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Nurse Practitioners Push For More Freedom

Missing nurse traced to Chandigarh, accuses foster mother of harassment

Physicians groups worry that patients might be confused by nurses with a "Dr." before their name. They also worry that nurse practitioners with a doctorate will eventually push to broaden their scope of practice, eating away at what physicians do -- and at the money they make, since treating a patient at a nurse practitioner clinic is cheaper than being seen by a doctor in most cases. Groups such as the American Academy of Family Physicians point to an article in the Jan. 16 edition of the Chronicle of Higher Education, in which Mary O'Neil Mundinger, dean of Columbia University School of Nursing in New York, was quoted as saying: "If nurses can show they can pass the same test at the same level of competency, there's no rational argument for reimbursing them at a lower rate or giving them less authority in caring for patients." That's a recipe for a bifurcated system of care, some doctors say. "Saving money should not be the main factor for decisions that impact patient care and safety. Cutting costs by substituting nurses for physicians would lead the United States to two classes of care -- one run by physicians and a second by differently qualified health care professionals," wrote Reid Blackwelder, president of the American Academy of Family Physicians. But in Pennsylvania, this isn't a scope-of-practice issue, at least not yet, Ms. Reiser said. It's about freeing up nurse practitioners to do what they're already trained, and permitted by law, to do.
Source: http://www.post-gazette.com/news/health/2013/11/24/Nurse-practitioners-push-for-more-freedom/stories/201311240068

Nurse Practitioners Challenge AMA Recommendations on Team-Based Care Reimbursement

"No games were played in the courtroom. There was no hiding behind insanity defenses." While McClain had no prior criminal record, not even a parking ticket, Ligon believes she is all the more dangerous because nobody can predict what she might be capable of doing at any instant. Yates case factor Authorities originally said McClain had suffered a miscarriage but had not told her fiance. One of her key defenses might have been similar to what another Houston mother, Andrea Yates , successfully used. Yates claimed severe post-partum depression led to the drowning of her six children in a bath tub and was eventually found not guilty by reason of insanity on appeal in 2006. Yates' attorney, George Parnham , was a consultant on the McClain case. But Moncriffe, her lead defense attorney, acknowledged there was no real medical evidence that McClain had ever suffered a miscarriage. As a result, he said, making that case would have been very difficult. In addition, although several of her family members had been diagnosed with mental issues, McClain's attorneys abandoned an insanity defense because she had no history of mental illness. Moncriffe said that since the shooting his client is taking some antidepressants, but not any psychotropic drugs. The victim's family filled the jury box to witness the guilty plea.
Source: http://www.chron.com/news/houston-texas/article/Nurse-in-child-abduction-slaying-agrees-to-life-4993810.php

Nurse in child abduction, slaying agrees to life in prison

Subscribe to the Houston Chronicle Khanna senior superintendent of police (SSP) Sushil Kumar said following Kuldeep's complaint, the police on Friday formed a team comprising deputy superintendent of police (DSP) (Payal) Balwinder Singh, inspector Amardeep Singh, station house officer (SHO), Doraha police station, and sub-inspector Harjinder Singh, incharge, CIA, Khanna, to investigate the matter. The team within 24 hours traced Ranjit to Chandigarh, and recovered her. DSP Balwinder said the nurse was traced to Hope Clinic, Sector 21, Chandigarh, where she had been working since her disappearance in March. He added that Ranjit told the police that Kuldeep had adopted her around 21 years ago. The nurse told police that her foster mother used to harass her for money, following that their relations turned sour. To get rid of her foster mother, she discontinued using her mobile phone number and shifted to Chandigarh without telling anyone, the DSP said. She also stated that Harjinder did not kidnap her and it was her own decision to move to Chandigarh. The police would produce her before the court, following which appropriate action would be taken regarding the case registered against Harjinder, he added. Meanwhile, according to Kuldeep, Ranjit had worked as staff nurse at Sidhu Hospital from 2011 to March 2013. Kuldeep in her complaint to police had claimed that she used to meet her daughter at Sidhu Hospital until March this year.
Source: http://www.hindustantimes.com/punjab/ludhiana/missing-nurse-traced-to-chandigarh-accuses-foster-mother-of-harassment/article1-1154886.aspx

