Nj Physician Assistant Collaborative Agreement

The deci­sion broad­ens the scope of prac­tice of advanced med­ical nurs­es (“PA”), tem­porar­i­ly accept­ing med­ical con­trol oblig­a­tions and allow­ing them to pre­scribe safe con­trolled sub­stances (SDCs) inde­pen­dent­ly. The Pales­tin­ian Author­i­ty may per­form func­tions and tasks entrust­ed by the super­vi­so­ry physi­cian when the ser­vice is under the respon­si­bil­i­ty of the Pales­tin­ian Author­i­ty and under con­trol. N.J. Rev Stat. 45:9–27.16 The objec­tive of this exec­u­tive order is to increase the num­ber of health pro­fes­sion­als avail­able for the treat­ment of patients dur­ing the COVID-19 emer­gency who are ready to treat patients and allow NPAs and APAs to be treat­ed inde­pen­dent­ly of physi­cians dur­ing the Covid-19 emer­gency. Gov­er­nor Mur­phy is tak­ing aggres­sive steps to make the state of New Jer­sey bet­ter pre­pared if the num­ber of doc­tors cur­rent­ly active in New Jer­sey is not enough to treat the grow­ing num­ber of patients with COVID-19. This exec­u­tive order fol­lows pre­vi­ous steps tak­en by the state to expand access to telemed­i­cine ser­vices, and Rut­gers Uni­ver­si­ty, which a month ear­li­er con­clud­ed 192 stu­dents from the New Jer­sey School of Med­i­cine. These mea­sures allow more health pro­fes­sion­als, includ­ing NPAs and PAs, to pro­vide essen­tial ser­vices dur­ing the COVID 19 pan­dem­ic, with­out a large num­ber of the reg­u­la­to­ry restric­tions imposed on these licensees gen­er­al­ly imposed. The Col­lege tem­porar­i­ly repeals the require­ment for PNs to coop­er­ate with a coop­er­at­ing physi­cian and removes require­ments for med­ical coop­er­a­tion and the sign­ing of med­ical charts, autho­riza­tion to issue anes­thet­ics for chron­ic pain treat­ment or detox­i­fi­ca­tion, and iden­ti­fi­ca­tion of med­ical ser­vices nec­es­sary to treat sub­stance use dis­or­ders. The deci­sion removes the restric­tions and oblig­a­tions of doc­tors in mon­i­tor­ing EPAs and removes the require­ment for del­e­ga­tion agree­ments for EPAs.

A PA may pre­scribe sched­uled sub­stances II‑V if approved by the super­vis­ing physi­cian. N.J. Rev Stat. 45:9–27.16, N.J. Rev. Stat. 45:9–27.19 Since August 2018, 135 NPs in New Jer­sey have received a fed­er­al excep­tion to treat opi­oid depen­dence with prod­ucts con­tain­ing buprenor­phine. In accor­dance with their nor­ma­tive author­i­ty and with appro­pri­ate train­ing or expe­ri­ence, NPNs may receive a fed­er­al waiv­er to dis­trib­ute prod­ucts con­tain­ing buprenor­phine as long as the super­vis­ing physi­cian is cer­ti­fied, trained or autho­rized to treat and treat patients with opi­oid use dis­or­ders. N.J.

State Board of Med­ical Exam­in­ers Laws .45:11–49 © Appro­pri­ate mon­i­tor­ing is estab­lished at the office lev­el between the physi­cian and the AP. N.J. Rev Stat. 45:9–27.18 New Jer­sey Gov­er­nor Philip Mur­phy signed Exec­u­tive Order 112 on April 1, 2020 and autho­rized the New Jer­sey Con­sumer Affairs Divi­sion (DCA) to tem­porar­i­ly reac­ti­vate the licens­es of recent­ly retired health care pro­fes­sion­als and to grant tem­po­rary licens­es to physi­cians licensed abroad. The exec­u­tive order also allows nurs­es and med­ical assis­tants (APNs) and med­ical assis­tants (PAs) with tem­po­rary licens­es in New Jer­sey to per­form ser­vices inde­pen­dent­ly with­out the col­lab­o­ra­tion or super­vi­sion gen­er­al­ly required with a physi­cian. Final­ly, the exec­u­tive order grants broad civ­il immu­ni­ty to health care pro­fes­sion­als and insti­tu­tions that faith­ful­ly pro­vide ser­vices as part of COVID-19‘s response efforts in New Jer­sey. An NP must work with a physi­cian to give autho­riza­tions for the pre­scribed autho­riza­tions. The NP must con­sult with the super­vi­sor to pre­scribe con­trolled sub­stances and the NP must com­plete phar­ma­col­o­gy train­ing in rela­tion to con­trolled substances.

NPs of the N.J. State Board of Med­ical Exam­in­ers Laws .45:11–49 © NPs are rec­og­nized as pri­ma­ry ser­vice providers in state poli­cies. The pri­ma­ry care provider includes the fol­low­ing cer­ti­fied indi­vid­u­als: physi­cians, med­ical assis­tants, nurs­es whose pro­fes­sion­al prac­tice includes the pro­vi­sion of pri­ma­ry med­i­cine, includ­ing inter­nal med­i­cine, fam­i­ly med­i­cine, geri­atric care, pae­di­atric or obstet­ric care.