jump from the state minimum of 7.25), but he was making 20 an hour landscaping.