Office practices that use advanced practice nurses and physician extenders need a way to ensure that these personnel get adequate supervision and decision-making support. Specific regulations and licensing requirements can vary by state. Individual practices should develop policies in accordance with their local rules, and affiliated hospitals may be a resource.
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Generally, the blame is placed on the clinician responsible for the patient when the alleged error occurred, or on the person responsible for the error. Most often, that named defendant is a physician. Less often (but not infrequently) the plaintiff names a nurse. In settings with multi-disciplinary care teams, malpractice cases naming both physicians and nurses as defendants are common.
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