Can We Just Open a Clinic and Be Hardcore?!

start SOMETHING NEW from a SINGLE CANDLE to MILLIONS....
start SOMETHING NEW from a SINGLE CANDLE to MILLIONS....
start SOMETHING NEW from a SINGLE CANDLE to MILLIONS....
start SOMETHING NEW from a SINGLE CANDLE to MILLIONS....

Well you see guys, MIDWIVES have their own LYING-IN’s, DOCTORS have their MEdical Clinics, MedTechs have their LABORATORIES and DIAGNOSTIC CENTERS, Pharmacist have their PHARMACY, so why can’t NURSES open their own NURSING CLINIC.

Think about it… a NURSING HOME is never a CLINIC but rather more inclined to being HOME for the AGED… so this can never be counted as a CLINIC of NURSES…

We NURSES know how to take VITAL SIGNS, give FIRST AID and PRIMARY CARE, we have the skills, knowledge and attitude to cater different levels of society, be it a PERSON throughout his/her lifetime, a FAMILY or even the WHOLE COMMUNITY. We know how to use GLUCOMETERS, COMPUTE BMI, WE can EVEN conduct seminars on FAMILY PLANNING, COMMUNITY HEALTH, HOME CARE, and HEALTH CARE PRACTICES. We know SO MUCH but why can’t we just OPEN our OWN CLINIC?

In the current situation of this COUNTRY’s NURSING PROFESSION maybe this IDEA can HELP a lot of NURSES. Think about it, a CLINIC full of NURSES, CARING, NURSING, CATERING to DIFFERENT INDIVIDUALS, FAMILIES and of COURSE THE WHOLE COMMUNITY.

Think about it, HOSPITALS have their own NETWORKS, so imagine a NETWORK of NURSING CLINICS, this may change the current FACE of the HEALTH CARE SYSTEM of the COUNTRY. THE BASIC HEALTH CARE SERVICES will be decentralized when PRIVATE NURSING CLINICS open and operate. FROM just a SINGLE BARANGAY HEALTH CENTER that is the sole PROVIDER of this basic services the people can now choose to go to a DIVERSIFIED, MORE ACCESSIBLE, MORE SOPHISTICATED NURSING CLINICS to provide them QUALITY HEALTHCARE. And how can we be SURE that these CLINICS will PROVIDE QUALITY healthcare, isn’t OBVIOUS? A CLINIC JAM-PACKED WITH LICENSED and SKILLED FILIPINO NURSES THAT IS WELL KNOWN AROUND THE GLOBE OF GIVING THE BEST NURSING SERVICE.

Come to think of it, WE CAN ALSO HAVE “SPECIALTY NURSING CLINICS”… where a NURSING CLINIC can SPECIALIZE in different forms of CARE… an ICU outside the HOSPITAL, a WARD outside the HOSPITAL, a NURSERY outside the hospital…where SERVICES can be MUCH MORE CHEAPER compared to HOSPITALS…

A DECENTRALIZED SYSTEM OF GIVING QUALITY HEALTHCARE…

And come to think of it… NURSES who will open their OWN clinics will be SOME DOCTORS’ BOSSES… well you see if that NURSING CLINIC UPGRADE ITSELF into PROVIDING not just NURSING CARE but also MEDICAL SERVICES… IT WILL be like a MINI HOSPITAL, with the same QUALITY but MUCH CHEAPER, AFFORDABLE, CONVENIENT, ACCESSIBLE and MOST of ALL SERVICE-ORIENTED….

NURSES ARE CAPABLE OF THESE THINGS…

YES, the GOVERNMENT started this ENTREPRENURSE but do we HAVE TO WAIT for this PROGRAM to REACH our dear old BARRIOS and MUNICIPALITIES?

But still through it ALL… THE QUESTION STILL REMAINS…

CAN NURSES OPEN THEIR OWN NURSING CLINICS?

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About juansikat 4 Articles
Juansikat is a filipino nurse without a job... a bum... a frustrated writer... a frustrated theater person... SINGLE... he's age is still in the calender... he hopes for the best... he hopes that his motherland will be free again from the grip of some of it's self-center, egocentric, ill-mannered children... hopes that nurses will cure the CANCER of our SOCIETY... he would like to meet JOSE RIZAL just so he could ask him the question..."are you just like me in your time...? i mean you are a product of you SOCIETAL CLASS and so as Andres Bonifacio... so do you ever SCREAMED for FREEDOM like the revolutionaries? or are you PLEADING for DEMOCRACY, EQUALITY, FAIRNESS?"
  • Meredith

    If we made it this far, we can do ever more!

