I work in a detox/rehab facility that is quite large and short-staffed in every department. Looking for your advice/thoughts on a situation.

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There has been a new trend where the PA is ordering medications solely based on the nursing note. No assessment done by them. In their “sick call” note they are writing the medication prescribed and ending it with “per nursing note” as the justification. Is this normal? What are your thoughts? I should add that if this PA doesn’t like the nurses note she cancels out the sick call completely without telling anyone.   submitted by   /u/thebigoneis [link]   [comments]