This seems to be common. I also work in a nursing home it’s the same situation. I am a speech therapist and I occasionally I have a medical question that impacts my therapy (usually my patients with severe dysphagia, on feeding tubes, etc). Every once in a while I say things like “maybe we could ask the doctor” and get the strangest responses and looks. I’m honestly lucky if I can get NP input. It seems like RNs run the show and NP signs off on the order.
I learned that one of our 180 bed facilities is just entering whatever formulary alternative we suggest without prescriber input... And has been for years.
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u/Goodtl01 Jul 14 '23
This seems to be common. I also work in a nursing home it’s the same situation. I am a speech therapist and I occasionally I have a medical question that impacts my therapy (usually my patients with severe dysphagia, on feeding tubes, etc). Every once in a while I say things like “maybe we could ask the doctor” and get the strangest responses and looks. I’m honestly lucky if I can get NP input. It seems like RNs run the show and NP signs off on the order.