I. Job Title: Certified Nurse Practitioner
II. Class and Purpose: Class 3 Allied Practitioner
The certified nurse practitioner (CNP) provides care to patients and their families
in collaboration with other practitioners. The CNP practices under the
supervision of one or more collaborating physicians with a standard care
A. Licensed by the State of Ohio as a registered nurse
B. After January 1, 2001 must hold a Master of Science in Nursing (NP’s
credentialed prior to January 1, 2001 do not need Masters degrees as
long as they are able to retain national certification as below and the
Certificate of Authority from the State Board of Nursing in Ohio).
C. Specialty certification in area of expertise (e.g. CCRN, CNRN, etc.).
D. Graduate of an accredited nurse practitioner program
E. Certificate of Authority from Ohio Board of Nursing
F. Certified by American Nurses Credentialing Center, OR National
Certification Corporation, OR National Board of Pediatric Nurse
Practitioners and Associates, OR another national certifying body
approved by the Ohio Board of Nursing.
G. Advanced physical assessment skills
H. Certified in CPR OR Certified in Neonatal Resuscitation if a pediatric
I. Insurance requirements as indicated in Allied Practitioner Manual
A. Review patient records to determine health status
B. Perform and record history and physical examination
C. Develop and initiate diagnostic and therapeutic plans in consultation with
supervising physician and in concert with standard care agreement
D. Performs minor and invasive procedures per specific protocols as listed on
the appended list.
E. Conducts patient rounds and/or sees regularly scheduled patients.
F. Writes orders per protocol and/or following consultation with supervising
physician including but not limited to diet, specialty beds, rehab
treatments, specialty consultations, lab and other diagnostic tests,
continuance of medications received at home, tapering of medications
including IV solutions, and respiratory care treatments.
G. Develops patient education plan.
H. Documents appropriately on the chart including outcomes of
I. Provides relevant patient education.
J. Makes referrals as needed to other health professionals and community
K. Works collaboratively with Quality Improvement Process.
CNP Page 2
L. Seeks out and attends appropriate continuing education courses to keep up
to date on knowledge required for area of specialty practice, including
A. The manner of compensation shall be according to the mutual desires and
rights of the contracting parties.
B. The supervising physician is responsible for the quality and
appropriateness of care provided by the CNP.
C. A copy of the standard care agreement between the supervising physician
and CNP must be provided. The standard care agreement must include
the statement of services offered, criteria for referral, process for
resolution of disagreements, process for chart review and review of
referrals and outcomes of care, and arrangement for reimbursement.
D. The CNP will contact the supervising physician or designate for non-
emergency situations and will contact the resident staff or in house
attending ONLY in emergent situations.
E. The CNP will document all care in the chart as appropriate (exams,
procedures, progress notes, labor record, etc.).
F. If the CNP bills independently for his/her services, the patients shall be so
notified before any billable service is rendered.
VI. Age Specific Competencies
A. Adults (18-65) and Adolescents( 12-18) , including Seniors (65+)
B. Neonates and Infants for Pediatric Nurse Practitioners only.
VII. Physical Requirements
ACTIVITY 1 2 3 4 ACTIVITY 1 2 3 4 ACTIVITY 1 2 3 4
Walking X Reaching X Hearing
Sitting X Manual X Normal X
Pushing X Use of Hands X Other Sounds X
Pulling X Talking X Vision
Climbing X Lifting Acuity, Near X
Stooping X Over 50 pounds X Acuity, Far X
Kneeling X Under 50 X Color Vision X
1=Rarely, 2=Occasionally, 3=Frequently, 4=Consistently
Approved by the Board of Trustees – March 22, 2001