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From: maria restrepo (vickyillera@yahoo.com)
Thu Mar 30 17:53:53 2006


>From ritakuc@comcast.net Thu Mar 30 18:53:50 2006
Received: from rwcrmhc13.comcast.net (rwcrmhc13.comcast.net [216.148.227.153]) by dns.obgyn.net (8.11.6/8.11.6/dsb-1.1) with ESMTP id k2V0rki28240 for <ob-gyn-l@obgyn.net>; Thu, 30 Mar 2006 18:53:46 -0600 Received: from mom (c-67-164-129-136.hsd1.tx.comcast.net[67.164.129.136]) by comcast.net (rwcrmhc13) with SMTP id <20060331005343m13005kuube>; Fri, 31 Mar 2006 00:53:43 +0000 Message-ID: <000e01c6545d$94256c10$0d02a8c0@mom> From: "Rita Kucmierz" <ritakuc@comcast.net> To: <ob-gyn-l@obgyn.net> References: <205.12d4eaa7.315c6310@aol.com> Subject: Re: Protocols for NPs Date: Thu, 30 Mar 2006 18:53:51 -0600 MIME-Version: 1.0 Content-Type: multipart/alternative; boundary="----=_NextPart_000_000B_01C6542B.4930CE20" X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 6.00.2900.2527 X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.2527

Many state nursing boards have different rules regarding physician delegation and physician consultation. You have to look at each state's laws regarding delegation and consultation. Some states are very strict and there are others that do not require any physician delegation or consultation. I , for one, would like to see it be the same from state to state. This excerpt is taken from the Texas Nurse Practitioners Association web site:

2. Physicians must still delegate prescriptive authority and APNs and their delegating physicians must still develop, annually review, sign, and date protocols that specify the medical aspects of care the physician delegates. (To order a sample delegation protocol, see http://www.cnaptexas.org/cnap_publications/protocolfrm.pdf).

The above delegation protocol does have a charge but I found it well worth the money as it met all state board requirements and I just had to plug in a few bits of information or N/A's here and there. You may wish to "Google" the Nurse Practitioner Association and also the Board of Nursing for the particular state you are working in.

--
Rita Kucmierz MSN RN-C WHNP
Dallas, TX

> ----- Original Message ----- From: JSBowpat@aol.com To: Multiple recipients of list OB-GYN-L Sent: Wednesday, March 29, 2006 4:26 PM Subject: Re: Protocols for NPs

You may want to consider Nell Tharpe CNM RNFA's clinical guidelines book.

2006-2009 Clinical Practice Guidelines for Midwifery & Women’s Health presents a compilation of current practices that includes evidence-based, traditional, and empiric care from a wide variety of sources. Each Guideline moves through problem identification and treatment using a standardized format for day-to-day clinical practice with diverse populations. The Guidelines are currently in use by many practices as a way of meeting the American College of Nurse Midwives (ACNM) recommendations, and are acceptable for collaborative practice with physician colleagues.

Just a suggestion ....

Susan Paterson CNM

Bay City MI





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