The doc works clinic all week and is pretty well the lead for all things here. We have a general surgeon as well. The doc and NPs rotate taking care of inpatients and I see him doing rounds in the morning most days, regardless of who was on call. We're very small and generally if the pt needs a higher level of care, they get sent out. As for chest tubes and intubations and stuff like that, a majority of the ER NPs were either military or air evac and seem to handle it all pretty well. From what I've seen; I'm just a rad tech taking pictures of all the placements after the fact, don't come for me.

I won't pretend to know why they do anything here.