STANDARD CARE REGULATION FOR CERTIFIED NURSE PRACTITIONERS, CERTIFIED SPECIALIZED NURSES AND CERTIFIED NURSE MIDWIVES AT OHIOby Jason J. Haupt, Esq.What is a standard care agreement? 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. Who needs standard care arrangements? NOCs, CNCs (with the exception of a CNS that does not have a prescription certificate and whose nursing specialty is mental health or psychiatric mental health) and NCCs must meet an ACS as a condition of practice in the State of Ohio with any physician or podiatrist with whom the NOC, CNS or CNM works. Similarly, Ohio physicians and podiatrists are required to enter and fulfill collaborative responsibilities within an ACS with each NOC, NHC or NJC with which the physician or podiatrist works. What elements should be included in a standard care arrangement? 1. Full name, specialty/subspecialty, professional address and professional telephone number of the NOC, SNC or NJC and the assistant physician or podiatrist; 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. 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. 30l A procedure for resolving disputes relating to patient care or patient management; nursing.ohio.gov/wp-content/uploads/2019/08/Exclusionary_Formulary5.3.pdf A Standard Care Arrangement (SCA) is a written and formal guide to planning and evaluating a patient`s healthcare. 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. 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.
Their response was as follows: Here`s the link: www.nursing.ohio.gov/PDFS/Licensure/SubmittingAdditionalDocumentation.pdf THE CURRENT SCA model contains the 30 MED rules written by obon and approved by the Joint Committee on Agency Rule Review (JCARR) on January 8, 2018, as well as the EXCLUSION formula and other provisions of House Bill 216. If you have any questions, please do not hesitate to contact us at email@example.com. 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. 8. A statement on health care for infants up to one year of age and recommendations for provider visits up to three years of age; 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 (firstname.lastname@example.org), fax (614-466-0388) or mail (Ohio Board of Nursing, 17 S.
High Street, 4th Floor, Columbus, Ohio 43215), as was previously the case. You can purchase this model model, which you can follow to create your personal standard care arrangement. Under current federal and Ohio regulations, certified nurse practitioners, certified specialized nurses, and certified nurse midwives are not permitted to prescribe the following medications: 4.