[olliej]

Except they all seem to be part of the same company so I assume they have rules saying that the NP needs to give the Dr’s opinion more control over the decision. After all it sounded like they contacted multiple (of the company’s) drs and they said the same thing.

If they are part of the same network the dr probably had access to the charts, and if not I assume nurses who are required to call doctors can communicate the content of a chart.

It also makes no sense to say: NP you are required to contact a doctor to get permission to admit a patient, but if you think the doctor is wrong you should admit them anyway. If that isn’t the rule then you should save money by not having drs who only exist to answer the phone and trust you NPs to admit patients who need it.