This nurse practitioner [Legal Advisor, “A patient commits murder,”] did not err by failing to consult with her partner. She erred by not referring this patient to a psychiatric provider. If her MSN program was anything like the one I attended, FNPs get one 3-hour class on mental health treatment. Prescribing a single antidepressant is fine in a primary care setting. The regimen she used is appalling.—Rachel Booker, PMHNP-BC, Bangor, Maine
These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.