Sample collaborative practice agreement this agreement sets forth the terms of the collaborative practice agreement between nurse practitioner and specialty as listed on the state issued certificate and name of collaborating physician and specialty if any at name and address of agency or entity where practice takes place. California health care foundation 2 contents 3 overview of the profession nurse practitioner education.
Nps ability to provide services in accordance with their level of training and certification isnt equally guaranteed across american states.
Nurse practitioner collaborative agreement template california. Template collaborative practice agreement for advanced practice registered nurses requesting prescriptive authority rule 848 iac 5 1 1 initial authority to prescribe legend drugs 1. Require a collaborative agreement with a physician to prescribe or furnish pharmaceuticals. State with nearly 40 million peoplekeeps nps under restricted.
Nurse practitioners in california may order administer dispense and prescribe medications including schedule ii v controlled substances. Practitioner under this article who has not been qualified or certified as a nurse practitioner in california or any other state shall meet the following requirements. A dated signature sheet signed by the primary supervising physician and the nurse practitioner will be appended to the collaborative practice agr eement and be available for review by the boards.
In some states a. Collaborative practice agreement for advanced practice nurses requesting prescriptive authority. Complete names home and business addresses zip codes and telephone numbers of the licensed practitioner and the advanced practice nurse.
Yes nps in this great state are allowed to prescribe the good stuff within a collaborative practice agreement. 1 hold a valid and active registered nursing license issued under this chapter. The review of the collaborative practice agreement shall be done at least yearly.
Complete names home and business addresses zip codes and telephone. Nurse practitioner and main tained at the practice site. One of the most contentious issues in healthcare today is whether nurse practitioners should be granted full practice authority fpa.
Rule 848 iac 5 1 1 initial authority to prescribe legend drugs. In fact californiathe most populous us. Nurse practitioner practice agreement to be completed by applicants employed by kaleida health this agreement sets forth the terms of the collaborative practice agreement between np whose specialty is specialty as listed on nys issued.
How scope of practice laws impact care. The purpose of this document is to describe the scope of practice for the nurse practitioner np who signs this agreement as well as provide written authorization by the supervising physician for the np to initiate and provide psychiatric and medical care for the consumers of agency. The advanced practice registered nurse is a nurse practitioner clinical.
Collaborative practice agreement for nurse practitioner sample a.
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