AMA vs. Nurse Practitioners On Scope of Practice » Nursing Jobs Blog – Nurses Insights at Nursing Jobs.org

AMA vs. Nurse Practitioners On Scope of Practice

March 1st, 2010  |  The Blog, You're Being (Web) Paged

In this age of vanishing doctors and nurses, it’s like a war of the dinosaurs about who’s going extinct first. The current moves to expand scope of practice for nurse practitioners have drawn criticism from the American Medical Association, which has in turn drawn ire from the nurses.

The AMA cites the difference between a physician’s training and nurse practitioner training as the main reason for its reservations about expanding the scope of practice of nurse practitioners.

The scope of practice for nurse practitioners is based on state legislation, and several doctor-starved states are naturally looking at nurse practitioners as logical alternatives in various areas.

The problems start here:

  • In most states nurse practitioners are supposed to be under the supervision of a physician.
  • In many rural areas, there are no doctors for miles in any direction.
  • The general shortage of doctors is naturally aggravating this situation.

The mature, genteel, considered response has been to fight tooth and nail over various definitions of who does what.

In California, physicians are suing to ensure nurse anesthetists are under supervision of doctors. This will do wonders for the health of lawyers, journalists and others, but not a lot for healthy relationships in the profession or with patients.

With all due respect to the AMA, there are a few physical realities which are going to cause havoc if some working options aren’t created, and soon:

  • The pernicious and deadly epidemic of Frayed Doctors and Nurses Syndrome isn’t showing any signs of abatement, and it’s not a seasonal disease.
  • Doctors and nurses aren’t hanging around smelling the roses. They’re leaving careers after decades of expensive training and hard work.
  • Retirements are going to take a huge bite out of numbers in both professions in the next five years.
  • The hellish conditions in the system will get worse in direct proportion to the smaller number of people lumbered with the extra duties of care.
  • The practice of producing doctors like luxury cars hasn’t exactly been plugging holes on demand. Nurse Practitioners are in the decent quality sedan class with doctoral options. Formula One training speed this is not, in either area. That’s already causing seismic events, and the tremors are ongoing.
  • Projected population increases will obliterate existing capability to meet demand in a decade or so.
  • Doctors may also wish to note that the joys of health funds, hospital administration and practitioner insurance have the ability to kill any level of interest in a career in medicine by anyone, doctor, nurse or wandering mortician, and that the prognosis for any improvement in any of those areas is not looking so good. It’s going to be all hands to the pump, whoever’s doing whatever.

There are no choices in this situation. The ultimate result, whatever the verbiage, will have to be “what works.” Everybody’s getting pushed over the edge somewhere, and what’s needed is a clearly understood practical working methodology so people can get on with treating patients. Guessing who’s supposed to be doing what will kill as many patients as any other indecision. It may even be as dangerous to human health as the billing process.

Paul Wallis
About Paul Wallis

5 Responses to “AMA vs. Nurse Practitioners On Scope of Practice”

  • golf clubs said on September 16th, 2017 at 2:14 pm

    I love your blog.. very nice colors & theme. Did you make this
    website yourself or did you hire someone to do
    it for you? Plz respond as I’m looking to create my
    own blog and would like to find out where u got this from.
    thank you

  • golf courses said on September 17th, 2017 at 2:22 pm

    Wow that was unusual. I just wrote an incredibly long
    comment but after I clicked submit my comment didn’t appear.
    Grrrr… well I’m not writing all that over again. Anyhow, just wanted
    to say excellent blog!

  • playing golf said on September 18th, 2017 at 6:30 am

    Greetings! I know this is kind of off topic but I was wondering if you knew
    where I could locate a captcha plugin for my comment form?
    I’m using the same blog platform as yours and I’m having problems finding one?

    Thanks a lot!

  • best tips travelling said on September 18th, 2017 at 6:32 am

    We’re a gaggle of volunteers and starting a new scheme in our community.
    Your site provided us with helpful information to work on.
    You have done a formidable process and our whole group can be thankful to you.

  • www.insportzknox.com.au said on September 18th, 2017 at 9:52 am

    Because the admin of this site is working, no question very shortly it will be famous, due to its feature contents.

  • Lelio Vieira Carneiro Junior said on September 19th, 2017 at 8:52 am

    I was able to find good info from your content.

  • http://sangsoon07.dothome.co.kr/board_AFwE42/306571 said on September 20th, 2017 at 2:31 am

    all the time i used to read smaller articles that as well clear
    their motive, and that is also happening with
    this post which I am reading at this place.

