RN rounding for Doctors? - page 3

by traumasurgRN

In the hospital I am currently working at, I have noticed that many of the general surgeons, neuro surgeons, and even the pulmonologist have experienced icu Rn's who round for them, write orders, and take first call for them. Is... Read More


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    Tewdles, the rounding RN's that I am speaking of work the same way, within a protocol or order set between the nurses and the MD. I did not mean to imply that the RN's were practicing outside of their scope or illegally practicing medicine. I simply was curious if this was common among other facilities.
    tewdles likes this.
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    I round for a group of physicians on the weekends. At my hospital, I had to actually apply for privledges just as physicians and APN's do. I do know what I can and cannot do. Any orders I write are telephone orders from the physician. They round on all of their patients. I just make sure information is on the chart for them, write notes, some orders, notify them of anything urgent they need to know about. I work within the scope of my practice as an RN and privleges granted by the hospital. I do work full time at the hospital, but when rounding, I am employed by the physician group. It has been a positive experience. I am a BSN with 30+ years experience.
    Last edit by tenarnc on Nov 15, '12
    tewdles likes this.
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    Quote from tenarnc
    I round for a group of physicians on the weekends. At my hospital, I had to actually apply for privledges just as physicians and APN's do. I do know what I can and cannot do. Any orders I write are telephone orders from the physician. They round on all of their patients. I just make sure information is on the chart for them, write notes, some orders, notify them of anything urgent they need to know about. I work within the scope of my practice as an RN and privleges granted by the hospital. I do work full time at the hospital, but when rounding, I am employed by the physician group. It has been a positive experience. I am a BSN with 30+ years experience.
    But isn't that what the primary care RN for the patient is supposed to do?
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    I just can not see how the board of nursing would be okay with this. Would love to hear their input
    jadelpn likes this.
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    Quote from jadelpn
    But isn't that what the primary care RN for the patient is supposed to do?
    In my unit, the primary care nurse documents on our assessment flowsheets, and any documents as directed by our facility. We do not write progress notes in the chart. Several of the different specialties have their own forms or format in which they want to use for their progress notes. Only the MD or their rounding RN writes these progress notes. If the primary MD consults another MD, the consult is given to their RN, and the RN sees them first to gather pertinent info and needs for that patient, then the MD will see the pt unless it is a stat consult.
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    Quote from jadelpn
    But isn't that what the primary care RN for the patient is supposed to do?
    no...different role, different employer...
    Altra likes this.
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    Interestingly I think I just came across a job posting for a position like this. Employed by the hospital but the unit was physician services. It didn't really specify the total job function. It was in Virginia .
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    Sounds like a cheap way to get around hiring a NP, who would be the appropriate provider for this job. Of course, the docs would have to pay this person the salary they deserve.
    Besides the debate of wether this is good or bad practice, I believe APNs (and PAs) should be fighting for some legislation to protect their jobs.

    Sent from my iPhone using allnurses.com
    C-lion likes this.


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