bananapeppers Posted October 19, 2015 Share Posted October 19, 2015 I'll be the first PA in a hospital to work as inpatient. The director e-mailed me today and asked if I was able to put admission orders as inpatient without him? He's not too sure if the PA laws allow it or not. The NPs can do it. I figured we'd be able to put the question of reimbursement with medicare/aid would change? Does anyone know? Link to comment Share on other sites More sharing options...
UGoLong Posted October 19, 2015 Share Posted October 19, 2015 It may depend on where you are, I suppose, and the hospital's rules. I do it all of the time in Ohio. My orders are executed in real-time (which is what really matters) and are queued for my SP to sign them later. Link to comment Share on other sites More sharing options...
bananapeppers Posted October 19, 2015 Author Share Posted October 19, 2015 Thanks. I'm in Ohio too. The director wasn't sure as he's only worked with NP's before and wasn't sure if PAs had that privilege. Link to comment Share on other sites More sharing options...
Boatswain2PA Posted October 19, 2015 Share Posted October 19, 2015 Please get smart on the practice environment on Ohio. Call the state PA organization, tell them you're the first PA with this job and need to get up to speed quick on EXACTLY what you CAN'T do, and then tell your Med Director that you can do everything else. When you're leading the charge (ie: First PA in that position), you have the responsibility to pave the way for others to follow. You may open up many more positions for PAs, and you, in turn, may see your pay get even better! Good luck!! Link to comment Share on other sites More sharing options...
andersenpa Posted October 19, 2015 Share Posted October 19, 2015 https://www.aapa.org/WorkArea/DownloadAsset.aspx?id=561 OHIO REV. CODE ANN. §4730.21 (A) Under a physician supervisory plan approved under section 4730.17 of the Revised Code, a physician assistant may provide any or all of the following services without approval by the state medical board as special services: ; (41) Admitting patients to hospitals in accordance with section 3727.06 of the Revised Code; Link to comment Share on other sites More sharing options...
andersenpa Posted October 19, 2015 Share Posted October 19, 2015 ...and agree 1000% w/ Botswain The hospital may keep you from practicing at full scope, either through ignorance or will You have a strong resource in the PA leadership at "The Clinic"- take advantage of it! Link to comment Share on other sites More sharing options...
cinntsp Posted October 19, 2015 Share Posted October 19, 2015 This will be based on hospital bylaws. Your hospital probably applies the same set of bylaws to both NPs and PAs. Link to comment Share on other sites More sharing options...
Boatswain2PA Posted October 20, 2015 Share Posted October 20, 2015 ...and agree 1000% w/ Botswain Boatswain! 600 years of tradition down the drain in one post <sigh!>. Just kidding! "Boats" is actually the abbreviated/colloquial version. This will be based on hospital bylaws. Your hospital probably applies the same set of bylaws to both NPs and PAs. And this is his/her chance to change the bylaws. PAs do not equal NPs. Link to comment Share on other sites More sharing options...
andersenpa Posted October 20, 2015 Share Posted October 20, 2015 This will be based on hospital bylaws. Your hospital probably applies the same set of bylaws to both NPs and PAs. Good luck! read the fine print MANY examples of bylaws which favor nursing over PAs tread carefully Link to comment Share on other sites More sharing options...
andersenpa Posted October 20, 2015 Share Posted October 20, 2015 Boatswain! 600 years of tradition down the drain in one post <sigh!>. Just kidding! "Boats" is actually the abbreviated/colloquial version. And this is his/her chance to change the bylaws. PAs do not equal NPs. It's true PAs ARE sensitive about their title Link to comment Share on other sites More sharing options...
delco714 Posted October 20, 2015 Share Posted October 20, 2015 I admit to my service under a sp, after that's one order is done, every single order besides methadone is possible by me to be placed and accepted as if a doctor ordered it themself. All results get sent to me. Link to comment Share on other sites More sharing options...
winterallsummer Posted October 20, 2015 Share Posted October 20, 2015 Both NP and PA can admit but must admit under a physician. Link to comment Share on other sites More sharing options...
Delbert Posted October 21, 2015 Share Posted October 21, 2015 It may depend on where you are, I suppose, and the hospital's rules. Link to comment Share on other sites More sharing options...
Houstonian Posted October 25, 2015 Share Posted October 25, 2015 Where I work (not Ohio), the patient is admitted under the name of the physician, but complete admission orders can be written and executed by PA. MD likely has to provide some degree of co signature. MD can admit and discharge, but PA can act as agent for MD in that regard. Both state law and hospital bylaws affect what you may or may not do. Link to comment Share on other sites More sharing options...
KMD16 Posted October 27, 2015 Share Posted October 27, 2015 This will be based on hospital bylaws. Your hospital probably applies the same set of bylaws to both NPs and PAs. Yes and No. In Ohio, these bylaw are more favorable towards NP than PA. And, this's coming from s/one that once practice in Ohio. Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.