money3:
I have read almost all comments here but this one compels a comment off me. Let me start by saying I am not in the medical proffession. However I see the the very baine of most proffessional careers in your claim on profficiency. I will liken it to draughtsmen calling themselves Architects, bricklayers/mechanics/electrician calling themselves engineers..... the list is endless. The result is the colosal damage to everything they touch.
Please miriamP, stick to your proffession and be content with who you are. It is human lives you are dealing with. Leave the Doctors to do their job.

pls wc planet did u drop from?? Am surprised u even said u read previous comments. Or u is it the read and forget syndrome? Ok i will remind u i am a nurse, proud to be one, and never gonna change. I will not do anyone s work unless the need arises in dat case i will do it and do it perfectly.

miriamP:
my dear i never lied about my years of xperience, i challenge u to quote me on that. I dont need to ve worked for 20 years b4 been experienced cos i was already proficient even b4 my youth service in a govt hospital.

So you don't recall saying this below?

miriamP:
Finished service last year?? Hhahaha, u r misguided.

I'm not a doctor, I'm just a humble engineer. But even I can diagnose you with temporary amnesia

miriamP:

Consult a doctor? Ha! Wit ma level of competence, dats laughable.

You know, this sums up your contribution in this discussion. When it comes down to it, you're just not very bright at all.

Please confirm from your superiors in the nursing profession. Doctors will always confer with very experienced nurses. Nurses will always consult with doctors and will pretty much defer to them in many matters.

Your statement above is tantamount to claiming you know more about medicine and the medical profession than most medical doctors in Nigeria. ThIs would be greeted with skepticism even if you were a 30 year veteran of the nursing profession. From a rookie like yourself, that's lunacy.

Please stop this show of shame at once. Delusions of grandeur indeed.

Incognito Quant:

I hate to burst your bubble but many of us know a lot more than you assume. I believe you are referring to Nurse practitioners right. Hope you know the limitations and the variations from one state to the other in US. Can you compare a Nurse practitioner to a Doctor in the US
Nigerians are not as ignorant as you think and it is the doctors here not taking full charge of the health sector? Have you heard of the role of the Surgeon General in the United States and many areas of British Commonwealth?
Now in the case of Clinical officers, Chews,nurses and those working in the primary health care centres where there is limited access to a doctor; who do you think write the medical models and protocols they follow??

Using your last statement ....they are not following any protocols but are trained to do what they do except the chews in Nigeria that uses standing orders. NPs and clinical officers works in teaching hospital along side other medical professionals and those who aspire for independent practice works in remote areas where the laws made it so.
They know their limitations the same way other doctors know theirs.....a wound care specialist nurse, NICU nurse, CRNAS and all what nots knows so also the doctors. Anaesthesiologist knows his boundary, gastroentrologist, OB/gyn etc non of them encroachs into other fields of medicine though they are all doctors unless your are specifically trained in that field you're committing quarkery unlike Nigeria scenario where an MBBS graduates will be jack of all trade and master of none. Any case above your scope and designations is refered pronto to the specified specialist. So this is not a case of NP referring cos she can't treat them ....No, it is a case of knowing when to refer to a more knowledgeable associate as most doctors do.
Medical model and protocols are not the same. There is medical model of care ...nursing model of care..
Medical follow the disease process while nursing follows the human response to the disease process . Physicians, Physicians assistants, CHEWS and clinical officers follows these medical model during their training and practice. While protocols is a laid down rules as you know which you as a doctor or nurse or any other personnel can follow depending on the hospital policy which can change from one hospital to the other. Protocols in sane climes are not made by a profession alone but each profession will be represented and their opinion sought......merit and the demerit noted before instituting it as the hospital protocols. A lot of protocols abounds eg for emergency, unbooked cases, calling of codes, resuscitation before the team arrives and so much more.
Surgeon general is a part of NMA glimpse of the future that will never manifest......It will be countered in such away that the government will even throw in towel to the health sector.

texazzpete:

So you don't recall saying this below?



