Well not the name of a song, although… I just went out and bought a new to me, motorcycle. I can hear the collective groans of all the providers, nurses, and anyone in healthcare that has dealt with motorcycle injuries. I am no different. I have seen some scary assed stuff in my years with rescue as well as the aftermath in the ER and the hospital. This leads me to why? I know how to be safe, and the motorcycle is a good start…get it? Bike, start? Damn kids get off my lawn.
So since today has been such a shamble, what the hell. Igor decided to leave the castle. So, I will be going it on my own with my crass wit and armed with mechanical editors and learning to be more careful. It happens to me every now and again. I am after all evil incarnate to the point the bats merely tolerate me, oh well my pretties.
Utah now has a full practice authority bill in the legislature that easily made it out of committee today. It appears the bill has pretty broad bipartisan support. So full practice authority probably means nothing to you unless your nurse practitioner. What full practice authority is, is what you already thought it meant and that is that a nurse practitioner does not require doctor’s supervision to diagnose and treat a lot like physician’s assistant does. In my experience the physician rarely supervises, and it is mostly a paperwork issue that the supervising physician is entirely behind on. Behind to the point, I think there is a room in hell for physicians that they have to sit in and finish signing off on PA charts they put off during life. With the dawn of nurse practitioners as licensed independent providers, physicians suddenly thought they needed to supervise them. Why do you ask? I believe that it’s a control issue and I think it has a lot to do with ego. While arguably there are tons of physicians out there that practice for the good of medicine, there are a small few that are of course vocal that makes rather lame arguments about their education and “experience.”
Yes, doctor, I know you went to school for seven years and your residency, etc. etc. I think that education is hardly a reason to judge your preparedness for practice. Now if you been in medicine for 20 years and have a widely established practice as well as reputation, I might be a little more forgiving on the subject. To be honest as a nurse many times I have helped a bumbling resident or new physician figure out their ass from a hole in the ground, no offense. I may be a licensed independent provider, but I’m not stupid. If I’m in over my head, I’ll admit it, and I’ll seek advice from other providers because unlike education, collaboration is what makes medicine strong. It’s working together and recognizing each other’s strengths and weaknesses and being able to ask for help. Your education should not require or preclude you from asking for that. I think it’s a good thing and it seems to have met only token resistance so far so hopefully, Utah will soon be a full practice state.
As I spoke in a comment on the Facebook page the other day the legislator that was pushing the bill requiring birth certificates having “biological sex at birth,” only on them has withdrawn that bill. I am not sure what effort caused him to do that. However, the bill is dead. Folks in the state have enough problems dealing with the children they demand we respect without another hurdle.
No matter what generation, children have had problems with development. It is an essential thing and part of growth and development. I don’t think making something tougher or easier changes character. I think that has a lot to do with both the child and the parents raising of the child. If you have a “horrible child” it is not your failure as a parent, nor is it the child. It is a combination of the two that may occur despite your best efforts. The bottom line is to be there for your child. I watch many children here in Utah that are abandoned by their parents because they don’t conform to some weird ideology. It’s funny that we passed a law last year to become a “free range child” state. I honestly believe the law passed so that parents could abdicate their responsibility to watch over their children. Your children need you as a parent. You need to be there to recognize problems to guide and assist as appropriate. As I’ve told people before and I will repeat it, “if you do not want the responsibility to obtain birth control and continue to practice making children, you don’t have to have them.” The biggest threat to your children is not strangers; it’s you.
Well, this is has been a mundane roundup of things going on. So, some quick updates: the podcast is on schedule only a week behind like it always is. The blog posts are coming along, and I can promise you that they will still be just as witty and snarky without Igor’s editing. About 99% of all posts are pretty much all me. I pray that you will go gently on my less than perfect grammar. Grammarly helps, but it is a bit stilted.
I finally put a space heater up in the belfry for the bats, and now the bastards want a refrigerator, what’s next a microwave?