NPs With Admit Privileges?

[PMFB-RN, RN]

Are any of you, or do any of you know NPs in Montana or other states that have hospital admitting privileges? I mean privileges as an independent practitioner?

[maziemoo22]

I'm curious to know the answer to this too!

[traumaRUs, MSN, APRN]

I believe that Medicare requires an MD to admit the pt. I know at the six hospitals I'm credentialed at, APNs can do the initial H&P, orders, etc., but pts have to be admitted under a physician.

[PMFB-RN, RN]

Thanks for the info.

[Dr. Tammy, FNP/GNP-C]

As a reservist NP I have independent privileges with Madigan Army Medical Center in Washington and independent privileges with five other Army reserve sites in California.

[wowza]

Is that admitting privileges?

[traumaRUs, MSN, APRN]

The military is whole 'nother world.

I know of no place in the civilian world where an APN has admitting rights.

[core0]

The military is whole 'nother world.

I know of no place in the civilian world where an APN has admitting rights.

I would disagree. I have admitting privileges. Its one of the privileges that I applied for when I went through credentialing. What it means is that I can sign an admission order to the hospital. The real issue is that JC and CMS require physician involvement in any hospital admission. On this basis most if not all hospitals require that the patient be admitted under a physicians name.

What the OP is probably asking is there anywhere in the country where an NP can admit and manage a patient without the involvment of a physician. The answer to that is almost certainly no. The Columbia Advanced Practice Nurse Associates (CAPNA) claimed to have admission privileges when they opened. However, like the OPs question it begs the question on what this means. I would guess that the Columbia Medical staff privileges call for physician involvement.

David Carpenter, PA-C

[traumaRUs, MSN, APRN]

Well, heck I can sign admission orders. However, I do not having admitting rights. Doubt that will happen anytime soon.

[Corey Narry, MSN, RN, NP]

Well, heck I can sign admission orders. However, I do not having admitting rights. Doubt that will happen anytime soon.

I too thought the OP was asking if any NP's have hospital admitting priviledges with no physician involvement at all. As an ACNP, I also have priviledges to write and sign an admission H&P as well as full admitting orders for our hospitalized patients. I am involved in the patient's management during the hospital course, however, the patient I'm doing this service for is not being admitted under my name as the attending provider, but rather, the collaborating physician I am working with who shares in the task of managing the patient.