JohnFerguson Posted April 17, 2014 Share Posted April 17, 2014 What is the regulation for hospital rounds done by PAs? Does the supervising physician need to round daily if a PA writes a progress note? If so, within how many hours? Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted April 18, 2014 Administrator Share Posted April 18, 2014 Depends. I've seen hospitalist PAs be pretty independent. Link to comment Share on other sites More sharing options...
burnpac Posted April 18, 2014 Share Posted April 18, 2014 It depends on the medical staff bylaws. Our facility rules are that a physician needs to round on the patient each 24 period. It could be an intensivist, or the attending. We do team care in our SICU, so it is never an issue. Link to comment Share on other sites More sharing options...
Moderator ventana Posted April 18, 2014 Moderator Share Posted April 18, 2014 in my old hospital job (IR) I would round independently and report back to the doc think this was the exception (rounds were optional on post procedure rounds only) From the hospital PAs that do the service, the doc has to cosign every note and i think they have to see the patient at some point every day Link to comment Share on other sites More sharing options...
KMD16 Posted April 18, 2014 Share Posted April 18, 2014 What is the regulation for hospital rounds done by PAs? Does the supervising physician need to round daily if a PA writes a progress note? If so, within how many hours?...depend on setting and whether one is new grad vs experienced hospitalist PA. In larger academic setting where I've worked. Daily census are split between MLP (PA/NP) service and MD/Resident service. The PAs rounds on pts & would discuss each pt w/ the attending. Experienced Hospitalist PA work independently bouncing things off w/ the attending MD, exception, certain procedure are delegated to senior or junior resident because they have to log in X amount of procedure/for training purposes. Night cross cover split b/w MLP & MD/Resident service w/ someone on call at night. Hope this helps. I'm sure others will share their exp. Again, like I said, it's very setting dependent (large hospital/large groups vs small hospital/small or community hospital). Link to comment Share on other sites More sharing options...
quarternote Posted April 19, 2014 Share Posted April 19, 2014 Try to get a copy of the hospital bylaws. Each hospital is different. Sent from my iPhone using Tapatalk Link to comment Share on other sites More sharing options...
sbellin Posted April 20, 2014 Share Posted April 20, 2014 In my small critical access hospital I am the attending. Hospital bylaws require rounding every 24 hours but they do not state by whom. Medicare rules require that mid-levels advise a supervising physician within 24 hours of an admission and discharge and discuss any major therapeutic intervention. It’s only a rare case when I’m on call that my patients see a physician. Link to comment Share on other sites More sharing options...
liza21 Posted April 25, 2014 Share Posted April 25, 2014 It depends on which type of patents are and also depends on hospital staff. Link to comment Share on other sites More sharing options...
FSU2010 Posted April 25, 2014 Share Posted April 25, 2014 In the ICU I work at, we do interdisciplinary rounds every weekday morning, which includes the intensivist, PA/NP, PharmD, etc. Every note that I write gets an addendum done by my supervising physician. The addendum can consist of an entirely new note to essentially "agree with the above." Depends on the doc. I believe the same goes for advanced providers on the regular floors. Link to comment Share on other sites More sharing options...
CAAdmission Posted April 30, 2014 Share Posted April 30, 2014 In addition to hospital bylaws, don't forget to check your state practice regs, too! Link to comment Share on other sites More sharing options...
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