RN's without APRN certifications working in capacity of NP

I don't have any experience with this, but if I had evidence that a RN who did not have an advanced practice license was writing orders, I would protect the public safety and report it to the BON.

Can you elaborate on this a little bit more?

Are you sure they aren't working off a protocol that you just don't know about?

Nothing new here. RN's round all the time, using their surgeon's protocols to write orders.

Professional jealousy?

My ortho surgeons (note: personal experience as requested) trusted me to use my experience and their protocols as needed while rounding.

I don't have any experience with this[should have stopped right here] but if I had evidence that a RN who did not have an advanced practice license was writing orders, I would protect the public safety and report it to the BON.

LOL, you would be wise to understand exactly what you are reporting, so as not to make a fool of yourself. RN's rounding on post-op patients and writing scripts per protocol for post-op care is standard practice.

My first thought was "Standardized Procedures."

Nothing new here. RN's round all the time, using their surgeon's protocols to write orders.

Professional jealousy?

My ortho surgeons (note: personal experience as requested) trusted me to use my experience and their protocols as needed while rounding.

Roser, I am interested in your experience. Is your role like a care coordinator role so to speak? Meaning that you assess the patient and use the established protocol ?

Roser, I am interested in your experience. Is your role like a care coordinator role so to speak? Meaning that you assess the patient and use the established protocol ?

Well, care coordinator for my surgeon. Ensuring continuity of care with PT/OT/home care for our patients. And yes, using established protocols and nursing judgment to prescribe future care.

Well, care coordinator for my surgeon. Ensuring continuity of care with PT/OT/home care for our patients. And yes, using established protocols and nursing judgment to prescribe future care.

Thank you for explaining ! Do you work inpatient setting?

I am curious because I am also a rounding nurse ....

The nurses may not be imposters or doing something illegal. They use protocols and communicate with MD and get physician approval for orders. I work in dialysis, and we work from protocols or algorithms that contain every imaginable scenario. We do assessments and base care and medication administration based on blood test results and the physician's signature on the algorithm.

I've worked with protocol based orders before - the RN can write orders for labs, meds, treatments, etc IF and only if following a protocol, as others have said. No one represents as an APRN. :) We did it for chronic disease management (DM, HTN) and at one place the nurses could RX for UTI's as well - based on a strict protocol.