We had 5 nursing practitioners (NP formerly known as NSP) at the moment. 2 of them serving in the medicine dept, the rest of them in the surgical dept. Their daily routine was assisting doctor at the charting and managing some minor complaint.
2 of them had gone for a training 1 + months ago. 1 from each department. The nursing director did not suppor for them to go for any training scheme. Her excuse was so how an absurb one: the role of nursing practitioner was currently in the legislation hearing process and it is not wise to sent any of them for training as their role might not be helpful to the hospital in the future. It was one of the shortsided speech I heard lately..... Indeed the legislation hearing was not completed yet, however a lot of hospital(I mean big big one - leading medical center grade hospital) had started setting up such post with good pay (1.5x compare to a senior nurse). Their intention is clearly to utilized the NP as para-resident.
The NP of the medicine dept. MH, is someone who is dedicated. She had a good boss (WT, chest physician, malaysian) , who is willing to teach. I had worked with her and she is competent at ther job. She had told me that she wanted to go for a training course earlier this year and tried to call up every available training hospital for information. She had finally found a training course in KVGH which started from April. The NP of the surgical dept. MQ was not first on the list (another NP was more senior than her) but she had managed to secure a seat. Her act was really out of the working ethnic as she did not ask for permission from the nursing dept before she summit her application. The nursing director did not give her a good time finding out she had acted on her own. The director had slammed some sarcastic comment and tried every effort from her to go. The senior surgical NP had also tried her best by persuading her surgeon to complaint to the nursing dept. MQ had finally given up , as the seat was difficult to secure, MQ had offered the training seat to be taken by the senior surgical NP. But surprisingly , after making so many noises, the senior surgical NP turned down the offer. So the nursing dept was in a dilemma and finally MQ was given a "go"....
Upon the first rejection of her application, MQhad asked me for a favor if I could help her to push her application through. I as the "only" two doctor without a management position was actually in no position to do so. I did not promised her anything. Months before this incident, I had not only once suggested to our dept supt(admin) that we would be needing a lot of NP, especially after the expansion. A group of good function NP would secure the patient group as they would the first line during the period when the doctor is not around. The dep. supt (admin) agreed with my opinion but he told me the truth - he had no authority over such topic, but he would try to pass the opinion through.
1 days later, I had the chance while I met our hospital supt. in the lift. I asked him if, "if we could sent more NP for training as there is a training course available lately. ", he hospital supt was surprised as he was not aware of the situation and he told me he would look into the matter. MQ was finally given a permission after a few painful and tearing discussion.
They were out for 1+ months now and they had come back to me asking for some advice. The design of the course is good however the setback was lack of good trainer, part of the course stress over the physical examination and history taking. Howeve these are what really lack for Taiwan doctors.... few more months to go before they would be back...
Yesterday we had a discussion again during our morning meeting. A new conclusion and vision is made - to recruit more NP and sent them out whenver there is course available.
It would be good to see someone got a good training and hopefully they would come back and serve us good (AND cut down our work load...). I am fighting for NP in the ED as our current surgical aide had no appropriate qualification.....hopefully we could have our NP in the near future...
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