We employ PNP's in our ED. Their primary responsibility is to cover the Observation Unit; they help push charts in the ED when not busy in Observation Unit. We are working toward formal certification in lumbar puncture and wound management.
Our biggest problem has been billing for their services, since the District of Columbia is administratively 1 ½ years behind the legislation allowing them to bill.
Parents/families love them, as do I (their primary manager)
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