We have recently added a nurse practitioner to our staff, and are having some problems. I don't think this was very well thought out prior to her hiring. The MD's are not really thrilled about having her here, and we, as nurses, are just not sure where she fits in. The presence of a NP was suppose to relieve the MD's and staff nurses of some of the day-to-day routine med adjustments, wound eval and tx, initial assessments, etc, but so far has only added do our work and level of frustration. If any of you have an NP on staff, I would really appreciate any advice on how best we can utilize her skills. At this point, the only real advantage we have seen is that we now have someone in-house that can do podiatry care and insert PICC lines. There's got to be a better way to do this!