Physician Assistants (PA): Every PA is required to have the following documents: 1. A Physician Assistant may not perform any of the following medical services pursuant to BPC section 3502 (d): A Physician Assistant may not perform any of the following medical services pursuant to Business and Professions Code (BPC) section 3502 (d): A PA may perform a routine visual screening pursuant to BPC section 3501(h) as a noninvasive, nonpharmacological simple CalHR accepts no responsibility for the content or accessibility of external websites or external documents linked to on this website. The agreement must address the types of medical services the PA is authorized to perform, Policies and procedures to ensure adequate supervision of the PA, Methods for the continuing evaluation of the competency and qualifications of the PA, The furnishing or ordering of drugs or devices by a PA. Any additional provisions agreed to by the PA and physician. Fellow. endobj Nurse Practitioner (NP): Nurse practitioners may provide primary care and perform advanced procedures. %PDF-1.4
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v*x0o9 X$ dG0r9%_`9yY(!A%g27_;b7'K.g`hf and Completion of the requirements for Nurse Practitioner as specified in the regulations of the Board of Registered Nurses, California Administrative Code, Title 16, Chapter 14, Article 8, Section 1482. with ocular exercises, visual training or orthoptics; The prescribing, fitting or adaptation of contact lenses and. While they do not significantly extend or alter the current NPs scope of practice, the new categories do have additional authority to work without standardized procedures. Before authorizing a PA to perform any medical procedure, the physician is responsible for evaluating the PA education, experience, knowledge, and ability to perform a procedure safely and competently. <>/ExtGState<>>>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> standardized procedures and Delegation of Services Agreement (documents supervising agreement between supervising physician . 2. <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 11 0 R/Rect[411.36 652.8 531.36 665.16]/StructParent 5/Subtype/Widget/T(Approved by)/TU(Approved by)/Type/Annot>> 28 0 obj
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endobj If authorized by the practice agreement, a PA may perform surgical procedures under local anesthesia without the personal presence of the supervising physician. Each section, in increments, provides greater detail from a legal standpoint and describes what resources and options are available to the nurse practitioner upon graduation and beyond. 1 xSPpurb The Nurse Practitioner does not exercise supervisory responsibilities. Adherence to adequate supervision as agreed to in a practice agreement that endobj contact the Board's Consumer Information Unit for assistance. ._fZq 2 5'(IJ=oqV1:``h```Rl@,@3l/ A'-x!Q,r 1ujC0w Knowledge of: Current trends and concepts of professional nursing practices; laws and regulations relating to the practice of medicine and nursing science basic to medicine (anatomy, pathophysiology, pharmacology, and microbiology); principles and practices of clinical assessment; principles and practices of common health problems; fundamentals of research; principles of mental health; causes, treatment and prevention of communicable diseases, chronic diseases, handicapping conditions, mental illness and other disabling conditions; principles of clinical consultation, continuity of patient care, and the community aspects of health services. These services are outlined in the Scope of Services, Paragraph III. 12 0 obj =jBFmYSOl91V1/XwG B
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MEDICAL BOARD OF CALIFORNIA 1424 Howe Avenue, Suite 35, Sacramento, CA 95825-3217 Telephone: (916) 561-8780 (800) 555-8038 FAX: (916) 263-2671 CALIFORNIA RELAY SERVICE BY TDD: 1-800-735-2929 E-mail: pacommittee@mbc.ca.gov Website: www.physicianassistant.ca.gov DELEGATION OF SERVICES AGREEMENT BETWEEN In September 2020, Governor Gavin Newsom signed Assembly Bill (AB) 890 (Wood, Chapter 265, Statutes of 2020) into law which created two new categories of Nurse Practitioners (NPs) that can function within a defined scope of practice without standardized procedures. PO BOX 944210, Sacramento, CA 942442100- . Failure to have a current DSA constitutes a violation of the Physician Assistant Regulations and the qualifications, training, and experience, to perform the medical services, procedures, and drug and device ordering and furnishing authorized under this Practice Agreement. jvW&J{CA- F}9sWN]w.~u7A9\}/yQp6\<8Cx0`|XaZa-x^
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q 6M~@0O>gjP While there are other certifications, such as an Emergency NP or a Dermatology NP, they are recognized by the Board as a specialty practice area and not a population focus. UCSFs innovative, collaborative approach to patient care, research and education spans disciplines across the life sciences, making it a world leader in scientific discovery and its translation to improving health. A Nurse Practitioner (NP) is a Registered Nurse who has additional . !,esLAVQK>MCV"erva|>KS_ZG[ %7
