Page 26 - Part 2 Collaborating with Advanced Practice Providers - An Overview of State Rules

SVMIC Collaborating with Advanced Practice Providers

 OVERSIGHT

 Appropriate oversight along with thorough and accurate

documentation are valuable safety nets when employing or

collaborating with an APP.

 Become familiar and knowledgeable with the state rules,

regulations, and requirements.

 Become familiar with the APP’s scope of practice and ensure any

additional delegation is appropriate and within the APP’s training,

certification and/or credentialing. Do not delegate without

demonstrated competency.

 Ensure proper supervision, including limiting supervision to the
number of APPs permitted by statute, or more importantly, to the

number the physician is comfortable with, even if it is less than the

state allows.

 Carefully monitor the APP and consider reviewing most records

during the initial employment period.

 Develop a system to regularly review the work of the APP.

 PROTOCOLS

 Ensure jointly developed protocols outline criteria describing

appropriate consultation with the supervising physician and how to

contact the physician and backup physician.

 Protocols authorizing and delegating prescriptive privileges should
be maintained at each practice site. Complete the required

formularies usually found on the state licensing board website.

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