  • http://hnbbs.mh.gy said on September 20th, 2017 at 3:00 am

    Good day! I just wish to offer you a big thumbs up for your excellent information you have got right here
    on this post. I’ll be coming back to your website for more soon.

  • beaufort golf course said on September 20th, 2017 at 11:34 am

    Excellent blog! Do you have any hints for aspiring writers?
    I’m hoping to start my own website soon but I’m a little lost on everything.
    Would you recommend starting with a free platform like WordPress or go
    for a paid option? There are so many options out there that I’m totally confused ..
    Any recommendations? Many thanks!

  • Laurel said on September 21st, 2017 at 12:05 am

    Wow, amazing blog layout! How long have you been blogging for?
    you make blogging look easy. The overall look of your web site is excellent,
    as well as the content!

  • dotnetccc.com said on September 21st, 2017 at 8:14 am

    Hello, I read your blog daily. Your story-telling style is
    awesome, keep it up!

  • resources.alunar.net said on September 21st, 2017 at 12:57 pm

    Hello there! This is kind of off topic but I
    need some help from an established blog. Is it tough to set up
    your own blog? I’m not very techincal but I can figure things out pretty quick.

    I’m thinking about making my own but I’m not sure where to begin. Do you have any ideas or suggestions?
    Many thanks

  • Robyn said on September 21st, 2017 at 11:58 pm

    Good site you have here.. It’s hard to find quality writing like yours these
    days. I truly appreciate individuals like you! Take care!!

  • Vickie said on September 22nd, 2017 at 12:18 am

    What’s up mates, nice paragraph and pleasant arguments commented here, I am genuinely enjoying by
    these.

  • bigger butt workouts said on September 22nd, 2017 at 6:58 am

    Amazing issues here. I’m very glad to see your post.
    Thank you so much and I am having a look forward to contact you.
    Will you kindly drop me a mail?

  • Felicitas said on September 22nd, 2017 at 5:40 pm

    What’s up to every one, as I am genuinely eager of reading
    this blog’s post to be updated on a regular
    basis. It consists of pleasant information.

  • http://islamiyasam.com said on September 22nd, 2017 at 7:13 pm

    You are so cool! I do not believe I have read
    through something like this before. So good to discover somebody with genuine thoughts on this subject matter.
    Really.. many thanks for starting this up. This site is one thing that’s needed on the internet,
    someone with a little originality!

  • http://aliscabrassband.hu/ said on September 23rd, 2017 at 9:13 pm

    of course like your web-site however you need to
    take a look at the spelling on quite a few of your posts. Many of them
    are rife with spelling issues and I in finding it very bothersome to inform the truth nevertheless I’ll
    definitely come again again.

  • www.sntkgd.ru said on September 24th, 2017 at 9:02 am

    This article will assist the internet users for setting
    up new blog or even a weblog from start to end.

  • wenxiu.ruizhixue.cn said on September 24th, 2017 at 6:26 pm

    Very nice post. I just stumbled upon your blog and wanted to
    say that I have really enjoyed surfing around your blog posts.
    After all I’ll be subscribing to your rss feed and I hope you write again soon!

  • https://forum.interiorscape.com said on September 24th, 2017 at 7:36 pm

    I do not even know how I ended up here, but I thought this
    post was great. I do not know who you are but certainly you’re going to a famous blogger
    if you are not already ;) Cheers!

  • www.youtube.com said on September 25th, 2017 at 7:32 am

    Hello very nice web site!! Man .. Beautiful ..

    Superb .. I’ll bookmark your web site and take the feeds also?
    I’m glad to seek out so many useful info here within the publish, we want work out extra techniques in this regard,
    thanks for sharing. . . . . .

  • route travel said on September 25th, 2017 at 7:07 pm

    Hi colleagues, nice piece of writing and pleasant urging commented here, I am truly enjoying by
    these.

  • Sammy said on September 26th, 2017 at 12:05 am

    I do consider all of the concepts you’ve introduced to your post.
    They’re really convincing and will certainly work. Still,
    the posts are too short for newbies. Could you please prolong them a bit from subsequent time?
    Thanks for the post.

  • soccer jersey said on September 26th, 2017 at 12:37 am

    It’s actually a nice and helpful piece of info. I am glad that
    you just shared this helpful information with us. Please keep us up to date like this.
    Thank you for sharing.

  • http://freelikes.hol.es/v2/TishaslDyalof said on September 26th, 2017 at 5:57 am

    Hi there! This is kind of off topic but I need some help from an established
    blog. Is it tough to set up your own blog? I’m not very techincal but I can figure things out pretty
    fast. I’m thinking about setting up my own but I’m not
    sure where to start. Do you have any tips or suggestions?