I'm not a doctor, I'm just a humble engineer. But even I can diagnose you with temporary amnesia

like seriously? U disappoint me, i mean wit ur level of education. How does dis translate to lying abt years of experience? Cmon u can do much better.
Amnesia? As common as it is? Even my 6 year old nephew knows all about it

texazzpete:

You know, this sums up your contribution in this discussion. When it comes down to it, you're just not very bright at all.

Please confirm from your superiors in the nursing profession. Doctors will always confer with very experienced nurses. Nurses will always consult with doctors and will pretty much defer to them in many matters.

Your statement above is tantamount to claiming you know more about medicine and the medical profession than most medical doctors in Nigeria. ThIs would be greeted with skepticism even if you were a 30 year veteran of the nursing profession. From a rookie like yourself, that's lunacy.

Please stop this show of shame at once. Delusions of grandeur indeed.

I guess this is a complete summation of her malignant ignorance and wanton show of shame all over the thread. She makes no point at all, is an unrepentant egoist. Even when common sense and facts should prevail, she distorts them with sheer pigheaded and crappy points. Trust me, instead of arguing your points, she will resort to insults. This is a definite character of a 'lady' with no class.

This topic has been flogged severally. Pls don't join iSsues with the baby nurse she lacks insight that's why I stopped responding to her,

However I admit there are some nurses who know their stuff and do their work its those who want to ride higher than they are that feel inferior and tag the dr as being proud cos his job involves passing instuctions to you.

Let the real issue be debated not this clowiing by itk's.

An ignorant man is dangerous when he isn't aware that he is ignorant.
Pls continue clerking and diagnosing and prescribing, we all know how that history goes... Pxt was being managed by her neighbour who is a nurse....

People I know can never fall into your hands ever.its the innocent nigerians I pity.

texazzpete:

You know, this sums up your contribution in this discussion. When it comes down to it, you're just not very bright at all.

Please confirm from your superiors in the nursing profession. Doctors will always confer with very experienced nurses. Nurses will always consult with doctors and will pretty much defer to them in many matters.

Your statement above is tantamount to claiming you know more about medicine and the medical profession than most medical doctors in Nigeria. ThIs would be greeted with skepticism even if you were a 30 year veteran of the nursing profession. From a rookie like yourself, that's lunacy.

Please stop this show of shame at once. Delusions of grandeur indeed.

Oh u wish it were so but unfortunately its not. Thats d same thing i ve been talking about, dat same delusion. U believe its real, but its only in ur imagination. But thank goodness there s a remedy, all hope s not lost, i believe u know who to consult

Anybody that ignores the need of health workers working like Siamese twins is tantamount to unfortunate denial. A doctor definitely needs his team. Any miriamP that concocts that nurses do not need doctors is as ignorant as a sterile brain.

Mrs Awesome: Using your last statement ....they are not following any protocols but are trained to do what they do except the chews in Nigeria that uses standing orders. NPs and clinical officers works in teaching hospital along side other medical professionals and those who aspire for independent practice works in remote areas where the laws made it so.
They know their limitations the same way other doctors know theirs.....a wound care specialist nurse, NICU nurse, CRNAS and all what nots knows so also the doctors. Anaesthesiologist knows his boundary, gastroentrologist, OB/gyn etc non of them encroachs into other fields of medicine though they are all doctors unless your are specifically trained in that field you're committing quarkery unlike Nigeria scenario where an MBBS graduates will be jack of all trade and master of none. Any case above your scope and designations is refered pronto to the specified specialist. So this is not a case of NP referring cos she can't treat them ....No, it is a case of knowing when to refer to a more knowledgeable associate as most doctors do.
Medical model and protocols are not the same. There is medical model of care ...nursing model of care..
Medical follow the disease process while nursing follows the human response to the disease process . Physicians, Physicians assistants, CHEWS and clinical officers follows these medical model during their training and practice. While protocols is a laid down rules as you know which you as a doctor or nurse or any other personnel can follow depending on the hospital policy which can change from one hospital to the other. Protocols in sane climes are not made by a profession alone but each profession will be represented and their opinion sought......merit and the demerit noted before instituting it as the hospital protocols. A lot of protocols abounds eg for emergency, unbooked cases, calling of codes, resuscitation before the team arrives and so much more.
Surgeon general is a part of NMA glimpse of the future that will never manifest......It will be countered in such away that the government will even throw in towel to the health sector.

