The patient satisfaction thing has officially gone off the rails.
I read that an emergency room in Massachusetts is starting a policy in which nurses can order pain medication on their own. Due to medicare reimbursement being linked to patient satisfaction scores, a policy has been developed in which nurses can order anything from tylenol to vicodin to morphine to dilaudid after using some kind of pain assessment scale. The goal is to treat pain within 30 minutes of arrival.
Isn't this outside the scope of nursing practice? Isn't this practicing medicine without a license? Doesn't this open nurses, hospitals, the doctor up to a whole lot of liability?
With the increasingly common use of NPs and PAs in the ER, along with stuff like this, why do we even need ER docs?