Hi , I work at the hospital in Houston and I'm an RN but I work with an NP in a transplant center. The NP refuses to write meds for patients who need them and her excuse is that she doesn't feel comfortable writing medications for patients that she hasn't seen.....but she also refuses to see any post transplant patients. When she refuses to refill their medications the doctor always asks me to put the medication order in and he will sign off.
The medications the patient needs are usually just refills on transplant meds. She gets paid to be an NP but refuses to write med refills or any meds at all.
This is the first time I've encountered an NP who refuses to write meds at all for a patient. Is this common?
It sounds like there needs to be clear cut guidelines/protocols, etc.
I work in nephrology also and will always try to keep pts meds up to date. In nephrology for a lot of pts we ARE their PCP. So - I do write lots of scripts for immunosuppressants, HTN, DM, cards, etc.. Many times we are the only provider that sees a complicated transplant or dialysis pt.
So my point is she basically refuses to write ANY medications for the patient. I know its her right but she's getting paid as an NP/transplant coordinator. If the doctor has seen the patient and the patient runs out of immunosuppressant medications and I can't get a hold of the doctor , she still refuses to write medications. Where's the ethics in that. I know it is still her right but its annoying. Veterans deserve better treatment.
traumaRUs, MSN, APRN
87 Articles; 21,287 Posts
It sounds like there needs to be clear cut guidelines/protocols, etc.
I work in nephrology also and will always try to keep pts meds up to date. In nephrology for a lot of pts we ARE their PCP. So - I do write lots of scripts for immunosuppressants, HTN, DM, cards, etc.. Many times we are the only provider that sees a complicated transplant or dialysis pt.