Mentorship agreement/articulated plan in Colorado

vverg001 · Dec 22, 2016

I am on the same exact boat. I am actually in the process of obtaining provisional prescriptive authority as well and still looking for a mentor.

I see you RN · Jan 29, 2017

Since there was no response I ended up making my own. I'm uploading it just in case someone else could use it. Please note that I am hospital based, and my attending physician is there all day, every day.

Mentorship Agreement for Nurse Practitioner Prescriptive Authority
This mentorship agreement begins on January 25, 2017 and will be in force for 1,000 hours. The estimated date of completion is July 19, 2017. At the completion of the mentorship agreement the nurse practitioner and the physician mentor will complete an Articulated Plan for Prescribing, as outlined by the Colorado State Board of Nursing.
As part of the prescribing process, the nurse practitioner will:
1. Assess the patient to determine if medication administration is appropriate and safe using a risk vs. benefit model. Includes but not limited to signs/symptoms, vital signs, allergies, concurrent medications, and chronic/concurrent disease processes,
2. Determine the appropriate dosage using resources such as patient's condition, medication history, UpToDate, pharmacists, and physician,
3. Determine the length of treatment course and include orders for necessary monitoring labs as suggested by physician or current guidelines, and
4. Communicate plan of treatment with bedside nursing staff and patient.
Medication documentation will be completed in:
1. Existing hospital electronic medical record, and
2. Written or dictated daily patient charting.
Syncronous Communication:
1. If the nurse practitioner is unfamiliar with a medication or has questions or concerns regarding a specific patient condition, the supervising physician will be contacted prior to initiation of the treatment course.
2. The supervising physician will be updated on each patient's condition at a minimum of once a day either in care conferences or via dictated charting.
3. The supervising physician will be informed of medication decision making that includes consulting physicians.
4. A pharmacist may be consulted regarding contraindications, adverse effects, length of treatment course, and biomechanics.
_________________________________________
, AGACNP Date
_________________________________________
, M.D. Date

l&d4life · Feb 13, 2017

How long did it take for them to approve you rx authority application after submission? Should I apply for rx authority now while awaiting approval of my APN license through dora or should I wait. I figure I should wait since dora is so absent minded and I feel lke me not having my APN license yet is just giving them a reason to delay my rx authority application. This process is taking so long and DORA is very poor in turn around time. I've only dealt with tx bon before but they were a dream and very time oriented...dora bon not even close. So I dont want to be delayed anymore than i have to be.

I see you RN · Feb 14, 2017

I also moved from Texas, and was surprised at the difference between the two regulating bodies. There are advantages and disadvantages to both models, but I couldn't believe that they didn't do a background check on me. I think Colorado DORA really needs to get on that.

I don't see any disadvantages to applying for your prescription privileges now. I'm a new(ish) grad, so had to apply for the mentorship agreement first. It took a few weeks, but I've learned to build that lead time into my planning. I've never really had much contact with DORA. I pay my fee, accept that it's going to take forever, and eventually stuff does show up.

l&d4life · Mar 13, 2017

Thanks for the feedback. I applied that day and recently inquired about the time to process the application because it has been a month now and the status is the same. He says 8-12 weeks. Honestly, they should both be 1 application since all new grads need both basically, but I rest my case. I fine the prescriptive authority kind of confusing--can you shed any light on the process/progression of rx authority. I think I applied for provisional and I have 1 year from the time the provisional rx authority is approved to find an actual mentor..and from the time I find an actual mentor I have 3 years to complete those hours and then I can applied for FULL rx authority once I have the mentored hours? Is that right? I'm a new grad and having trouble finding a job and the interviews I have had require you to have (?provisional) rx authority. I graduated in dec '16, passed boards jan '16, APN per co feb '16

firepmhnp · Aug 23, 2019

I know it's been years since anyone posted here I'm in the phase of trying to move to Colorado. I'm currently in a state requiring a collaborative physician, and have worked with her for 2 and a half years, well over the 1,000 hours.

Once I move to Colorado, would I still need to get the provisional prescriptive privilege and get the 1,000 hours with a CO physician or NP in order to get full prescriptive privilege?

Oldmahubbard · Aug 23, 2019

7 hours ago, firepmhnp said:
I know it's been years since anyone posted here I'm in the phase of trying to move to Colorado. I'm currently in a state requiring a collaborative physician, and have worked with her for 2 and a half years, well over the 1,000 hours.
Once I move to Colorado, would I still need to get the provisional prescriptive privilege and get the 1,000 hours with a CO physician or NP in order to get full prescriptive privilege?

That information is probably on the CO website or you could call the BON.