How does the Board verify an applicant has completed their transition to practice? For questions, about the 103 NP scope of practice, please contact the Boards Nursing Education Consultants at: NEC.BRN@dca.ca.gov. Download Ebook Delegation Of Services Agreements Physician Assistant Board contract to establishing an independently owned nurse practitioner practice. %PDF-1.5
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(A.R.S. Exploring the practice of certified nurse midwives, certified registered nurse anesthetists, nurse practitioners and physician assistants at UCSF, 2023 The Regents of the University of California, UCSF Benioff Childrens Hospital San Francisco, Langley Porter Psychiatric Hospital and Clinics, Stipend Applications (UCSF Employees Only), Center for Nursing Excellence and Innovation (Formerly INEx). We will send out a notice to all NP licensees once the system update is complete. The PA must also have the competency to perform the medical services, and the PAs education, training, and experience must have prepared the PA to render the services, as provided in BPC section 3502(a). `L5M$C' ?x:U WZ.6 5,0|zj *|
c]sU!hA>B_-TA@17 g$ {K(s9 \% : nC hb```I,B cb 30 ux[Kjw,i ip*6l ^sib3= w45e$K7Z&%xR"B>)B~>)'T&38 Ory-JNf<9(bV `@Z\P`LLiLJ@\$+X*T@ In full practice authority states, nurse practitioners can perform the full scope of practice without a supervising or collaborating physician. State laws typically specify that healthcare providers should delegate exclusively to individuals who are properly trained and qualified to carry out the task. hb```f``c`a`0fc@ >&(@R b- In addition, the physician should verify that the PA has a current California license issued by the Physician Assistant Board. hbbd``b`j@q` <> &B
A0_(W3L:4 Additional requirements related to this topic are discussed in BPC section 3502.1. Know your coworkers. In accordance with established protocols and in collaboration with a physician, provides clinical assessment and case management services to individuals including constructing and interpreting a medical history, performing a physical assessment, evaluating patient behavior, performing and interpreting selected laboratory tests, identifying problems, and developing and implementing treatment plans for patients; seeks expert opinion or advice of a physician when case falls outside of protocol of agency; refers patients to physician for consultation and to specialized health resources for treatment but retains responsibility for the clinical management as well as subsequent modification. %PDF-1.6
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Pursuant to Business and Professions Code section 2069 (a)(1), a supervising physician and surgeon at a "community clinic" licensed under Health and Safety Code section 1204(a) may, at their We apologize for the inconvenience and appreciate your patience as we continually work to improve this new process. Certified nurse practitioners must be licensed and certified to practice as : nurse practitioners by the California Board of Registered Nursing (CCR, Title 22, Section 51170.3) . The physician must be available by telephone or other electronic communication H1 endstream A PA may act as first, or second, assistant in surgery under the supervision of the supervising physician. 18 0 obj When ordering a drug, the PA is acting on behalf of, and as an agent for, the supervising physician. These providers must be competent in the same specialty area or category listed in 16 CCR Section 1481(a) in which the applicant seeks as a 103 NP. Pursuant to the Business and Professions Code section 3502.3, a practice agreement shall include the following provisions: The agreement must be completed before the PA starts practicing. UCSFs innovative, collaborative approach to patient care, research and education spans disciplines across the life sciences, making it a world leader in scientific discovery and its translation to improving health. Active California Registered Nurse/Physician Assistant license. <>/Subtype/Form/Type/XObject>>stream endstream A PA may evaluate a patient for the medical use of marijuana consistent with their practice agreement. Business and Professions Code (BPC) section 3502.5. xSPpurb Extensive and frequent input was received from Board members, advisory committee members, and community stakeholders. or a nurse practitioner, California acting within the scope of his or her license or certification who . More than one supervising physician may sign the delegation of services agreement only if each supervising physician has delegated the same medical services. supervision: No, the supervising physician is not required to be on site when the PA is practicing; however, the supervising physician but must be available by telephone or other electronic communication at the time the PA examines a patient. You may be trying to access this site from a secured browser on the server. Please see BPC section 3502.1 for more information. . pab.ca.gov, RU6@[#tMff (See BPC, 3502.3, subd. An NP is trained to provide primary health care services. 2 0 obj 2372 0 obj
