Agreed about the home care issue. I can be the primary care provider,
order diagnostics and meds, coordinate all of the patient's care, yet
cannot order the commode for him/her in the home.
On Thu, May 10, 2012 at 12:21 PM, Margaret Fitzgerald <> wrote:
> While I agree, this is ridiculous, part of the reason for an exclusion like
> this is that the form fulfills a state requirement, and likely NPs were not
> mentioned when the regs were promulgated, thus a NP signature does not
> fulfill the legal requirement to become a barber's apprentice. Obviously,
> this needs to be fixed. In one state where NPs cannot be called "Doctor"
> in
> the exam room, this is not because the law was written to include DO, MD,
> podiatry, dentists and a few others as the only who could be called "Dr."
> in
> practice. At the time the law was passed, virtually no NPs held doctoral
> degrees, hence were not mentioned, and thus excluded.
>
> Drs. Marie Annette Brown and Louise Kaplan wrote an article a few years
> back
> in the NPJ about the "seemingly small acts of exclusion" that tie up the
> NP's time and psyche. This is a perfect example. Another I will throw in
> is
> hunting down a physician who has never seen the patient to have a
> cosignature on home health orders.
>
> Hopefully, the APRN Consensus Model will lead to a more uniform approach to
> NP practice.
>
>
> Dr. Margaret A. Fitzgerald
> DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC
> President, Fitzgerald Health Education Associates, Inc.
> 85 Flagship Drive
> North Andover, MA
> Family Nurse Practitioner, Adjunct Faculty Family Practice Residency
> Greater Lawrence (MA) Family Health Center
> 978.794.8366 www.fhea.com
>
>
>
> -----Original Message-----
> From: npinfo- [mailto:npinfo-] On Behalf
> Of Stephanie Walker
> Sent: Wednesday, May 09, 2012 9:42 PM
> To: NP Info
> Subject: Re: [NPInfo] barber's apprentice application (NO NP signature
> acceptable)
>
> Hi Rose,
>
> That is really ridiculous! The funny thing is, our state organization
> lobbied for years and finally got passed some kind of "clean-up" law that
> was supposed to make a number various physical exam "free from communicable
> disease" forms used by state agencies change their language to include
> signatures by NP's. Actually my memory is too foggy but methinks it was for
> any certification form which fell within the NP's legal scope of practice.
> One instance was the state version of the federal DOT physical, another is
> a
> form people get when they have an accident from falling asleep at the
> wheel,
> that they have no medical problem which caused it. I'm pretty sure we can
> sign everything and anything a MD can, along those lines.
>
> Even though you're not a member of "The NPA", place a call or send an email
> to someone on the practice issues committee. You can probably find a link
> at
> thenpa.org.
>
> Stephanie Walker, FNP
>
> On May 9, 2012, at 8:06 PM, Rose Moran-Kelly wrote:
>
> > Hello Friends,
> >
> > I took on a new NP student today in my practice. The first patient we
> > saw requested that I sign his form, for a barber apprenticeship,
> > stating that he was free from communicable diseases. Unbelievably... the
> form"
> >
> > - Stated " I a duly licensed physician or duly licensed physician's
> (the
> > 's is theirs) assistant hereby state.......no evidence of infectious
> or
> > communicable disease .....
> >
> >
> > - There is an asterisk beneath that notes that a * Signature of a
> Nurse
> > Practitioner is not acceptable
> >
> >
> > - This form is from NYS Dept of State Division of Licensing Services
> >
> >
> > - This form was reviewed 7/11
> >
> > I will reinstate my lapsed membership in my state NP organization
> tonight.
> > Other ideas?
> >
> > My physician colleague who signed the form was equally aghast and we had
> a
> > nice conversation about limiters to practice. That at least made me
> feel
> > better.
> >
> > Regards,
> >
> > Rose
> > _______________________________________________
> > NPInfo mailing list
> >
> > http://lists.nurse.net/mailman/listinfo/npinfo
> > *****************************
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