diff --git a/VigilCareClinicalAPI.Tests/NotificationPipelineTests.cs b/VigilCareClinicalAPI.Tests/NotificationPipelineTests.cs
index 9e3e8f2..75ecf98 100644
--- a/VigilCareClinicalAPI.Tests/NotificationPipelineTests.cs
+++ b/VigilCareClinicalAPI.Tests/NotificationPipelineTests.cs
@@ -18,6 +18,7 @@ public class NotificationPipelineTests : IAsyncLifetime
     {
         _fixture = fixture;
         _http    = fixture.CreateClient();
+        _http.AsNurse();
     }
 
     public async Task InitializeAsync()
diff --git a/VigilCareClinicalAPI.Tests/ReconciliationTests.cs b/VigilCareClinicalAPI.Tests/ReconciliationTests.cs
index 204ff08..5b295c9 100644
--- a/VigilCareClinicalAPI.Tests/ReconciliationTests.cs
+++ b/VigilCareClinicalAPI.Tests/ReconciliationTests.cs
@@ -14,6 +14,7 @@ public class ReconciliationTests : IAsyncLifetime
     {
         _fixture = fixture;
         _http    = fixture.CreateClient();
+        _http.AsNurse();
     }
 
     public Task InitializeAsync() => Task.CompletedTask;
diff --git a/VigilCareClinicalAPI/Authorization/ClinicalRolePermissionMap.cs b/VigilCareClinicalAPI/Authorization/ClinicalRolePermissionMap.cs
index 4cbc50e..3937584 100644
--- a/VigilCareClinicalAPI/Authorization/ClinicalRolePermissionMap.cs
+++ b/VigilCareClinicalAPI/Authorization/ClinicalRolePermissionMap.cs
@@ -5,7 +5,9 @@ public static class ClinicalRolePermissionMap
         [ClinicalRole.Nurse] = new(StringComparer.Ordinal)
         {
             ClinicalPermissions.PatientsRead,
+            ClinicalPermissions.PatientsWrite,
             ClinicalPermissions.EncountersRead,
+            ClinicalPermissions.EncountersWrite,
             ClinicalPermissions.ObservationsIngest,
             ClinicalPermissions.AlertsRead,
             ClinicalPermissions.AlertsAcknowledge,
@@ -18,6 +20,7 @@ public static class ClinicalRolePermissionMap
         [ClinicalRole.Physician] = new(StringComparer.Ordinal)
         {
             ClinicalPermissions.PatientsRead,
+            ClinicalPermissions.PatientsWrite,
             ClinicalPermissions.EncountersRead,
             ClinicalPermissions.EncountersWrite,
             ClinicalPermissions.ObservationsIngest,