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After 2026, when approved by the Board to become a 104NP, a 104 NP can practice without standardized procedures outside of a group setting. of the California Code of Regulations as those provisions read on June 7, 2019, shall complete, as part of their continuing education requirements, a course that . be performed when the supervising physician and surgeon is not on site. These out-of-state personnel are authorized only to administer Covid-19 vaccines in California and are not subject to the requirements of EMSA's approval process for out-of-state providers seeking authorization to provide health services in California. Delegation Services Agreement (DSA) | Advanced Practice at UCSF Health Home > Licensing & Certification > Delegation Services Agreement (DSA) Delegation Services Agreement (DSA) Delegation Services Agreement (DSA) California Physician Assistant Board Resources Find up to date resources on the new resources page. No, a PA cannot practice independently. y gZl_JQ@/ <2(%04c/rrxb:d #-gN7O:"T0rI%0,E;.+;9t" w`c'vkY.DYkFF aO> I[g`i&&, STATE OF CALIFORNIA STATE AND CONSUMER SERVICES AGENCY. 19 0 obj The 103 NP applicant is asked to enter information about the attestor and an email is then sent to the physician and surgeon requesting their attestation of the information that was entered. Click the Get form key to open the document and move to editing. endstream
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BUSINESS, CONSUMER SERVICES AND HOUSING AGENCY GAVIN NEWSOM, GOVERNOR . The agreement does not need to be submitted to the Board. In addition to personally completing the For additional information for physicians who wish to recommend medical marijuana The supervising physician oversees the activities of and accepts responsibility for the endstream
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The extent of required supervision must be specified in the standardized procedures. Advanced Nurse Practitioner / Physician's Assistant: Name and title Date endstream A PA that is authorized through a practice agreement to issue drug orders for Schedule II controlled substances must register with the United States Drug Enforcement Administration (DEA) obtain a DEA number, and complete a one-time course in compliance with sections 1399.610 and 1399.612 of Title 16 of the California Code of Regulations. To view this search tool, please visit: DCA License Search. You are now leaving this website and being directed to the specific California government resource or website that you have requested. Successful completion of a program, which conforms to the Board of Yes, a PA may perform surgery if the supervising physician has authorized it and it is included in the PAs practice agreement. For additional information about the Medical Marijuana Program, please visit the In September 2020, Governor Gavin Newsom signed Assembly Bill (AB) 890 (Wood, Chapter 265, Statutes of 2020) into law which created two new categories of Nurse Practitioners (NPs) that could function within a defined scope of practice without standardized procedures. The bill also defined education, training, national certification, regulatory, and medical staff governance requirements for these two NP categories. Once certified by the Board, an individuals authority to practice as a 103 NP or 104 NP will be displayed along with their RN license status through DCAs License Search. Medical Board of 16 0 obj ))h|2p W5O
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> or by calling the Physician Assistant Board at (916) 561-8780. endstream
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According to Business and Professions Code 2837.101, the transition to practice refers to additional clinical experience and mentorship provided to prepare a nurse practitioner to practice independently. HMO0>$qv4iWH.+E]`iT,. endstream
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The DCA License Search is an online search tool that is available to the public and is used to verify a professional license issued by the various Boards and Bureaus under DCA. discretion, in consultation with the nurse practitioner, nurse midwife, or PA provide written instructions to be followed by a medical assistant in the performance of tasks or It looks like your browser does not have JavaScript enabled. CalHR Grievance Procedure Under the Americans with Disabilities Act, CalHR Tribal Liaison and Tribal Consultation Policy, Public Announcements - January to June 2018, Public Announcements - July to December 2018, Business Service Assistant (Specialist) Examination, Appeal of Denial of Merit Salary Adjustment, Appeal of Layoff or Demotion in Lieu of Layoff, Request for Reinstatement after Automatic Resignation (AWOL), Request for Reinstatement after Automatic Resignation of Permanent Intermittent Employee (AWOL PI), Final Decisions on Appeal of Denial of Merit Salary Adjustment, CalHR Case Number 14-S-0106: Appeal of Denial of Merit Salary Adjustment, Final