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In Connecticut, to work as a nurse practitioner without a Collaborative Agreement, an APRN licensed in Connecticut, who has maintained their Connecticut license for a minimum of three (3) years and has engaged in advanced practice nursing activities in collaboration with a Connecticut licensed physician for at least three (3) years and for a total of two thousand (2,000) hours, may practice independently or in partnership with a physician or another licensed healthcare professional in the state. If an APRN chooses to practice without a collaborative agreement, they are required to maintain documentation of their advanced practice nursing activities conducted in conjunction with a Connecticut licensed physician. This documentation must be retained for at least three (3) years after fulfilling these requirements and must be provided to the Department of Public Health within forty-five (45) days upon request. Prior to practicing without a collaborative agreement, APRNs must also notify the Department in writing of their intent to do so.
For those wishing to practice as nurse practitioners under a Collaborative Agreement, an APRN must collaborate with a Connecticut-licensed physician for the initial three (3) years after obtaining their license. This “collaboration” refers to a mutually agreed-upon working relationship between an APRN and a physician who possesses education, training, or relevant expertise in the specific field of the advanced practice registered nurse. This collaboration should involve consultation, patient coverage in the absence of the APRN, a mechanism for assessing patient outcomes, and a means of disclosing the collaboration to patients. The written collaboration between the advanced practice registered nurse and a physician must address the prescribing authority, particularly regarding Schedule II and III controlled substances that the APRN may prescribe, and establish a process for reviewing patient outcomes, including medical therapeutics, corrective measures, and diagnostic studies. It’s important to note that the Department of Public Health does not routinely collect copies of collaborative practice agreements, but APRNs must furnish a copy upon request.
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To qualify for advanced practice registered nurse licensure in Connecticut, an individual must hold a current Connecticut registered nurse license and maintain current certification as a nurse practitioner, clinical nurse specialist, or nurse anesthetist from a recognized national organization, such as the American Nurses Credentialing Center, National Certification Corporation for the Obstetric, Gynecologic and Neonatal Nursing Specialties, Pediatric Nursing Certification Board, American Association of Nurse Anesthetists, American Academy of Nurse Practitioners, Oncology Nursing Certification Corporation, or American Association of Critical-Care Nurses.
The required documents for the APRN application can be found on the Department of Public Health’s website at http://www.ct.gov/dph/cwp/view.asp?a=3121&q=389400&dphNav GID=1821. The application will require several original source papers, including official transcripts from the educational institution, verification of pharmacology courses by the program’s dean or director, and supporting proof for any negative professional background, such as suspensions, investigations, or criminal convictions. Additionally, a personal statement and formal documentation, like court records, may be requested. The application form must be notarized, and a current photograph should be affixed to the applicant’s resume. Any advanced practice nurse meeting the cooperation criteria and desiring to practice independently must notify the Commissioner of Public Health. The Department of Public Health oversees the Connecticut Board of Examiners in Nursing, and you can find more information about advanced practice nursing on their website at http://www.ct.gov/dph/cwp/view.asp?a=3121&q=389400&dphNavGID=1821. For inquiries, you can contact the licensing agency at (860) 509-7603 or through email at [email protected].
Instead of requiring supervision by a licensed physician, nurse practitioners practice under the jurisdiction of the State Board of Nursing in Connecticut. During the first three years after licensure, nurse practitioners must collaborate with a physician. This collaboration should include consultation, covering for the patient in the absence of the nurse practitioner, assessing patient outcomes, and disclosing the collaboration to patients, all of which should be documented in a written agreement. After three years, nurse practitioners are free to practice independently. Prescriptive authority, including Schedule II and III restricted drugs, is granted after three years of licensure, provided there is a written agreement addressing this. The collaboration should also include a plan for reviewing patient outcomes. State policy recognizes nurse practitioners as primary care professionals, giving patients the choice of a participating, in-network physician or an in-network advanced practice registered nurse as their primary care provider.
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Controlled Substance Practitioner Registration permits practitioners to handle restricted drugs in the course of their professional practice, including distribution, dispensing, research, administration, or purchase, if granted permission by the Department of Public Health or another regulating entity. To qualify for this registration, an active registration with the Department of Public Health is required. If an individual has a felony conviction or their license has been surrendered, revoked, suspended, limited, or refused, or if such actions are pending, additional documentation is not necessary. Licensed medical personnel prescribing restricted drugs in Connecticut must meet this requirement. To proceed with the Controlled Substances Registration application, all applicants must have an application on file with the Department of Public Health. The initial application fee is $40. It’s important to note that all practitioners with a Connecticut Controlled Substance Registration must also register in the Connecticut Prescription Monitoring and Reporting System at https://connecticut.pmpaware.net.
The DEA application process consists of six components: personal/business information, activity, state license(s), history, payment, and confirmation. The DEA Form-224 can be completed online, which is recommended, or submitted as a paper version. Other forms for new registration, such as Forms DEA-225, DEA-363, and DEA-510, are also available online or via mail. If you need assistance with registration, you can contact the DEA Registration Service Center at 1-800-882-9539 (8:30 a.m. to 5:50 p.m. ET) or send an email to [email protected]. When reaching out, make sure to mention your DEA registration number. Alternatively, you can consult a Local Registration Specialist.
In Connecticut, nurse practitioners with controlled-substance prescriptive authority are authorized to prescribe, dispense, administer, and procure Schedule II/IIN substances (2/2N), Schedule IV substances (4), and Schedule V substances (5).
Our Regional 1 Director has received the AANP State Advocacy Award for Excellence, recognizing dedicated advocates in each state who have significantly contributed to increasing NP knowledge and recognition. Our states are engaged in various activities, including improving access to cardiac and pulmonary rehabilitation services, enhancing Medicare patient access to necessary therapeutic shoes, and introducing/reintroducing ourselves to Members of Congress to educate them on the high-quality healthcare provided by NPs.
Reference:
AANP regional directors and state representatives. American Association of Nurse Practitioners. (2020). https://www.aanp.org/about/about-the-american-association-of-nurse-practitioners-aanp/your-aanp-region/regional-directors-and-state-representatives.
Aprn practice. CT.gov. (2021). https://portal.ct.gov/DPH/Practitioner-Licensing–Investigations/APRN/APRN-Practice.
Connecticut APRN LICENSE Requirements: Become a nurse practitioner in CT. NursingLicensure.org – A more efficient way to find nursing license requirements in your state (2021). https://www.nursinglicensure.org/np-state/connecticut-nurse-practitioner/.
Connecticut scope of Practice policy – State Profile. Scope of Practice Policy. (2021). https://scopeofpracticepolicy.org/states/ct/.
Controlled substance practitioner registration. CT.gov. (2021). https://portal.ct.gov/DCP/License-Services-Division/All-License-Applications/Controlled-Substance-Practitioner-Registration.
CSA registration tools: Login. (2021). https://apps.deadiversion.usdoj.gov/webforms2/spring/main?execution=e1s1.
Registration. (2021). https://www.deadiversion.usdoj.gov/drugreg/index.html#2 Connecticut Nursing Certification and Licensure Essay.
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