Within the last two years, electronic or paper documents for registration and entry to practice, collaborative practice agreements, quality improvement process meetings and training must be provided. No collaborative practice agreement can effectively cover all clinical situations. Therefore, the concerted practice agreement is not and should not be intended as a substitute for the practitioner`s exercise of professional judgment. There are situations that affect patient care, both common and unusual, that require the individual exercise of the nurse`s clinical judgment. In the new regulations, how will you manage the prescribing and dispensing of drugs and products not listed in the cooperation agreement under Rule 21 NVC36.0809(b)(3)(A)(B) and 21 NVC32M.0109(b)(3)(A)(B)? Yes. A Collaborative Practice Agreement (CPA) with a North Carolina Medical Board-accredited attending physician is required for approval of the nurse practitioner to practice in North Carolina. Nurses practicing in North Carolina are licensed to prescribe medications, including II-V controlled substances. In April 2011, the laws governing the prescription of nurses were amended. NPs are now allowed to prescribe up to 5 refills for Substances on Checklist III.
Dosage units should be limited to 30 days for each refill. For example, nurses can write a prescription for a 30-day supply of hydrocodone, a Schedule III drug, and renew that prescription five times. The nurse`s ability to prescribe should also be described in the collaborative practice agreement. Nurses in North Carolina must work under medical supervision, as outlined in a collaborative practice agreement. This written agreement must include a description of the agreement between the nurse and the doctor. The physician must be “permanently available for consultation, collaboration, referral and evaluation of care by the nurse.” A supervising physician is not required to be present on site with the clinic or hospital nurse, but must be constantly available for telephone consultations. The supervising physician at home may also appoint supportive attending physicians if he or she is not available. The Cooperative Practice Agreement must be reviewed annually and terminated by the PI and the attending physician. The attending physician must be licensed by the North Carolina Medical Board with a population orientation, certification, and continuing competence that reflects or exceeds the goal of the Nurse Practitioner population. The waiver of the one-year experience requirement for substance use monitoring disorders for an NPI that is not yet certified as a PMHNP shall be based on the access requirements of the standard plan or PIHP, which are documented in the records of the certification body, approved by the standard plan or the medical director of the DEM PIHP, and re-evaluated annually.
The other information referred to in points a., b. and d. shall not be abandoned. Will you be distributing medication and equipment? If this is the case, you must apply for dispensing privileges from the Pharmacy Commission. When dispensing, indicate how this will be done to comply with the Pharmacy Board and dispense in accordance with 21NCAC 36.1700. How do we establish the minimum standards for consultation between the primary care physician or the supporting treating physician(s), as set out in the Quality Assurance Standards for a Collaborative Practices Agreement? How and what will your documentation contain?. What will the consultation, meeting and meeting documentation process look like? Yes, the prescribing authority is part of the nurse`s licensure. Controlled substances may be prescribed and replenished in accordance with controlled substances laws and regulations. Describe specific patients or disease management situations that the primary care physician or attending physician will only see or see in consultation with you. Visit Request inactive status. There is no fee to apply for inactive status with a supervising physician.
I grew up in Washington State and have fond memories of visiting Idaho as a child. Which patients will you usually see? Depending on your field of study and certification, i.e. family nurse practitioner, women`s health, etc., what diagnoses or problems will you see frequently? How are they managed? For example, do you see high-risk maternity patients? How are they managed? Every six (6) months, meetings are scheduled between the supervising physician and the nurse. . States are increasingly passing laws that allow nurses to have more freedom in their practice. Some legislators. Yes, nurse practitioners must have and maintain a national certification for admission to North Carolina. What happens if a job or attending physician is changed? No, a National Provider Identification Number (NPI) is not a requirement for admission as a nurse practitioner in North Carolina. An NPI is a unique 10-digit identification number assigned to healthcare providers by the Centers for Medicare and Medicaid Services (CMS). The Board of Directors has no authority to bear costs. What information should be on the nurse`s name tag? The CPA identifies medications, devices, medical treatments, tests and procedures that can be prescribed, ordered and performed as needed for the diagnosis and treatment of medical conditions usual in the nurse`s practice. The CPA should specify how the ongoing availability of the supervising physician is ensured for ongoing follow-up, consultation, collaboration, referral and evaluation of the nurse practitioner`s care.
The CPA must be reviewed, signed and dated annually by the nurse and attending physician. Yes, the QIP must be reintroduced every time the attending physicians change. Monthly meetings are required for 6 months to discuss clinical issues relevant to practice and quality improvement measures; after that, QIPs are performed every 6 months. How does patient consultation and referral take place in your office? NPs practicing in North Carolina are also required to earn 50 hours of continuing medical education contact each year. You can sign death certificates, but you cannot approve parking permits for people with disabilities. As rules, 21NCAC36.0810(b)(1)(2) and 21 NVC32M.0110(b)(1)(2) “Quality Assurance Standards for a Collaborative Practice Agreement”, the Collaborative Practice Agreement is accepted and signed by the Primary Attending Physician and Nurse Practitioner and maintained at each practice site. . . .
