Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 79 - Physician Collaboration with Advanced Practice Registered Nurses › Subchapter B - Due Diligence; Eligibility; Requirements of Collaborative Practice Agreement and Required Information › Section XLV-7911 - Eligibility; Required Components of Collaborative Practice Agreement

Current through Register Vol. 50, No. 6, June 20, 2024
A. To be eligible
					 to engage in collaborative practice with an APRN a physician shall:
1. be actively engaged in the provision of
					 direct patient care in Louisiana;
2. practice in an area comparable in scope,
					 specialty, or expertise to that of the APRN;
3. except as provided in §7911. A 5, have
					 signed a collaborative practice agreement as described in
					 R.S. 37:913(8) and
					 (9) with an APRN that complies with the
					 standards of practice prescribed by §7915-7919 of this Chapter. In addition, a
					 collaborating physician shall insure that the CPA includes:
a. a plan of accountability among the parties
					 that addresses:
i. prescriptive authority of
					 the APRN and the responsibilities of the collaborating physician;
ii. a plan for hospital and other healthcare
					 institution admissions and privileges which provides that a collaborating
					 physician must have hospital privileges at an institution before an APRN
					 receives privileges at the same hospital or institution;
iii. arrangements for diagnostic and
					 laboratory testing; and
iv. a plan
					 for documentation of medical records;
b. clinical practice guidelines as required
					 by
					 R.S.
					 37:913(9)(b), documenting
					 the types or categories or schedules of drugs available and generic
					 substitution for prescription by the APRN and be:
i. mutually agreed upon by the APRN and
					 collaborating physician;
ii.
					 specific to the practice setting;
iii. maintained on site;
iv. reviewed and signed at least annually by
					 the CP to reflect current practice;
c. availability of the collaborating
					 physician when he or she is not physically present in the practice setting for
					 consultation, assistance with medical emergencies, or patient
					 referral;
d. confirming that in the
					 event all collaborating physicians are unavailable, and there is no alternate
					 collaborating physician(s), the APRN will not medically diagnose or
					 prescribe;
e. documentation that
					 patients are informed about how to access care when both the APRN and/or the
					 collaborating physician are absent from the practice setting;
f. an acknowledgment of the mutual obligation
					 and responsibility of the APRN and collaborating physician to insure that all
					 acts of prescriptive authority are properly documented;
4. if the APRN has been granted prescriptive
					 authority by the Louisiana State Board of Nursing that includes controlled
					 substances; possess a current, unrestricted Louisiana controlled dangerous
					 substance permit and a current, unrestricted registration to prescribe
					 controlled substances issued by the United States Drug Enforcement
					 Administration; and
5. in the event
					 all CPs at a practice site are unavailable, the CP may designate an alternate
					 collaborating physician at the practice site to be available for consultation
					 and collaboration provided the following conditions are met:
a. there is a formal, documented, approved
					 and enforceable organizational policy that allows and provides for designation
					 of an alternate collaborating physician;
b. the organizational policy establishes and
					 provides for documenting such designation and such documentation shall be made
					 available to board representatives when requested, including the dates of the
					 designation and name of the alternate collaborating physician(s);
c. the alternate collaborating physician
					 agrees to the provisions of the collaborative practice agreement previously
					 signed by the collaborating physician(s);
d. the collaborating physician and APRN are
					 responsible for insuring that the documented organization policy is established
					 and that such policy and any ACP meet the requirements of this Chapter;
					 and
e. the ACP is designated to
					 collaborate with the APRN only at the same practice site as the designating
					 CP.