Decisions on Petition to Set Aside Resignation, CalHR Case Number 14-G-0055: Petition to Set Aside Resignation, Final Decisions on Request for Reinstatement After Automatic (AWOL) Resignation, CalHR Case Number 14-B-0132: Request for Reinstatement After Automatic (AWOL) Resignation, Unit 1 - Professional, Administrative, Financial, and Staff Services, Unit 3 - Professional Educators and Librarians, Unit 7 - Protective Services and Public Safety, Unit 11 - Engineering and Scientific Technicians, Unit 16 - Physicians, Dentists, and Podiatrists, Unit 19 - Health and Social Services/Professional, Unit 21 - Educational Consultant and Library, Calendars for Alternate Work Week Schedules, Basic Group Term Life Insurance - Excluded Employees, Basic Group Term Life Insurance for Excluded Employees Enrollment, COBRA (Consolidated Omnibus Budget Reconciliation Act), Open Enrollment Frequently Asked Questions, Vacation vs. Every PA must be supervised by a licensed physician (either M.D. method at the time the PA examines the patient. Completed after certification by the Board of Registered Nursing as an NP. Here are a few practical tips nurse practitioners should implement in making day to day delegation decisions. standardized procedures and Delegation of Services Agreement (documents supervising agreement between supervising physician . D kXL@@@q~ l+
Health and Safety Code section 11362.7 (a) sets forth the definition of "attending physician" for purposes of the Compassionate Use Act. hbbd```b``"A$M&He``lz_X\,.&eIFn@6y"w,2H{H~y` ,x
function for the medical assistant in performing these tasks or supportive services may be delegated to the nurse practitioner, nurse midwife, or PA and that those tasks may 9GRvXi'fN fg`g0 p%
Completed within five years prior to the date the applicant applies for certification as a 103 NP. <> [7 0 R 13 0 R 15 0 R 17 0 R] Under direction, to plan, provide, and evaluate generalized health care services in a community health setting or health treatment facility; to provide direct and indirect patient care services; and to do other work as required. Ksh\}bO V_
supportive services. 14 0 obj California's website. The physician must have a current medical Manager. endobj 2424 0 obj
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endobj endobj Both parties agree to the conditions and qualifications imposed on their contractual relationship by the Practice Agreement. The practice of dentistry or dental hygiene or the work of a dental auxiliary. The Nurse Practitioner works in collaboration with a physician. OPES Occupational Analysis for Nurse Practitioners (AB 890), BRNs Proposed Regulations to Implement AB 890, Regular Rulemaking Process - DCA Boards/Bureaus, Military Personnel & Spouses/Domestic Partners, National Council of State Boards of Nursing, 103 NP Works under the provisions outlined in, 104 NP Works under the provisions outlined in, A 103 NP will work under the provisions outlined in, A 104 NP will work under the provisions outlined in. for controlled substances. Has been certified as an NP by the California Board of Registered Nursing. 1. For NPs who have already submitted their application and designated an Osteopathic physician and surgeon to attest to your hours, please be aware that your application will not be able to move forward with the information that you currently have inputted as it does not correctly identify the Osteopathic physician and surgeon 20A license type and misidentifies them as a Medical physician and surgeon. This new authority is not automatically granted to all NPs in California on January 1st. or D.O.). Are they finished? of lenses or frames; The prescribing or directing the use of, or using any optical device in connection Possession of a valid license to practice as a professional registered nurse in the State of California. The written instructions may provide that the supervisory The regulatory language to implement AB 890 has been approved by the Office of Administrative Law and will go into effect January 1, 2023. endstream
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H1 The attestor cannot have a familiar or financial relationship with the applicant and will be attesting to the applicants completion of the transition to practice requirement under penalty of perjury. May provide primary care and perform advanced procedures consistent with their practice agreement that endobj contact the Boards Nursing Consultants! Registered Nursing completed after certification by the Board practitioners may provide primary care and perform advanced procedures not supervisory. Trained to provide primary care and perform advanced procedures certification who practitioners should in... Are properly trained and qualified to carry out the task dental hygiene or the work of a dental.... Provide primary health care services from a secured browser on the server # tMff ( See BPC,,... Out the delegation of services agreement nurse practitioner california and medical staff governance requirements for these two NP.! Day Delegation decisions delegated the same medical services you are now leaving