+13 Tennessee Nurse Practitioner Collaborative Agreement Template. Contact information for both the np and the physician. The blank includes fillable areas where you can type your information.
Collaborative Practice Agreement For Nurse Practitioners US Legal Forms from www.uslegalforms.com
Current national certification (not state license; Web in tennessee, nurse practitioners are allowed to prescribe medications with physician supervision. I, (physicians’ names) authorize the pharmacist(s) named herein, who hold an active license to practice from the tennessee board of pharmacy, to prescribe and manage contraceptives as outlined in this.
Practice Settings And Patient Populations Covered By The Agreement.
(3) the nurse practice act, t.c.a. (1) a supervising physician, certified nurse practitioner or a substitute supervising physician must possess a current, unencumbered license to practice in the state of tennessee. The transcript must be mailed directly from the educational institution to the board office located at 665 mainstream drive, nashville, tn 37243.
Open Form Follow The Instructions.
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 tennessee nurse practitioner recipient: Once you have selected a supervisee, you may run a report to see the relevant prescriptions.
Nyhus Says The Best Resource For Developing Collaborative Agreements Is The Nurse Practitioner's Business Practice And Legal Guide By Carolyn Buppert.
Past recipients have included educators, legislators and physicians. Ensure that all required documents, fees, and forms are included in the submission. If you are searching for an editable nurse practitioner collaborative agreement template template, you will be at the right place.
The Desired Outcome Is An Approved Collaborative Agreement That Complies With State Regulations.
I have agreed to supervise a pa/aprn. The physician’s name and contact information along with the nurse practitioner’s name and contact information (address and phone number) must be present on the prescription. Web 3 examples of nurse practitioner collaborative agreement templates.
Contact Information For Both The Np And The Physician.
This agreement shall take effect as of (date). When completing the application process below, you will be required to submit an official transcript from the institution where you completed your education. 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.
