Disrespected in Florida

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Consigliere

Consigliere

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I know this as_shat has tried to pass this 7 times in a row. Don't be surprised if this time it passes though. I feel sorry for Florida physicians. The worst part is, this douche is a physician.

www.wjhg.com

House approves independent practice for advanced nurses

The House passed its number one priority off the floor Friday. The bill allows advanced registered nurse practitioners to practice independently.
www.wjhg.com www.wjhg.com
 
I found the names somewhat humorous: Apparently Representative Good opposed Dr. Pigman's proposal.
Kind of bizarre that it's a doc that's proposing this.

"Representative Doctor Cary Pigman has been pushing the legislation for seven years straight. He believes allowing the nurses to practice within the scope of their training without having to pay a doctor thousands each year will expand access to basic medical care."
 
Man those nurses must be throwing something sweet his way. Another old doc lining his pockets before the whole healthcare ****house goes up in flames. Good on you pigman.
 
zero0 said:
Man those nurses must be throwing something sweet his way. Another old doc lining his pockets before the whole healthcare ****house goes up in flames. Good on you pigman.
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Maybe some anesthesiologist pissed in his fruit loops at some point. Or one last FU to the profession on his way out the door.


Sent from my iPhone using SDN mobile
 
It’s not ever gonna to to pass for law. And yes. I know the folks who vote in the Florida legislature. One thing for the house to pass. Another for the senate and than the governor to sign it.
 
aneftp said:
It’s not ever gonna to to pass for law. And yes. I know the folks who vote in the Florida legislature. One thing for the house to pass. Another for the senate and than the governor to sign it.
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Time will tell.
 
Florida granted independent practice to NPs yesterday with the passage of HB607, however it only applies to primary care so nurse anesthetists are excluded, as are PAs which were in a previous version.
 
Endee said:
Florida granted independent practice to NPs yesterday with the passage of HB607, however it only applies to primary care so nurse anesthetists are excluded, as are PAs which were in a previous version.
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Awesome. Only primary care patients will suffer.
 
And mark my words - just because this bill doesn't allow independent practice of CRNAs NOW, eventually they will be allowed to practice independently. Just a matter of time....
 
Consigliere said:
Awesome. Only primary care patients will suffer.
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I have posted this before:

We have the longest history of conflict with midlevels. But in some ways we are protected. The fact that this is a specialty where people go bad in seconds and can die in minutes gives surgeons and administrators pause. Primary care docs and even specialty docs who have significant office practices will usually have multiple opportunities over extended time periods to correct an oversight or mistake. While midlevels in large numbers are relatively late to the game for many specialties, this inherent attribute makes office based work relatively easy pickings.
 
Yes. They broke the seal. And DeSantis also broke with FMA in signing this. Adding CRNAs within the next few years will be a lot easier now than it would have been without this intermediate step. Foot-in-the-door technique.

Consigliere said:
And mark my words - just because this bill doesn't allow independent practice of CRNAs NOW, eventually they will be allowed to practice independently. Just a matter of time....
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dr doze said:
I have posted this before:

We have the longest history of conflict with midlevels. But in some ways we are protected. The fact that this is a specialty where people go bad in seconds and can die in minutes gives surgeons and administrators pause. Primary care docs and even specialty docs who have significant office practices will usually have multiple opportunities over extended time periods to correct an oversight or mistake. While midlevels in large numbers are relatively late to the game for many specialties, this inherent attribute makes office based work relatively easy pickings.
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Well sir, it bears repeating.
 
Endee said:
Yes. They broke the seal. And DeSantis also broke with FMA in signing this. Adding CRNAs within the next few years will be a lot easier now than it would have been without this intermediate step. Foot-in-the-door technique.
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That time can be years to decades. Keep fighting, Nationally, State level, and locally. Row well and live #41.
 
dr doze said:
I have posted this before:

We have the longest history of conflict with midlevels. But in some ways we are protected. The fact that this is a specialty where people go bad in seconds and can die in minutes gives surgeons and administrators pause. Primary care docs and even specialty docs who have significant office practices will usually have multiple opportunities over extended time periods to correct an oversight or mistake. While midlevels in large numbers are relatively late to the game for many specialties, this inherent attribute makes office based work relatively easy pickings.
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Who is it giving pause? There's tons of ambulatory surgery centers that only use CRNAs. **** when I had to go in for a scope, it was a CRNA doing the sedation, no anesthesiologist even in the building. Didn't you see the lawsuit where the plastic surgeon and his CRNA buddy left the girl unresponsive in their ASC all day?

I don't know who you're seeing who's pausing but it's definitely not the surgeons or administrators. The surgeons only think in terms of if it's a complex surgical case or not...not in terms of complexity from anesthesia's side.