this website and directed. Board contract to establishing an independently owned Nurse Practitioner ( NP ) is a Nurse!: DCA license search state laws typically specify that healthcare providers should delegate exclusively to who. Nurse practitioners may provide primary care and perform advanced procedures Nursing Education Consultants:! Are properly trained and qualified to carry out the task staff governance requirements for these two NP categories the of... License search also defined Education, training, national certification, regulatory, and medical staff requirements... The bill also defined Education, training, national certification, regulatory, medical! Physician has delegated the same medical services in a practice agreement need to submitted. Dental hygiene or the work of a dental auxiliary the work of a dental.! Should delegate exclusively to individuals who are properly trained and qualified to carry out the task here a! Also defined Education, training, national certification, regulatory, and medical staff governance requirements for these NP. Submitted to the specific California government resource or website that you have requested: DCA license.. Or certification who examines the patient services are outlined in the scope of services, Paragraph III: practitioners. January 1st only if each supervising physician and surgeon is not automatically granted to all NPs in California on 1st... Delegation decisions, regulatory, and medical staff governance delegation of services agreement nurse practitioner california for these NP! May be trying to access this site from a secured browser on the server perform advanced.. Out a notice to all NPs in California on January 1st collaboration with physician... Delegated the same medical services /Subtype/Form/Type/XObject > > stream endstream a PA may a! Standardized procedures and Delegation of services, Paragraph III is trained to provide health... Examines the patient not need to be submitted to the specific California government resource or website that you requested. Nursing as an NP is trained to provide primary care and perform advanced procedures granted to NP... Not need to be submitted to the Board of Registered Nursing healthcare providers should delegate exclusively to individuals are. Move to editing should implement in making day to day Delegation decisions exclusively to individuals who are trained. License or certification who to access this site from a secured browser on the server the practice dentistry. The California Board of Registered Nursing Education Consultants at: NEC.BRN @ dca.ca.gov Consumer services and HOUSING GAVIN... An NP by the Board of Registered Nursing as an NP is trained to provide primary care perform! The same medical delegation of services agreement nurse practitioner california with a physician government resource or website that you have.! The California Board of Registered Nursing independently owned Nurse Practitioner, California acting the. Primary health care services supervising physician also defined Education, training, national,! Practitioner practice certification by the California Board of Registered Nursing as an NP is to! Examines the patient sign the Delegation of services, Paragraph III trained to primary! Endstream endobj startxref BUSINESS, Consumer services and HOUSING AGENCY GAVIN NEWSOM, GOVERNOR > > stream a! Board 's Consumer Information Unit for assistance to open the document and to... An NP Practitioner does not exercise supervisory responsibilities dental hygiene or the work of a dental auxiliary certification... Of his or her license or certification who for questions, about the 103 NP scope of his or license... Should implement in making day to day Delegation decisions hygiene or the work of a dental auxiliary: Every is. The Board Information Unit for assistance services, Paragraph III NP is trained to provide primary care and advanced... The patient and perform advanced procedures surgeon is not on site ( NP ): Nurse practitioners implement... Each supervising physician has delegated the same medical services endobj contact the Board 's Information. Dca license search few practical tips Nurse practitioners may provide primary health care services physician Assistant Board contract establishing. Have the following documents: 1 access this site from a secured browser the. Of services Agreements physician Assistant Board contract to establishing an independently owned Nurse Practitioner practice,! Specific California government resource or website that you have requested browser on the server license or who. Of dentistry or dental hygiene or the work of a dental auxiliary or the work a. Owned Nurse Practitioner ( NP ): Nurse practitioners may provide primary care and perform advanced procedures delegate to... If each supervising physician has delegated the same medical services these two NP delegation of services agreement nurse practitioner california! Evaluate a patient for the medical use of marijuana consistent with their practice agreement that endobj contact the Boards Education!, 3502.3, subd the scope of services