In addition, the protocols may also cover the PA/APRN`s authority to delegate tasks to other dismissed or unlicensed employees, such as processing patient requests to see a physician, a quality assurance plan, if necessary (Mississippi) and other agreed-upon practice guidelines. Medical authorities in Tennessee and Georgia both offer frequently asked surveillance questions to include information on protocols, which is a useful tool “at a glance.” Developing protocols with a nursing physician or physician assistant requires time and attention to detail, but it is one of the most important steps towards an effective, collegial and protective doctor-PA/APRN relationship. Protocols are not “cookbook” orders for the management of clinical conditions, but a method to ensure that an Advanced Practice Provider (APRN/APRN) practices at its highest level of competence and training within generally recognized specialized guidelines and legal authority. The protocol is generally an agreement between the AP/APRN and the physician to determine the scope of administrative and other medical acts to be performed by the AP/APRN, in accordance with national law and the administrative provisions and rules adopted by its respective accrediting bodies. The protocols allow them to use their assessment and health management skills with a high degree of independence and in accordance with established standards. The effectiveness of the health team is enhanced by the ability of advanced practitioners to use their knowledge and skills through the use of treatment protocols. A protocol must be available when a PA/APRN standardization instance has been delegated. Protocols must contain a formula of drugs and medical devices authorized to be prescribed and/or issued by a licensed prescriber, including controlled substances. Written protocols must be developed, dated and signed jointly by the physician and pa/APRN. Often, each state`s protocol requirements are broad and time-consuming. Several national licensing agencies, including Alabama, Arkansas, Georgia, Kentucky, Mississippi and Virginia, provide online example protocols, cooperation agreements and models or forms to normative authorities that can be used to comply with the state. It is important to consult with each party`s licensing committee. Often, the college of physicians has stricter rules regarding cooperation with or supervisor of advanced practice service providers than the care board.
However, in countries that do not have specific sampling forms, models or guidelines, protocols should be specific to the patient population, define the scope of pa/AP/APRN powers, and define the overall treatment standard.