Section 1305.35  Medical Direction

a)         Physician medical direction shall be adequate with respect to collaboration with Certified Nurse Practitioners, Certified Nurse Midwives, and Clinical Nurse Specialists if a collaborating physician:

1)         participates in the joint formulation and joint approval of orders or guidelines with the advanced practice nurse and periodically reviews those orders and the services provided patients under those orders in accordance with accepted standards of medical practice and advanced practice nursing practice;

2)         is on site at least once a month to provide medical direction and consultation. On site is defined in the collaborative agreement; and

3)         is available through telecommunications for consultation on medical problems, complications, or emergencies or patient referral. [225 ILCS 60/54.5(b)]

b)         Medical direction for a certified registered nurse anesthetist shall be in accordance with Section 54.5(b-5) of the Medical Practice Act of 1987 [225 ILCS 60/54.5(b-5)].

c)         In the absence of the collaborating physician, another physician shall be available for consultation.

(Source:  Amended at 30 Ill. Reg. 4657, effective March 1, 2006)