Quote from EliApril
Sorry, I may not have put it clearly... By flexibility I meant is that, as far as I understand, nurses just strictly implement a physician's instructions, IVs, meds, etc as opposed to OTs having to create a treatment plan, nurses practice medicine where every challenge has one correct answer, as opposed to therapy which can use so many activities and approaches to resolve problems... I have a feeling that nurses need a really good memory just to remember a huge body of knowledge, and then it is just using this same knowledge daily.... Am I wrong?
You are wrong. Nurses do NOT practice medicine, they practice nursing. Nurses make their own nursing care plans
. And every problem definitely does NOT have one correct answer. OTs, like nurses, implement physician's orders at times. OT consults require an MD order, for example, inpatient and an MD referral outpatient or an MD signature on a home health plan of care/485 if in home health.
Speaking of home health- in home health, a nurse would go in and do an admission visit, evaluate the patient and write a plan of care for the patient's home nursing needs. The physician signs that plan of care but it's a NURSING plan of care and the nurse is practicing nursing, not medicine, when she visits the patient at his home. An OT in home health would do something similar and the OT plan of care would also require a physician signature. Medicare rules.
In my current role, there are not even any physicians employed by my company. I receive my referrals from NURSE Case Managers. The MDs write prescriptions for the patient's home infusion needs but I, independently or with my Pharmacist, decide on what method of administration I will teach the family, whether or not the patient is appropriate for home care and, initially, what they need as far as nursing support goes at home until the field nurse goes out and makes her own assessment.