Nurse Practitioner Standard Care Agreement Ohio

What is a standard care arrangement? A Standard Care Arrangement (SCA) is a written agreement between a Certified Nurse Practitioner (NCP), a Certified Clinical Nurse Specialist (CNS) or a Certified Nurse Midwife (NJC) and a cooperating physician who formally establishes a collaborative practice agreement. The ACS serves as a written and formal guideline for the planning and evaluation of a patient`s health care by a NPC, NCC or NJC in collaboration with a physician or podiatrist. As such, the CSA must be signed by NOCs, CNS, NJCs and physicians working in collaborative practice. For the purposes of a CTA, the concept of “collaboration” refers to the continued availability of a cooperating physician or podiatrist to communicate with a NOC, NHC or NJC in person or by radio, telephone or other form of telecommunications. Here`s the link: www.nursing.ohio.gov/PDFS/Licensure/SubmittingAdditionalDocumentation.pdf Under current federal and Ohio regulations, certified nurse practitioners, certified specialty nurses, and certified nursing midwives are not allowed to prescribe the following medications: A Standard Care Arrangement (SCA) is a written and formal guide to planning and evaluating a patient`s health care. The SCA is developed by a cooperating doctor (or podiatrist) and the CNP, CNM or CNS. The ACS must be established by the NOC, NJC or SNC prior to the start of clinical practice and reviewed at least every two years. The employer is required to keep a copy of the most recent SCA in accordance with 4723-8-04 (D) of the Ohio Administrative Code. The Ohio Board of Nursing does not require a copy of the CAS, but it must be immediately available upon request by the board. At any time, when choosing a practice, they should enter into a standard care agreement with a qualified cooperating physician and notify the board at that time.

At the time of online renewal, they upload a document containing the information of the cooperating doctor or an explanation of why there is no information about the cooperating doctor. If a change occurs at another time (not renewed), they will inform the Board of Directors of the name, license number and contact information of the cooperating physician by email (aprn@nursing.ohio.gov), fax (614-466-0388) or mail (Ohio Board of Nursing, 17 S. High Street, 4th Floor, Columbus, Ohio 43215), as was previously the case. We recently asked the Nursing Council whether CNS that does not currently provide patient care or does not otherwise practice as an APRN must complete an ACS. Her response was as follows: If you have any questions about these changes, if you would like to review your current agreements, or if you need help with anything related to nurses, contact your lawyer at Brouse McDowell. nursing.ohio.gov/wp-content/uploads/2019/08/Exclusionary_Formulary5.3.pdf What happens if no standard care arrangement is created? In the event that a NOC, NHC or NJC practises without having completed an ACS or does not practise in accordance with the terms of an ACS, the Nursing Committee may refuse, revoke, suspend or restrict the nurse`s nursing licence or certificate of authority, reprimand or otherwise discipline the nurse, or impose a fine of not more than five hundred dollars per violation. In the event that a physician or podiatrist cooperates with a NOC, CNS or NJC without having completed an ACS, or fails to comply with its obligations to cooperate under an SCA, the State Medical Board may restrict, revoke or suspend the physician`s or podiatrist`s certificate of practice, refuse to register the physician or podiatrist, refuse to reinstate the physician`s or podiatrist`s certificate of practice, or terminate the physician`s certificate. or reprimand or probation. There is no rule as to how the cooperating physician is selected as long as he or she is an Ohio licensed physician or podiatrist practicing in the same or similar specialty to the APRN SPECIALTY. (ORC § 4723.431.) Sometimes, especially in a hospital, the employer finds a cooperating doctor for the NP or has contracts with certain doctors who can serve as a CP (for example, the doctor`s employment contract requires them to work with NPs, or they receive a scholarship specifically for this). We recommend asking your employer for suggestions, but apart from the basic qualifications, there are no legal requirements as to who this should be. Starting February 1, 2021, Ohio nurses can update their standard care arrangements to allow for more flexibility.

The amendments to the Ohio Administrative Code eliminate several provisions that were previously required for standard utility agreements. Most importantly, nurses and their cooperating physicians no longer need to regularly review prescriptions with their cooperating physician or review the standard care agreement twice a year. Taken together, these changes allow nurses to have more flexibility in their practice and less mandatory supervision. As of February 1, 2021, the following provisions can be removed from Standard Care (SCS): Do I need an ACS? All NOCs, NCCs and CNSs that perform their role and provide patient care must have an ACS. NOTE: See section “B” below if you are not in your role or providing patient care. A CNS is not required to have a cooperating physician if it does not provide care to patients. Nurses (whether NOC, NJC or NHC) who are not currently in the practice of the NOC, NHC or NJC and who do not currently have a cooperating physician or standard care agreement must include this information on the document they upload when asked to register cooperating physicians. If they are “between” practices/jobs or retired, but want to keep the license, then they would say that on the document they upload – “I don`t have a cooperating doctor. I`m not practicing right now. If they teach and are not in practice (which would include tracking student practice), they can also indicate this. The Krugliak, Wilkins, Griffiths & Dougherty Healthcare Practice Group is available to help you review standard care arrangements in your practice or to provide an example of a standard care arrangement to use in your practice. If you have any questions or would like to receive a sample standard care arrangement, please contact Attorney Jason F.

Haupt at 330-497-0700 or jhaupt@kwgd.com. NOTE: This general summary of the law should not be used to solve individual problems, as the factual situation changes slightly The exclusion formula is available at the following link: What elements should be included in a standard care arrangement? All APRNs should discuss the impact of the new formula on your practice with your cooperating physician or institution. .