The Society of Nurses in Advanced Practice is a professional organization developed to support advanced nursing practice in Northwest Indiana.


NEW!!:
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.

CAPNI
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.
www.npace.org

2016 Summer/Fall Conference Schedule:
Providence, RI
Pharmacology Update
July 21-22

Indianapolis, IN
Primary Care Conference with Workshops
September 11-14

Myrtle Beach, SC
Primary Care Conference and
Pharmacology Update
October 5-8

Boston, MA
Primary Care Conference with Workshops
November 4-7

Bryna Davidow, Marketing & Outreach Manager
209 West Central St., Suite 228, Natick, MA 01760
508-907-6424, ext. 222
bdavidow@npace.org
www.npace.org


Nurse practitioners ‘SNAP’ to it

Article printed inthe NWI Times newpaper on February 11, 2016


Thank you from the Sojourner Truth House

INPE (Institute for Nurse Practitioner Excellence)

INPE Online NRCME Training Course Now Available

Only two months before all DOT medical examiners must be certified to conduct CMV driver exams.  INPE's NRCME Training Course provides a firm foundation for test preparation.  Delivered in eight self-paced, online modules with practical resources and an extensive practice test-bank, the course provides 7.75 contact hours, for only $279.  Our faculty, Dr. Jean Aertker and Ms. Wendy Paracka, are both experts in this field. Learn more about the course HERE.

Don't miss the deadline to qualify as an NRCME certified examiner. Register today.

Not interested in NRCME Training? Consider one of the other evidence-based INPE online courses and share this opportunity with colleagues.


NPs and Wt Loss Drug Prescriptions

http://www.in.gov/legislative/iac/T08480/A00050.PDF

http://www.medscape.com/viewarticle/440315

http://educationcareerarticles.com/career-information/career-news/indiana-nurse-practitioners-glance/

Indiana

  • 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.

 

 


 

 


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