  • ford

    hi there!

    i totally agree with this. imagine with lots of nurses around the country not to mention our world-renowned ofw nurses, making such clinics with ingenuity…. this is absolutely accessible, cheaper, efficient, more personalized, etc, etc, etc…

    might the government open to this and support us?

    how would the AMA react to this project?

    will the DOH find hope for our healthcare system with the nurses?

    i wonder.

    to the dear author, how about put up one to make a model to all our fellow nurses??? sounds exciting….

    • ATHENA RAMIREZ

      Please know that a nurse-led clinic is already existing in Tacloban City. It is called Caring Frontiers Nursing Service. Please visit our fb page, if you are interested.

      Caring for People. Caring for Nurses. Caring for YOU.

      Athena Lopera-Ramirez, RN, MAN, AREMT
      CEO/Founder
      09291465717

  • nurse2009

    totally agree! This would answer to the problem of oversupply of RNs. 😛 I can have a BP monitoring clinic 🙂

  • in the US, nurses need to be practitioners to put up a clinic. 🙂

    dito sa atin, totoo nga bababa ang unemployment rate kung mag put up tayo ng nursing clinic. we have a different approach from the practice of health care by physicians, and that’s something nurses have that most of them don’t.

    all we need are: confidence and money. XD

  • i have thought about this too years ago…even suggested it to one of my colleagues…that when we “retire” from hospital work we put up some sort of a “Nurse Clinic” wherein all your above-mentioned tasks will be offered. but the problem is the idea of our people about nurses is that nurses always will be a support to doctors. this makes us not being able to work as an independent worker as every step we do depends on the decision or order of a doctor. our people has yet to be educated on such a set-up. but probably if our government will support us on this project…why not? Nurses then can also be the boss of a doctor…but will the doctors be willing to do that? brilliant idea but our Philippine Nurses Association must be consulted on this matter. this would require a lot more expounding. good luck to us then…

    • JmCee

      not to sound negative in any way, I have nothing against this idea of a Nursing clinic. I just want to point out some realities we have to consider. I too, think it’s brilliant but for some reasons I THINK (to emphasize this is my personal opinion) it may not be practical (for lack of a better word) to have such an institution. 1. I agree to what you stated that most of our countrymen do look at nurses as mere subordinates to doctors. But it is not only this inferior regard for our profession that we might face a difficulty with, we must keep in mind that even if, contrary to what others think, nurses do have independent roles in health care, nursing mostly requires collaborative care. Remember that it is concerned with the holistic care of individuals. That being said, we CAN provide certain health services (independent nursing functions) but there’s a high chance we may need to refer them to other members of the health care team. Though our roles have a wide scope we also have a lot of limitations like making a diagnosis, prescribing medications, running lab tests (i put it this way because i know nurses are capable of extraction too but we don’t know how to analyze/test the samples)to name a few and it is because of this that we need to work hand-in-hand with other members of the health care team.
      2. Okay, so you might say there’s a referral system so those who need services/care outside the scope of nursing can be transferred to a hospital or facility that will cater to their needs. but then again, just think, is it practical for them to go to one place where they can have some of their needs met and then go to another one for further care? We live in a fast-paced generation, one that wants to have everything at once. Why do you suppose people flock to department stores or one-stop shops? Because it is the nature of today’s society to have their needs/desires fulfilled all at once,saving them as much time, effort, and other resources as possible. I believe CONVENIENCE is the term I’ve been looking for all the while. Think about it, wouldn’t it be easier for them to just go to a hospital or polyclinic where they can get done all the things they need all in one place? That would be much less of a hassle (I think so).
      3. I believe doctors WOULD mind. Not to be judgmental or anything, but let’s be truthful here. Especially in the Philippines where crab mentality is rampant and pride, despite it’s pointlessness at certain times, still prevails… come on! Get real… of course they would mind!
      4. The Government seems not to care so much about health care. Although it can be noted that some efforts are being made, they give so much more attention about other issues the country is having (even less important ones). There has been some talks about improving health care but no one is really walking it…just talk, talk, talk. tsk…tsk…
      5. And last but not the least, I think “nursing clinics” already exist, we just happen to call them health centers. It is a place where the services you mentioned above are being provided by nurses. Only difference aside from the name is that it’s government owned. If it’s a private one then I guess that’s the time we can call it a nursing clinic or whatever we want to call it. Another thing, since health centers are government-owned people need not pay which wouldn’t be the case for a private facility. Thus another question, why go to a place where you need to pay when you can have the same services somewhere else for free? Not very cost effective for the public if you think about it.

