Accepting orders from PA's

  1. Out of curiosity, (being married to a PA) I'm looking for info on how different Nurse Practice acts handle RN's taking orders from PA's. I know there is a great amount of variation around the country.
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  2. 5 Comments

  3. by   OBNURSEHEATHER
    I usually work post partum/nursery, but occasionally I'm floated to the gyn unit where PA's are highly utilized. We handle their written orders just as we would any MD's. I've never had the occasion to receive a verbal or telephone order from a PA, just because if the occasion arises, I will still call the attending OB/GYN (out of habit).

    Actually, that's the part that's confusing to me. In my own unit, there is 1 OB and 1 Pediatrician. When I go to GYN, I have MD's, PA's, residents, and Family Practice docs that are ALL following the patient. But we accept orders from them all the same. I do believe that the attending MD does have go back and cosign all of their orders though.

    So that's how we do it in my little corner of Ohio!

    Heather
  4. by   NRSKarenRN
    Craig:

    Go to the National Council of State boards of nursing web site.
    http://www.ncsbn.org.

    This will provide access to each states board of nursing; most have web sites that you can view practice act, inquire re practices and verify license standings now.
  5. by   roustabout368
    Florida RN--- I guess I'm from the old school, I want to talk to the doctor and I do.
  6. by   CraigB-RN
    I"m more interested in the nurse practice act and not personal opinions of mid-level providers. That is a whole other can of worms.
  7. by   maikranz
    Originally posted by CraigB-RN
    I"m more interested in the nurse practice act and not personal opinions of mid-level providers. That is a whole other can of worms.


    Mid-level providers ARE NPs and PAs.
    In NC, they must go through a detailed application process, certification, and review prior to being approved to perform medical acts, not to mention the education process they come from prior to that process. This web site has links to most, if not all the states' boards of nursing.

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