    Many thanks

  • Gerard said on September 26th, 2017 at 8:24 am

    My spouse and I stumbled over here from a different page and thought I may as
    well check things out. I like what I see so now i am
    following you. Look forward to going over your web page
    repeatedly.

  • Carmela said on September 26th, 2017 at 10:29 am

    Asking questions are in fact nice thing if
    you are not understanding something fully, however this piece of writing provides nice understanding yet.

  • like.cd said on September 26th, 2017 at 2:06 pm

    I just couldn’t depart your site prior to suggesting that I extremely loved the standard information an individual provide in your visitors?

    Is going to be back regularly to check out new posts

  • fatal heart said on September 27th, 2017 at 3:00 am

    Great work! This is the kind of information that are supposed
    to be shared across the internet. Disgrace on Google for not positioning this publish upper!
    Come on over and talk over with my web site .
    Thank you =)

  • brazil butt said on September 27th, 2017 at 6:20 am

    Wonderful blog! I found it while searching on Yahoo News.
    Do you have any tips on how to get listed in Yahoo News?
    I’ve been trying for a while but I never seem to get there!
    Thank you

  • Candra said on September 27th, 2017 at 10:53 am

    Thanks for finally writing about >AMA vs. Nurse Practitioners On Scope of Practice >
    Nursing Jobs Blog – Nurses Insights at Nursing Jobs.org <Loved it!

  • toned butt said on September 27th, 2017 at 3:53 pm

    Hey there! Would you mind if I share your blog
    with my zynga group? There’s a lot of folks that I think would really appreciate your content.

    Please let me know. Thank you

  • soccer sweat shirts said on September 28th, 2017 at 12:19 am

    I am regular reader, how are you everybody?

    This piece of writing posted at this web page is really fastidious.

  • Neal said on September 28th, 2017 at 1:35 am

    Very good information. Lucky me I recently found your blog by accident (stumbleupon).
    I’ve book-marked it for later!

  • soccer jersey said on September 28th, 2017 at 3:31 am

    you’re in point of fact a excellent webmaster.
    The website loading speed is amazing. It sort of
    feels that you’re doing any unique trick. In addition, The contents are masterwork.
    you have done a excellent task in this topic!

  • skyit.org said on September 28th, 2017 at 4:50 am

    Hi there, just wanted to mention, I enjoyed this article.
    It was helpful. Keep on posting!

  • https://br.linkedin.com/in/augusto-arruda-botelho-21b24a said on September 29th, 2017 at 3:40 am

    I was recommended this blog by my cousin. I’m not sure whether this post is written by him as no one else know such detailed about my problem.
    You’re amazing! Thanks!

  • website designing said on September 30th, 2017 at 8:08 am

    Greetings! I’ve been reading your website for a while now and finally got the bravery to go ahead and
    give you a shout out from Huffman Texas! Just wanted to say keep up the excellent work!

  • dating guidelines said on October 1st, 2017 at 3:45 pm

    Superb, what a web site it is! This website presents useful data
    to us, keep it up.

  • Egli Diana Pinto said on October 1st, 2017 at 6:44 pm

    I know this web site presents quality dependent articles or reviews and extra information, is there any other web page which offers these
    stuff in quality?

  • ordinary travel said on October 4th, 2017 at 2:42 am

    I think this is among the most significant information for me.
    And i’m glad reading your article. But wanna remark on some general
    things, The site style is ideal, the articles is really excellent : D.
    Good job, cheers

  • best dating said on October 4th, 2017 at 10:46 am

    Sweet blog! I found it while searching on Yahoo News.

    Do you have any suggestions on how to get listed in Yahoo News?

    I’ve been trying for a while but I never seem to get there!
    Appreciate it

  • Fae said on October 4th, 2017 at 11:11 pm

    It is appropriate time to make some plans for the future and it’s
    time to be happy. I’ve read this post and if I could I wish to suggest you few interesting things or
    tips. Maybe you could write next articles referring to this article.
    I desire to read even more things about it!

  • travel guides said on October 6th, 2017 at 8:36 am

    I am regular visitor, how are you everybody? This paragraph posted
    at this web site is really good.

Add Your Comments

Enter Code (required)

 
Copyright © 1999-2014 Nursing Jobs, LLC. All Rights Reserved.
Call 888.613.8844 (M-F, 7-5 Pacific)

Send a message