For those who work in a psychiatric inpatient unit, have you ever heard of patients coming in on a CON and then the nurses assessing the patient and calling the provider for a telephone order to sign the patient to voluntary status? Without them being seen by a psychiatrist or NP? I have emailed the BON and they said they cannot comment on the legality of this and that it is acceptable for an RN to assess a patient and call a doctor for orders (well duh). They don't seem to understand that a CON is a legal document and I don't think it is within an RNs scope of practice to sign them over voluntary without psych eval. Sure, we are getting a telephone order to do so. But it's based off of an RN's assessment. Oh and this is just on uninsured patients. You know, the ones facilities get state funding for. Does this sound normal to anyone? If it does or if anyone else has heard of this please let me know, we are at a loss for what to do. Management is pushing it and the BON isn't backing us up.