Nurse Practitioner Collaborative Agreements in California
Table of Contents
Medium
Meeting Requirements
Board submissions
Distance Restrictions
California NP collaboration is usually documented through Standardized Procedures, which describe the NP’s authorized functions, patient-care protocols, supervision scope, recordkeeping, and method for periodic review.1 The California Board of Registered Nursing publishes standardized-procedure guidance that can be used as a starting point when drafting these documents.2
Useful examples include Los Angeles psychiatric NP standardized procedures, and a California urgent-care standardized-procedure example. These examples can help show how California organizations structure the scope, supervision, prescribing, and review language in practice.
Citations
1. California Code of Regulations, title 16, §1474.
2. California Board of Registered Nursing, Standardized Procedure Guidelines.
.jpg)
.jpg)
Submitting the Agreement to the State
California does not require NP Standardized Procedures or Protocols to be submitted to or approved by the California Board of Registered Nursing before practice begins.
The required paperwork is kept at the practice level: Standardized Procedures should be written, dated, signed by authorized personnel, and periodically reviewed. If the NP furnishes drugs or devices, the procedures or protocols should also identify the covered drugs or devices, the circumstances for furnishing, the extent of physician supervision, and the method for reviewing the NP’s competence.
Collaboration & Supervision Requirements
Prescriptive Authority (Medications & Controlled Substances)
Scope of Practice
⚠️ Special Note: Four-NP Supervision Limit California fees may be somewhat elevated because a physician or surgeon may generally supervise no more than four NPs at one time.
.svg)
.svg)
About the Author
.png){kind=small}