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Professional Tennessee Nurse Practitioner Collaborative Agreement Template. Web use a nurse practitioner collaborative agreement template template to make your document workflow more streamlined. List of specialties, licenses, and board certifications of the np.
Easily sign the form with your finger. If the collaborative practice agreement includes one (1) or more prescribers Web in tennessee, nurse practitioners are allowed to prescribe medications with physician supervision.
Definition of clinical pharmacy practice within a cpa Tnnpa now has groups across tennessee! Send filled & signed form or save.
Web physicians must enter into a treatment protocol or collaborative practice agreement (cpa) with the pa/aprn protocols are specific to the patient population and broadly the standard of care. A collaborative practice agreement typically contains the following information: The advocate state award for excellence is given annually to an individual in each state who has made a significant contribution toward increasing awareness and recognition of nps.
This agreement shall take effect as of (date). The desired outcome is an approved collaborative agreement that complies with state regulations. Web collaboration must address a reasonable and appropriate level of consultation and referral, coverage for the patient in the absence of the aprn, a method to review patient outcomes and a method of disclosure of the relationship to the patient.
Web this document has been created by the tennessee pharmacists association in an effort to facilitate the initiation of collaborative practice agreements between clinical pharmacists and prescribing clinicians with a focus on caring for patients receiving complex medication regimens. Easily sign the form with your finger. The transcript must be mailed directly from the educational institution to the board office located at 665 mainstream drive, nashville, tn 37243.
Web copy of current collaborative request/aprn supervisory request (formerly notice and formulary). However, you also can find many downloadable templates on the web, including the following examples: There is no fee for this application.