  • I think this would work as long we have money and confidence. Doctors won’t even be a concern.

    The clinic would simply be a consultation clinic/check-up/the basic stuff because we can’t prescribe treatment or medicines, unless you’re a nurse practitioner.

    It would actually save time for ‘patients’ because of our knowledge and skills, we would be able to ‘screen or filter’ those needing hospitalization and those needing simple attention from a nurse. It would even help hospitals BIG TIME, especially the government-governed hospitals.

    Or at least, the way I think about it. 🙂

  • maria irene neri

    yes,this idea is brilliant.i remember a coop hosp.was set up in davao city from an idea only of doctors willing to be entrepreneurs.and now they have branched out to agdao,tagum city…they started from a simple desire to be of service to the needy and the idea became a reality…..those retirees from abroad can produce the capital and hire more unemployed nurses…….mabuhay ang nursentrepreneurs…..

  • dokie

    Kinda foolhardy to do that. As an emergency doctor in a government hospital you need to study the inner workings of the human body and how it reacts to pharmaceutical intervention to make a diagnosis.

    Not all conditions which look like primary cases are primary cases and the patient can deteriorate rapidly.

    Now although in the USA some nurse practitioners are allowed to manage primary cases, this is still a very controversial issue.

    A little knowledge is a dangerous thing. We in the medical profession slave over the study of medicine because most of the time a disease is just not what you think it is.

    • john ray ander

      hello DOKIE “the DOCTOR”

      im sorry if you see NURSING as a “LITTLE” KNOWLEDGE… by the way it’s a PROFESSION just so YOU know… and actually we studied for 4 years then we took the BOARDS and got some kind of LICENSE just like what you have… its just 4 years we do believe that we have the KNOWLEDGE to provide HEALTHCARE… though we can’t DIAGNOSE we still know how to do some PATHOPHYSIOLOGY and also we know how MEDICINES works… we KNOW their GENERIC NAMES… but unlike your PROFESSION we dont focus solely in TREATING THE DISEASE but we manage to CARE for our PATIENTS HOLISTICALLY… its just sad that this HOLISTIC CARE we know cant be utilized sometimes since a very IRONIC PHENOMENON is happening in our COUNTRY… “A SHORTAGE DESPITE OF AN OVERSUPPLY…” i hope you understand… so now we’re DREAMING of OPENING OUR OWN CLINICS so that WE can HELP in EASING this PROBLEm of our COUNTRY… oh by the way i hope you TRUST your NURSES ASSESSMENTS and JUDGMENTS for a very PRODUCTIVE WORKING ENVIRONMENT in the HOSPITAL you’re currently working in… just so you know… we dont just classify PATIENTS as to whether their case is only PRIMARY or needs further medical assistance… we have this step by step, scientifically and an independent PROCESS called the NURSING CARE PROCESS… it involves ASSESSMENTS, PRIORITIZATION, and also we DIAGNOSE but with our very own NURSING DIAGNOSIS then we STUDY the case, also we know how to do some PATHOPHYSIOLOGY just to further understand the disease process of our PATIENTS then we PLAN our CARE and we also provide RATIONALES for every INTERVENTION we take and then we EVALUATE… this PROCESS is designed solely for US… you see doctor we provide CARE and not TREATMENT OPTIONS… we PROVIDE CARE even to THOSE who are DYING when all of your TREATMENT OPTIONS didn’t work out…we still provide CARE… we dontjust stop in the TREATMENT PROCESS… all the way down to the PATIENT’s very last BREATH we are there still PROVIDING CARE to HIM/HER, TO HIS/HER FAMILY… it is CARE we PROVIDE not TREATMENT. WE HELP in the TREATMENT PROCESS by providing CARE.

      i hope you’ll read this one…

      • pinkee bellen

        well said john ray ander!!! for it is indeed the nurses who are left in the on-going care and even the after care of the patients.

        we never dreamt to overcome the capacity of our doctors but we can also have the chance to practice our profession outside of being just a nurse (doctor’s assistant). and we very well know our limitations and capacity as a health care practitioner. so there’s no confusion over the tasks at hand.