office of surgeon-general is now a reality. u want us model of health care but u do not want surgeon-general. are u an hypocrite?
for info chews have standing order or treatment protocol. they do not like using it. many of them now use doctors prescription for similar condition.
mbbs doctors doing jack of all trade is bad. that is why nma is saying residency training needs more attention and fund. there are more than 50 specialties in medicine.
anyway, nma is winning gradually.

I must be a VIP and a strong one at that, having withstood all d tussles from d dopes here, well am not surprised. To d extent i was ,,,,,,,,,,. Well its time for me to check out since am d last one standing. See u guys , when

miriamP: I must be a VIP and a strong one at that, having withstood all d tussles from d dopes here, well am not surprised. To d extent i was ,,,,,,,,,,. Well its time for me to check out since am d last one standing. See u guys , when

for ur mind.

thepathologist:


office of surgeon-general is now a reality. u want us model of health care but u do not want surgeon-general. are u an hypocrite?
for info chews have standing order or treatment protocol. they do not like using it. many of them now use doctors prescription for similar condition.
mbbs doctors doing jack of all trade is bad. that is why nma is saying residency training needs more attention and fund. there are more than 50 specialties in medicine.
anyway, nma is winning gradually.

Hey, would you mind rereading the post again. Medical model of care not US model which is obtainable anywhere in the whole world has nothing to do with surgeon general stuff. And NO..... NMA is losing cos for every of their gains it is countered by JOHESU ...med scientist win , JOHESU court win ...name NMAs ....With conmess ...there is CONHESS. Soon the government will get tired of the whole hullabo and probably privatize all our sorry assEs. I am drumming it now to every ears ..go get a certifications that will stand you out among your peers...at least the big companies, hospitals will be after you when it is the governments time to strike.

miriamP: I must be a VIP and a strong one at that, having withstood all d tussles from d dopes here, well am not surprised. To d extent i was ,,,,,,,,,,. Well its time for me to check out since am d last one standing. See u guys , when

Translation:"I, Miriam, have been found out to be a liar and a braggart. I must now flee before they heap even more ridicule on my head"

Please don't let the door hit you on the away out.

Tobbie9: guy hw far where are ur fellow compatriots? joshuapharm, adeola drg and co abeg come and assist ms mariam before this thread dies

Yes.. U called me..

thepathologist:


office of surgeon-general is now a reality. u want us model of health care but u do not want surgeon-general. are u an hypocrite?
for info chews have standing order or treatment protocol. they do not like using it. many of them now use doctors prescription for similar condition.
mbbs doctors doing jack of all trade is bad. that is why nma is saying residency training needs more attention and fund. there are more than 50 specialties in medicine.
anyway, nma is winning gradually.

well said bro, i took time out to do some research on us and others and found out that most of there doctors are consultants causing a dearth of doctors in primary healthcare which is why even the doctors themselves are pushing nurses and co to be more independent so they can focus on their specialties once residency training is properly done in nigeria the chews/nurses/whatever can have primary healthcare to themselves

Mrs Awesome: Hey, would you mind rereading the post again. Medical model of care not US model which is obtainable anywhere in the whole world has nothing to do with surgeon general stuff. And NO..... NMA is losing cos for every of their gains it is countered by JOHESU ...med scientist win , JOHESU court win ...name NMAs ....With conmess ...there is CONHESS. Soon the government will get tired of the whole hullabo and probably privatize all our sorry assEs. I am drumming it now to every ears ..go get a certifications that will stand you out among your peers...at least the big companies, hospitals will be after you when it is the governments time to strike.

