Collaborative Practice Agreement Nurse Practitioner Pennsylvania

(1) Approval for certified nurses. An applicant for certification must hold a current and unrestricted licence as a professional nurse in this Commonwealth. In the absence of well-founded concerns about patient safety, the debate about the reasons for CPAs should take into account the needs of patients. Two nurses who complete the same accredited graduate program and pass the same national certification exam are not authorized to provide patient care services in the same manner in Pennsylvania as in Maryland. Documented improvements in patient outcomes in states where professional licenses for nurses are less restrictive are likely to be the product of better patient access rather than variability in provider training. (a) A CRNP may only work with physicians who are currently licensed to practise in that Commonwealth. h) The curriculum of the CCRP programs must demonstrate that it provides learning experiences that prepare graduates for the practice of the NRC. Standards of practice are defined and delineated by the profession and § 21.18 and 21.284 (with respect to standards of nursing behaviour; and parameters of prescribing and childbirth). (d) A professional nurse may not practise or offer to practise as a CRNP as a CRNP in a Commonwealth specialty during the period during which the professional nurse`s certification in that specialty or the registered nurse`s licence has been inactive, expired or expired. A professional nurse may not practise or offer as a CRNP in this Commonwealth if the registered nurse certification or licence for professional nurses is revoked or suspended. b) The CRNP notifies the Council in writing when a cooperation agreement of a prescriptive authority is updated or terminated and, where appropriate, submits to the Council the form of the agreement on the modification of the regulatory authority and the amended cooperation agreement of the prescriptive authority and pays the fee set out in § 21.253 (in respect of fees). (5) Proof of special designation. For a nurse who received an initial certification in a specialty before February 7, 2005 and who does not have a current national certification, the specialist designation must be proven by certification of the nurse`s original certification status.

For a nurse practitioner whose certification comes from a state that does not designate a specialty, the specialty designation must be proven through the Nurse Practitioner Training Program. f) CPNP courses and programs should be organized in such a way as to further develop the values, understandings, knowledge and skills required in all aspects of practice as a CRNP and to emphasize areas of expertise. b) A CRNP with the current approval of the prescribing authority by the Council may prescribe, dispense and administer drugs and therapeutic or corrective measures that are consistent with the prescribing authority`s cooperation agreement and relevant to the CRNP specialty of the following categories: (iii) Use assessment tools that reflect the national competencies of nurses in specialized fields. (A) Advanced nurses who are currently licensed. (c) The falsification of information required under this Section or the failure to comply with training requirements by those who continue to practise or prescribe as a CRNP may result in formal disciplinary action under section 14(a)(3) of the Act (63 P.S. § 224(a)(3)). (b) A PCR program MUST prepare the registered nurse (RN) to act as a nurse in an expanded role in a particular specialty. Physicians may issue an opinion based on a review of records. Consequently, the doctor had the right to formulate a medical opinion on the basis of the information provided by the certified nurse and to suspend the applicant`s licence on the grounds of his lack of competence under Article 67 Pa. Section 83.5 of the Code was justified.

Satler v. Ministry of Transport, 670 A.2d 1205 (Pa. Cmwlth. 1996). (6) Continuing education programs approved by other state nursing authorities for advanced nurses. (i) Graduates of the CRNP program must have a good understanding of pharmacological principles, including the level of cellular response. This core content area should also include both pharmacotherapy and the pharmacokinetics of broad categories of pharmacological agents. Advanced pharmacology is taught in a separate or special course of 3 credits or 45 hours. Pharmacological content should also be integrated into other content areas identified at the heart of the maintenance of advanced practices. An additional application of this content is also presented in the specialized course content and clinical experience of the program to prepare the CRNP for practice in a specific field of activity.

a) A CRNP with prescriptive regulatory approval, acting in cooperation with a physician in accordance with a cooperation agreement of the prescriptive authority and within the CRNP specialty, may prescribe and dispense drugs and issue written or oral prescriptions for drugs and other medical therapeutic or corrective measures. These orders may include: (c) adding a specialty. A CRNP that holds an unrestricted certification for practice may apply for certification in an additional specialty. To obtain certification in an additional specialty, the CRNP must meet the educational and national certification requirements for the specialty in which the CRNP is seeking certification. (1) Initial assessment. In a health facility regulated by the Ministry of Health, the Ministry of Public Protection or the federal government, a first history must be made and a first physical examination must be performed, as long as this is done by the Ministry of Health in 28 Pa. Code (with regard to health and safety) or the Department of Public Protection in 55 Pa. The Code (relating to the public good) or the federal government is required in the appropriate federal regulations. according to what is applicable and the statutes of the health institution and its medical staff.

In other practice settings, an initial medical history and an initial physical examination should be conducted prior to the commencement of treatment involving the prescription, administration or dispensing of a controlled substance, unless the circumstances of the emergency warrant otherwise. Alternatively, medical history and physical examination information recorded by another health care provider may be taken into account if the medical history and physical examination was performed within the 30 days immediately preceding. The physical examination should include an assessment of the heart, lungs, vital signs, pain levels and bodily functions related to the patient`s specific complaint. This section is cited in 49 Pa. Code § 21.273 (with regard to the application for certification); 49 Pa. Code § 21.283 (with regard to authority and qualifications for the prescription, dispensing and ordering of medicines); 49 Pa. Code § 21.285 (with regard to normative regulatory cooperation agreements); 49 Pa. Code § 21.331 (with regard to the biennial renewal of certification); and 49 Pa. Code § 21.336 (with regard to the approval of continuing education courses); and 49 Pa. Code § 21.605 (with regard to the two-year extension). (e) Up to 4 hours will be credited for service as a teacher, preceptor, lecturer or lecturer and for publication in a peer-reviewed journal or other scientific publication related to pharmacology or the CrNP specialty.

The request must be made before the service or within 90 days of publication to ensure that the Commission approves the service or publication and to allow the Commission to determine the number of contact hours to be granted. (3) National certification. . . .