Roy,
I've had "very limited" privileges in the past when I was working for the hospital in the old stand-alone urgent care. It was the only way I was able to see pts there, as well as the ER (where I sometimes saw urgent care folks if there was not adequate staff for urgent care). In addition it allowed me to round on the "long term care" unit only (no longer in operation).
Our hospital and the hospitalist group is not exactly NP friendly - especially to those who are working independently. My previous experience has always been good, but then I was not working independently then. It's really a shame...I cannot even send someone over to the infusion center when all they need is a bit of fluid or maybe a unit of blood - my folks all have to go through the ER. The only way I would be able to see my own patients is to have someone "take responsibility" for this rouge NP...something I doubt I will do (long rather bitter, and totally unnecessary story. I should clarify however that I am not opposed to working/collaborating with the right physician – I’ve just not met the right one in a long time).
