§ 18.55. Collaborative agreement.

 (a)  A collaborative agreement is the signed written agreement between a CRNP and a collaborating physician in which they agree to the details of the collaborative arrangement between them with respect to the care of CRNP patients.

 (b)  The collaborative agreement between a physician and a CRNP who will prescribe drugs shall satisfy the following requirements. The agreement shall:

   (1)  Identify the parties, including the collaborating physician, the CRNP and a substitute physician who will provide collaboration and direction for up to 30 days if the collaborating physician is unavailable.

   (2)  Identify the area of practice in which the CRNP is certified.

   (3)  Identify the categories of drugs from which the CRNP may prescribe or dispense in accordance with §  18.54 (relating to prescribing and dispensing parameters).

   (4)  Contain attestation by the collaborating physician that the physician has knowledge and experience with any drug that the CRNP will prescribe.

   (5)  Specify the circumstances and how often the collaborating physician will personally see the patient, based on the type of practice, sites of service and condition of the patient, whether the treatment is for an ongoing or new condition, and whether the patient is new or continuing.

   (6)  Specify the conditions under which the CRNP may prescribe a Schedule II controlled substance for up to 72 hours.

   (7)  Be kept at the primary practice location of the CRNP and a copy filed with the Bureau of Professional and Occupational Affairs.

   (8)  Be made available for inspection to anyone seeking to confirm the scope of practice of the CRNP.

   (9)  Be updated by the collaborating physician and the CRNP whenever it is changed substantively.

   (10)  Specify the amount of professional liability insurance carried by the CRNP.

 (c)  The CRNP shall notify the Bureau whenever a collaborative agreement of a CRNP who prescribes and dispenses drugs is updated or terminated.

   The provisions of this §  18.55 issued under section 15(b) of the Medical Practice Act of 1985 (63 P. S. §  422.15(b)); and section 2(1) of the Professional Nursing Law (63 P. S. §  212(1)).

   The provisions of this §  18.55 adopted November 17, 2000, effective November 18, 2000, 30 Pa.B. 5943; corrected December 29, 2000, effective November 18, 2000, 30 Pa.B. 6911. Immediately preceding text appears at serial pages (271693) to (271694).