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Discussion

CA NP practice question

What is the percentage of chart check a MD should perform for an NP in California? I know for PA its 5% in CA but I hear different numbers from different people for NP. There is confusion lately since MD supervision for NPF license was removed effective this January. Does that mean once a NP gets all NP/NPI/NPF/DEA licenses no supervised chart check is required from this January??

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    I'm not aware of any requirement for a percentage of NP chart to be checked by the collaborating physician in California. If there is a requirement, that is likely coming from a reimbursement standpoint and is mandated by insurance carriers (though I'm not also aware of any that do so). A physician in California may not enter a collaborative relationship with more than 4 NP's at a time.

    http://www.rn.ca.gov/pdfs/regulations/npr-i-25.pdf

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    Hi Reeya! So are NPs now independent in California? Do you all still need a collaborative agreement?

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    Hi Reeya! So are NPs now independent in California? Do you all still need a collaborative agreement?

    To be honest, I don't know? I don't think so. I want to ask the same question to Juan, are NP independent in CA? like in Arizona, New Mexico etc.

    Also, I got a letter from CA board that I need to take additional 3 cr hour pharm course to be able to prescribe schedule 2&2N drugs. My DEA was approved for other schedule drugs. Which CE pharm courses fulfills this board requirement. The board says it approves courses approved by CA NP Association but I don't see any pharm courses specific to schedule 2&2N.

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    To be honest, I don't know? I don't think so. I want to ask the same question to Juan, are NP independent in CA? like in Arizona, New Mexico etc.

    Also, I got a letter from CA board that I need to take additional 3 cr hour pharm course to be able to prescribe schedule 2&2N drugs. My DEA was approved for other schedule drugs. Which CE pharm courses fulfills this board requirement. The board says it approves courses approved by CA NP Association but I don't see any pharm courses specific to schedule 2&2N.

    NP's are not independent in California...the only state in the entire western coast that isn't (OR, WA, and AK are independent practice states). The requirement is that NP's have Standardized Procedures that must be entered into with a physician. A colleague of mine is a member of the California Association for Nurse Practitioners (I was too but I let it lapse) and their top agenda is to push for independent practice in the state. I will be signing up for membership just to support that.

    California has multiple rules regarding prescriptive authority for NP's and I will try to break it down:

    A. you must have a Furnishing License, separate from your RN and NP license.

    B. if you have to Furnish Schedule II-V, you have to have the following:

    a. DEA certificate

    b. Attend a board approved CEU on furnishing controlled drugs - the one you may have had in Pharm class does not qualify. CANP has a mail-in CEU that can meet this requirement and is offered at a discounted rate if you're a member.

    c. Send copies of both of a and b to the BRN and your furnishing license will be updated to show that you can furnish controlled drugs.

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    Hey Juan,

    Do you know if students can join the CA NP association? I want to join (and see if classmates want to join) to lend my support towards the push for independent practice in CA.

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    Hey Juan,

    Do you know if students can join the CA NP association? I want to join (and see if classmates want to join) to lend my support towards the push for independent practice in CA.

    sure, you can become a student member and the fees are lower than regular membership.

    https://canpweb.org

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    I joined CANP today. Thank you Juan for detail information.

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    When did they decide to make it there number 1 item? I was a member and they weren't doing a thing about establishing a scope of practice - big focus was whether non nurses could give Diastat in schools....!

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    Hi all, I am new to this board and have just been accepted into an FNP/DNP program. I have been curious as to which states do allow NP's to practice independently. I feel as the West coast has been very progressive in nursing all around and I am thinking ahead to graduation. I am from the West coast and will be attending school here but my husband would like to move back to the East coast. I just am not sure which are the best areas to begin my career as an FNP. Can anyone provide some insight or resources where I might find this info. Thanks!

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    According to the NCSBN website:

    States with independent NP practice

    West Coast - AK, WA, OR, HI

    West - AZ, CO, ID, MT, NM, ND, UT, WY

    Midwest - IA, WI

    South - AR, KY, OK, WV

    East - DC, ME, NH, VT

    States with independent NP prescribing

    All the above except for AR, KY, OK, WI, WV are not listed.

    Source: https://www.ncsbn.org/2567.htm

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    Thank you juan de la cruz! It's great to have such a wealth of resources here!

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