The Nurse Practitioner’s Place

Hello there from The Nurse Practitioner’s Place! I was busy looking over my links and visiting several that I have neglected due to school issues. Now that I’ve finished, you will all be getting a visit from me soon!
While I was clicking, I also visited The Scrubs Gallery (that nice blue ad over there on the sidebar). I was very surprised at it’s freshness of appearance and it’s ease of use. I recently had need of a lab coat for my other job and decided to give them a try. You can enter by company name ( I like Cherokee) and all products will come up for your perusal. It even has a button on some that you can click to find matching pants or tops which is pretty cool.
I especially liked that you can get a close up look at the colors and prints before you buy. They even have some really nice white uniforms for those of us who like the “old style look” with a nice, new flare. (Whoops! Not dating myself, just think white looks slightly more professional)
So, for your scrubs needs, go on over and check them out! I’m sure you won’t be disappointed.

Below is a diabetes partnership agreement that I found on I changed the wording to say health care provider instead of physician to include nurse practitioners because we provide the same care for diabetics. Hope it is helpful. I think that it is a great template for other health issues as well.

Patient-health care provider partnership agreement for diabetes management

OBJECTIVE
To better manage your diabetes through a patient-physician partnership and goal setting.

REASON
Medical research and clinical experience have shown that optimal management of diabetes significantly reduces the known
complications of this disease, including blindness, heart attack, kidney failure and loss of a limb.

EXPECTATIONS
You can expect your physician to provide the following services, which are an essential part of diabetes management.
• OFFICE VISITS - every three months for reviewing your progress.
• MONITORING - blood pressure, other vital signs, foot examination and A1C.
• ANNUAL SCREENING - lipids, microalbuminuria (test for kidney protein), eye examination and monofilament testing (sensory
examination of feet).
PERSONAL GOALS
Weight/Body Mass Index: Current:________/________ Ideal:________/________
A1C (< 6.0 percent): Current:__________ Goal for 6 months:__________
Blood pressure (< 130/80 mm/Hg): Current:__________ Goal:__________
Total cholesterol (< 200 mg/dl): Current:__________ Goal:__________
LDL (< 100 mg/dl): Current:__________ Goal:__________
YOUR RESPONSIBILITIES
• Schedule follow-up appointments every three months or as indicated by your doctor.
• Monitor blood sugars at home at the agreed testing frequency: _____________________.
• Work toward attaining the personal goals noted above.

PATIENT SIGNATURE _________________________________________ Date:______________
HEALTH CARE PROVIDER SIGNATURE ______________________________________ Date:______________

ARNP Protocol
Requiring Authority:
A.Nurse Practice Act, Florida Statutes, Chapter 464
B.Florida Administrative Code, Rules Chapter 64B9-4 Administrative Policies Pertaining to Advanced Registered Nurse Practitioners

Parties to Protocol:
Your name, license number and Practice address
The doctor’s name, license number and practice address
Nature of Practice:
This collaborative agreement is to establish and maintain a practice model in which the nurse practitioner will provide health care services under the general supervision of Dr. XXX. This practice shall encompass family practice and shall focus on health screening and supervision, wellness and health education and counseling, and the treatment of common health problems.
Description of the duties and management areas for which the ARNP is responsible:

A. Duties of the ARNP:
The ARNP may interview clients, obtain and record health histories, perform physical and development assessments, order appropriate diagnostic tests, diagnose health problems, manage the health care of those clients for which she has been educated, provide health teaching and counseling, initiate referrals, and maintain health records.

B.The conditions for which the ARNP may initiate treatment include, but are not limited to:
Otitis media and externa, Conjunctivitis, URI, UTI, Sinusitis,
COPD, Asthma, Bronchitis, Diabetes Mellitus, CHF, HTN

C.Treatments that may be initiated by the ARNP, depending on the patient condition and judgment of the ARNP:
1.Mole removal
2.Incision and Drainage of abscesses.

Duties of the Physician:
The physician shall provide general supervision for routine health care and management of common health problems, and provide consultation and/or accept referrals for complex health problems. The physician shall be available by telephone or by other communication device when not physically available on the premises.

Specific Conditions and Requirements for Direct Evaluation:
The ARNP will maintain open and regular communication with Dr. XXX regarding the practice and patients and consult with Dr. XXX for conditions falling outside the scope of her ability to manage.

All parties to this agreement share equally in the responsibility for reviewing treatment protocols as needed and no less than annually. Practicing ARNPs must file a protocol at the time of renewal or when there are changes with the Board of Nursing. Alterations or amendments should be signed by all parties and filed with the Board within 30 days. Each party should keep a copy for each review period for a period of four years. The supervising physician is responsible for submitting a notice to the Board of Medicine that they have entered into a supervisory relationship with an ARNP.
____________________________/ ________________ License # ARNP
XXXXX, ARNP-BC

____________________________/____________ License #ME___________________
Dr. XXX, MD DEA # ________________________