gallac130 Posted August 12, 2015 Share Posted August 12, 2015 Just wondering if anyone has seen a really well written "seen with doctor" or "reviewed with doctor" phrase. For instance, when I am finishing a chart and I write something to the effect of "discussed with Doctor so and so who agrees with care plan", I question if there is more I can write to cover myself medically/legally. Any and all thoughts welcome. Link to comment Share on other sites More sharing options...
Joelseff Posted August 12, 2015 Share Posted August 12, 2015 I usually put "consulted with Dr. X and we agreed on the plan for pt..." Something along those lines. Sometimes, I also fwd the note to the doc for cosignature for CYA purposes Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 12, 2015 Moderator Share Posted August 12, 2015 I have 2 versions which I write for the 5% of patients I talk to a doc about at my regular job: "case d/w Dr Smith who agrees with assessment and plan". and "case d/w dr smith who independently evaluated pt and agrees with assessment and plan" Link to comment Share on other sites More sharing options...
wilso2ar Posted August 12, 2015 Share Posted August 12, 2015 I put H &P and medical decision making discussed with physician on xx/xx/xxxx Link to comment Share on other sites More sharing options...
Gordon, PA-C Posted August 13, 2015 Share Posted August 13, 2015 I don't write anything because those statements are worthless. If you screw up and misdiagnose a heart attack, is the state medical board or the plaintiff attorney going to absolve you because you wrote "physician agrees with diagnosis and plan" in chart? Of course not. You are screwed whether you put that in or not. Link to comment Share on other sites More sharing options...
gallac130 Posted August 13, 2015 Author Share Posted August 13, 2015 Thanks to all for the response, just reaching out to fellow PAs after a discussion with docs. New job that has never used PAs. Keep up the good work everyone! Link to comment Share on other sites More sharing options...
UpRegulated Posted August 16, 2015 Share Posted August 16, 2015 Just wondering if anyone has seen a really well written "seen with doctor" or "reviewed with doctor" phrase. For instance, when I am finishing a chart and I write something to the effect of "discussed with Doctor so and so who agrees with care plan", I question if there is more I can write to cover myself medically/legally. Any and all thoughts welcome. I write "Case and plan reviewed with Dr. X." Link to comment Share on other sites More sharing options...
UpRegulated Posted August 16, 2015 Share Posted August 16, 2015 I don't write anything because those statements are worthless. If you screw up and misdiagnose a heart attack, is the state medical board or the plaintiff attorney going to absolve you because you wrote "physician agrees with diagnosis and plan" in chart? Of course not. You are screwed whether you put that in or not. I'd like to hear more opinions on this, as it doesn't make much sense to me. What is the point of having an SP if his/her review of a case means nothing from a legal perspective? Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 16, 2015 Moderator Share Posted August 16, 2015 I'd like to hear more opinions on this, as it doesn't make much sense to me. What is the point of having an SP if his/her review of a case means nothing from a legal perspective? it lets the docs feel like they have some control so that we don't go and open offices that compete with them like, well, you know....them, the NPs....:) Link to comment Share on other sites More sharing options...
UpRegulated Posted August 17, 2015 Share Posted August 17, 2015 Well, and they should have control over those that are ONLY assistants. BTW, I now have a full 6 mos. under my belt as an NP, so I'm thinking of filling in my afternoon appointments with in-office RFA's, facial reconstructive plastics, the occasional kidney transplant, and maybe some chemotherapy for stage IV ovarian cancers, with maybe some gene therapy experiments as time allows. I mean, our procedure room sits idle most of the time - why not use it? If the docs I work with object, I'll definitely open my own clinic so I can do these things. "Assistants" should not be allowed to do such things. But an NP? Duh. I suppose someone could say such things are outside my scope. But, I AM AN FNP for crying out loud. Is there really anything I CAN'T do, especially if I had a DNP??? :) Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 17, 2015 Moderator Share Posted August 17, 2015 Well, and they should have control over those that are ONLY assistants. BTW, I now have a full 6 mos. under my belt as an NP, so I'm thinking of filling in my afternoon appointments with in-office RFA's, facial reconstructive plastics, the occasional kidney transplant, and maybe some chemotherapy for stage IV ovarian cancers, with maybe some gene therapy experiments as time allows. I mean, our procedure room sits idle most of the time - why not use it? If the docs I work with object, I'll definitely open my own clinic so I can do these things. "Assistants" should not be allowed to do such things. But an NP? Duh. I suppose someone could say such things are outside my scope. But, I AM AN FNP for crying out loud. Is there really anything I CAN'T do, especially if I had a DNP??? :) exactly DR Upregulated! Dr2BE Link to comment Share on other sites More sharing options...
LKPAC Posted August 17, 2015 Share Posted August 17, 2015 I usually write: Doc and I disagreed on treatment plan, but screw him! Link to comment Share on other sites More sharing options...
Guest Paula Posted August 18, 2015 Share Posted August 18, 2015 You guys are hilarious. Link to comment Share on other sites More sharing options...
thinkertdm Posted August 18, 2015 Share Posted August 18, 2015 I put "this patient was seen in collaboration with Dr. Smith." Link to comment Share on other sites More sharing options...
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