Wrong

pedspnp · May 18, 2011

I think the later is a hippa violation and the first just unprofessional

NPinWCH · May 18, 2011

You're right on both, though the latter is probably a potential Hipaa violation until something actually happens. In my state, the BON clearly states that I cannot offer my medical opinion or prescribe unless the patient is a patient and has a chart. The office rules, my contract and the HR manual clearly state that family members of employees can only be seen by appointment.

I usually say something like, "You probably need to see your doctor or NP about that" or "I have an open appointment in an hour. I can see you then..." Yeah, people don't like it, but my employer says no, the BON says no, so I'm gonna say no as well.

CRF250Xpert · May 19, 2011

No hanging out when I am in charge. And "will you take a look at my freinds/mom's/neighbors xyz" is another no. Not as a walk in for someone who doesn't belong to me. If the person is in my panel - sure - after I see my PTs who have been waiting for days to see me. I'm easy to get along with, but I'm not letting the staff abuse me. A preceptor once told me (and it musta stuck) "don't let the nurses do that to you - WE are at the top of the food chain".

pedspnp · May 19, 2011

Thanks as a new np I quite have not figured how out to draw the line in a way that does not come across as being above them, the nurses in the office have a chip on their shoulder as it is . Granted I am a new np less than 2 years but every referral I make they run off to dr x not my supervising md to get his opinion. They have been told to stop by me and management. I have told them they need to come to me and discuss it and if there still a question she can call my supervising md but that is a lost cause

lckrn2pa · May 19, 2011

Hallway consults, don't do 'em. One of the topics brought up in our legal/ethics class in PA school, no chart means there's no reason to deliver care.