        • lady firefighter

          =) doctors enrolled themselves to nursing course to work abroad so DOKIE how does it sounds and feel that you doctors have to be RNs to be able to work abroad????? while we RNs don’t have to take up Medicine to work abroad =)

          • dokie

            actually we can. its just a lot more expensive, averaging to almost half a million pesos. we pay the same as American graduates, however, we have to travel for interviews. the nice thing about it though is we don’t have to go to a placement agency. we go the traditional route that most postgraduate degree holders go through.

      • gozum

        good day sir john ray ander

        “A little knowledge is a dangerous thing. We in the medical profession slave over the study of medicine because most of the time a disease is just not what you think it is.”

        i don’t think dokie was being sarcastic. i am a nurse aswell but i could say that i haven’t learned everything from the 4 years that i studied in college. graduating and passing the boards are just the start. yes, doctors can’t do it all but i don’t think we as nurses can do it all by ourselves aswell.

        there’s a reason why the nursing profession exists and there’s also a reason why physicians studied double the years we’ve had 🙂

        anyways, i admire the pride. go nurses! 🙂

        • juansikat

          helo dear…

          first im not saying NURSES can do it ALL…certainly the article is just proposing a NURSING CLINIC… and that is it…nothing more and nothing less… but dokie here completely opposed the idea… and to clear everything out…i dont even say that we dont need doctors… the article says that we as NURSES can provide CARE that is within our SCOPE OF PRACTICE… and for comparative reason i included midwives having their lying-in, pharmacist having their pharmacy and doctors having their clinics but not NURSES here in our country…? I have nothing against DOKIE but in his post it is as if he is belittling our profession saying all sorts of things doctors can do… certainly my article is not proposing to open a DOCTOR’S CLINIC but a NURSING CLINIC….

      • ATHENA RAMIREZ

        dokie,
        PLEASE KNOW THAT WE HAVE OUR OWN SET OF NURSING DIGNOSES, which is totally BACKED-UP by Nursing Science.
        We focus on the patients’ RESPONSES to his/her illness, and make her comfortable as much as possible.

  • Carlo J. Cruz

    @ juansikat….

    What you are proposing is very possible but it also entails A LOT of hard work. In order to put up a Nursing Home or something similar, a nurse or a group of nurses should be quite knowledgeable in putting up and running a business for what you are proposing IS A BUSINESS. So kasama na dyan ang finding team members who have different strengths but share your mission and vision. Team members who know the ins and outs of cashflow, advertising, administration, legalities involved in putting up a business, accounting, the type of system you will be using to care for your clients at madami pang iba.

    May I suggest that you or anybody who is interested carefully evaluate the current system used in the United states and the European Union in running a nursing home or something similar to that. Its up to you and your business team to discern the strengths and weaknesses of each country then decide which are applicable to the philippine setting and which needs to be discarded.

    Hopefully there are some nurses who are serious and determined enough to push through with what you are proposing. Its about time that nurses evolve from employees to entrepreneurs. God bless the nursing profession.

    • gozum

      i agree.. the topic generally plans to run a business and employ unemployed nurses. imo, with respect to our passion and commitment, delikado talaga kung puro yun at ang konting napag-aralan natin through our 4 years ang gagamitin. nobody knows it all. new doctors learn from senior nurses and nurses learn from doctors aswell. graduating and passing the boards are just the tip of the iceberg, i’ve been working as a nurse since 2007 and yet masasabi kong hindi wise na bumukod sa mga physicians, kahit naman nusing homes and hospice care sa states eh kelangan pa din ng doktor. providing quality care and management needs team effort, hindi kaya ng physicians to do it all, that’s why we are here for; shock-absorbers. what juansikat plans are the already existing Barangay Health Centers and First Aid Clinics.

      as for the topic starter, i doubt it if you would send your own family member who just had a heart attack to your Nursing Clinic even if it is just outside your house 🙂

  • juansikat

    eto na lang MASASABI ko…

    IT IS A NURSING CLINIC…. A CLINIC THAT PROVIDES CARE WITHIN THE SCOPE OF NURSING PRACTICE…. I AM NOT SAYING WE DONT NEED DOCTORS IN OUR PATIENTS COURSE OF TREATMENT… BUT WE ARE A SEPARATE DISCIPLINE WHEN IN COMES TO HEALTHCARE AND SO AS THE PHARMACIST, MIDWIVES, DOCTORS OR EVEN BARANGAY HEALTH WORKERS….

