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Aprn Nurse Protocol Agreement

Consider updating protocols at least every two years (annually in Arkansas and Georgia) as directed by the Board of Directors, if the relationship changes, or if new procedures are approved after completion of continuing medical education. Remember that the doctor should always have experience or expertise similar to AP/APRN before cancelling the procedures to be performed. Any modification or termination of a protocol or cooperation agreement must be notified to the bodies concerned within a defined period, which can be found on the website of the State office. A protocol must be available when a PA/APRN has been delegated with prescriptive authority. Protocols should contain a medication formula for authorised medicinal products and medical devices and/or those dispensed by an authorised prescriber, including controlled substances. Most states allow nurses and medical assistants to perform certain functions such as diagnosing, treating, and/or prescribing medications under protocols developed in collaboration with a licensed physician. Physicians should enter into a treatment protocol or common practice agreement (CPA) with PA/APRN protocols[1] specific to the patient population and, in general, the standard of treatment. Protocols should also contain a method of consultation and transfer, mandatory privileges and medication forms, plans to meet a patient`s health needs in the event of a PA/APRN emergency, and any necessary diagram checks or signatures by the physician. Finally, cooperation agreements and protocols should be signed by both the doctor and the AP/APRN. Medication protocols/forms should be available for consultation at all practice sites. You can develop a protocol covering multiple practical sites and multiple relationships, but each monitoring/cooperation relationship must be recorded individually by filling out the forms within the accreditation committee. Developing protocols with a nurse or medical assistant requires time and attention to detail, but it is one of the most important steps towards an effective, collegial and protective doctor-PA/APRN relationship….

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