An AP may perform functions and responsibilities delegated by the medical practitioner and as part of the PA`s training and competencies. However, the State Board of Medical Licensure regulates the practice of PAs. Miss. Code. Regs. 30-17-2615-1.1, mademoiselle. Code Ann. §73-26-5 The current regulations define an “independent clinic” as a clinic or other facility (with the exception of hospitals and certain other specialized facilities) where patients are cared for by a nurse located more than 15 miles from the main office of the collaborative physician/advisor. Physicians who wish to work/consult with a nurse who currently practices in a free-to-air clinic must obtain special authorization from the Board of Directors, which requires, among other things, that the physician appear in person or by telephone before the Board of Directors. The proposed provisions remove the term “independent clinic” and more stringent licensing requirements for isolated clinics, and would instead provide that “physicians are prohibited from entering into cooperation agreements with APRNs whose practice is located more than 75 miles from the physician`s main office. A collaborative physician must at all times stand within 75 miles of the active APRN.
“Physicians should also answer cooperation questions at the time of the first authorisation and each annual renewal cycle, with any change in cooperation status to be notified to the Management Board within 10 working days. The monitoring agreement must be approved by the Mississippi State Board of Medical Licensure. The Board of Directors approved how the protocol between the physician and the PA is implemented and the method and type of monitoring. Monitoring should be continuous, but does not necessarily require the physical presence of the medical practitioner. Miss. Code. Regs. §30-17-2615-1.7 Collaboration with an attending physician is necessary and written practice directions should be developed between the physician and the NP. The agreement must include the availability of the cooperating physician for consultations or transfers, or both, collaborative practice management methods, which includes clinical practice guidelines, and the satisfaction of a patient`s health needs in the absence of the nurse or physician registered in advanced practice.
The Board of Nursing must approve the protocol to ensure compliance with regulatory standards. . . .