ADVANCED
REGISTERED NURSE PRACTITIONER (ARNP)
PROTOCOL
I.
Requiring Authority:
A. Nurse Practice
Act, Florida Statutes; Chapter 464; Medical Practice Act Florida Statutes, Chapter 458; Florida Administrative Code, Chapter
64B9-4, Administrative Policies Pertaining to Certification of Advanced Registered Nurse Practitioners. See 64B9-4.010 Standards for Protocols
II.
Parties to Protocol:
[Name], A.R.N.P.
Certificate
#:
[Name], M.D.
License
#:
III.
Nature of Practice/Practice Sites:
A. General Area of Practice: Psychiatric/Mental Health
B. Practice locations:
IV.
Management areas for which the ARNP is responsible:
A. The conditions
for which the ARNP may initiate treatment include all psychiatric/mental health disorders.
B. Treatments
that may be initiated by the ARNP, depending on the patient condition and judgment of the ARNP, include individual, group
and family evaluation and management of psychiatric or mental health services.
C. Medication Management.
The ARNP may prescribe the following classes of medications
Antipsychotics
Antidepressants
Antimanic agents (mood stabilizers)
Antianxiety agents (non-controlled)
Anticholinergics
Alpha Inhibitory Agonists
Nicotinic Receptor Agonists
Nonsteroidal anti-inflammatory
agents
Antiepileptic agents
Antihistamines/Antipyretics
Anti-nausea/Antiemetics
Thyroid medications for psychiatric
treatment only
Anti-inflammatory/Topical Agents
Other specific medications
as deemed appropriate by the ARNP and the Physician.
The ARNP may not prescribe
controlled substances in accordance to Florida law.
V.
Description of the Duties of the Parties:
A. Duties of the Physician: The physician shall provide general
supervision for psychiatric diagnosis and treatment for adult and children,
and provide consultation and/or accept referrals for complex mental health problems.
The physician shall be available by telephone or by other communication device when not physically available on the
premises. The physician will be responsible for providing designated physicians
to serve as backup for consultation, collaboration and/or referral purposes, if he is unavailable.
B. Duties of the ARNP: This collaborative agreement is to establish and maintain a practice model in which
the ARNP will provide mental health care services under the general
supervision of the physician. The ARNP may manage the mental healthcare for those patients for whom she has been educated.
The ARNP may interview and diagnose clients and record health histories to include but not limited to psychiatric evaluations,
mental status exams, physical and developmental assessments, order appropriate diagnostic tests, diagnose behavioral health
problems, manage the mental health care of those clients for which she has been educated, provide health teaching and counseling,
initiate referrals and maintain health records. Other evaluations or certifications
that may be initiated are those described in the Baker and Marchman Acts under applicable Florida law.
VI.
Specific conditions an Requirements for Direct Consultation:
With respect to specific conditions
that require direct evaluation, collaboration and/or consultation by the physician, the following will serve as a reference
guide of patients to be discussed with the Physician by the ARNP:
1. Any
patient requiring involuntary hospitalization under the Baker Act criteria
2. Any
patient presenting with a neurological condition, or acute change in mental status
or psychiatric condition
3. Any
patient threatening legal action or seeking forensic clinical assistance
4. Any
patient requiring intervention not consistent with this practice protocol
VII.
General:
This protocol shall be reviewed and filed with the Florida Board of Nursing upon licensure renewal. A copy shall
be kept at the practice site.
VIII.
All parties to this agreement share equally in the responsibility for reviewing treatment
protocols as needed, but not less than annually.
____________________________________
[NAME],
A.R.N.P.
Date
License
#
____________________________________
[NAME],
M.D.
Date
License
#
