Nurse Practitioner Documentation Requirements - from NCBON

IMPORTANT REMINDER FROM THE NORTH CAROLINA BOARD OF NURSING REGARDING NURSE PRACTITIONER DOCUMENTATION REQUIREMENTS

3 THINGS EVERY NURSE PRACTITIONER (NP) NEEDS TO KNOW

1) QUALITY IMPROVEMENT (QI) MEETINGS

The QI Meetings are to be completed any time the NP changes or adds a primary supervising physician (monthly for the first six months and every six months thereafter). These meetings are to be documented and signed/dated by the NP and primary supervising physician.

Required QI meeting elements can be found by clicking here

2) COLLABORATIVE PRACTICE AGREEMENT (CPA)

The NP and primary supervising physician must have a CPA, signed/dated by NP and primary supervising physician.

The CPA must address the following elements:

• Describe how the NP and the primary supervising physician are continuously available to each other
• Include drugs, devices, medical treatments, tests, and procedures that may be prescribed, ordered, and performed by the NP
• Include a predetermined plan for emergency services

CPAs are to be reviewed annually. The evidence can either be a signature sheet appended to the CPA, signed and dated by the NP and the primary supervising physician, or individual CPAs for each year signed and dated as mentioned.

CPA Guidelines can be found by clicking here

3) CONTINUING EDUCATION (CE)

NPs must obtain 50 CEs for each NP renewal cycle (birth month to birth month).

Click here to find out how NP CEs can be obtained: 

The above documentation is to be maintained for the previous five calendar years.

Failure to have said documentation may result in disciplinary action.

NC NP Rules - [PDF]

Please email questions re: the above information to: aprnpractice@ncbon.com

Thank you!
NC Board of Nursing