N5350 LEGAL PARAMETERS NEW EXAM QUESTIONS AND
100% VERIFIED 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: routine 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.
*mus 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 ie 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 &
100% VERIFIED 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: routine 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.
*mus 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 ie 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 &
