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OFFICIAL CAPA-NS Form

Tuesday, October 27, 2015   (0 Comments)
Posted by: Leila Faucette
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We have seen all kinds of crazy versions of CAPA forms. Some have crossed over the line by including information more appropriate for an employment agreement. Remember, the CAPA-NS applies only to prescribing - not APRN practice. When it comes to your PRESCRIPTIVE AUTHORITY, here's what you need to know.

It’s official, there is a Common CAPA-NS Form

The Collaborative Prescribing Agreement Joint Advisory Committee (CAPA Committee), which is comprised of three (3) APRNs and three (3) physicians, was established* with the passage of Senate Bill 7 in 2014. The committee was mandated by the law to establish a list of physicians willing to sign a CAPA-NS.  This task was accomplished and the list may be accessed, through the Kentucky Board of Nursing, by APRNs who are unable to locate a signer on their own.

The CAPA Committee was also empowered to develop a common CAPA-NS form. After review, the CAPA Committee accepted KCNPNM's CAPA-NS as its recommended common form.  In subsequent meetings, both the Kentucky Board of Nursing and the Kentucky Board of Medical Licensure approved the same version of the common CAPA-NS form. Thus, this “Common CAPA-NS” form is now the official CAPA-NS form housed on the KBN website. 

APRNs initiating new prescribing agreements for nonscheduled legend drugs shall now use the Common CAPA-NS form. 

The official form can be accessed from the KBN website Nursing Practice/APRN Practice Page. The direct link to the form is: Common CAPA-NS

Existing agreements do not have to be changed to the new form.

For more information, contact Pam Hagan, PamelaC.Hagan@ky.gov , KBN APRN Education and Practice Consultant, 502-429-7181.

*KRS 314. 196…
…(2) The committee may make recommendations to the Kentucky Board of Nursing and the Kentucky Board of Medical Licensure about the CAPA-NS agreements and shall perform other duties as required by this section.

The committee may recommend a common CAPA-NS form for use by all advanced practice registered nurses and all physicians in Kentucky who enter into a CAPA-NS. The common CAPA-NS form shall only be required for CAPA-NS agreements if both the Kentucky Board of Nursing and the Kentucky Board of Medical Licensure approve the same version of the common CAPA-NS form...


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