Florida Board of Medicine – Correction – Standards for Protocols: Physicians and ARNP

 Posted in Latest News on May 9, 2013.


In Florida, an advanced registered nurse practitioner (ARNP) is defined by s. 464.003, Florida Statutes as “any person licensed in this state to practice professional nursing and certified in advanced or specialized nursing practice, including certified registered nurse anesthetists, certified nurse midwives, and nurse practitioners.” According to Rule 64B8-35.002, Florida Administrative Code, ARNP’s “shall only perform medical acts of diagnosis, treatment, and operation pursuant to a protocol between the ARNP and a Florida licensed physician, osteopathic physician or dentist.” The protocol established between the ARNP and the physician must contain certain information as outlined in the rule noted above. In addition, the following language is required in the protocol: I, (name and professional license number of physician) , of (address of physician) have hereby entered into a formal supervisory relationship, standing orders, or an established protocol with (number of persons) emergency medical technician(s), (number of persons) paramedic(s), or (number of persons) advanced registered nurse practitioner(s). In the past, protocols were required to be submitted on a yearly basis and every time there was a change in the protocols. Effective May 6, 2013, a change in Rule 64B8-35.002, FAC will require the protocols to be submitted within thirty days of renewal of the ARNPs’s license and upon any change, including termination of the protocol. This change makes the rule consistent with the Board of Nursing requirements for protocols. Both the physician and the ARNP must maintain a copy of the protocol for a minimum of four years. Protocols should be submitted to the Board of Medicine at 4052 Bald Cypress Way, Bin C03, Tallahassee, FL 32399 or faxed to the Board at (850) 488-0596. A form, ARNP/EMT/Paramedic Protocol Form, is available at the Board of Medicine’s website at www.FLBoardofMedicine.gov, Resources. If you have any questions, feel free to contact the Board at info@flboardofmedicine.gov

Clarification Regarding Controlled Substance Prescriber Laws

 Posted in Latest News on June 10, 2013.


In accordance with s. 456.44, F.S., a physician licensed underchapter 458, chapter 459, chapter 461, or chapter 466 who prescribes any controlled substance listed in Schedule II, Schedule III, or Schedule IV, as defined in s. 893.03, F.S., for the treatment of chronic nonmalignant pain must designate himself or herself as a controlled substance prescribing practitioner on the physician’s practitioner profile. If the physician does not prescribe controlled substances for the treatment of chronic nonmalignant pain, the “Controlled Substance Prescriber” field will indicate “NO,” but as long as the physician holds a DEA prescribing license, he or she is still authorized to prescribe controlled substances.

Chronic nonmalignant pain, as defined in s. 456.44(1)(e), F.S., is “pain unrelated to cancer which persists beyond the usual course of disease or the injury that is the cause of the pain or more than 90 days after surgery.” If you do not treat patients for what falls under the statutory definition of chronic nonmalignant pain, there is no need to register as a Controlled Substance Prescriber in the State of Florida, and your ability to prescribe controlled substances will not be hindered as long as you hold a DEA prescribing license. If you do treat patients for what falls under the statutory definition of chronic nonmalignant pain and you have not yet registered yourself as a Controlled Substance Prescriber in the State of Florida, please do so immediately. This can be done by logging into MQA Online Services using the same User ID and Password that you use to renew your license, and selecting the “Controlled Substance Prescriber” option from the menu on the left-hand side of the page. Follow the on-screen prompts from there to complete the process. There is no fee for registration. The online system can assist you if you do not remember your User ID and/or password, or you may call 850-488-0595 and a representative will assist you. If you have any additional questions or concerns, please do not hesitate to contact the Board of Medicine by phone at (850) 245-4131, or by e-mail at MQA_Medicine@doh.state.fl.us.