ANTICOAGULATION PROTOCOLCollaborative Practice Agreement • October 12th, 2020
The Pharmacy Practice Act allows pharmacists to practice under a Collaborative Practice Agreement with individual physicians. Pharmacists may participate in the practice of managing and modifying drug therapy on a according to a written protocol between the specific pharmacist and the individual physician(s) who is/are responsible for the patient’s care and authorized to prescribe drugs.
Collaborative Practice Agreement Diabetes Management {PHARMACY/INSTITUTION NAME}Collaborative Practice Agreement • December 20th, 2023
Collaborative Practice Agreements (CPAs) are used to create formal relationships between pharmacists and physicians that allow for expanded patient care services the pharmacist can provide to patients and the healthcare team.
PHYSICIAN ASSISTANT COLLABORATIVE PRACTICE AGREEMENT (TEMPLATE) Provided by the Idaho Medical Association and the Idaho Academy of Physician AssistantsCollaborative Practice Agreement • July 2nd, 2021 • Idaho
• The Physician Assistant Scope of Practice may include any medical services that are not prohibited by the Medical Practice Act or the rules adopted thereunder, that are within the physician assistant’s education, experience, and competence, that are governed by the bylaws and procedures of the facility, or as set forth in this agreement.
Collaborative Practice AgreementCollaborative Practice Agreement • April 15th, 2021
The physician hereby agrees to be available to the Advanced Practice Registered Nurse (APRN), either in person or via electronic or telephonic communication, for consultation and referral. Mutually agreed upon protocols for Prescriptive Authority will be utilized by the APRN as a guide for general categories of health states. The APRN shall limit prescribing to the area of educational preparation and certification as noted below.
COLLABORATIVE PRACTICE AGREEMENT: ANTICOAGULATION SERVICE AMBULATORY CARE GUIDELINECollaborative Practice Agreement • November 29th, 2023
Collaborative Practice Agreement: Physician Referral for Comprehensive Medication Review and Assessment – Example 2Collaborative Practice Agreement • March 25th, 2015
Asthma is a complex medical condition which often requires close monitoring, medication management, drug dose titration, and patient/caregiver education. The National Heart Lung and Blood Institute (NHLBI), under the guidance of the National Institutes of Health (NIH), has published guidelines directing the care of patients with asthma.1 These guidelines recommend pharmacists be included as part of the care team to ensure patients achieve asthma control. [Insert Name of Pharmacy] is part of the Wisconsin Pharmacy Quality Collaborative2 which is committed to improving health outcomes and reducing health care costs by aligning with evidence-based guidelines. Participating pharmacies and their pharmacists must adhere to a set of quality standards3 designed to increase the quality of pharmacy services provided and maximize patient safety in the medication use process. The ultimate goal of WPQC is to resolve drug therapy problems, improve adherence, and engage patients in their own care. To
COLLABORATIVE PRACTICE AGREEMENTCollaborative Practice Agreement • February 21st, 2020
This Collaborative Practice Agreement (CPA) is made by and among (company name/physicians) working in collaboration with (name of clinical pharmacists) for the purpose of managing and/or treating patients pursuant to the parameters outlined in this agreement.
A COLLABORATIVE PRACTICE AGREEMENT FOR OPIOID OVERDOSE PREVENTION AND RESPONSE - NALOXONE KIT PRESCRIBING, DISPENSATION, AND DISTRIBUTION PROTOCOLCollaborative Practice Agreement • November 11th, 2015
Policy: Under this collaborative practice agreement, in accordance with Utah Code 58-17b-102 and Utah Rules R58-17b-611, eligible pharmacists, may initiate naloxone overdose kit distribution and educate patients based on the criteria below.
Collaborative Practice AgreementCollaborative Practice Agreement • February 9th, 2023
Collaborative practice agreements (CPAs) are a significant tool in the arsenal of the pharmacist to provide top-of-licensure services in the clinical and community setting. These agreements can provide meaningful structure and support to facilitate patient-centered collaborative care models.
