Title 22 question

  1. Ok, this is a question I am desparately trying to find out. Under title 22, is there ANY way a psychologist can write orders for admission of a patient for psych treatment. Obviously a psychologist can't write orders for meds, under any circumstances--I can't see how they could admit a pt, but I wanted to ask this question of some of you great minds.
    Last edit by PMHNP10 on May 5, '04
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  2. 2 Comments

  3. by   CAMMIERN
    psychrn03, good questoin, i hope this helps...i ran into a simular situation a few days ago a pyschologist wrote for an eval,meds and various other notes. and from my understanding, when a psychologist writes for anything, it has to be approved by the attending pysichian,unless the pat. is Baker Acted. so i had rewrite all the pyschologists orders over into verbal orders:angryfire (alot of them)!!!and fax them to the pts. attending pcp for approval. hope this helps!!!
  4. by   PMHNP10
    Quote from CAMMIERN
    psychrn03, good questoin, i hope this helps...i ran into a simular situation a few days ago a pyschologist wrote for an eval,meds and various other notes. and from my understanding, when a psychologist writes for anything, it has to be approved by the attending pysichian,unless the pat. is Baker Acted. so i had rewrite all the pyschologists orders over into verbal orders:angryfire (alot of them)!!!and fax them to the pts. attending pcp for approval. hope this helps!!!
    For the situation I am looking at, almost all of our admissions will be from psychologists. With only 2 or 3 RNs, this will be a problem. I am in corrections so these people don't have a pcp per se, we have staff medical MDs and i think 2 psychiatrists in the institution and a few more psychologists. The mental health dept head is a psychologist and this person is trying to push through the psychologists' ability to admit. So if this scenario were to occur, the psychologist(or more likely the RN) would have to call 1 of the 2 psychiatrist (each whom takes care of one of the 4 yards) to get orders for a pt they may/may not know. Does this seem like a good situation? I know if I were the psychiatrist, I'd refuse to give any verbal orders based on a psychologist's assessment withouth seeing the pt myself...common sense. And I surely don't see how a psychiatrist could possibly have any time to personally see the pt.

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