STANDARD CARE ARRANGEMENTSFOR CERTIFIED NURSE PRACTITIONERS, CERTIFIED NURSE SPECIALISTS AND CERTIFIED NURSE-MIDWIVES IN OHIOby Jason J. Haupt, Esq.What is a Standard Care Arrangement? A Standard Care Arrangement (SCA) is a written agreement between a Certified Nurse Practitioners (CNP), Certified Clinical Nurse Specialists (CNS) or Certified Nurse-Midwives (CNM) and a co-operative physician who formally establishes a collaborative practice agreement. The CAS serves as a written and formal guideline for the planning and evaluation of a patient`s health care by a NPC, NNC or CNM in collaboration with a physician or podiatrist. Therefore, the CAS must be signed by NPCs, CNSs, CNMs and physicians who are in collaborative practice. For the purposes of a CCA, the concept of “cooperation” refers to the permanent availability of a cooperating physician or podiatrist to communicate with a NPC, CNS or CNM, either personally or by radio, telephone or other type of telecommunications. Who needs standard care rules? NPCs, NSCs (with the exception of a CNS that does not have a prescription certificate and whose mental or psychiatric health is a matter of care) and NMCs must enter an SCA as a precondition for practice in the State of Ohio with any physician or podiatrist with whom NPCs, NSCs or CNMs work. Similarly, Ohio physicians and podiatrists are required to take and perform the collaborative tasks listed within a CCA with each NPC, CNS or CNM with which the physician or podiatrist works. What should be included in a standard care arrangement? 1) the full name, department of the specialist doctor`s office, professional address and professional telephone number of the NPC, the NSC or the CNM and the cooperating physician or podiatrist; nursing.ohio.gov/wp-content/uploads/2019/08/Exclusionary_Formulary5.3.pdf At the time of online renewal, they will post a document containing cooperating medical information or an explanation of the lack of cooperating medical information. If a change occurs on another (non-extended) date, it will provide the Board of Directors with the name, license and contact information of the cooperating physician by e-mail (firstname.lastname@example.org), fax (614-466-0388) or Permail (Ohio Board of Nursing, 17 p. High Street, 4th floor, Columbus, Ohio 43215), as was the case previously. You can buy this template that you can follow to create your standard personalized care arrangement. Here is the link: www.nursing.ohio.gov/PDFS/Licensure/SubmittingAdditionalDocumentation.pdf In accordance with the regulations of the Federation and Ohio current certified nurses, certified nurse specialists and midwives nurses cannot prescribe the following drugs: There is no rule, such as cooperation in choosing the doctor as long as they are allowed to practice a doctor or podologist in Ohio, in the same specialty or specialty similar to the specialty APRN.