The NP can sign orders for the MD. However, the MD that is supervising the NP still is responsible for doing alternating visits with the NP to the LTCF. For instance, in our practice, our MDs and NPs make monthly visits to the LTCF, when it is the NP who goes out she signs all orders and when the MD goes out he/she signs all orders, but the MD does not sign the orders that the NP has signed behind her only new ones.
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