STANDARD CARE ARRANGEMENTSFOR CERTIFIED NURSE PRACTITIONERS, CERTIFIED NURSE SPECIALISTS AND CERTIFIED NURSE-MIDWIVES IN OHIOby Jason J. Haupt, Esq.What is a Standard Care Arrangement? A Standard Care Arrangement (SCA) is a written agreement between a Certified Nurse Practitioners (CNP), Certified Clinical Nurse Specialists (CNS) or Certified Nurse-Midwives (CNM) and a co-operative physician who formally establishes a collaborative practice agreement. The CAS serves as a written and formal guideline for the planning and evaluation of a patient`s health care by a NPC, NNC or CNM in collaboration with a physician or podiatrist. Therefore, the CAS must be signed by NPCs, CNSs, CNMs and physicians who are in collaborative practice. For the purposes of a CCA, the concept of “cooperation” refers to the permanent availability of a cooperating physician or podiatrist to communicate with a NPC, CNS or CNM, either personally or by radio, telephone or other type of telecommunications. Who needs standard care rules? NPCs, NSCs (with the exception of a CNS that does not have a prescription certificate and whose mental or psychiatric health is a matter of care) and NMCs must enter an SCA as a precondition for practice in the State of Ohio with any physician or podiatrist with whom NPCs, NSCs or CNMs work. Similarly, Ohio physicians and podiatrists are required to take and perform the collaborative tasks listed within a CCA with each NPC, CNS or CNM with which the physician or podiatrist works. What should be included in a standard care arrangement? 1) the full name, department of the specialist doctor`s office, professional address and professional telephone number of the NPC, the NSC or the CNM and the cooperating physician or podiatrist; Pre-professional nurses say they could expand access to Ohioan health care, but they are limited because they have to maintain oversight agreements with doctors. A SAFETY SYSTEM IS NOT OBLIGATORY TO HAVE a CO-OPERATIVE DOCTOR IF IT does NOT OFFER PATIENTS. Nurses (whether NPC, NJC or NSC) who do not currently work in NPC, NNC or CNM practices and do not currently have a co-operative physician or standard care should provide information about the document they download when asked to list collaborative physicians. If they are “between” practices/jobs or want to retire, but they want to keep the license, they would say that on the document they download: “I don`t have a cooperating doctor. I`m not practicing right now. They can also explain this if they teach and do not work in practice (including monitoring student practice). But doctors` groups say these oversight agreements are not just bureaucracy, but are necessary rules to protect patient safety because NPs have far less training than doctors.
A Standard Care Arrangement (CAS) is a written and formal guide to planning and evaluating a patient`s health care. SCA is developed by a cooperating physician (or podiatrist) and the NPC, CNM or CNS. The SCA must be implemented in the NPC, NJC or NSA before clinical practice begins and reviewed at least every two years. The employer is required to register a copy of the most up-to-date SCA in accordance with Ohio`s Administrative Code 4723-8-04 (D). The Ohio Board of Nursing does not need a copy of the SCA, but it must be immediately available at the card`s request. 10. A dispute resolution procedure for patient care or management; There is no rule on how to choose a cooperating physician as long as it is a licensed physician or podiatrist in Ohio who practices the same specialty or specialty similar to that of the APRN specialty.