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This topic is of a very sensitive nature and has ruffled more feathers than can be counted ever since the original article was published. In healthcare as in other groups, I am sure; there is usually some sort of power tussle going on-who is better at something, who should be given the most respect etc. It is almost never-ending and can be exhausting!

Advanced Practice Nurses are in fact Middle-LEVEL providers. Being mid-level providers does not take away from the expertise of APRNs.

In the hierarchy of things, healthcare in this case, everyone has a role to play from the Patient Care Technicians (PCT) to the Physician and when we all are masters at our roles, that it when everything thrives. Everyone should know their role and play it well!

Not too long ago, nurses were upset when it seemed that Medical Assistants (MAs) were seeking to replace them in physician offices so it is with physicians- Some MDs feels slighted that after the amount of student loans and tedious study, that APRN almost seem to be replacing them.

There is no truth to this- APRNs will NEVER replace MDs; APRN may play a role in helping fill up shortages in under-served areas but not to replace the group out rightly!

There is also absolutely no reason to be antagonistic toward each other- we need to understand the bottom line here which is MONEY/PROFITABILITY. Administrators want to maximize the best use of their resources by hiring more and cheaper labor to “spread” around, while keeping expenses to a minimum.

Is it fair? No

Can they do it? Yes.  The Administrators do after all owe it to their companies to be profitable. And if substituting one for the other is the way for them to do it, then that it the way it will be done.

“In business, you don’t get what you want, you get what you negotiate”- Karass

If the parties APRN and Medical Association feel aggrieved, it would better serve us to put heads together and present a unified front.

These constant bickering takes us nowhere!

My Nurse Consultant

Plenty has been said about the relationship between employers and employers but it is often times targeted towards what employers owe to employees and how employers need to do a better job of keeping employees happy and how they need to go over and beyond in making sure that employees do not leave and go else where and the list goes on…

There is usually little said about what employees owe their employers. Or how employees owe it to their employers to show up to work on time and do the job for which they were hired and do it well, nor how employees need not watch YouTube or be on social media during their time paid for by the employer and this list goes on as well…

In order to remove the complications why not say it in simple fashion- employees need to do the jobs they were paid for and employers need to ensure that the environment and tools needed to do that job are provided! Simple and that way everyone is happy! Yes?

No! While often times many employers wish it to be so, there are too many disgruntled employees who, unhappy with some of the choices they have made in life, see fit to thwart or try to thwart an employer’s success. What such employees do not understand is that the success of your employer often times, translates to your own success as well.

Fair is fair! As much as the pressure is on an employer to provide the best and go over and beyond for their employees, the same should also be requested of employees to make the investment of the employer so much worthwhile.

A Disgruntled Employer *****