Page 9 - Part 2 Collaborating with Advanced Practice Providers - An Overview of State Rules

SVMIC Collaborating with Advanced Practice Providers

rounds of antibiotics). If applicable, these and similar directions or

parameters should be considered in the development of protocols.

Discuss adding clarifying statements such as “The physician must be
consulted if a patient is transferred or sent to the Emergency

Department.” Again, those statements should be jointly developed and

carefully determined so as not to unduly limit the scope of practice of

the APP. Meet with the APPs regularly (some states require quarterly

meetings) to discuss the roles and expectations within the practice. If

applicable, perform competency assessments and in all instances,
document these efforts.

Mississippi Board of Nursing’s sample protocol contains

recommendations for such a consultation that could be adapted for any

physician-APP relationship including:
3

 Referrals to a specialist in another field

 Adverse drug reactions

 Prescribing patterns which require corrective action and/or the
removal of certain drugs from the prescribing abilities of the APRN

while in collaboration with the physician(s)

 Interpretation of conflicting or ambiguous diagnostic tests

 Hospitalization needs of certain patients

 Procedure changes

 Issues outside of the APRN’s scope of practice or questions, which

generate medical, legal and/or ethical concerns

3 www.msbml.ms.gov
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