N5350 Roles Final Study Guide QUESTIONS AND CORRECT ANSWERS

N5350 Roles Final Study Guide QUESTIONS AND CORRECT ANSWERS 1. What are the 4 settings for prescriptive authority? Describe the requirements in each setting for physician supervision, # of NPs, chart review, and any other special requirements in that site. - Answer 1. Medically Underserved 2. Physician Primary Site 3. Physician Alternate Site 4. Facility Based Practice Site. * General requirements per TBON rule 222.5: regular visits, chart review as determined by APRN & physician, periodic face to face meeting of APRN & physician to discuss pt care & improvement. 1a) Medically Underserved - Answer *site must be official, physician must be reachable by phone & must be provided with daily status report of any major problems outside of the protocol. *must have protocols. 1b) Physician Primary Practice Site - Answer * Must have protocols. *Sign drug orders only for pts whom the MD has/will establish a relationship. *alternate MD may delegate. *MD may delegate to no more than 7 APNS or PAs. *Physician on-site visits should be 50% of the time according to BME. 1c) Facility Based Practice - Answer *Must be physically present in facility (hospital or long term facility). *Physician must give prior consent. *Delegation only at > one hospital or > 2 long term care facilities - now it is 7 FTEs. *Long term care-only 4 APNs (APRNs) or 4 PAs or their FTE equivalent - now it is 7 FTE & approved by Chief Physician of Facility. *Protocol signed by the Chief Physician. 1d) Physician Alternate Site - Answer *No longer in effect. 2. The FOUR Approved Categories of APN in TX? - Answer *CRNA, NP, CNS, and CNM 3. NP requirements by BON for approval of license/ AP recognition each biennium. - Answer *Current valid RN licensure. *400 hours of current clinical practice. *20 hours of CEs. *8 hours of continuing education in pharmacotherapeutics. *Current board certification. *Separate application for dual roles.