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 A - General Provisions › Section XLV-7903 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. As used in this Chapter, the following terms shall
						have the meanings specified.
Act
-the Louisiana Medical Practice Act
						or Act,
						R.S.
						37:1261 et seq.
Advanced Practice Registered Nurse
or
APRN
-a licensed registered nurse who is licensed as an
						advanced practice registered nurse by the Louisiana State Board of
						Nursing.
Alternate Collaborating Physician
or
ACP
-a physician meeting the eligibility requirements of this
						Chapter who is designated to serve as collaborating physician, in accordance
						with §7911. A.5 of these rules, when the collaborating physician is
						unavailable.
Board
-the Louisiana State Board of
						Medical Examiners, as constituted in the Louisiana Medical Practice Act.
Clinical Practice Guidelines
-written or
						electronic documents, jointly agreed upon by the collaborating physician and
						APRN that describe a specific plan, arrangement, or sequence of orders, steps,
						or procedures to be followed or carried out in providing patient care in
						various clinical situations. These may include textbooks, reference manuals,
						electronic communications and Internet sources.
Collaborating Physician
or
CP
-a physician with whom an APRN has been approved to
						collaborate by the Louisiana State Board of Nursing, who is actively engaged in
						clinical practice and the provision of direct patient care in Louisiana, with
						whom an APRN has developed and signed a collaborative practice agreement for
						prescriptive and distributing authority. A CP shall hold a current, medical
						license issued by the board, or be otherwise authorized by federal law or
						regulation to practice medicine in this state, have no pending disciplinary
						proceedings and practice in accordance with rules of the board.
Collaboration
or
Collaborate
-a cooperative working relationship between a
						physician and APRN to jointly contribute to providing patient care and may
						include but not be limited to discussion of a patient's diagnosis and
						cooperation in the management and delivery of health care with each provider
						performing those activities that he or she is legally authorized to
						perform.
Collaborative Practice
-the joint
						management of the health care of a patient by an APRN performing advanced
						practice registered nursing and one or more consulting physicians. Except as
						provided in
						R.S.
						37:930, acts of medical diagnosis and
						prescriptions by an APRN shall be in accordance with a collaborative practice
						agreement.
Collaborative Practice Agreement
or
CPA
- a formal written statement addressing the parameters of
						the collaborative practice which are mutually agreed upon by an APRN and one or
						more physicians which shall include but not be limited to the following
						provisions:
a. availability of the collaborating physician for
						consultation or referral, or both;
b. methods of management of the collaborative practice
						which shall include clinical practice guidelines; and
c. coverage of the health care needs of a patient during
						any absence of the APRN or physician.
Controlled Substance
-any substance
						defined, enumerated, or included in federal or state statue or regulations  21
						CFR 1308.11-15  or
						R.S.
						40:964, or any substance which may hereafter
						be designated as a controlled substance by amendment or supplementation of such
						regulations or statute.
Fair Market Value
or
FMV
-the value in arms-length transactions, consistent with the
						general market value of the services provided.
LSBN
-the Louisiana State Board of
						Nursing, as constituted in
						R.S.
						37:911 et seq.
Physician
-an individual lawfully
						entitled to engage in the practice of medicine in this state as evidenced by a
						license duly issued by the board.
Practice Site
or
Site
-a
						location identified in a CPA or other documentation submitted by the APRN to
						the LSBN at which a CP or APRN engage in collaborative practice. A hospital and
						its clinics, ambulatory surgery center, nursing home, any facility or office
						licensed and regulated by LDH, as well as a group or solo physician practice,
						which have more than one physical location shall be considered a
site
for purposes of this definition.
Prescription
or
Prescription
						Drug Order
-an order from a practitioner authorized by law to prescribe
						for a drug or device that is patient specific and is communicated by any means
						to a pharmacist in a permitted pharmacy, and is preserved on file as required
						by law or regulation.
Unpredictable, Involuntary Reasons
-the
						death, disability, disappearance, unplanned relocation, or a similar
						unpredictable or involuntary reason.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270(B)(6).