In practice, can a nurse modify, delay, or deny a medical treatment request under CA workers' comp rules?

• A. Yes, always
• B. Yes if the nurse has continuing education
• C. Only if the nurse has employer approval
• D. Only a licensed physician may modify, delay, or deny

Answer: (D)

In California workers’ compensation, medical treatment decisions—such as modifying, delaying, or denying a treatment request—are responsibilities of a licensed physician. A nurse can provide care, monitor a patient, and carry out orders, but cannot independently change the treatment plan or deny a request. Gaining continuing education or employer approval does not grant a nurse the authority to alter medical decisions; the authority to approve or deny treatment rests with the physician (and, when applicable, with physician reviewers under utilization review). This framework ensures that treatment decisions reflect medical expertise and established standards of care.