Why is it that when I call to clarify an order by a physician I get nothing but kindness and a good explanation of why the ordered what they ordered. Even if I push back and ask them if they considered x or y they either tell me they have and again emphasize their reasoning or take pharmacy’s advice and switch the order/ modify it for better coverage/ levels/ whatever else we need. But when I call an NP it’s always “it’s what I ordered just verify it” or “your just a pharmacist you don’t know what your talking about”

Here is my last interaction:

Me: hey I’m just calling on this ceftriaxone order that was just put in for baby x

NP: yea what’s wrong with it

Me: well their bilirubin is 22

NP: I’m aware of the risk of biliary sludge

Me: we are not really worried about that, more concerned for kernicterus since they are 2 months old

NP: well I’m not so just verify the order and let me take care of my patient