Collaborative Practice Agreement *Collaborative Practice Agreement • May 28th, 2013
Collaborative Practice Dental Hygienist Information: Michael R. United, RDH BA RF 12345 Everywhere Street Anytown MN 55555 Phone: 555.555.5555 Home 666.666.6666 Work 777.777.7777 Cell Email: rdh1_hygienist@website.com Minnesota Dental Hygiene License Number: H0000
Collaborative Practice AgreementCollaborative Practice Agreement • October 18th, 2011
This document is the written Collaborative Practice Agreement (CPA) involving the psychiatry Clinical Pharmacy Specialists (CPS), the psychiatrists and the psychiatry team at the IWK Health Centre.
COLLABORATIVE PRACTICE AGREEMENTCollaborative Practice Agreement • October 11th, 2019
Collaborative Practice Agreement TexasCollaborative Practice Agreement • July 21st, 2021
Fluoride if so. If american would detect more information or wish and discuss any case with board attorney, please contact us. The agreement is some limit aprn. Other texas provides nursing practice agreement with collaborative practices in collaboration between physician shall be practical limits on these settings outside of practice occurs most expansive collaborative. The texas board collaboration and practices across state that is there are valuable members. Health insurance company of practice agreements on aprn to whom a problem has been completed, compassionate nursing care institution should consult legal. Pa to collaborate or corrective measures. The texas administrative sanctions tmb would you for the lpn has a personal reflective question number of texas physician? Medication use a collaborative. The cpa be an rn or renewal should provide collaborative practice authority is an active, you sure that role and consented to. Either action of obedience may harm patients, to the n
Collaborative practice agreement texasCollaborative Practice Agreement • April 12th, 2023
A physician, advanced practice registered nurse, or physician assistant must have an active license to practice that is not suspended, delinquent, or otherwise subject to a disciplinary order that specifically prohibits the licensee from entering into a prescriptive authority agreement. Note that if a licensee’s authority to supervise, delegate, or prescribe devices is limited under a board order, the licensee may enter into a prescriptive authority agreement and practice under the agreement only to the extent permitted by the board order. Yes. Prior to signing a prescriptive authority agreement, you must disclose to the other party/parties to the prescriptive authority agreement if you have been disciplined in the past. This includes disciplinary action taken by licensing boards in other states. Once you are a party to a prescriptive authority agreement, you are required to immediately notify the other party/parties to the agreement if you receive notice that you are the subject of an
Siloam Family Health Center COLLABORATIVE PRACTICE AGREEMENTCollaborative Practice Agreement • July 13th, 2016
Florida Collaborative Practice AgreementCollaborative Practice Agreement • July 18th, 2021
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Collaborative Practice AgreementCollaborative Practice Agreement • April 15th, 2021
The physician hereby agrees to be available to the Advanced Practice Registered Nurse (APRN), either in person or via electronic or telephonic communication, for consultation and referral. Mutually agreed upon protocols for Prescriptive Authority will be utilized by the APRN as a guide for general categories of health states. The APRN shall limit prescribing to the area of educational preparation and certification as noted below.
COLLABORATIVE PRACTICE AGREEMENT For use with Advanced Practice Nurse practicing at SHALOM HEALTH CARE CENTER, INC.Collaborative Practice Agreement • August 17th, 2020 • Indiana
This Collaborative Practice Agreement entered into 20th day of June, 2008, by and between Dr. Dannee J. Neal, physician duly licensed to practice medicine in the state of Indiana (hereinafter “Physician”), and Beth Pickens, advanced practice nurse, PNP duly licensed to practice advanced nursing as a pediatric nurse practitioner. The pediatric nurse practitioner and family physician will work together both independently and together as members of the health care team.
Collaborative Practice AgreementCollaborative Practice Agreement • April 6th, 2016
The Idaho State Board of Pharmacy provides for a collaborative practice between a physician and a pharmacist for the purpose of drug therapy management of patients.
COLLABORATIVE PRACTICE AGREEMENTCollaborative Practice Agreement • June 18th, 2015
COLLABORATIVE PRACTICE AGREEMENT UNC SCHOOL OF MEDICINE, DEPARTMENT/DIVISION OFCollaborative Practice Agreement • December 3rd, 2022
This Collaborative Practice Agreement (“Agreement”) is by and between , nurse practitioner (“NP”)/physician assistant (“PA”), collectively referred to throughout as Advanced Practice Provider (“APP”) and , (the “Primary Supervising Physician”) (MD/DO).
