Here is something to think about. I had a class last week and this was a scenario brought to class. The nurse evaluated the patient with symptoms and discussed the patient with the doctor much the same issue as brought up in an earlier post here. This is an established patient but the physican does not see the patient on this encounter. The physician tells the nurse what to do and what to communicate to the patient. Well to make a long story short the nurse "missed" something in her "evalustion" so therefore the physician did not get all the information, the patient then became very ill a few days later and now is in intensive care. This is a real scenario. If the physician has not evaluated the patient in a previous visit for the same thing then how is the malpractice insurance going to view this. Perhaps this should be one of the first places to check to verify that this can be done. I'm just sayin.
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