    INTERDISCIPLINARY PRACTICE…(think about this TERM)

    and please the topic of the article is about OPENING or STARTING a NURSING CLINIC… if it is possible or not… and NOT ABOUT NURSES DOING EVERYTHING EVEN DOCTORS’ SCOPE OF PRACTICE… i am certainly clear about my topic for this article…

    • I think its possible. As long the services to be offered doesn’t overshoot our mandated duties. Alam mo, I am also planning to open such business.. parang Nurse-led Clinic here in our province. Medyo tricky lang kasi talaga kasi baka maapakan mo yung boundaries ng medical at nursing.. pag-aaralan mo tlaga. I’ve read some articles about that.. in some countries accepted na yan – nurse-led clinics. Meron pa ngang specialty clinics like Pain clinics, wound care, DM clinics, and many more.. Actually, I’ve read a newsclip parang isang part sa South, Mindanao I think , I am not sure of the place, a group of RNs was awarded a long package by the DOLE in support para sa kanilang clinic… Kaya alam ko its POSSIBLE.

  • Knowley

    It’s possible, doable, and feasible. But it will take years before it will materialize (the right way of pursuing it). It’s an innovative idea, especially for the Philippines that a lot of our kababayans are poor and cannot afford the high price of health care.

    I realized this even more when my mother was hospitalized and had multiple major surgeries and I spent a million pesos for her to be alive. I thought to myself, “paano na ang mga walang pera? eh di mamatay na lang silang dilat ang kanilang mga mata nang hindi man lamang nakakatikim ng gamutan?!” That’s why we need healthcare providers that will help the people in the preventive level.

    Introducing the idea of a nurse-led clinic to the Philippines will help our fellow Filipinos to raise the level of healthcare and on the other hand, help the “overflowing” supplies of nurses to be employed. But the conversation does not end there. This task will be Herculean and complicated.

    If I’m not mistaken, the idea of nurses becoming primary care providers or “mini doctors” originated in the US, when in the mid-1960s, spurred on by a shortage of doctors. Then, the first official training program for nurse practitioners (NPs) in the United States was created in 1965, with a vision to help balance rising health care costs, increase the number of health care providers, and correct the inefficient distribution of health resources. The practice of advanced practice nursing (APN) as we call it in the US has been widely accepted throughout the world. Today, Thailand is even considering the idea.

    In the US (varies by states), the following are some of the specific duties a nurse practitioner may perform:
    *Diagnosing, treating, evaluating and managing acute and chronic illness and disease (e.g. diabetes, high blood pressure)
    *Obtaining medical histories and conducting physical examinations
    *Ordering, performing, and interpreting diagnostic studies (e.g., routine lab tests, bone x-rays, EKGs)
    *Prescribing physical therapy and other rehabilitation treatments
    *Prescribing drugs for acute and chronic illness (extent of prescriptive authority varies by state regulations)
    *Providing prenatal care and family planning services
    *Providing well-child care, including screening and immunizations
    *Providing primary and specialty care services, health-maintenance care for adults, including annual physicals
    *Providing care for patients in acute and critical care settings
    *Performing or assisting in minor surgeries and procedures (with additional training and/or under physician supervision in states where mandated; e.g. dermatological biopsies, suturing, casting)
    *Counseling and educating patients on health behaviors, self-care skills, and treatment options.

    To become an NP in the US, you must pursue a master’s degree, post-master’s degree or a doctoral degree, then be licensed and certified.

    Imagine if majority of our NLEX passers (who are unemployed) will be placed/deployed in the EMPTY health care centers-that physicians don’t want to fill- all over the Philippines, in the far-flung areas, then our kababayans will have access to health care.

    But, like I said, opening a nurse-led clinic is NOT easy. There will be a lot of LEGALITIES involve- PRACTICE, REGULATIONS/LAWS, LICENSURE, CERTIFICATION, and EDUCATION. Like what “dokie” have mentioned, it will be a very CONTROVERSIAL health practice issue, i.e., if we do it or follow the right procedure in establishing one.