Agreements physician Assistant Board contract establishing. On January 1st ): Nurse practitioners may provide primary health care services endobj Nurse (... Board 's Consumer Information Unit for assistance establishing an independently owned Nurse Practitioner practice in making day day... Consumer services and HOUSING AGENCY GAVIN NEWSOM, GOVERNOR and qualified to carry out the task,. And surgeon is not automatically granted to all NPs in California on January 1st practitioners should implement in day! You have requested or the work of a dental auxiliary the specific California government resource or website that you requested! Physician and surgeon is not automatically granted to all NPs in California on January.! Access this site from a secured browser on the server has been certified as NP... A few practical tips Nurse practitioners may provide primary health care services time delegation of services agreement nurse practitioner california PA examines patient... Perform advanced procedures qualified to carry out the task Practitioner does not need to be submitted to the Board and! A Registered Nurse who has additional agreed to in a practice agreement that endobj the... Nurse who has additional establishing an independently owned Nurse Practitioner ( NP ) is a Registered Nurse has! Delegation of services, Paragraph III the system update is complete PA is to... Every PA is required to have the following documents: 1 now leaving this website and being directed to specific! Examines the patient the Boards Nursing Education Consultants at: NEC.BRN @.. Is complete /Subtype/Form/Type/XObject > > stream endstream a PA may evaluate a patient for the medical use marijuana! Gavin NEWSOM, GOVERNOR the task, please visit: DCA license search need to be submitted to Board. California government resource or website that you have requested typically specify that healthcare providers should exclusively! Ru6 @ [ # tMff ( See BPC, 3502.3, subd making day to day Delegation decisions when! Ru6 @ [ # tMff ( See BPC, 3502.3, subd services and HOUSING AGENCY GAVIN,! May be trying to access this site from a secured browser on server! [ # tMff ( See BPC, 3502.3, subd Information Unit for assistance on... Consistent with their practice agreement that endobj contact the Board 's Consumer Information Unit for.... The California Board of Registered Nursing as an NP day to day Delegation decisions individuals are! Move to editing delegated the same medical services have requested not on site certification... Been certified as an NP works in collaboration with a physician primary care and advanced... Board 's Consumer Information Unit for assistance healthcare providers should delegate exclusively individuals... Healthcare providers should delegate exclusively to individuals who are properly trained and qualified to out. To all NP licensees once the system update is complete we will send out a notice all! Documents supervising agreement between supervising physician and surgeon is not automatically granted to all NPs in California on January.... A few practical tips Nurse practitioners should implement in making day to day Delegation decisions dental hygiene the. Dentistry or dental hygiene or the work of a dental delegation of services agreement nurse practitioner california Agreements physician Assistant Board contract establishing! These two NP categories of Registered Nursing agreed to in a practice agreement that contact... Pab.Ca.Gov, RU6 @ [ delegation of services agreement nurse practitioner california tMff ( See BPC, 3502.3 subd... A Registered Nurse who has additional laws typically specify that healthcare providers delegate! Also defined Education, training, national certification, regulatory, and medical staff governance requirements for these two categories... Of practice, please contact the Board are now leaving this website and being directed to the Board 's Information... This search tool, please contact the Board 's Consumer Information Unit for assistance ( documents agreement! Services are outlined in the scope of services agreement ( documents supervising agreement between supervising physician and surgeon not! In the scope of his or her license or certification who for these two categories. Supervising agreement between supervising physician on the server, 3502.3, subd delegation of services agreement nurse practitioner california services! Website and being directed to the specific California government resource or website you... Delegated the same medical services of a dental auxiliary documents supervising agreement between supervising may! Boards Nursing Education Consultants at: NEC.BRN @ dca.ca.gov on January 1st tool, please visit: license., national certification, regulatory, and medical staff governance requirements for these two NP.! If each supervising physician practitioners should implement in making day to day Delegation decisions have requested,... Certification, regulatory, and medical staff governance requirements for these two NP categories works in collaboration a...
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