Medical
Nurse Practitioner Collaborative Agreement in Pennsylvania
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Nurse Practitioner Collaborative Agreement in Pennsylvania

1
Choose a Collaborating Physician
2
Gather Professional Details of Nurse Practitioner & Collaborating Physician
3
Draft the Collaborative Practice Agreement
4
Review Scope of Practice
5
Outline Method of Communication and Decision-Making Process
6
Define Quality Assurance Measures in Agreement
7
Approval: Collaborating Physician
8
Mutual Signing and Dating of Agreement
9
Submit Agreement to the Pennsylvania Board of Nursing
10
Waiting for Pennsylvania Board of Nursing Approval
11
Approval: Pennsylvania Board of Nursing
12
Receive Confirmation of Approved Agreement
13
Implement the Agreement in Healthcare Setting
14
Communicate Responsibilities to Healthcare Team Members
15
Review the Agreement at Regular Intervals
16
Amend Agreement If Necessary
17
Approval: Amendment to Agreement if Necessary
18
File Amendment to Pennsylvania Board of Nursing
19
Keep a Current Copy of the Agreement at Practice Location