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Although it is possible to use a prescriptive authority agreement in a hospital or long term care facility based practice, it is not required. You may continue to practice under protocols in these settings. APRNs and PAs must exercise prescriptive authority under one of these delegation mechanisms.
First - Clinical doctorates (e.g. Au.D., M.D., D.O, Pharm.D., D.PT., etc.) are ALL equal in the eyes of education. M.D.'s just appear to be at the top of the totem pole because of prescriptive rights. Audiologist also have prescriptive rights however (i.e. amplification and rehab).