Emergency department triage nurse practitioners (adopted by many hospitals for several reasons).
By ordering labs, xrays at triage for physician assitants and MD's practicing on same patient after the patient is admitted to the main ED (emergency department)-utilizing no other advanced practice skill set- are these nurse practitioners practicing beneath scope of practice expectation for NP's (nurse practitioners)? Orders are co-signed by MD. Sometimes orders are cancelled or cancelled and then re-entered and "added to" by other midlevel or MD.
Safety and reimbursement are partial keys for placing NP at ED triage. If a fast track is not added or other patient services implemented-how can a broader more appropriate scope of practice be created for these advanced practice nurses taking these positions?
Please comment ASAP! Thanks.