Arnp Protocol Form – Fill Out and Use This PDF

Arnp Protocol Form PDF Details

The ARNP Protocol Form establishes a formal collaborative practice agreement between an Advanced Registered Nurse Practitioner and a supervising physician in Florida. The following sections outline the key requirements for completing this agreement.

Legal Framework

The protocol agreement is governed by the Nurse Practice Act, Florida Statutes Chapter 464, and Florida Administrative Code Rules Chapter 64B9-4. The agreement must be 2 to 5 pages long and specify:

• The nature of the ARNP's practice and the patient population served
• Specific conditions and treatments the ARNP is authorized to manage
• Prescription authorities, including which drug classes the ARNP may prescribe
• Circumstances under which the supervising physician must be involved

Prescription Authority

The protocol must list the specific drug therapies the ARNP is authorized to prescribe. Florida law explicitly excludes controlled substances from ARNP prescription authority. The agreement should identify the drug classes approved for routine prescribing and any conditions requiring advance physician approval.

Physician Supervision Requirements

The supervising physician's responsibilities under the protocol include:

• General supervision and availability for consultation on complex cases
• Direct evaluation when specified conditions arise
• Availability by phone or in person when the ARNP is seeing patients

The level of supervision may vary based on the practice setting, specialty area, and patient population. The protocol should clearly define when telephone consultation is sufficient and when a physical evaluation by the physician is required.

Protocol Updates and Reporting

Any modification to the ARNP protocol must be submitted to the Florida Board of Nursing within 30 days of the change. Both the ARNP and supervising physician should retain signed copies at their primary practice locations. Failure to maintain a current protocol agreement may result in disciplinary action.

Who Needs This Form

This form is required for every ARNP in Florida who prescribes medications or independently manages patient care. It applies to nurse practitioners across all specialties, including family practice, pediatrics, psychiatry, women's health, and acute care. The protocol must be updated whenever the ARNP changes employers, practice settings, or supervising physicians.