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Thread-Topic: APRN independent practice in South Carolina 
From: <governor.haley@sc.lmhostediq.com>
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Subject: APRN independent practice in South Carolina 
Date: Mon, 25 Jan 2016 11:24:59 -0500
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<APP>CUSTOM
<PREFIX>Mr</PREFIX>
<FIRST>William</FIRST>
<MIDDLE>D</MIDDLE>
<LAST>Young</LAST>
<SUFFIX></SUFFIX>
<TITLE>RN, BSN, NREMT-Paramedic, Medical Student</TITLE>
<ORGANIZATION></ORGANIZATION>
<ADDR1>266 Rutledge Ave</ADDR1>
<ADDR2></ADDR2>
<CITY>Charleston</CITY>
<STATE>SC</STATE>
<ZIP>29403</ZIP>
<EMAIL>youngwd@musc.edu</EMAIL>
<PHONE_H>803-351-5792</PHONE_H>
<PHONE_B></PHONE_B>
<ISSUE>HEAL</ISSUE>
<SUBJECT>APRN independent practice in South Carolina </SUBJECT>
<CUSTOM1>73.131.84.2</CUSTOM1>
<MSG>
My name is Daniel Young, and I am writing you to oppose bills H.3078 and S.246.The very essence of APRNs is to practice under physician supervision. These were positions designed as physician extendors, and were never intended to be independent providers. I spent 7 years as an ICU nurse, thousands of hours doing EMS and critical care transport, and thousands of hours as both an EMS and Nursing educator. I came to medical school believing that my nursing education and experience prepared me to easily assimilate into the profession of medicine, and I was wrong. I was astounded at the volume of knowledge that physicians rely on to provide holistic comprehensive care to patients, and I do not understand why people who chose to enter careers that were designed to be dependent on physician oversight suddenly believe that they are equal in their ability to provide care. APRNs attempt to argue that they provide the same level of care by quoting research performed by nursing organizations, or comparing APRN outcomes to resident physicians. These attempts to minimize the vast differences in education, training, and capability between MDs and midlevel providers are nothing but a disservice to patients. Should pharmacy techs be allowed to practice pharmacy after several years of on the job training? Should paralegals be allowed to argue cases before the court because of their experience working underneath talented attorneys? No they should not, and this case is no different. If people want to provide holistic comprehensive care as an independent provider medical school applications are due by September 1st of each year. I hope that you will you your influence to campaign against these bills in order to protect the safety of the citizens of SC. 
Respectfully, 
Daniel Young

</MSG>

</APP>