I taya for thepathologist. 1 very unintelligent fellow. Oga stick to ur lab work and stop saying trash all over NL.

adeola_drg:

Yes.. U called me..

how nice of you to show up, but i think you've come too little too late

Tobbie9: well said bro, i took time out to do some research on us and others and found out that most of there doctors are consultants causing a dearth of doctors in primary healthcare which is why even the doctors themselves are pushing nurses and co to be more independent so they can focus on their specialties once residency training is properly done in nigeria the chews/nurses/whatever can have primary healthcare to themselves

I've said this over and over. Again and again. Thank God u saw it for urself.

Now Tobi compare this to what we av in naija. Smh, ur mates are striving to improve their services in the US, u're here going on strike because of CONHESS.

U guys shud just free Miriam oo. She is proud of who she is.. And don't u ever think that anyone who speaks against doctor is jealous. Fallacy!

Tobbie9: well said bro, i took time out to do some research on us and others and found out that most of there doctors are consultants causing a dearth of doctors in primary healthcare which is why even the doctors themselves are pushing nurses and co to be more independent so they can focus on their specialties once residency training is properly done in nigeria the chews/nurses/whatever can have primary healthcare to themselves

At least some point are becoming clearer, primary health care is quite different from primary care actually. Check it out too. The definition of PHC was propounded in alma-ata,USSR.. while primary care doctors is equivalent to the general practitioners we have in Nigeria that refer specialize cases to specialist.
NPs , PAs are taking up the roles cos doctors don't find it lucrative and satisfying anymore and less doctors are going in for primary care residency. The PC residency is opening up for the NPs already in Florida and in some states too. Am only trying to squash the ideas that nurses seeing and treating patients is unheard of or they are pretending to be doctors. And research also shows that they especially CRNAs and anesthesiologist service are the same.
People should search for these NPs cos probably if you travel out since they are many now ...there is every possibility that you will be treated by one of them and they go by Dr so so because they have phd in what they do.

nouveaux: Nurse Miriam, Im proud of you!
Imagine, a scumbag saying 3credits into a nursing school? That shows you have nothing running in your already empty skulls. Im sorry really. My problem with them, they dont know and they dont want to know since they know they know it all. Delusion of grandeur indeed.

Another nurse don show. Una think say we no know wetin dey happen? E been get two types of nurses for naija. De ones wey go School of Nursing and Midwifery. Dis type na 3 credit for Waec dem be dey carry enter School of Nursing (English and Maths no even dey). Almost all of their senior matrons na dese type dem get before dem come change the requirement to 5 credit. The other type wey dey more recent na BSN Nurses. Dis ones been go university small, where Doctors come dey teach dem course like Anatomy, Physiology, and Biochemistry. The thing wey come surprise man for the thing be say na the 3 credit type nurse sabi practical work pass the B.SN ones wey just dey make noise for dis thread, so tay the 3 credit nurse go jus dey shake head for the B.SN ones say na grammar dem sabi blow, but to do the real nursing work, dem no fit.

Government wan helep all dem nurses upgrade from RN, das why dem give all dem deadline say make the ones wey no get B.SN try get B.SN, otherwise dem no go recognize dem as nurses again. Das why nurses full National Open University of Nigeria dey look for BSN.

PT.Awal:
What is the problem of this medical doctors Envy! Tey actually don't want any department in the health sector to progress. Why must they be the only set of people to become the CMDs in every general hospitals For crying out loud are they the only people in the health sector They cannot even reach a complete diagnosis of all conditions without Medical Lab and Radiographic examinations. They cannot completely treat every conditions without PHYSIOTHERAPISTS and NURSES. What are forming They want to be bossing every body in and around the hospital. Selfish / greedy people.

No need hating! It's never late to become a medical doctor so that you enjoy the privileges. A nurse after years of practice went back to medical school and she's now a consultant Nephrologist of almost 10years.


In any medical team, a medical doctor is always the head by virtue of his/her comprehensive training. This is a bitter pill to swallow especially for those who couldn't make med school or failed out, then became unhappy lab scientist or other health worker.

