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New and Noteworthy
A forum for discussion on recent news and developments in healthcare and the NP field.
Tuesday, April 28, 2015

Ellisa Sinnicks-House, a nurse practitioner (NP) from Newfoundland and Labrador, runs the Livewell Clinic and believes that patients go to see her (as opposed to a doctor or the emergency department) to either save time or because they do not have a healthcare provider. NPs such as Sinnicks-House provide services for a fee to those who are not covered by Newfoundland and Labrador's Medical Care Plan.

"I could charge a lot more than I do, it's not my intent to get rich," Sinnicks-House said. "My intent is to fill gaps that are there, to help take some strain off the healthcare system, and help people who don't have access in other places."

Sinnicks-House states that everyone has given her positive feedback regarding her services thus far. The Canadian NP provides services including referrals, care for acute diseases, and testing/diagnoses; she charges between $20 and $30 per visit.

Let us know what you think of this NP's approach to healthcare in the comments.

[Source]

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Wednesday, April 22, 2015

Sam Vafadar, PA

Senate Bill 614 would give nurse practitioners and physician assistants the authority to write prescriptions for controlled substances. People who oppose the bill believe that doctors will lose control over patient care and that prescription abuse (notorious in Florida) would become worse. Tampa-based physician assistant Sam Vafadar, however, does not believe this to be the case.

“Sometimes we see the patient much more frequently,” Vafadar said. “Unprepared visits as well. So we develop a unique relationship with the patient. As a result, we follow personality nuances, their preferences. And we can determine, I think, which patients would be more likely to abuse these types of medications."

Jay Wolfson, from the University of South Florida's College of Public Health, believes that the role of the doctor of pharmacy is missing from the bill, stating that physicians only take one pharmacology/toxicology class and that pharmacists are the ones who truly understand how drugs interact with us.

What are your thoughts on Senate Bill 614? Let us know what you think in the comments.

[Source]

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Thursday, April 09, 2015

Should nurse practitioners team up with paramedics?


Los Angeles City Councilman Mitchell Englander has proposed having certain 911 calls answered by a nurse practitioner (NP) working in tandem with a paramedic as opposed to a group of firefighters. Englander's proposal comes in light of the fact that approximately 90% of calls made to the Los Angeles Fire Department request medical services.

"First, non-urgent, low level 911 call requests can be screened by LAFD Firefighter EMTs and rerouted to nurse practitioners within the LAFD organization. In their scope of practice, nurse practitioners can perform comprehensive on-site assessments and perform, treat and release, or treat and transfer. By implementing a nurse practitioner program into LAFD's EMS protocols, it should be possible to reduce unnecessary and expensive emergency transport..." Englander wrote in his proposal.  

If the program comes to fruition, the Los Angeles Fire Department will be able to handle medical emergencies in a more efficient manner. Mesa, Arizona implemented a similar program two years ago, which lead to roughly $3 million in savings on transportation and hospital admissions in 2013 alone. Los Angeles' new proposal is set to be reviewed by the City Council this month. Let's show our support for our fellow Los Angeles NPs.

[Source]
[Englander Proposal]

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Tuesday, April 07, 2015

Family nurse practitioners (NPs) are now offering primary-care services -- in addition to an on-site pharmacist -- to the University of Minnesota's Nurse Practitioners Clinic in Minneapolis, MN. The new clinic, which officially opened on April 6, will also serve as a training grounds for the school's nursing students, pharmacists, and other primary-care providers.

“When you can connect an actual clinical service with the school of nursing, it means we're actually training NPs not only in the reality of this model but also with an interprofessional team,” said Connie White Delaney, dean and professor at the University of Minnesota school of nursing.

The clinic is 1 of 250 in the U.S. operating without physician oversight and aims to serve lower-income patients as well as those with insurance. Ken Miller, president of the American Association of Nurse Practitioners believes that no single discipline will be able to cover the influx of patients via the Affordable Care Act but that NPs are in an optimal position to help serve these new patients.

[Source]

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Wednesday, April 01, 2015

The Maryland Action Coalition, the Maryland Academy of Advanced Practice Clinicians, and the Nurse Practitioner Association of Maryland support legislation during the 2015 Maryland General Assembly for Maryland nurse practitioners (NPs) to gain full practice authority without having an agreement with a doctor in order to practice. NPs can currently practice independently in only 19 U.S. states.

"As for the need to consult doctors, they say they do and will collaborate because it is good practice, not because of a legal or administrative requirement. The letter of attestation does not drive collaboration," said Tyree Morrison, treasurer of the Nurse Practitioner Association and a nurse practitioner with Frederick Primary Care Associates.

Several of Morrison's patients said they felt NPs spend more time with their patients and implement a holistic approach when it comes to patient health. Furthermore, Morrison believes that NPs would have more time to meet the country's expanding primary/specialty needs if the law changes.

[Source]

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About the Author

Jamesetta (Jamie) A. Newland
Jamesetta (Jamie) A. Newland is a Clinical Associate Professor at New York University College of Nursing where she is the director of the Doctor of Nursing Practice (DNP) program. She is also a certified Family Nurse Practitioner in the NYU Nursing Faculty Practice. Her expertise on nurse practitioner education and practice has been sought nationally and internationally. She is the current editor-in-chief of The Nurse Practitioner: The American Journal of Primary Healthcare, the inaugural journal publication for nurse practitioners.