COA/CTP Application Process

Christine Armstrong, MSN, CNP

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.

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.

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

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.

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.

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.

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.

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.

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.

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.

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

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.

Practice

• Compensation for services rendered.

• Contract negotiation.

• Malpractice Insurance.

• DEA Number.

• National Provider Number.

• Medicare Number.

• Medicaid Number.

Practice

• Professional organizations.

• AANP

• OAAPN

• NEONP

• Mentorship/Preceptorship.

• Pay it Forward.

Practice

• Questions???