1. COA/CTP Application Process Christine Armstrong, MSN, CNP

2. What’s Next You chose a certification exam. You joined a professional organization. AACN/AANP You apply to take the exam online Wait (patiently) for your OK to test.

3. While you wait… You apply for your COA which is… Your Certificate of Authority to Practice as an Advanced Practice RN. (APRN). You have to be an RN to be an APRN. DO NOT let your RN license lapse as it voids your COA. Leads to talking to the Board of Nursing.

4. Application Ohio Board of Nursing web site Print APN Application Packet No web site application as of yet. Can apply for COA and CTP before you graduate. Must be RN to get COA. Must have COA to get CTP-E

5. Application Form A of application is confirmation of Graduate Education School of Nursing must seal and submit directly to the Ohio Board of Nursing. Mail completed application, which needs to be notarized, with $100.00 Fee to OBN. Can check status of application on line.

6. Congratulations! You passed your certification exam. Certifying body must submit results directly to the OBN. Will do for free to the BN of choice but you have to ask them to send them. (e-mail). If an employer ??? requires proof you will have to pay for the privilege.

7. CTP-E Certificate to Practice Externship After you receive your COA you will receive/or apply for CTP-E. You must have a collaborating physician in order to receive your CTP-E. Will keep your application on file for 1 year.

8. CTP-E Complete application. $50.00 fee. Official school transcript. Completed 45 hours of a Pharmacology course within 3 years of application date. 6 contact hours of schedule II prescription information which include state and federal law.

9. CTP-E Externship means that you have entered into a practice arrangement consistent with a Standard Care Arrangement between a nurse with a CTP-E and one or more collaborating Physician/s during which time the nurse’s prescriptions are being reviewed and evaluated by the Physician/s.

10. CTP-E Need to complete 1500 hours of combined Direct and Indirect Supervision. 500 hours of Direct Supervision means that your supervisor is on site while you are writing prescriptions. Available for questions/collaboration. 200 hours of the 500 hours can be with APRN with a valid CTP if Collaborating Physician delegates.

11. CTP-E 1000 hours of Indirect Supervision means that Collaborating Physician/s review your prescriptions in a timely manner. Have one year to complete 1500 hours. Can file for an extension before CTP-E expires. Once completed file form B to OBN.

12. CTP-E Do not need to have a DEA number to have CTP-E. Once obtain DEA notify OBN. DEA $650.00. Employer cover cost? www.deadiversion.usdoj.gov OARRS Registration. www.ohiopmp.gov

13. SCA Standard Care Arrangement Written, formal guide for planning and evaluating a patient’s health care that is developed by a collaborating physician/s and an APRN. Collaborating Physician/s: SCA with APRN and is continuously available to communicate with APRN in person or with technology.

14. Practice Compensation for services rendered. Contract negotiation. Malpractice Insurance. DEA Number. National Provider Number. Medicare Number. Medicaid Number.

15. Practice Professional organizations. AANP OAAPN NEONP Mentorship/Preceptorship. Pay it Forward.

16. Practice Questions???