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NP   (1,237 Views 6 Comments)
by pedspnp pedspnp (Member) Member Nurse

pedspnp has 17 years experience and specializes in General.

13,207 Profile Views; 583 Posts

What are your thoughts on letting staff giving the ok to have family members walk in and ask you to see a rash etc when not even seen in your practice and allowing people who don't work there hanging out in the receptionist area where info is displayed

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pedspnp has 17 years experience and specializes in General.

583 Posts; 13,207 Profile Views

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

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NPinWCH has 15 years experience and specializes in Family NP, OB Nursing.

374 Posts; 6,559 Profile Views

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.

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CRF250Xpert specializes in ICU, ER, OR, FNP.

233 Posts; 5,926 Profile Views

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".

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pedspnp has 17 years experience and specializes in General.

583 Posts; 13,207 Profile Views

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

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lckrn2pa has 19 years experience and specializes in ER.

167 Posts; 3,596 Profile Views

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.

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