Professional Nurse Practitioner Collaborative Agreement Template

Web Some Common Elements In An Np Collaborative Agreement Can Include:

Àüà ‡ # $ Web the cpa is an agreement between the nurse practitioner (np) and primary supervising physician addressing how they will operationalize the np administrative code/rules in their practice. List of specialties, licenses, and board certifications of the np.

Set A Timeline For Renewing Or Revising The Agreement As Necessary.

Web unc school of medicine. Nyhus says the best resource for developing collaborative agreements is the nurse practitioner's business practice and legal guide by carolyn buppert. Contact information for both the np and the physician.

Practice Settings And Patient Populations Covered By The Agreement.

A copy of such protocols are attached hereto and. Reiteration of the np’s scope of practice. Complete names, home and business addresses, zip codes, and telephone numbers of the licensed practitioner and the advanced practice registered nurse:

Coverage For Emergency Absences Of Either The Np Or The Collaborating Physician.

However, you also can find many downloadable templates on the web, including the following examples: Web 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). In general, the document outlines the rights and responsibilities of each party involved, formalizing the relationship.

Web Np Agrees To Perform Service In Accordance With This Practice Agreement And The Practice Protocols Agreed Upon Between The Np And Collaborating Physician, And Approved By Kaleida Health;

Web develop a mechanism for regular communication and review between nurse practitioner and collaborating physician. Ensure regular communication and review with collaborating physician. The collaborative practice agreement is not an employer contract (cpa).