What must be in a Connecticut NP collaborative practice agreement?

A Connecticut NP collaborative practice agreement must include specific elements that set expectations for consultation, coverage, outcome review, patient disclosure, and controlled-substance prescribing. For the first three years after initial APRN licensure, the APRN must practice under a written collaborative agreement with a Connecticut-licensed physician, and that agreement must address the following¹:

• A reasonable and appropriate level of consultation and referral¹.
• Coverage for the patient in the absence of the APRN¹.
• A method to review patient outcomes, including review of medical therapeutics, corrective measures, laboratory tests, and other diagnostic procedures that the APRN may prescribe, dispense, and administer¹.
• A method of disclosure of the APRN–physician relationship to the patient¹.
• The level of Schedule II and III controlled substances that the APRN may prescribe¹.

The collaborating physician must be educated, trained, or have relevant experience related to the APRN’s work, and “collaboration” is defined as a mutually agreed-upon relationship between the APRN and such a physician¹.