This list gives five circumstances that trigger the protocol and allow the PE to treat the patient for strep throat. The criteria take into account medical history, physical examination, patient complaints, laboratory tests, and living situation. The PE may do the entire history, examination, and laboratory tests but is not called upon to judge what constitutes the need for treatment of strep throat. This diagnostic judgment is made by the physician in authorizing the protocol. A nurse who treated a patient for strep throat because he or she thought the throat was so red that it could not be anything else would be acting outside the protocol.
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