The Society of Nurses in Advanced Practice is a professional organization developed to support advanced nursing practice in Northwest Indiana.
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
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Article printed inthe NWI Times newpaper on February 11, 2016
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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
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