Np's taking call

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    In our hospital we have some hospitalists that have an NP that will occasionally take night call. Our manager has said that we are not to take orders, admitting orders I'm assuming, from the NP on call that we must talk with the doc's only. I work in the critical care unit.

    This stance from my manager has me kind of befuddled because I'm starting NP school in July and have had discussions with our pulmonary group to work for them, rounding on ICU pt's only.

    Does anyone else have any experience with this or words of wisdom?
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  3. 8 Comments so far...

  4. 0
    i work in a hospital setting- i do orthopedic call in the ER with some rounding/ inpatient consults. i write orders all the time- in fact, what i spend most of my time doing is admission H&Ps and writing admission orders. the nurses in the ER & on the floors take orders from me & my PA colleagues exactly as they do from physicians. we have autonomy to use our clinical judgement most of the time- we are not required to contact the MDs about everything first.

    however, an NP having admitting privileges is another story altogether. i think some state licensing boards don't allow that, and perhaps some individual hospital bylaws prohibit it as well? when i admit, it's under the attending MDs name, whoever is on call at that time. sometimes the doc comes in to see the patient right away, sometimes the next day, depending on clinical situation. at any rate, i am the one physically admitting & writing orders- and it's not verbal orders from the MD.

    hope that helps. sounds like you'd be in a tough position if nursing staff couldn't take orders from you in a hospital setting!
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    Interested in information on pay for NP's taking call for a clinic. I am only NP in a practice with 2 other GP's. I am now in the rotation for "on call". I do not have hospital privileges, so on call is basically fielding phone calls and triaging and referring to On call doc if patient needs hospitalization...or just scheduling appt for Monday AM. Wondering if anyone else is doing something similar and how you are compensated for this on call (generally from 5pm Friday through 7am Monday).
    Any thoughts?
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    I take full call. Admit (under their name...but i'm working on changing my credentialing to 'associate physician' privleges which are the first year is a probation period) and then follow the patients along until d/c. On my call weekend i see everyone on our service. Those are some long days. As i've said before; when it's time to sit down and discuss my salary I won't have any hesitiation about proving my worth.
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    I do almost the same as Eastcoast does. I split rounds with doc and we work from there.

    Anything he can do, I can do (better! )


    Dave
  8. 0
    Quote from MD Terminator
    I do almost the same as Eastcoast does. I split rounds with doc and we work from there.

    Anything he can do, I can do (better! )


    Dave
    You are really worried about trying to convince yourself of this arent you?

    When somebody really knows something, they dont go out of their way to shout it out to the whole world. I get the distinct feeling you are looking for validation from MDs. Why else do you mention them and attempt to slander and antagonize them with every post?

    The fact that you are now thinking about med school confirms it. You are jealous of MDs and therefore they are constantly in your thoughts.
  9. 0
    Quote from hopbalt
    You are really worried about trying to convince yourself of this arent you?

    When somebody really knows something, they dont go out of their way to shout it out to the whole world. I get the distinct feeling you are looking for validation from MDs. Why else do you mention them and attempt to slander and antagonize them with every post?

    The fact that you are now thinking about med school confirms it. You are jealous of MDs and therefore they are constantly in your thoughts.
    Hum... Yea. There is this one doc who is my thoughts all the time.

    Oh wait. I'm married to her!



    Dave, who thinks you're a very troubled med student.
  10. 0
    good response dave
  11. 0
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