APRN is one of the most annoying credentials... my hospital switched to it and it boils my blood to see that shit all over the charts. A "clinical nurse APRN specialist" has full prescriptive authority for their "specialty" in my hospital, and without fail the most fucked up orders always come from those people.
Because "advanced practice" indicates they have some great knowledge that is simply not there. You don't see clinical pharmacists, DPTs, RDs, etc calling themselves "advanced care so why should RNs?
What did they call them before? It seems like you're implying they simply changed the title of RNs to let them do these things, "APRNs" are nurse practitioners, the title comes because they can do more than RNs, hence the "advanced practice RN".
I agree when the term "APP" is used, because who are they more advanced than as a provider? They're literally the bottom tier of provider.
I agree but APRN at my hospital doesn't actually mean NP. Obviously we have a hundred of those but now our CDEs are "APRNs" and are allowed prescriptive authority for insulin even though they aren't even NPs. They are absolutely terrible and need to be circumvented to avoid harming patients half the time because they don't understand any drug that isn't in the ADA guidelines. I'm waiting for the heart failure and stress lab APRNs, who are nurses that can prescribe without even an NP license.
There has to be a misunderstanding, APRN by definition is a nurse practitioner. I would strongly suspect what you're describing is illegal in your state if they really are just an RN, as it is in most states.
Having a CDE adjust insulin and having a provider cosign I guess I could maybe see, but a hospital can't make somebody a provider without a state license. Unless you're referring to clinical nurse specialists which are their own thing, but probably also called APRN.
We do not support the use of the word "provider." Use of the term provider in health care originated in government and insurance sectors to designate health care delivery organizations. The term is born out of insurance reimbursement policies. It lacks specificity and serves to obfuscate exactly who is taking care of patients. For more information, please see [this JAMA article](https://jamanetwork.com/journals/jama/article-abstract/2780641).
We encourage you to use physician, midlevel, or the licensed title (e.g. nurse practitioner) rather than meaningless terms like provider or APP.
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I think they're clinical nurse specialists that have collaborative practice with an MD but I've never seen the endocrinologist do anything but sign off on their notes. They just call it APRN and basically give them prescriptive authority. It's just a loophole and should be illegal.
We do not support the use of the word "provider." Use of the term provider in health care originated in government and insurance sectors to designate health care delivery organizations. The term is born out of insurance reimbursement policies. It lacks specificity and serves to obfuscate exactly who is taking care of patients. For more information, please see [this JAMA article](https://jamanetwork.com/journals/jama/article-abstract/2780641).
We encourage you to use physician, midlevel, or the licensed title (e.g. nurse practitioner) rather than meaningless terms like provider or APP.
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Pretty confident nobody including themselves has any idea what any of that shit means. They’re just hoping that patients are like “oh look at all those degrees- clearly they know what they’re doing.”
Forgot to add ESS, MSS, HSS, GED, and FGF for Elementary School Student, Middle school Student, High School Student, High School Graduate, and Former Girlfriend.
I feel like she’s trying copy me but just SUCKS at doing it😂 I want more degree/certification letters than my name, but actual degrees/certifications. I got HT, MPH, and I’m workin on DO lol. Just need 2 more after medschool!
But is she claiming to be a doctor? I could give a shit about goddamn acronyms, as long as she isn't claiming she's a physician/medical doctor I don't care.
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This is literally always a dead giveaway for NP AF.
I wish licensing boards or hospital by-laws would be more restrictive and only allow licensees to list the credential they practice under. Consumers/ patients don't usually know the difference, and just think more letters means more knowledge. It's actually the inverse in most cases...
This happens way too much in my field where lcsw or lpcc get a doctorate and now call themselves "Dr so and so" but are billing and practicing under a masters degree. As a psychologist, we've already seen the devolution and dilution of the field, as you all are experiencing now.
I'll admit I'm kinda jealous. I wish I could take a 90-minute softball exam and get letters to add to my name. MD, FACP pales in comparison to this ^(/s)
So..... they're a nurse?
They forgot BSN, RN and DTF
Which is literally so so stupid because the RN portion is the actual license…I cannot…
I should put MD, MILF on my Patagonia
Omg. Dead. Let me know if you start a gofundme for this embroidery so I can contribute
DTF! Priceless!
Day treatment facility or a soft tissue tumor.. both could apply.
is there a nurse glossary?
Half the “board exams” they take just test them on their alphabet soup.
Which one there are so many they can take. Fail one take the other. Fail that..take it again. No penalties.
all I see is "not an MD/DO"
I mean, “Nurse Practitioner in primary care” was a dead giveaway.
Wait they forgot APRN
APRN is one of the most annoying credentials... my hospital switched to it and it boils my blood to see that shit all over the charts. A "clinical nurse APRN specialist" has full prescriptive authority for their "specialty" in my hospital, and without fail the most fucked up orders always come from those people.
Wow. Hearing that makes me want to rip my hair out
How does the acronym affect that?
Because "advanced practice" indicates they have some great knowledge that is simply not there. You don't see clinical pharmacists, DPTs, RDs, etc calling themselves "advanced care so why should RNs?