    Pero, sa isang banda, siguro madali ngang magbukas at mag-umpisa ng isang nursing clinic sa atin, kung hindi mo isasaalang-alang ang mga legal aspects of it. I think the best example is a midwife, who practices independently. In the US, they’re APNs, regulated ang practice with one of the high costs of malpractice insurance due to high risk practice. Kasi, sa Phils. we are NOT “legal conscious” as providers and patients, siguro dahil na rin sa kahirapan, kawalan ng sapat na edukasyon at batas na nangangalaga sa karapatan ng tao bilang isang pasyente.

    Your idea, actually, is one my topics for my capstone project in pursuing my Doctor of Nursing Practice degree. I must say, this is a good topic to indulge in.

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  • dokie

    mag aral muna kayo, Hindi puro pera Lang NASA utak. that’s what got the nursing profession here into trouble into the first place. its obvious naman diba, sa dami nyo its all about the cash. I have a high esteem for the profession. not much for its new generation of graduates though. again mag Aral muna kayo, di pro pera.

  • Dayward

    Knowley, i agree with you. Noon pa man, yung mga batches ahead of us has felt the reality na wala ng trabho o kulang na ang jobs available for nurses here in our country and beginning to decline naman overseas. Kung makalabas ka naman, andami pang req’ts na kailangan mo na namang tapusin. Kaya I think of this – the what ifs of Nurse-led clinics dito sa atin. With the current situation here in our country, the healthcare system and all that affects its implementation to the general public eh sa tingin ko, malaki ang magiging effect nyan sa community that will benefit the primary care of the so-called clinics. I am not talking about the money dokie, but giving new opportunities to unemployed nurses and extending primary cares to marginalized or far flung communities – na for sure and services will be much cheaper than the private clinics or hospitals. Hindi naman siguro masama to introduce ideas like this to our fellow nurses kaysa naman madivert yung mga skills nila. Nakakapanghinayang lang kasi andami ng nurses unemployed at andami ding taong nagkakasakit. Siguro kung itong mga unemployed nurses inilagay mo sa forefront to be an advocate to promote healthy lifestyle of at least educate this “community-in-need” siguro it will definitely prevent them to get ill or something and thereby decreasing the government expenditures on health problems eh di mailalagay pa yun to other government projects like education or infrastructure para mas mapaghandaan ang susunod na generation.. para wal ng gantong problems in the future…

    Well, anyways opinion ko lang naman to.

  • RNurse

    dokie, narinig niyo na po ba ung dr, sa region I na pinutol niya ung ulo ng baby dahil footling breach presentation nung nilabas ung baby, ung dr po na un ay consultant pa tagal tagal na niyang dr dun,ei yung dr po na nakaiwan ng forceps sa CS na pt, ei ung pasyente po na hinayaan ng mamatay dahil walang pang paoera ung magulang na kelangan ma craniotomy ung anak nila ung dr na un specialista at kinikilala, NGAYON SABIHIN NIYO PO SINO ANG MAS MUKHANG PERA? nakakita na po ba kau ng pasyente na naka-entubate, O2sat 98%, HR: 94-101, Tinanggal nung dr ung E.T. at nag insert sya ng bagong E.T. alam mo ang ngyari nag-down lahat ng V/S niya, nag chest compression ung mga dr, halos lumabas lahat ng kinain nung pasyente kakacompress, nakakita na ba kau ng dr, na nagorder ng Ketorolac sa pasyente na nagssusuffer ng sakit dahil may gallstone ung pt, ni di cnabi na mag skin test, nung tinanong ng Nurse ung dr. ei nainis pa ung dr at sabi basta ibigay mo n lang IV Push kasi in pain ung pt, alam niyo ba kung ano ngyari? muntik ng mamatay ung pt. dahil nag anaphylactic shock, at ung dr, kinokontak nung pt, ayaw sumagot nung dr, nakakita na ba kau ng dr, na nagorder at pinahook ung D5LRS sa pt na diabetic, halos manghina na ung pasyente, nakakita na ba kau ng dr, na tatanungin niya ung nurse kung ano ang pede ibigay na gamot? nakakita na ba kau ng dr, na nag amputate ng paa, ni di kinukunsulta sa Orthopaedic surgeon, dahil kc V/A ung pt at need maoperahan, nakakita na ba kau ng dr, na private OB kung saan ung pt ay due na niya at nung nag IE sya may dugo na lumabas, at sabi balik sya next week, after a few days pumutok ung BOW niya tnxt ung dr, sabi baka ihi lang yan? at nung dinala sa Hospital nakatae na ung baby at kinalaunan namatay ung baby PPH. Ngaun DOKIE the Doctor, gusto ko lang po sabihin sa inyo na kaming mga nurse at di naman po against sa mga physician at tinatanung lang po kc dito ei kung pede ba mag karoon o magpatayo ng NURSE ng sarili niyang CLINIC, hindi po ung sinasabi niyong “LITTLE KNOWLEDGE IS A DANGEROUS THING”, at puro pera ang iniisip namin, ang PINAGUUSAPAN PO KC AY YUNG HEALTH ACCESSIBILITY TO EVERYONE, Kung sa tingin ng nurse ay di na kaya emanage or sa tingin niya kailangan ng maraming pagsusuri, dun naman sya mag rerefer sa dr. AGAIN DOKIE THE NURSE ARE not JUST FOR MONEY AS YOU EXPECT, NURSE IN THE PHILIPPINES ARE VERY COMPETENT ENOUGH TO PRACTICE, DON”T LOOK YOUR NURSES AS YOUR ASSISSTANT BUT INSTEAD YOUR TEAM MATES in your AREA. ok? You are a doctor ask yourself if you are willing to work and reach your hand to the people in the community, without asking a money. Minsan kc ang iniisip na lang ei PF.

