LPNs can't call the MD at night?

Home Forums Mighty LPNs/LVNs LPNs can't call the MD at night?

This topic contains 15 replies, has 3 voices, and was last updated by avatar JustinOt 1 year, 7 months ago.

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    MANY years ago I worked at a very large hospital on the tele floor. I’m not sure of the history behind the decision, but LPNs could not call the MD directly in the middle of the night, even though they had their own patient load and were performing total primary care. If the MD needed to be called, the LPN would have to find an RN, give report, and have the RN call the MD and receive the telephone orders.

    Is this common anywhere else in this day and age?


    I have not heard of that. I’d like to know what happens if the RN decides not to tell the doctor anything, and where the liability falls if that happens.


    i work in a 400 bed LTC facility and we are not allowed to call the MD at all. If we need the MD/NP we (LPN) report to nursing supervisor. (S)he makes the decision not to call. And once we report to them it’s their responsibility.


    This is really common. In fact, lots of times the RN supervisor is responsible for this the place I last worked. If she didn’t call and it ended up being a problem then the responsibility was on her.

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