According to OCGA 43-34-25 version of the law, the APRN has signed its own name on the recipes. This type of protocol agreement must be submitted to the Medical Review Board within 30 days of signing (with a $150 fee) and a copy must be kept in your office. If the NPA also prescribes controlled substances, it must not use the DEA number issued to its cooperating physician, but must have its own DEA number. DEA numbers are only issued for 3 years at a time, at a price of $731. If your doctor wants you to write for controlled substances, ask them to pay these fees because they require something you wouldn`t otherwise have to practice. Don`t be persuaded to use your number instead to save money, because it`s against the law! More importantly, the name of APRN on all these recipes allows us to recognize ourselves as legitimate suppliers, without fear of being monitored and monitored. Be sure to update the protocols in accordance with Council guidelines at least every two years (each year in Arkansas and Georgia) if the relationship changes or if new procedures are approved after the completion of medical training. Remember, the doctor should always be performed on experience or expertise similar to PA/APRN before signing procedures by them. Any modification or termination of a protocol or cooperation agreement must be notified to the relevant boards of directors within a specified time frame to be found on the State Board`s website. The protocols are not designed to allow for an evolution of treatment for each condition in each patient. They depend on the context, which gives the AP/APRN a set of state-specific protocols, which generally include routine services provided during and in the event of a medical practice request, as well as all additional procedures for which the AP/APRN has received specific training and qualifications. The mere adoption of a medical text or other publication is generally not sufficient to meet the standards of the state physician order. For example, reference guidelines include reference practice legislation, journal articles, textbooks, approved procedure manuals, approved clinical research protocols, Agency guidelines and procedures, online protocols such as drug and laboratory referrals, and other recognized medical standards of care.
Most states allow nurses and medical assistants to perform certain functions such as diagnosing, treating and/or prescribing medications under protocols developed in collaboration with a licensed physician. Physicians must establish a treatment protocol or cooperation agreement (CPA) with PA/APRN protocols specific to the patient population and, overall, to the standard of care. Protocols must also include a method of consultation and referral, prescription privileges and drug receptions, plans to meet a patient`s health needs in The Absence of Emergency of the AP/ARNPA, and any graphical examination or co-signature required by the physician.