The Society of Nurses in Advanced Practice is a professional organization developed to support advanced nursing practice in Northwest Indiana.
Please note the updated IHSAA form that was released today: PRE-PARTICIPATION PHYSICAL
EVALUATION FORM (PPE) (PDF format). It expressly permits PA and NP signature.
Angi Thompson FNP-C, CDE, BC-ADM
CAPNI Legislative & Health Policy Director
CAPNI Member Update: IHSAA
April 23, 2016
CAPNI has been working diligently on the IHSAA issues. We have met with AANP, who has provided advice and will continue to do so. We have had consultation with individuals, practices, organizations and institutions affected by this issue. We have communicated with other stakeholders and IHSAA. Recently, Indiana Association of Physician Assistants (IAPA) has made the recommendation that PA’s refrain from performing pre-participation exams (PPE).
Unfortunately, we continue to receive conflicting information from IHSAA. Commissioner Cox has stated that PPE are to be done only by a physician. An assistant commissioner has said that APN’s may do PPE, as long as a physician signs the form. This raises another area of ambiguity. When the physician signs the documentation form of the exam done by another provider, is he/she stating that this physician has a relationship and duty to care with this patient?
There has been discussion about the IHSAA bylaws section that states PPE are to be done by or certified by a physician. There is no working definition of “certified by a physician”. Does this mean the physician needs to also see the patient or verbally staff the visit with the APN? If the latter is the case, does the verbal staffing occur immediately, in which case a physician must be on site at the time of the exam, or can it be delayed? If it is delayed, what are the time parameters? There is nothing in the bylaws that clarifies this.
Based on these unresolved issues, CAPNI’s stance is that APN’s not perform PPE, until IHSAA changes its position and provides clarity to the ambiguities that exist between IHSAA its bylaws, forms, website statements and communication from its staff. CAPNI is not providing legal advice to its members on this matter and it is up to the individual APN to decide whether to perform PPE. Rather we request your support and solidarity in our lobbying efforts regarding this matter.
Future action plans are described below.
- A meeting with other stakeholders, including retail clinics, IAPA and others is scheduled next month.
- We are requesting organizations, groups and practices who are affected by IHSAA restrictive bylaws to send a written paper explanation on their letterhead to CAPNI. If this applies to you please send it to CAPNI Indianapolis address.
Attention Cathy Cooper
125 West South Street
PO Box 306
Indianapolis, IN 46206
- There will be ongoing communication with IHSAA and we will keep membership informed of that communication.
- There is now a PPE documentation form for elementary and middle school students and for camp physicals on the CAPNI website. These students are not under the jurisdiction of IHSAA. This form may be downloaded for your use and can be found under the Practice Issues tab.
Cathy Cooper FNP, President CAPNI
Nurse Practitioner Associates for Continuing Education (NPACE) provides practical, evidence-based continuing education conferences and professional enrichment for NPs and APRNs with a focus on primary care and pharmacology.
NPACE offers conferences throughout the year all over the US. In addition to conferences, we offer online classes and monographs. NPACE is a 501(c)(3) non-profit organization founded in 1980.
Nurse Practitioner Associates for Continuing Education (NPACE) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
2016 Summer/Fall Conference Schedule:
Primary Care Conference with Workshops
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Primary Care Conference and
Primary Care Conference with Workshops
Bryna Davidow, Marketing & Outreach Manager
209 West Central St., Suite 228, Natick, MA 01760
508-907-6424, ext. 222
Article printed inthe NWI Times newpaper on February 11, 2016
Thank you from the Sojourner Truth House
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NPs and Wt Loss Drug Prescriptions
- General authority to prescribe is evidenced by inclusion on the prescription of the prescriber's title and state-issued Rx #, and as outlined in the prescriber's collaborative practice agreement
- Authority to prescribe controlled substances includes Schedule II-V unless expressly prohibited in the prescriber's collaborative practice agreement; state registration requirements (in addition to federal DEA registration) are contained in rules
- Authority to prescribe controlled substances does not extend to prescriptions for purposes of weight management.