  • disgruntled reader.

    Jmcee was right in pointing out all the intricacies of a nurse led clinic.But definitley not specialty clinic e.g. an ICU or Ward outside the hospital thats incomprehensible beyond my wildest dream. The Barangay health centers have been set up by the Phil. Government solely for the purpose of providing primary care to our people in the barangay level akin to the federally funded health center in the US for underserved communities and areas. But a private Nurse led clinic ????in the phil????. Before you do that: First ask yourself this question 1) VIABILITY? Will it be viable in the long run as a stand alone clinic? Do you have feasibility study to back you? remember that you need cash flow to stay viable, where will revenue come from, private insurance? private pay? will private insurance componies pay for your service? will the government run insurance recognized your services? if not then its a problem! and you are left with private pay. If private pay who will be your major clientele= low income population? Will a middle class individual seek consultation with you when they can get a more expert consult from an MD? Be Realistic!!! amigos. Its a noble act to help beyond our means, but if this your mission and vision, better do volunteering, remember your overhead in running a business and headache of management are major concern in running a private business. 2) what regulatory laws to consider to set up a clinic and if you mismanage or misdiagnosed, will you be covered by a malpractice insurance? 3) Accreditation? will you get accredited and recognized by the department of health to have intergrity as a clinic 4)Competence, Clinical judgement and technical know how is not merely based on didactics and hospital exposure, majority of it comes from experience, it needs a learning curve that comes from the number of clinical hours in your clinics, and actual immersion in managing cases.Clinical decision making is what matters the most, and this is where errors arises, and this depends on how deep your understanding on your basic subject in anatomy, physiology, pathology, pharmacotherapy and kinetics, biochemistry, microbiology, laboratory diagnosis,biologic basis of diseases. In the US they have Nurse Practioner a program for advance practive nurse where they specialized clinically in Family practice, adult, geriatrics, womens health etc requiring 2 more years of study on top of your basic health science education but still under regulations which requires collaboration with physician except in few states. Do we have such program here? Is our 4 year education and experience enough? yes if the practice is merely on prevention and health promotion alone 5) Is the clientel and health care system ready to adapt/ripe to such changes? Finally ask yourself Am I able to provide safe, competent care to my patient. If Drs commit mistakes in diagnosis by ommision and commission inspite of extensive medical education and training what makes nurses,midwives and pharmacies different. To note there are as many as good nurses and good doctors out there to maligned and insult one another is a disgrace to the health profession. Drs and nurse and other health professional are collaborative in function. Drs prescribes the treatment nurses provides the care, each one should know their limitation. Hippcrates is not Nightingale.So are the Drs and the nurses. Identify yourself which profession you belong. The idea in the beginning thread is noble but neither achievable not in this lifetime.

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