paulPaul Tankersley, BSN, RN, OCN

Paul Tankerlsey has been a nurse for 10+ years, and is employed as the Director of Infection Prevention and Control nurse in Houston medical center in an LTAC setting. Clinical experience includes Joint Commission facility survey leadership preparation, program and policy restructuring for medical/surgical, intensive care, renal and hepatic transplant, and infection prevention. Program physician liaison program to ensure patient, nurse, and physician communication focuses on care without time delays or errors.

Paul is currently finalizing the MSN Healthcare Policy program at Chamberlain University while concurrently completing the MSN-FNP program. Paul completed the RN to BSN bridge program at Galen College of Nursing San Antonio, currently serving as a public spokesperson. Paul is on the advisory board for program curriculum for CHCP (College for Health Care Professionals), a partner with NAA. Paul has created multiple partnerships between higher learning organizations, healthcare corporations, and healthcare advocacy groups to decrease education costs and build strong advocacy partnerships.

The past year of my life has been crazy. This past year has proven to be a real challenge. As a full time nurse and nursing student, I have an over-whelming number of assignments, duties, and tasks to keep up with on a daily basis. Add in 12 hour clinicals 3 days a week, there is very little downtime in my life. Just a ton on my plate until school is finished but I wouldn’t trade my life for anything less.

Infection prevention and control has changed my life, and I love being a nurse. It is the most rewarding career. There are so many opportunities for nurses whether it is at the bedside, in the clinic, on the unit, in the classroom, or leading. Going to school has been a real blessing in my life. I enjoy working with other students as a team to complete our education which is one of the exciting things about going to school. I am anxious to finish my current degree program and to get started in my next adventure as an advance practice nurse.

NAA Today Blog

Why Nurse Practitioners Should Not Do Primary Care Without Physician Oversight

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Why Nurse Practitioners Should Not Do Primary Care Without Physician Oversight

“She said my back pain was caused by micro kidney stones.”

So said my newest patient after her previous primary care provider, a nurse practitioner retired.

“Micro kidney stones?”

I didn’t know what else to say. Having practiced as a board certified primary care doctor for a decade, I’d never even heard this term.

Nurses Are Not Doctors

So the NY Times opinion piece that “Nurses Are Not Doctors“, penned by Dr. Sandeep Jauhar, author of Doctored: The Disillusionment of an American Physician, resonated with me. The fact that 17 states have legislated nurse practitioners the right to practice primary care medicine without physician oversight is very worrisome. There is a primary care crisis. We do need more primary care providers. Though nurse practitioners can fulfill some of the demand they cannot do so without doctor oversight. Though on paper it seems like what primary care doctors do is easy, in fact when digging a little deeper, one finds out these two specialties are not the same though some states view them as such.

It boils down to training. Primary care is a cognitively challenging specialty. The amount of training doctors receive is far greater than that of nurse practitioners.

As Malcolm Gladwell, best-selling author of Outliers: The Story of Success noted in a 2013 New Yorker piece regarding the 10,000 hours of deliberate practice  observation -

  • Forty years ago, in a paper in American Scientist, Herbert Simon and William Chase drew one of the most famous conclusions in the study of expertise:
    There are no instant experts in chess—certainly no instant masters or grandmasters. There appears not to be on record any case (including Bobby Fischer) where a person reached grandmaster level with less than about a decade’s intense preoccupation with the game. We would estimate, very roughly, that a master has spent perhaps 10,000 to 50,000 hours staring at chess positions…

AND

  • But the ten-thousand-hour research reminds us that “the closer psychologists look at the careers of the gifted, the smaller the role innate talent seems to play and the bigger the role preparation seems to play.” In cognitively demanding fields, there are no naturals. Nobody walks into an operating room, straight out of a surgical rotation, and does world-class neurosurgery.

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