When prescribing drugs, cooperation and a written protocol with a doctor are necessary. The protocol should address certain points, including consultation when prescribing controlled substances and the availability of the doctor. N.J. State Board of Medical Examiners Laws § 45: 11-49 (b) e. The delegation agreement must contain, among other things, the following provisions: NPs are recognized as family physicians in state policy. The primary care physician includes the following authorized persons: physician assistants, nurses, and advanced midwives whose professional practice includes the provision of primary care, including internal medicine, family medicine, geriatric care, pediatric care, or obstetric/gynecological care. N.J. Reverend Stat. §30:4D-8.2 As of August 2018, 135 NPs from New Jersey had received a federal waiver for the treatment of opioid addiction with products containing buprenorphine. In accordance with their prescribing authority and appropriate training or experience, NPs may receive a federal exemption for the supply of products containing buprenorphine provided that the supervising physician is certified, trained or authorized to treat patients with opioid use disorder. N.J.
State Board of Medical Examiners Laws § 45:11-49 (c) This delegation agreement must be retained at the place of primary practice and submitted to the Physician Assistants Advisory Committee by mail within 30 days of the commencement of employment. In the case of a medical practice with several specialties, a written delegation agreement may be concluded for each medical specialty within the practice, provided that it is signed by all delegating physicians who supervise the physician`s assistant in that specialty. Note: The execution of a global written delegation agreement between a medical assistant and a medical practice with multiple specialties is not permitted. (2) Determine whether the supervising physician requires a personal review of all patient charts and records and a cross-teaching by the supervising physician of all medical services provided under the delegation agreement, including the prescribing and administration of drugs in accordance with section 10 of P.S.1991, c.378 (C.45:9-27.19). This provision specifies the specified period during which an examination and countersignature by the supervising physician must be carried out. If verification and countersignature are not required, this provision must be expressly stated in the agreement; and (3) places of practice where the physician`s assistant may practise under the delegation agreement, including authorized facilities where the physician authorizes the physician`s assistant to provide medical services. A PA may perform tasks and responsibilities delegated by the supervising physician if the service is within the scope of the PA`s capabilities and under supervision. N.J. Reverend Stat.
§45:9-27.16 (1) states that the physician supervises the physician`s assistant in accordance with the provisions of P.L.1991, c.378 (C.45:9-27.10 et seq.) and all rules issued by the Commission; An NP must work with a physician to obtain privileges of prescriptive authority. The NP must consult with the supervising physician when prescribing controlled substances, and the NP must undergo training in pharmacology related to controlled substances. N.J. State Board of Medical Examiners Laws § 45:11-49 (c) A PA may prescribe Schedule II to V controlled substances if approved by the supervising physician. N.J. Reverend Stat. §45:9-27.16, N.J. Rev. Stat. §45:9-27.19 8. d. A physician who supervises a physician assistant may maintain a written delegation agreement with his or her physician assistant.
A physician`s assistant must sign a separate written agreement with each physician who delegates medical services in accordance with clause (d). article 7 of P.L.1991, c.378 (C.45:9-27.16). However, a written delegation agreement may be concluded by a specialized practice, provided that it is signed by all the delegating physicians supervising the physician`s assistant. In the case of a medical practice with several specialties, a written delegation agreement may be concluded for each medical specialty within the practice, provided that it is signed by all delegating physicians who supervise the physician`s assistant in that specialty. Nothing in this article authorizes the holder to enter into a comprehensive written delegation agreement between a physician`s assistant and the office of a multi-specialty physician. The agreement must: (1) the role of the physician assistant in practice, including all specific aspects of care that require prior consultation with the attending physician; Appropriate supervision is established at the practice level between the physician and the PA. N.J. Reverend Stat. §45:9-27.18 In accordance with P.L. 2015 c.224, a delegation agreement may be signed by a specialized practice, provided that it is signed by all delegating physicians supervising the physician`s assistant.
Philip Murphy, Governor of New Jersey, signed Executive Order No. 112 on April 1, 2020, authorizing the New Jersey Division of Consumer Affairs (DCA) to temporarily reactivate the licenses of recently retired medical professionals and grant temporary licenses to licensed physicians overseas. .