Collaborative Agreement for Nurse Practitioners in Indiana

“There is a fear that with independence, they will begin to fill roles for which they are not necessarily trained, especially the emergency room or emergency care. There are family nurses who take on these roles in other states where this has been adopted, where they don`t have much training in these specialties,” Johnson said. Indiana is one of the few states where nurses do not need to be certified nationally. However, most IPs who practice in the state receive a national certification. Medicare and other health insurance companies typically require national certification for certification and reimbursement, which means that NPs who practice without certification may not be eligible for payment by these institutions. Indiana has it all. From the bustling city of Indianapolis to the rolling cornfields of summer, there`s not much more American than Hoosier State. Not only are basketball, MotorSpeedway, and agriculture important to Hoosiers, but nurses play an important role in this Midwestern scene. How do Indiana`s laws affect the more than 3,000 IPs operating in the state? Most of the laws that govern nursing practice in Indiana focus on prescribing. NPs must work with a physician under a cooperation agreement in order to prescribe.

Under this agreement, state law allows nurses to prescribe Schedule II-V controlled substances. The cooperation agreement must stipulate that 5% of the nurse`s diagrams in which a drug has been prescribed will be reviewed with the cooperating physician within seven days of the patient`s visit. NPs must also submit an application to prescribe controlled substances in Indiana. Caitlin Krouse is a Doctor of Nursing Practice and Assistant Professor of Nursing at St. Francis. He worked with state legislators to pass this law. Current Indiana law states that RNAs, aka Nurse Practitioners, must have a practice agreement with a supervising physician. A dental hygienist may practise in any environment or facility documented in the Dental Hygienist`s Access to Practice Agreement. Ind. Code § 25-13-1-10 Nurses practicing in Indiana are required to do so in collaboration with a physician. Although cooperation is required, the physician is not required to practice locally with the nurse, nor are there any geographical restrictions on the distance at which the NP and the physician must practice.

The cooperative practice agreement should define how the NP and the Director General work together, share responsibility for the practice and how coverage is provided during the absence of the cooperating physician. Clause 8 of Parts D and E of the bill sets out in part what it takes for a PI not to have a practice agreement. Johnson said, “You have times when you can rely on your skills and training to save someone`s life, and that training just isn`t there for nurses right now.” One of these requirements is: “The Registered Nurse in Advanced Practice creates a referral plan to other appropriate practitioners for complex medical cases, emergencies, and cases that are beyond the scope of the Registered Nurse in Advanced Practice.” FORT WAYNE, Ind. (WFFT) – Currently, in Indiana, registered nurses in advanced practice, ALSO known as nurse practitioners, are required by law to have a collaborative agreement to work under the supervision of a physician to practice medicine. The deal? 5% of their diagrams in which they prescribed drugs are checked retrospectively by the doctor. To maintain prescribed privileges, Indiana nurses must receive at least 30 hours of continuing education credits, including 8 hours in pharmacology per extension period. A written monitoring agreement between the physician and the PA is required. The agreement must include all the tasks delegated by the physician and set out the protocol that the PA must follow when prescribing a medication, among other things. Ind. Code §25-27.5-5-2 An NP may prescribe prescription drugs and controlled substances listed in Schedules II to V if specified in the written cooperation agreement and certain requirements are met. 848 IAC §5-1-1 A cooperation agreement is required that specifies how the PI and the attending physician cooperate, coordinate and advise in the provision of healthcare to patients.

The provisions shall include the nature of the cooperation and the timely review of prescribing practices. 848 IAC §5-1-1(7) A PA may prescribe Schedule II-V drugs, equipment and controlled substances if they are delegated by the supervising physician. Ind. Code §25-27.5-5-4 Standards and requirements for the certification of recovery specialists and peer recovery coaches (I and II) are developed and managed by external not-for-profit certification providers. You might also be interested in: What type of medical malpractice policy is best for you? However, Johnson and other opposing physicians argue that in a specialty like emergency care, there is not the same type of rigorous training for NPS to provide the same type of care. Currently, there are 22 states where this type of law exists. Indiana does not allow pharmacists to prescribe hormonal contraceptives. A pharmacist can administer the COVID-19 vaccine as part of a prescription, prescription or according to a protocol approved by a doctor. Code §25-26-13-31.5 Ahh, the Lone Star State, famous for its spirit of pride and freedom, the Alamo. “There are laws that prohibit registered nurses in advanced practice from working outside their scope. For example, if a registered advanced practice nurse works in a specialty, she doesn`t claim to be a specialist,” Krouse said. NPs are not explicitly recognized as primary care providers in government policies.

Indiana qualifies two types of addiction counselors. A licensed addiction counsellor needs a bachelor`s degree with relevant training and two years of post-graduation experience. A licensed clinical addictions counsellor requires a master`s or doctoral degree with relevant training and two years of post-graduation experience. Ind. Code § 25-23.6-10.5 and Indiana Professional Licensing Agency Optometrists may only perform procedures related to the removal of foreign bodies and the examination, evaluation, diagnosis and treatment of the human eye. Other authorized procedures may be approved by law and/or rule. Ind. Code §25-24-1-4 Optometrists may not prescribe controlled substances. Ind. Code §25-24-3-16.5 A vote could take place as early as April 2, so you are encouraged to call your state representatives to express your opinion. A link to contact us can be found here. The law does not identify dental therapists as oral health care providers.

. Can an NP sign a hospital DNR in the state of Indiana? Indiana allows pharmacists to ban all smoking cessation products. A written protocol for the drug treatment of smoking cessation must be approved by the Pharmacy Board. Indiana Code § 25-26-13. Optometrists can administer all active pharmaceutical ingredients for the diagnosis and treatment of eye diseases, including epinephrine self-injections for anaphylaxis. Ind. Code § 25-24-3-9 The attending physician has the power to delegate medical services as he deems appropriate. The services must be those that the doctor usually performs and for which he is qualified. Ind.

Code § 25-27.5-1-2 Krouse stated: “This bill really only eliminates this mandatory contract that APRNs, Advanced Practice Registered Nurses, have with doctors, and what the contract says is that we need to have 5% of our retrospectively reviewed records in which prescriptions were prescribed.” Licensed mental health counsellors use counselling to make a mental health diagnosis and treat emotional and psychological problems and conditions in a variety of settings, including mental and physical health facilities, child and family service agencies, or private practice, including the use of accepted assessment classifications. Ind. Code §25-23.6-1-7.5 Indiana Senate Bill 394 is currently under review in the Indiana House of Representatives and attempts to change that. One of the main objectives of this law is to open access to health care for people living in rural areas and underserved populations, and a 2017 study by rand showed that it could enable more than 379,000 hoosiers to see a primary care doctor. .