Let's say...that you are a patient/resident in an

[Tuesday Afternoon]

assisted living/rehab/nursing home type facility. You go to the Doctor and he prescribes a certain treatment for you. He writes a prescription and you are taken back to the Facility. Upon arriving your prescriptions are turned over to the Nursing Staff. An Administrative Nurse reads the prescription and then writes another prescription for a different type of treatment.

Has anything illegal or immoral or both just occured?

[LostinVA]

1. It depends -- but probably not

And, it would be illegal, not immoral.

I'd trust a Nurse Practitioner who knows my health background to a doctor who doesn't any day. That's probably the situation here. The ones "on the ground" know what's up.

[Inchworm]

2. Nurse4s can't do scripts

:D

:hug:

[LostinVA]

3. Nurse Practitioners can -- and, some nurses CAN do scripts

[Tuesday Afternoon]

5. I said Administrative Nurse, if it had been a Nurse Practitioner, then

I would have said that.

[LostinVA]

8. U still stand by what I said -- and, in some places, nurses can write scripts and change orders

[Inchworm]

10. I'm just a rookie

I'll learn more when my daughter becomes one :P

Well, if that's the case.. the nurse sucks! Who does she/he think he/she is?!?!?

:grr:

[Tuesday Afternoon]

12. Thank you for being You

:hug:

[Inchworm]

19. Hey wait!

Is that a cut? :D

Owie!

:*

[Midlodemocrat]

4. Is the nurse an NP? If so, then no.

Also, depends on what drug it was and which state. Certain states allow for both PAs and RNs or BSNs to write Rxs for anything but Class 3 drugs.

[Tuesday Afternoon]

6. Not an NP.

I understand writing but, is this not considered Over writing a Doctor's Order?

signed: Just Wondering.

[Midlodemocrat]

7. What is the drug that the Doc wrote and which one did she write?

it may be a simple matter of generic vs. brand.

[Tuesday Afternoon]

9. I did not say drug...I said Treatment

as in specific treatment for a specific wound.

[Midlodemocrat]

11. Okay, but which treatment did he write and what did she change it to?

[Tuesday Afternoon]

14. Sorry, can not go into too much more info in a Public Forum.

What if the patient dies?

[Midlodemocrat]

15. I doubt the patient will die because of that. You can PM me the info if you want

and I'll try to help.

[Tuesday Afternoon]

16. meh ...

really just trying to pass time until the polls close. We live in different states any way. By the way, the patient did die.

[Midlodemocrat]

17. As a direct result of changing the meds? There's got to be more to this story.

[Tuesday Afternoon]

18. In my limited capacity I would say that there is a distinct possiblity

that the Treatment could have been a direct (or indirect) result. Yes. Of course there are other factors involved. I do not know what medications this patient had been (or NOT been) given.

[LostinVA]

13. Yup, or a cross-med reaction

I just called my mom to make sure -- she says this is permissible in alot of places, as long as it isn't certain drugs (like you just said).