In the case of agreements reached on September 1, 2019 or after September 1, 2019, the length of time a delegate spent with a physician under a supervised standardization agreement no longer matters as to how often the parties must engage in the standardization agreement. These participants must meet at least monthly, regardless of the length of their meeting as part of an agreement on the standards authority. It depends on when the agreement is being implemented. In the case of agreements on the provision adopted before September 1, 2019, certain factors, such as the nature of the delegated licence and the length of the exercise under an agreement, determine the frequency and nature of the meetings required. In such agreements, the period practiced by an APRN or PA under the delegated deleterious authority of a physician as part of an agreement on the authority of the prescribed authority, which is practiced before November 1, 2013 under the delegated prescribed authority of the same physician. It depends on when the agreement is being implemented. Note that there have been several legislative changes in this area in recent Parliaments. To understand how the law might apply to your situation, you can seek the advice of a private lawyer. For agreements reached on September 1, 2019 or after September 1, 2019, personal meetings are no longer strictly necessary and how meetings can be conducted is determined by the parties to the agreement.

This may require the physical presence of participants in the same room or remote methods, including teleconferencing or video conferencing. The AAP is one of two possible written documents by which physicians delegate the prescribing power to an APRN and/or a medical assistant (PA). Requirements for physicians, NPAs and AAP patients are included in Texas Medical Council Rule 193.7 (TMB). The specific rules for APRNs, which are parties to an AAP, are in Texas Board of Nursing (BON) rule 222.5. Yes. Before signing an agreement through the Standards Management Authority, you must disclose to the other party/party the agreement on the required authority if you have been disciplined in the past. These include disciplinary measures taken by admission bodies in other states. As soon as you are a party to an agreement on a standards authority, you are required to immediately notify the other party/part of the agreement if you receive notification that you are under investigation. For any agreement executed by the Standards Authority on 1 September 2019 or after 1 September 2019, the agreement must be at a minimum: [2] If the APRN has delegated the normative authority and that authority has actively used that authority for five of the last seven years, the monthly meetings must be personal for one year.

If the NRNPA does not meet this requirement, the NRPA and the physician must meet in person for three years. Subsequently, the physician and the APRN must meet quarterly, with monthly meetings in the meantime, using a telecommunications method that allows for real-time communications, such as secure video conferencing (22 TAC 193.8[11] and 22 TAC No. 222.5[d]). CNAP creates a Sample Prescriptive Authority Agreement and Sample Facility-Based Protocols. For full information on normative authority and many other practical questions for APRNs, buy A Guide for APRN Practices in Texas. All three documents can be purchased online. A physician, a nurse registered in an advanced office or a medical assistant must have an active license for the practice of a practice that is not suspended, delinquent or otherwise subject to a disciplinary decision expressly prohibiting the licensee from entering into an agreement by the standards authority. APRNS should follow instructions from the Texas Board of Nursing on how to register their delegated physicians, as the Medical Board does not have authority for nurses.