Every health worker is important even the cleaners but that doesn't translate to equal right or ability. In engineering school, a lab technician irrespective of his experience cannot become the Dean inlieu of en:gineer with appropriate qualifications.

aletheia:
Another nurse don show. Una think say we no know wetin dey happen? E been get two types of nurses for naija. De ones wey go School of Nursing and Midwifery. Dis type na 3 credit for Waec dem be dey carry enter School of Nursing (English and Maths no even dey). Almost all of their senior matrons na dese type dem get before dem come change the requirement to 5 credit. The other type wey dey more recent na BSN Nurses. Dis ones been go university small, where Doctors come dey teach dem course like Anatomy, Physiology, and Biochemistry. The thing wey come surprise man for the thing be say na the 3 credit type nurse sabi practical work pass the B.SN ones wey just dey make noise for dis thread, so tay the 3 credit nurse go jus dey shake head for the B.SN ones say na grammar dem sabi blow, but to do the real nursing work, dem no fit.

Government wan helep all dem nurses upgrade from RN, das why dem give all dem deadline say make the ones wey no get B.SN try get B.SN, otherwise dem no go recognize dem as nurses again. Das why nurses full National Open University of Nigeria dey look for BSN.

he z actually more like a glorified drug dispenser

Mrs awesome u seem like a logical person which is rare on nl nowadays, u said doctors no longer find pc residencies lucrative and satisfying which is d truth, most doctors find it boring and kinda routine including nigerian doctors, the problem with d nigerian situation is that d government isnt funding residency training enough or could u pls tell me when last d government built a hospital with capacity to train resident doctors unlike in the us and other developed nations where they are constantly expanding there medical capabilities to meet with the increasing population to the extent that they accomodate foreign trained doctors, so my dear sister or mother comparing america to nigeria in terms of healthcare is like comparing sleep with death.

as for NMA, JOHESU and co i really dont care since its no more than a battle of self preservation and i don't plan on practicing in nigeria upon graduation, i only find the banter entertaining

drobadebayo:
he z actually more like a glorified drug dispenser

Haturz. _______/ Take a chill here, u seem pained. Take alomo for the pain.

Mrs Awesome: Using your last statement ....they are not following any protocols but are trained to do what they do except the chews in Nigeria that uses standing orders. NPs and clinical officers works in teaching hospital along side other medical professionals and those who aspire for independent practice works in remote areas where the laws made it so.
They know their limitations the same way other doctors know theirs.....a wound care specialist nurse, NICU nurse, CRNAS and all what nots knows so also the doctors. Anaesthesiologist knows his boundary, gastroentrologist, OB/gyn etc non of them encroachs into other fields of medicine though they are all doctors unless your are specifically trained in that field you're committing quarkery unlike Nigeria scenario where an MBBS graduates will be jack of all trade and master of none. Any case above your scope and designations is refered pronto to the specified specialist. So this is not a case of NP referring cos she can't treat them ....No, it is a case of knowing when to refer to a more knowledgeable associate as most doctors do.
Medical model and protocols are not the same. There is medical model of care ...nursing model of care..
Medical follow the disease process while nursing follows the human response to the disease process . Physicians, Physicians assistants, CHEWS and clinical officers follows these medical model during their training and practice. While protocols is a laid down rules as you know which you as a doctor or nurse or any other personnel can follow depending on the hospital policy which can change from one hospital to the other. Protocols in sane climes are not made by a profession alone but each profession will be represented and their opinion sought......merit and the demerit noted before instituting it as the hospital protocols. A lot of protocols abounds eg for emergency, unbooked cases, calling of codes, resuscitation before the team arrives and so much more.
Surgeon general is a part of NMA glimpse of the future that will never manifest......It will be countered in such away that the government will even throw in towel to the health sector.

Before we misinform the public and loose focus in this discuss, lets be clear on some issues (some of which I have addressed in previous quotes)
1. who is the head of the medical team? Correct ans: The Doctor
so a senario in which I have a paramedic, an NP, a nurse, a physician assistant and a Physician, who takes charge is the Physician

2. are NPs allowed to prescribe? Correct ans: Yes, but most states in US requires a doctor to co-sign their prescriptions (you understand what that implies).
Also they are expected to consult doctors and specialist when necessary. Clients are even advised to ask their doctors if their case can be handled by an NP.
In Nigeria, BSC nursing has started and I dont see any doctor losing sleep over it. The truth is because Nurses (RN/RM or NPs) are lower in peaking order than the Doctor in training and competence working within the same structure ( be it pediatrics or geriatrics).

