It is entirely inappropriate to be managed by "nurse managers". Just because the same board licenses us in many states does not mean that an RN is qualified to supervise or manage us. The argument of being accountable to the BON does not make management by an RN appropriate. If I was called to the BON and asked why I rx'd a particular med would an answer of "my manager, she's an RN and she told me to" me acceptable? It would be 10x worse if the same answer was given to a jury or malpractice attorney. Now if I looked at my note and see that I consulted with Dr X who is my manager, and said that I rx'd something, how does it sound? See the difference?
Many states have a law prohibiting the "corporate practice of medicine". Essentially it requires a physician to own a clinic. As an RN you couldn't go out and open a clinic and just hire a Dr to work there. This is because you do not have the privileges to diagnose and treat, nor would the entity you created to open your clinic and thus you do not have the knowledge base to supervise a provider.
Period. End of story.
This argument is similar to what I have with my toddlers. I have the knowledge and do not need to argue the fact. Accept it and deal with it. An RN is not qualified to manage or supervise NP's, PA's, MD's or DO's. State laws in half of states have established this and it is punishable by incarceration in some cases.