Published Mar 27, 2011
notjustanurse
86 Posts
I was wondering, can a NP round on patients in the hospital setting (under an MD's license, of course)? We have several in our area but none of them have hospital priveleges and it made me wonder if that was even an option.
NRSKarenRN, BSN, RN
10 Articles; 18,926 Posts
moved to our nurse practitioners (np) forum.
yes they can as long as state law permits....and facility grants them credentialing.
in pa, especially seen in 5 county philly area, np's have hospital privileges and round with or in place of physicians--my urologist has np write admit orders; some run the pre-admission testing areas; those working within critical care even run codes.
Angie O'Plasty
164 Posts
Sure can...there are hospitalist NPs in a lot of places, who work with the hospitalist physicians. I'll be starting on such a service soon, once the paperwork goes through for me to be licensed in the new state and be part of the hospital's medical staff.
NPinWCH
374 Posts
In all the states I have some knowledge about, which isn't all 50, the NP works under his/her own license not the doc's. I collaborate with the doc, but he doesn't control my practice, nor is he responsible for it, other than perhaps being the person who hired me.
I don't have hospital privileges, but I could according to my state and my standard care agreement. It's up to the individual hospital to grant, or not grant hospital privileges.
This is true...we work under our own license but in some states are required to have physician supervision or collaboration. Should have clarified this in my previous post.
sandnnw, BSN, MSN, EMT-B, APRN
349 Posts
We have several in our hospital (VA). Even the surgical specialties have inpatient NPs and PAs who round, write for tests and discharge. The PAs actually first assist on some days.
Some days I actually call the NP on the service for advice or recommendations. Working in the ED, I am exposed to a lot, but have to leave a lot of the specifics and follow-up to the specialties. They are usually very grateful for my attempts. I can see where a hospitalist NP would fit very nicely into a community hospital.
nomadcrna, DNP, CRNA, NP
730 Posts
You don't use the MDs license. You are using your own license as an advance practice nurse. Depending on what state you are in makes a difference on whether you are independent, collaborative or supervised.
I have my own inpatients and am totally independent.
Sorry I didn't phrase that correctly. Thank you all for the input. I hope we will be seeing more of our NP's in the area. I have heard wonderful things about them from patients.
And I just realized I misspelled "practitioner" in the title.