COA/CTP Application Process

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COA/CTP Application Process

• Christine Armstrong, MSN, CNP

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Whats 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.

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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.

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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

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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.

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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.

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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.

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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.

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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 nurses prescriptions are being
  reviewed and evaluated by the Physician/s.

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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.

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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.

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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

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SCA

• Standard Care Arrangement
• Written, formal guide for planning and evaluating
  a patients 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.

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Practice

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

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Practice

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

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Practice

• Questions???

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