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Although it is possible to use a prescriptive authority agreement in a hospital or long term care facility based practice, it is not required. You may continue to practice under protocols in these settings. APRNs and PAs must exercise prescriptive authority under one of these delegation mechanisms.
Collaborative practice agreement includes a quality assurance plan and prescriptive protocols. Granting of prescriptive authority requires an approved pharmacology course + 300 hours of precepted prescribing experience (if the advanced pharmacology course is â¥ 5 years old). The APRN can prescribe only within scope of practice of his or her certification and experience.