3. the Nigeria M.B.B.S senario. the training of any doctor gives him a certain degree of proficiency in Medicine, surgery, Obs/gyn, Child health, Mental health and Public health. Implies that he should be able to handle a wide variety of cases but the training tells him when to refer. Now we have CME/CPDs. The issues of residency space etc and future structure.............sorry you dont have the privilege to share in those information.

4. why the hatred for the Nigeria Doctor? I bet you cant talk about the American Trained the way you disregard Nigerians. You know your place as a nurse or paramedic in US and even revere the doctor

hamedade2000: It's not a matter of monopoly. it's only in a confused country lyk ours dah nurses n lab technicians wld be fighting to become d CMD of hospitals. You myt not av travelled out buh am sure u'll av seen foreign medical movies. av u ever come across 1 in which such has happened. SMH for Nigeria sha....Everything z jez upside down.

It is your shear IGNORANCE that makes you address a 6years trained MEDICAL LABORATORY SCIENTIST as a technician.You need to go back to school.

texazzpete:

It can be argued that fighting for individual gain is for the best for Nigerians too. I want all the doctors treating me to be well fed, well rested and cheerful all the time. I will always support Medical doctors when they fight for improved conditions of service.

Who is saying doctors should not be well fed? Pls Just close your mouth if you lack what to say.

thepathologist:

just as allied health workers are part of british medical association,world medical association ,america med association?
ur info is wrong. every profession has right to form its assocuation. johesu has to form so that strike action could have impart. johesu is political body set up to bring down d doctors. let individual association go on strike separately and see if the strike will be effective. among them it is only nurses strike that can cripple the hospital cos they are bedrock of hospital.

Wow...so nurses are now bedrock of hospital? A little sense at last...

aletheia:
Another nurse don show. Una think say we no know wetin dey happen? E been get two types of nurses for naija. De ones wey go School of Nursing and Midwifery. Dis type na 3 credit for Waec dem be dey carry enter School of Nursing (English and Maths no even dey). Almost all of their senior matrons na dese type dem get before dem come change the requirement to 5 credit. The other type wey dey more recent na BSN Nurses. Dis ones been go university small, where Doctors come dey teach dem course like Anatomy, Physiology, and Biochemistry. The thing wey come surprise man for the thing be say na the 3 credit type nurse sabi practical work pass the B.SN ones wey just dey make noise for dis thread, so tay the 3 credit nurse go jus dey shake head for the B.SN ones say na grammar dem sabi blow, but to do the real nursing work, dem no fit.

Government wan helep all dem nurses upgrade from RN, das why dem give all dem deadline say make the ones wey no get B.SN try get B.SN, otherwise dem no go recognize dem as nurses again. Das why nurses full National Open University of Nigeria dey look for BSN.

I wont join words with you, u are obviously a pre clinical student. I always say it, if you are a Nigerian and it takes an outsider to tell u abt goings in your country, then you are a dunce. Im done with you, I hate it wen embryos quote me. Oshe

drobadebayo:
he z actually more like a glorified drug dispenser

if you think I care about what you say of my monicker, then you are desperately sleeping on an okada.
Oh, yea, I am one and proud one at that. But wont allow any weed or pest to suffocate me out of jealousy. I wuld rather curb its excess at the budding stage. Face your calling and leave others to do theirs. No one is jealous of your miserable lives, we are content with our callings, capish? Ka gi ko? So ye e? Understood? Dont go and finish up ur exams, keep on ranting abt things u knw not about.

adeola_drg:

Haturz. _______/ Take a chill here, u seem pained. Take alomo for the pain.

odun! Ofe ke!
I will add benzodiazepine with the alomo, perfect combo!