[Dynsol]

Originally Posted by schrdr

had nothing but bad experiences with 441 urgent care at multiple locations. Both locations we visited were staffed by young unexperienced, nurse practitioner with horrible snarky attitudes. I now found an excellent urgent care facility staffed by an md who specializes in emergency medicine who spent almost an hour with us. I wont go anywhere else.

where?

[CFrance]

Originally Posted by Dynsol

where?

In post #28 the poster said "Urgent Care at The Unova facility on Rolling Acres Rd. Staffed by Dr Miller with an expertise in Emergency Medicine."

I think that's the new facility that was just built a year or so ago.

[TraceyMooreRN]

Okay everyone-- First let me explain something about Nurse Practitioners, there is extensive education and clinical preparation to receive this title. Currently, there is a MINIMUM of Master's Degree, Passing of State Examination and must complete annual education/training, must comply with State Practice Act and treat within the scope of practice (each state is different). Nurse Practitioners can obtain a Doctorate level of education, but it is NOT required as of today. Nurse Practitioners can diagnose and write prescriptions. There are limitations on what type of prescription (controlled) can be written depending on different the state in which they practice. There are limitations what procedures can be done as well.

There is NO need for a x-ray to see if you broke your toe, unless you just want confirmation. I disagree totally for CT (as recommended by PA in prior post)-not sure what that would even show besides a fracture that a Radiologist might have missed on x-ray. Buddy tapping is correct treatment, same as the PA told you. Why should the Urgent Care supply you with tape? They do not have to dispense supplies to their patients, medical tape can be found at most Walgreens or CVS. That is like having a wound such as a burn that would need daily dressing changes, do you expect your Urgent Care to provide you with the supplies for that as well?

Nurse Practitioners have significant snubbing from "old school male population" believing only a MD can diagnose your injury, disease or problem.

There are MULTIPLE evidence-based research studies that report patients who see a NP, actually rate their care higher in satisfaction from a MD. YES, HIGHER. However, there are always a bad group of individuals in every field. So, the fact that she/he did not report her title is something that I find not acceptable in any practice. You specifically asked for the name and title, which should have been provided without hesitation.

Allowing NPs to work as primary care providers will save Medicare Funding and help eliminate multiple problems with patients waiting to see MDs and expand care to rural areas. Allowing this change can help our Veteran's receive care that they need daily. There are currently 21 states in the United States that authorize NPs to have full practice authority (visit Welcome to ScopeOfPracticePolicy.org! - Scope of Practice Policy). There are researchers who have studied that outpatient clinics, such as treatment for atrial fibrillation has been beneficial to the patients when led by an NP. Nurse Practitioners focus on evidence-based studies and promote overall health.

An Advanced Practice Registered Nurse who can specialize in four areas: Certified Nurse Practitioner, Certified Nurse Midwife, Certified Nurse Anesthetist, Clinical Nurse Specialist (informatics, psychiatric for an example).

NP vs PA Nurse Practitioner Vs. Physician Assistant | 2017 NurseJournal.org

So, feel free to have a Primary Care Doctor (MD) and call them for an appointment for a possible broken toe, I seriously doubt their schedule would clear for your injury. That is why Urgent Care is in place and can certainly be run by a NURSE PRACTITIONER.

[dotti105]

Excellent response, TraceyMooreRN.
So many people do not understand the role of an advance practice RN.
PAs and NPs are saving our medical system a great deal of $$ and extending primary care to underserviced areas. If we had to rely only on MDs here in TV, we would be in a heap of trouble!!
I am a RN too. Neonatal Intensive Care. Not much need for my specialty here. LOL!

[queasy27]

Just in passing and purely anecdotal, but I've been to 441 urgent care three times in the last few months (sinus infection, hand laceration, boil). The front office staff and NPs were ... fine. Did the NP introduce herself? I don't remember and it wasn't important to me. What was important is that I was in and out in around 30 minutes with my health concerns addressed and prescription (when indicated) in hand.

When I choose to go to urgent care, I basically already know what the problem is. If a differential diagnosis is required, I'll wait for an appointment with my GP. My expectations for urgent care services are different from those for my GP, and I've been very satisfied with 441.

[champion6]

Originally Posted by queasy27

Just in passing and purely anecdotal, but I've been to 441 urgent care three times in the last few months (sinus infection, hand laceration, boil). The front office staff and NPs were ... fine. Did the NP introduce herself? I don't remember and it wasn't important to me. What was important is that I was in and out in around 30 minutes with my health concerns addressed and prescription (when indicated) in hand. <snip>

Good to know. Which 441 location did you use?

[queasy27]

Originally Posted by champion6

Good to know. Which 441 location did you use?

Buffalo Ridge, but I've also been to the Lake Sumter office. That location had a physician seeing patients when I was there, but I'm not sure if that's the norm.

The Buffalo Ridge office is only open weekdays from 8-5, so that's another consideration.

I've been to Exceptional Urgent Care on CR 101 and had unpleasant experiences both times. However, that was probably 3 years ago, and with the amount of staff turnover in medical offices, the rude physician and careless front office staff are probably long gone. They have their own X-ray and CT scan equipment as well as an in-house lab to do some simple blood tests, which is a time saver.

My experiences with Paramount Urgent Care on 466 have also been positive, although they had longer waits the 2 times I was there.

Whew! I didn't realize I'd become such an armchair expert on the urgent care centers closest to me.