
In New Jersey, a collaborative agreement—called the APN-physician joint protocol—must be reviewed at least annually. The APN and collaborating physician are required to review, update, and sign the joint protocol each year12.
Beyond the annual review, the joint protocol must be kept current on an ongoing basis to reflect changes in practice, personnel, APN skills, record review frequency, and reference materials; it must also be in writing, signed by both parties, and maintained at each office where the APN practices1.