[NPInfo] BON visits- institutional dysfunction in N.C.

[Paula Sumner]

hERE ARE THE 6 MONTH RULES FOR NC NPS:
  Quality Improvement Process:
  (1)           The primary supervising physician and the nurse practitioner shall develop a process for the ongoing review of the care provided in each practice site including a written plan for evaluating the quality of care provided for one or more frequently encountered clinical problems.
  (2)           This plan shall include a description of the clinical problem(s), an evaluation of the current treatment interventions, and if needed, a plan for improving outcomes within an identified time-frame.
  (3)           The quality improvement process shall include scheduled meetings between the primary supervising physician and the nurse practitioner at least every six months.  Documentation for each meeting shall:
  (A)          identify clinical problems discussed, including progress toward improving outcomes as stated in Subparagraph (d)(2) of this Rule, and recommendations, if any, for changes in treatment plan(s);
  (B)           be signed and dated by those who attended; and
  (C)           be available for review by members or agents of either Board for the previous five calendar years and be retained by both the nurse practitioner and primary supervising physician.
  (e)  Nurse Practitioner-Physician Consultation.  The following requirements establish the minimum standards for consultation between the nurse practitioner/primary or back-up supervising physician(s):
  (1)           During the first six months of the initial collaborative practice agreement, there shall be: 
  (A)          review and countersigning of notations of medical acts by a primary or back-up supervising physician within seven days of nurse practitioner-patient contact.
  (B)           meetings with the primary supervising physician on a weekly basis for one month after approval to practice is received and at least monthly for a total of six months.
  (2)           During the first six months of a subsequent collaborative practice agreement between a nurse practitioner previously approved to practice and a different primary supervising physician, there shall be meetings with the new primary supervising physician monthly for the first six months.
  (3)           Documentation of the meetings shall:
  (A)          identify clinical issues discussed and actions taken;
  (B)           be signed and dated by those who attended; and
  (C)           be available for review by members or agents of either Board for the previous five calendar years and be retained by both the nurse practitioner and primary supervising physician.
   
  

Margienp at aol.com wrote: 
  


I obtained my NC license and it took a long time, then I found out that we 
can not write scripts for 6 months? and have to be reviewed by the BOM. I have 
never been able to get a clear answer of some of the procedures in the state.
Needless to say I have not moved there yet.
margie

In a message dated 11/6/2007 4:37:37 P.M. Eastern Standard Time, 
np at c-zone.net writes:

So then, the Doctors of N. C. have their little BSN'er fascist collaborators
who do their dirty work looking for little hypertechnical 'gotchas' to try
to burn 'Nurses' who are so uppity as to try to practice medicine?!
Wouldn't their talents as RNs be better used providing education to the
public about healthy lifestyle choices, combating domestic violence, etc. ?

----- Original Message ----- 
From: 
To: "NP Info" 
Sent: Tuesday, November 06, 2007 12:41 PM
Subject: RE: [NPInfo] BON visits
> Dena,
> It is because in our backasswards state, the Medical Board rules.
PHysician supervisory statutes are virtually identical for NP's and PA's.
The actual auditing (and potential disciplinary actions) is the function of
the NC Medical Board. There is a joint committee of the BON and the Medical
Board but it appears to me that our nursing members are ineffectual in
promoting our cause. So, the "they" in Paula's post is the medical board.
> Regards,
> Michael
> ---- Dena wrote:
> > Paula--
> > Why on earth would the BON be auditing PAs????????
> > Dena Galler
> > -----Original Message-----
> > From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On
Behalf
> > Of Paula Sumner
> > Sent: Monday, November 05, 2007 6:57 PM
> > To: NP Info; np-clinical at nurse.net
> > Subject: Re: [NPInfo] BON visits

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Paula J. Sumner RN, MSN, HTP, CHt
Healing Touch, Hypnotherapy, Emotional Freedom Technique, Reiki-2

919-969-9725

http://paulajsumner.byregion.net  Referral ID#10102918

http://www.justanswer.com/home.asp?r=HolisticNurse&bn=2

http://www.letstalkcounseling.com/sites/paulasumner
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