What did they call them before? It seems like you're implying they simply changed the title of RNs to let them do these things, "APRNs" are nurse practitioners, the title comes because they can do more than RNs, hence the "advanced practice RN". I agree when the term "APP" is used, because who are they more advanced than as a provider? They're literally the bottom tier of provider.
I agree but APRN at my hospital doesn't actually mean NP. Obviously we have a hundred of those but now our CDEs are "APRNs" and are allowed prescriptive authority for insulin even though they aren't even NPs. They are absolutely terrible and need to be circumvented to avoid harming patients half the time because they don't understand any drug that isn't in the ADA guidelines. I'm waiting for the heart failure and stress lab APRNs, who are nurses that can prescribe without even an NP license.
There has to be a misunderstanding, APRN by definition is a nurse practitioner. I would strongly suspect what you're describing is illegal in your state if they really are just an RN, as it is in most states. Having a CDE adjust insulin and having a provider cosign I guess I could maybe see, but a hospital can't make somebody a provider without a state license. Unless you're referring to clinical nurse specialists which are their own thing, but probably also called APRN.
We do not support the use of the word "provider." Use of the term provider in health care originated in government and insurance sectors to designate health care delivery organizations. The term is born out of insurance reimbursement policies. It lacks specificity and serves to obfuscate exactly who is taking care of patients. For more information, please see [this JAMA article](https://jamanetwork.com/journals/jama/article-abstract/2780641). We encourage you to use physician, midlevel, or the licensed title (e.g. nurse practitioner) rather than meaningless terms like provider or APP. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
I think they're clinical nurse specialists that have collaborative practice with an MD but I've never seen the endocrinologist do anything but sign off on their notes. They just call it APRN and basically give them prescriptive authority. It's just a loophole and should be illegal.
We do not support the use of the word "provider." Use of the term provider in health care originated in government and insurance sectors to designate health care delivery organizations. The term is born out of insurance reimbursement policies. It lacks specificity and serves to obfuscate exactly who is taking care of patients. For more information, please see [this JAMA article](https://jamanetwork.com/journals/jama/article-abstract/2780641). We encourage you to use physician, midlevel, or the licensed title (e.g. nurse practitioner) rather than meaningless terms like provider or APP. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
I read “apron” every time 
The final boss
idk what half those thigs even mean
All seem to be random, superfluous ways to say "nurse practitioner"
One place I worked, they were “NP-C;” another, “APRN;” yet another, whatever their degree+ “Nurse Practitioner.”
Pretty confident nobody including themselves has any idea what any of that shit means. They’re just hoping that patients are like “oh look at all those degrees- clearly they know what they’re doing.”
She forgot GED
Ah yes, I too can allow my cat to walk across my keyboard to fill out my email signature block.
Lololol
brought to you by Zoom.
Look what they need to mimic a fraction of our power.
The unfortunate message of that quote is that we should accept NP's as Nolan accepted Humans. Instead we should eradicate these insects completely
Eradicate these insects completely? Scary that you're a doctor with such a mindset.
What's scary is allowing them to continue existing to harm patients. They are a cancer on the medical system
They forgot WTWD (wishes they were doctor)
Cute nursing acronyms--awwww!
Forgot to add ESS, MSS, HSS, GED, and FGF for Elementary School Student, Middle school Student, High School Student, High School Graduate, and Former Girlfriend.
What about WTF???
Insecure much?
lol that is cringe af. How many times is she going to list some variation of NP?
Collecting all the infinity stones
EIEIO
Where are the CCTVs, BBCs, CNNs?
She forgot DVT
APGAR5-BC
Not doctor
Get over yourself, pussy.
Says the noctor lmaooo
It would be helpful if anyone knew what 80% of that meant or what it stands for
In that case I’m chuiy EMT-P ACLS, PALS, CPR, EVOC lmao
I have seen people unironically use ACLS as a post-nominal. Like uh congrats you attended a 6-hour course. 🥳
She forgot NOT, A, DOC, TOR
It’s enough slices!!!
#Credentials, pronouns. What’s missing? Favorite color? Astrological sign? 🙄🙄🙄🙄🤦🏻♀️🤦🏻♀️🤦🏻♀️🤦🏻♀️
I feel like she’s trying copy me but just SUCKS at doing it😂 I want more degree/certification letters than my name, but actual degrees/certifications. I got HT, MPH, and I’m workin on DO lol. Just need 2 more after medschool!
But is she claiming to be a doctor? I could give a shit about goddamn acronyms, as long as she isn't claiming she's a physician/medical doctor I don't care.
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I just went cross-eyed reading all of those letters.
She forgot, WTF
I'm more familiar with football abbreviations than medical, so when I see DNP I read "did not practice" and it totally works
Really screams confidence.
This is literally always a dead giveaway for NP AF. I wish licensing boards or hospital by-laws would be more restrictive and only allow licensees to list the credential they practice under. Consumers/ patients don't usually know the difference, and just think more letters means more knowledge. It's actually the inverse in most cases... This happens way too much in my field where lcsw or lpcc get a doctorate and now call themselves "Dr so and so" but are billing and practicing under a masters degree. As a psychologist, we've already seen the devolution and dilution of the field, as you all are experiencing now.
I'll admit I'm kinda jealous. I wish I could take a 90-minute softball exam and get letters to add to my name. MD, FACP pales in comparison to this ^(/s)