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Re: PT's prescribing medications
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Re: PT's prescribing medications - August 4, 2005 6:36:00 PM
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dragonfire
Posts: 61
Joined: January 18, 2005
From: usa
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I gree with Tucker on prescribing DMEs.
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Re: PT's prescribing medications - August 4, 2005 7:06:00 PM
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Synergy
Posts: 592
Joined: March 11, 2004
From: Texas
Status: offline
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Tucker,
I'm right there with you! What purpose does it serve for an MD to be involved in DME? I realize the main reason is insurance companies wanting a 'seal of approval' so to speak, but c'mon! Isn't this something that we as PTs are more than entitled and educated enough to 'prescribe'?
_____________________________
Chris Adams, PT, MPT
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Re: PT's prescribing medications - August 5, 2005 1:26:00 AM
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jma
Posts: 2414
Joined: August 24, 2000
From: NY
Status: offline
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Where I work, we order whatever DME the patient needs but the physician has to sign the order.
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Re: PT's prescribing medications - August 5, 2005 2:41:00 AM
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dosrinc
Posts: 335
Joined: December 9, 2004
From: Bonita Springs
Status: offline
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I agree with the consensus here, no need for me to do the prescribing, simply don't know enough about them, if you have ever watched the physician interact with the drug reps you realize that the reps know more than the docs about the new things that come out and rely on them for contraindication info, ect. Wouldn't mind getting in on some of the free lunches once in a while, however.
As for the ability to order x-ray/mri, count me in.
Rick
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Re: PT's prescribing medications - August 5, 2005 3:57:00 AM
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Alex Brenner PT MPT OCS
Posts: 1057
Joined: February 29, 2004
From: Kentucky
Status: offline
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Whoops, I meant to post this here an not over on the poll. Here it is again.
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I usually only prescribe medications with direct access patients. Typically the big acute swollen ankle or knee, acute HS tear with large swelling and echymosis, encapacitating LBP, you get the idea. I would not feel comfortable prescribing anything to a chronic pain patient or elderly patients who are already on 20 medications for 15 various pathologies. This is not the population of patients that I see anyway. Like Zack I am seeing 18-30 year old healthy men and women with musculoskeletal complaints. I find the meds to be very helpful.
It would not be realistic to call the physician every time I wanted to order something. You would never be able to get a hold of them anyway, hence, the reason we are given these credentials in the Army.
_____________________________
Alex Brenner, PT, MPT, OCS
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Re: PT's prescribing medications - August 5, 2005 4:29:00 PM
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tc
Posts: 137
Joined: January 7, 2004
From: Los Angeles area
Status: offline
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"I don't think PA's can Rx medications unless there is an MD/DO stamp on it. I do believe they must have MD/DO approval. I know OD's can Rx meds here in KS, passed a couple years ago--painkillers, etc. What is the exact difference between a PA and a nurse anyway? " --Mark
Mark,
In CA PA's do prescribe meds (but with some limitations on the hard core painkillers). However, the supervising physician that the PA works for has their name imprinted on the pad along with the PA, but the PA has their own ability to prescribe what they like and sign the prescription without any co-signature or stamp. Many physicians here own multiple clinics that are run on a day to day basis by a PA. They also prescribe meds in the in-patient area, not needing to ask for co-signatures before telling the nurses what meds to give. Their duties and scope of practice make them more like a Nurse Practitioner than an RN. I don't believe that it is within the scope of practice for an RN to prescribe meds, diagnose conditions or see patients independently (without a physician present) in out-patient clinics. An NP and PA can do these things. PAs can also first assist in surgeries and in some states work labor and delivery.
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