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Post Physician oversight of NP for inpatient consults
Author: LoriSchiller
Date: May 10, 2010 2:15 pm
We are developing our business plan for a community hospital in northern Michigan. Our proposal is for an NP led Palliative Medicine Consultation Service in a scatter bed design with SW and chaplaincy and collaborative physician advisor. We have recently been informed that all midlevels (APN's and PA's) cannot see a patient on their own...the physician must see the patient and co-sign their charting for all inpatient consults and follow up visits. This mandate was due to a recent state survey. It is my belief this is inaccurate but am looking for other Michigan based programs that have been surveyed by the state recently. If we must budget for a physician to see the patients as well it will impact our business plan immensely. Thank you for your assistance.
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Re:Physician oversight of NP for inpatient consults (by SharolHerr on 05/11/2010)
Each state has rules and laws governing and guiding practice of professionals in that state. I would encourage you to seek the source of the information that has been provided and then validate it with the appropriate state board such as medicine or nursing or state agency. I would also encourage you to review with the surveying organization your plan to have it blessed as being within the rules of that organization/state. You will also want to establish requiremnts of the state Nurse Practice act. The Michigan State Nurses Association web site sumarizes the laws governing the practice of APN's. You will also be subject to the medical staff by-laws of your institution. Some states have a requirement for a "Standard of Care" agreement between the physician and the mid-level provider as well. Sharol Herr, RN, BSN, MSEd, CHPN; Nurse Clinician/Education Coordinator; Mount Carmel Health Palliative Care Leadership Center; Columbus, Ohio.

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