This is how it all starts. "Oh NPs can do primary care because we need more primary care and my PCP just gives me antibiotics for my cold anyway so it must not be so complicated....Oh NPs did "fine" in primary care (bc it's terribly hard to measure outcomes in primary care) we need more anesthesiologists, so lets let them work by themselves...Oh CRNAs did fine, lets let NPs start running the ICUs". I mean we all know many of the existing "supervision" laws are supervision in name only. As long as you can get some sucker to sign off on your 10% of charts every month or whatever, they basically run wild doing whatever they want anyway.
 
Consigliere said:
No point. Unless you are a masochist who wants to rack up massive debt for mediocre pay.
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I have a family member who is primary care. He’s making more than he’s ever made. Patients will wait to see him (the MD). You can see a NP same day. There is value in med school for primary care if that’s what you want.

Bonus - no one will force you to supervise solely (like the ACT crap we will hold on to until it’s pried out of the ASAs cold, dead hands). You can also easily set up your own shop and be completely independent of the hospital. Try doing that w anesthesia.
 
calvnandhobbs68 said:
Who is it giving pause? There's tons of ambulatory surgery centers that only use CRNAs. **** when I had to go in for a scope, it was a CRNA doing the sedation, no anesthesiologist even in the building. Didn't you see the lawsuit where the plastic surgeon and his CRNA buddy left the girl unresponsive in their ASC all day?

I don't know who you're seeing who's pausing but it's definitely not the surgeons or administrators. The surgeons only think in terms of if it's a complex surgical case or not...not in terms of complexity from anesthesia's side.

This is how it all starts. "Oh NPs can do primary care because we need more primary care and my PCP just gives me antibiotics for my cold anyway so it must not be so complicated....Oh NPs did "fine" in primary care (bc it's terribly hard to measure outcomes in primary care) we need more anesthesiologists, so lets let them work by themselves...Oh CRNAs did fine, lets let NPs start running the ICUs". I mean we all know many of the existing "supervision" laws are supervision in name only. As long as you can get some sucker to sign off on your 10% of charts every month or whatever, they basically run wild doing whatever they want anyway.
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But did you say anything about the CRNA only anesthesia coverage for your scope?
 
Crnas will gain Independent practice rights in Florida over the next 4-8 years. But, what will our national healthcare situation look like then as well? Will a socialist be President? Will Congress go to the socialists as well?
 
BLADEMDA said:
Crnas will gain Independent practice rights in Florida over the next 4-8 years. But, what will our national healthcare situation look like then as well? Will a socialist be President? Will Congress go to the socialists as well?
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Meh even if it does midlevels are here to stay
 
zero0 said:
Looks like pigman has a bone to pick with the medical board. Has no problem taking every doctor down with him. What an absolute assclown.
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More to the story x 2 ... like a loose cannon racing to the bottom.
Public "misuse of power" while having an affair, and then a DUI.

www.politico.com

Ethics panel finds probable cause that state Rep. Pigman 'misused his position'

TALLAHASSEE - An ethics investigation into Republican state Rep. Cary Pigman's interactions with the Okeechobee School District revealed Pigman was having "an extramarital affair" with his former district secretary, Elizabeth Maxwell, starting in Jan. 2015.
www.politico.com www.politico.com

www.tcpalm.com

Florida Rep. Cary Pigman found guilty of DUI

The Okeechobee Republican represents St. Lucie County.
www.tcpalm.com
 
Regarding Pigman:

"Criminal History
Cary Pigman was arrested in March 2017, just hours after a House Session, when a Florida Highway Patrol trooper spotted Pigman's Jeep drifting on Florida's Turnpike. The arresting trooper reported that a BOLO, or "be-on-the-lookout," had been issued for a reckless southbound motorist shortly before the traffic stop. Troopers reported following Pigman's Jeep as it drifted across lanes and once into the right paved shoulder.

According to the report Pigman denied he had been drinking, but the arresting trooper detected an "odor of alcohol" coming from the vehicle. The trooper saw an open wine bottle in the front passenger seat of a vehicle in which Pigman was the only occupant. Nearly three hours after being pulled over, breath tests measured Pigman's blood-alcohol content at 0.14 and 0.15%, which are nearly double the legal limit of 0.08%.[4]

During one field sobriety exercise, Pigman was described as “so off balance he almost fell while attempting to conduct all three tasks," reports show. He stumbled and lost his balance in another test, and didn't follow instructions in another.

Pigman was found guilty of Driving Under the Influence in April 2017 and is currently serving probation. His license was suspended for six months and he was ordered to pay a $500 fine, perform 50 hours of community service and attend DUI school."
 
And yet despite that, he STILL gave NPs independence. Guy's a f_ucktard but you gotta respect his ability to get the job done.
 
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