Nurse answers the call from UConn

Kia Nurse signs her letter of intent for the UConn Huskies.  (Photo: Robin Leworthy Wilson/Aerial Promotions) AUSTIN, Texas, Nov. 20, 2013 -- AANP Calls on Organized Medicine to Put Patients First AUSTIN, Texas, Nov. 20, 2013 /PRNewswire-USNewswire/ -- Kenneth P. Miller, PhD, RN, CFNP, FAAN, President of the American Association of Nurse Practitioners (AANP) today responded to American Medical Association (AMA) recommendations that in team-based care models, physicians should be lead on all teams and be the sole recipients of payment for integrated services. Dr. Miller said, "The AMA continues to perpetuate care models that are based on an outmoded and ineffective hierarchy that no longer works. "While AANP supports integrated models of care and reimbursement reform, we have grave concerns about tying reimbursement exclusively to physicians-led models and limiting innovation around care delivery models that meet the needs of patients and their communities. Reimbursement and licensure models like those proposed by the AMA limit care access and patient choice, and interfere with patients' ability to continue to see preferred nurse practitioner providers. "As health care evolves, and providers and payers look to work together toward best deploying resources, providing the right care at the right time, AANP calls on the AMA and all of organized medicine to leave behind this limiting model and expend its efforts and energy to serve the interests of patients." Dr. Miller also noted that the AMA recommendations fail to acknowledge the recommendations inherent in the IOM Future of Nursing report ; and the certification standards that recognize nurse practitioners and other providers as leaders in providing health care. The American Association of Nurse Practitioners (AANP) is the largest professional membership organization for NPs of all specialties.
Source: http://www.sacbee.com/2013/11/20/5930224/nurse-practitioners-challenge.html

87667219 Pennsylvania Dr. Maggie Thurmond Dorsey, RN now debuts its third book My Hero, My Dad The Nurse Knocked Out Cancer. To date the series is a set of three books which tells of a boys (Michael David Daniels) pride for his Dad who is a nurse, even amidst popular views of his peers that men should not be nurses. My Hero, My Dad The Nurse is a series of three books written by Dr. Maggie Thurmond Dorsey, and illustrated by artist Lorenzo Williams. My Hero, My Dad The Nurse Knocked Out Cancer In My Hero, My Dad The Nurse , the series begin with Michael David Daniels confrontation of a sensitive subject matter - the matter of male nurses. And when asked what he wants to be when he is older, Michael shocks his classmates with his announcement that he wants to be a nurse. In the wake of a class debate that men cant be nurses, Michael made it his mission to show his class that men can indeed be nurses. Appropriately written for kids ages 7 to 10, the book inspires and encourages young children, especially boys, to consider nursing as an option when choosing a career path.
Source: http://www.examiner.com/article/book-reviews-my-hero-my-dad-the-nurse-series-by-dr-maggie-thurmond-dorsey

Book Reviews | My Hero, My Dad the Nurse series by Dr. Maggie Thurmond Dorsey

Under the direction of head coach Geno Auriemma since 1985-86, the Huskies have won eight national championships, four times going undefeated. UConn has advanced to the Final Four 14 times with Auriemma at the helm. His record with the Huskies heading into this season was 839-133 (including a 90-game winning streak, the longest in NCAA hoops history). Currently, the defending national champions are 4-0 and unanimously ranked No. 1. I think I chose Connecticut because its an opportunity of a lifetime, Nurse said during the signing ceremony held at More. They have great coaches and a great team. And they play against the best players in the country. Nurse says she has dreamed of playing for Connecticut since she was in Grade 7. In terms of Mores own streak of excellence, the Knights are scheduled to be in Belle River/Windsor on Thursday (Nov.
Source: http://www.hamiltonscores.com/2013/11/20/nurse-answers-the-call-from-uconn/

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