
In New Jersey, a collaborative practice agreement is called a joint protocol. Unless an APN qualifies for independent practice authority, a joint protocol with a collaborating physician is required for prescribing medications and devices1. Effective March 30, 2026, certain qualifying APNs may practice and prescribe without a joint protocol, while others remain subject to these requirements2.
The joint protocol must be in writing, signed by both the APN and physician, maintained at each practice site, updated to reflect changes, and reviewed at least annually3. It should also address key practice details, including the nature of the practice, patient population and settings, categories of medications, consultation and communication arrangements, record review frequency, and emergency medication procedures4.