Comments on: Wanting nurses to prescribe http://www.kevinmd.com/blog/2007/01/wanting-nurses-to-prescribe.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: Elliotthttp://www.kevinmd.com/blog/2007/01/wanting-nurses-to-prescribe.html#comment-70375 Elliott Sat, 13 Jan 2007 05:28:00 +0000 http://clients.emmense.com/kevinmd/2007/01/wanting-nurses-to-prescribe.html#comment-70375 Well, Kevin, I can't imagine he was talking about RNs since the context seems to clearly be about NPs. I think you misread him and I compounded the error by assuming that you meant NPs in your comment since any other interpretation of the original article didn't even cross my mind. Since David Williams has commented in this thread, maybe he can clarify if he was only talking about prescription privileges for NPs or for all RNs. Well, Kevin, I can’t imagine he was talking about RNs since the context seems to clearly be about NPs. I think you misread him and I compounded the error by assuming that you meant NPs in your comment since any other interpretation of the original article didn’t even cross my mind. Since David Williams has commented in this thread, maybe he can clarify if he was only talking about prescription privileges for NPs or for all RNs.

]]> By: David E. Williamshttp://www.kevinmd.com/blog/2007/01/wanting-nurses-to-prescribe.html#comment-70361 David E. Williams Fri, 12 Jan 2007 20:02:00 +0000 http://clients.emmense.com/kevinmd/2007/01/wanting-nurses-to-prescribe.html#comment-70361 Anonymous, sorry to disappoint you but this isn't about helping my clients push drugs. Read my blog and you'll see I'm no tool of the pharma industry or anyone else. Anonymous, sorry to disappoint you but this isn’t about helping my clients push drugs. Read my blog and you’ll see I’m no tool of the pharma industry or anyone else.

]]> By: Criminallopathhttp://www.kevinmd.com/blog/2007/01/wanting-nurses-to-prescribe.html#comment-70360 Criminallopath Fri, 12 Jan 2007 19:57:00 +0000 http://clients.emmense.com/kevinmd/2007/01/wanting-nurses-to-prescribe.html#comment-70360 I have no problems with NPs having unsupervised prescribing privileges. With all of the financial defenses I see from providers regarding their inability to function as gatekeepers when dealing with DTC fueled patients, I really wonder if the proper term is rubber stamper and not gatekeeper. With this as an underlying basis (i.e. patient safety and medical necessity are hardly the mantras that are currently being followed) the only conclusion that is left to be drawn is that objections are based on protecting the existing oligopoly. I have no problems with NPs having unsupervised prescribing privileges. With all of the financial defenses I see from providers regarding their inability to function as gatekeepers when dealing with DTC fueled patients, I really wonder if the proper term is rubber stamper and not gatekeeper. With this as an underlying basis (i.e. patient safety and medical necessity are hardly the mantras that are currently being followed) the only conclusion that is left to be drawn is that objections are based on protecting the existing oligopoly.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/01/wanting-nurses-to-prescribe.html#comment-70357 Anonymous Fri, 12 Jan 2007 19:20:00 +0000 http://clients.emmense.com/kevinmd/2007/01/wanting-nurses-to-prescribe.html#comment-70357 "David E. Williams is co-founder of MedPharma Partners LLC, strategy consultant to pharma, biotech, device, and technology enabled healthcare services industries."<br/><br/>I am sure his pharma clients would love to see the overprescribing of abx by RNs in minute clinics.<br/><br/>I personally don't have anything against NPs writing precriptions under the guidance of a physician. My NP does just fine with the run of the mill type of things. Since I am there in the clinic with her most of the time, if I am not in the OR, she can bounce things off me if she has any questions. “David E. Williams is co-founder of MedPharma Partners LLC, strategy consultant to pharma, biotech, device, and technology enabled healthcare services industries.”

I am sure his pharma clients would love to see the overprescribing of abx by RNs in minute clinics.

I personally don’t have anything against NPs writing precriptions under the guidance of a physician. My NP does just fine with the run of the mill type of things. Since I am there in the clinic with her most of the time, if I am not in the OR, she can bounce things off me if she has any questions.

]]> By: Kevinhttp://www.kevinmd.com/blog/2007/01/wanting-nurses-to-prescribe.html#comment-70356 Kevin Fri, 12 Jan 2007 19:14:00 +0000 http://clients.emmense.com/kevinmd/2007/01/wanting-nurses-to-prescribe.html#comment-70356 Elliott,<br/>The article states that we are not yet in a world where nurses (RNs) are able to prescribe, implying this would be the author's goal:<br/>"We haven’t moved the health care profession into a world where nurses can provide diagnosis and care. Regulation is keeping the treatment in expensive hospitals when in fact much lower cost-delivery models are available…<br/><br/>In Massachusetts, nurses cannot write prescriptions. . ."<br/><br/>An RN degree takes 2-4 years to obtain:<br/>http://www.allnursingschools.com/faqs/be_rn.php<br/><br/>So, I'm not sure what the problem is.<br/><br/>Kevin Elliott,
The article states that we are not yet in a world where nurses (RNs) are able to prescribe, implying this would be the author’s goal:
“We haven’t moved the health care profession into a world where nurses can provide diagnosis and care. Regulation is keeping the treatment in expensive hospitals when in fact much lower cost-delivery models are available…

In Massachusetts, nurses cannot write prescriptions. . .”

An RN degree takes 2-4 years to obtain:
http://www.allnursingschools.com/faqs/be_rn.php

So, I’m not sure what the problem is.

Kevin

]]> By: Elliotthttp://www.kevinmd.com/blog/2007/01/wanting-nurses-to-prescribe.html#comment-70355 Elliott Fri, 12 Jan 2007 18:45:00 +0000 http://clients.emmense.com/kevinmd/2007/01/wanting-nurses-to-prescribe.html#comment-70355 Man, you are ignorant. There is a difference between a nurse practitioner and an R. N. Both are skilled professionals and your contempt for their skills should be something that you should keep quiet since they are part of the healthcare team. An N.P. needs to be an R.N. first and then go back to school and it takes considerably more than two years (except maybe if you have a 4-year degree already and the appropriate prerequisites) to be licensed if you're starting from scratch. Man, you are ignorant. There is a difference between a nurse practitioner and an R. N. Both are skilled professionals and your contempt for their skills should be something that you should keep quiet since they are part of the healthcare team. An N.P. needs to be an R.N. first and then go back to school and it takes considerably more than two years (except maybe if you have a 4-year degree already and the appropriate prerequisites) to be licensed if you’re starting from scratch.

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