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DRAFT Saskatchewan College of Pharmacists TEMPLATE COLLABORATIVE PRACTICE (Prescribing) AGREEMENT Elements Summary from the SCP Framework for Developing a Safe and Functional Collaborative Practice

How to fill out collaborative practice prescribing agreement

1. To fill out a collaborative practice prescribing agreement, start by obtaining the necessary form from your relevant state or national regulatory body.
2. Review the instructions provided with the form to ensure you understand the requirements and purpose of the agreement.
3. Complete the personal information section of the agreement, including your name, contact information, and professional credentials.
4. Provide details about your collaborating physician or healthcare provider, including their name, contact information, and professional credentials.
5. Specify the scope of your collaborative practice by outlining the types of medications or treatments you are authorized to prescribe.
6. Include any additional limitations or restrictions on your prescribing authority, if applicable.
7. If required, indicate any specific protocols or guidelines that you and your collaborating physician will follow in the prescribing process.
8. Sign and date the agreement, and ensure that your collaborating physician also signs and dates it.
9. Make a copy of the completed agreement for your records, and submit the original to the appropriate regulatory body or organization.
10. Remember to renew or update your collaborative practice prescribing agreement as necessary to comply with any regulatory requirements.

As for who needs a collaborative practice prescribing agreement, healthcare professionals who are authorized to prescribe medications but are not independently licensed to do so may require such an agreement. This often includes nurse practitioners, physician assistants, or other advanced practice providers. Collaborative practice agreements help ensure patient safety and provide a framework for collaboration and communication between different healthcare providers involved in a patient's care. Additionally, regulatory bodies or organizations may require healthcare professionals to have a collaborative practice prescribing agreement in order to practice and prescribe medications within their jurisdiction.

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What is collaborative practice prescribing agreement?

A collaborative practice prescribing agreement is a legal document that allows a nurse practitioner to collaborate with a physician or healthcare provider to prescribe medications.

Who is required to file collaborative practice prescribing agreement?

Nurse practitioners are required to file collaborative practice prescribing agreements.

How to fill out collaborative practice prescribing agreement?

Collaborative practice prescribing agreements can be filled out by including the required information such as names of the nurse practitioner and collaborating physician, scope of practice, medications authorized to be prescribed, etc.

What is the purpose of collaborative practice prescribing agreement?

The purpose of collaborative practice prescribing agreements is to ensure proper collaboration between nurse practitioners and physicians in prescribing medications.

What information must be reported on collaborative practice prescribing agreement?

Information that must be reported on collaborative practice prescribing agreements include names of the nurse practitioner and collaborating physician, scope of practice, medications authorized to be prescribed, etc.

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