COLLABORATIVE PRACTICE AGREEMENT UNC SCHOOL OF MEDICINE, DEPARTMENT/DIVISION OFCollaborative Practice Agreement • May 17th, 2024
This Collaborative Practice Agreement (“Agreement”) is by and between , nurse practitioner (“NP”)/physician assistant (“PA”), collectively referred to throughout as Advanced Practice Provider (“APP”) and , (the “Primary Supervising Physician”) (MD/DO).
Collaborative Practice Agreement Hypertension Management {PHARMACY/INSTITUTION NAME}Collaborative Practice Agreement • February 4th, 2020
Collaborative Practice Agreements (CPAs) are used to create formal relationships between pharmacists and physicians that allow for expanded patient care services the pharmacist can provide to patients and the healthcare team.
NALOXONE PROTOCOL A COLLABORATIVE PRACTICE AGREEMENT FOR OPIOID OVERDOSE PREVENTION AND RESPONSECollaborative Practice Agreement • March 2nd, 2013
Policy: Under this collaborative practice agreement, eligible pharmacists who have completed certificate training program in opioid overdose prevention (CE program) and are CPR certified, may initiate naloxone and educate patients based on the criteria below.
COLLABORATIVE PRACTICE AGREEMENTCollaborative Practice Agreement • May 7th, 2019
The Wisconsin Medical Practice Act sec 448.03(2)(e) allows pharmacists to practice under a Collaborative Practice Agreement with individual physician(s) who is/are responsible for the patient’s care and authorized to prescribe drugs. Through this agreement, pharmacists may participate in the practice of managing and modifying drug therapy. It is the intent of this document to authorize the pharmacist(s) listed below to work in a collaborative fashion with the physician(s) listed below. The document sets forth guidelines for collaboration between the physician(s) and pharmacist(s). This agreement is voluntary and may be terminated at any time by either party.
COLLABORATIVE PRACTICE AGREEMENTCollaborative Practice Agreement • June 24th, 2020
Collaborative Practice Agreement Hyperlipidemia Management {PHARMACY/INSTITUTION NAME}Collaborative Practice Agreement • February 4th, 2020
Collaborative Practice Agreements (CPAs) are used to create formal relationships between pharmacists and physicians that allow for expanded patient care services the pharmacist can provide to patients and the healthcare team.
Collaborative Practice AgreementCollaborative Practice Agreement • December 14th, 2017
Collaborative Practice Agreement – Advanced Practice Registered NurseCollaborative Practice Agreement • June 20th, 2023
The undersigned Advanced Practice Registered Nurse (“APRN”) and Physician agree to the following Collaborative Practice Agreement (“CPA”) effective as of , 20 (“Effective Date”) for provision of health care services with Munson Healthcare, and specifically at the following location(s):
COLLABORATIVE PRACTICE AGREEMENTCollaborative Practice Agreement • October 28th, 2010
The above-named Nurse Practitioner and Physician agree to the following Collaborative Practice Agreement for the provision of health care services to Ingham County Health Department Community Health Center patients at:
COLLABORATIVE PRACTICE AGREEMENT: ANTICOAGULATION SERVICE AMBULATORY CARE GUIDELINE UCONN HEALTH ANTICOAGULATION CLINICCollaborative Practice Agreement • June 27th, 2019
Name of RHC Collaborative Practice AgreementCollaborative Practice Agreement • November 17th, 2019
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). This agreement shall take effect as of (date).
Collaborative Practice AgreementCollaborative Practice Agreement • June 13th, 2018
This collaborative practice agreement is between the Emergency Medicine Physicians practicing at the IWK Health Centre in the Emergency Department
ContractCollaborative Practice Agreement • October 21st, 2020
A COLLABORATIVE PRACTICE AGREEMENT FOR OPIOID OVERDOSE PREVENTION AND RESPONSE - NALOXONE KIT PRESCRIBING, DISPENSATION, AND DISTRIBUTION PROTOCOL
PHARMACIST - PHYSICIAN GROUP COLLABORATIVE PRACTICE AGREEMENTCollaborative Practice Agreement • November 19th, 2008
The intent of this agreement is to establish a practice that will provide an optimum level of health care for patients by providing a mechanism for appropriate collaboration between one or more pharmacists and physicians.
