State Overview: Northern Mariana Islands

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Licensed professional counselors assess and diagnose patients using counseling and psychotherapy methods to treat mental and emotional disorders. Commonwealth Admin. Code § 185-10-4601(k)

No data available for the certification of peer support specialists.

Physician relationship required for practice and prescriptive authority.

The practice of nurse-midwifery constitutes the furthering or undertaking by any certified person, under the supervision of a licensed physician and surgeon who has current practice or training in obstetrics, to assist a woman in childbirth so long as progress meets criteria accepted as normal. All complications shall be referred to a physician immediately.

Written protocols shall be developed by the nurse-midwife and agreed upon by the physician or protocols may be jointly developed by the nurse-midwife and the physician. Northern Mariana Islands Admin. Code § 185-20.2

Full independent practice and prescriptive authority.

NPs may practice independently from a physician or in collaboration with a physician. Northern Mariana Islands Admin. Code § 185-20.2

NPs may prescribe drugs, devices and Schedule II-V controlled substances if prescriptive authority is granted by the Commonwealth Board of Nurse Examiners. Northern Mariana Islands Admin. Code § 185-20.2

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NPs are recognized in state policy as primary care provider. Northern Mariana Islands Admin. Code § 185-20.2

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Dental hygienists may not deliver services independent of a dentist except if they are employed by the Commonwealth Healthcare Corporation may independently provide educational and preventive oral health services if the services are provided as part of a public oral health program for children. Northern Mariana Islands Admin. Code §185-10

Dental therapists must work under the supervision of a dentist and may provide certain preventative and restorative services. Northern Mariana Islands Admin. Code § 185-10

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The physician assistant may only provide those medical services which:

1. He/she is competent to perform as determined by the supervising physician;
2. Are consistent with his or her education, training, and experience; and
3. Are delegated in writing by the supervising physician responsible for the patients cared for by the physician assistant.

A supervising physician shall delegate to a physician assistant only those tasks or procedures consistent with the supervising physician's specialty or usual and customary practice.
185 Northern Mariana Islands Admin. Code §185-10-4115

The supervising physician may allow the physician assistant to make prescription drug orders, prescribe, dispense, and/or administer medications and medical devices to the extent described in the written practice agreement. In general this includes Schedule III-V and Schedule II may be requested if certain requirements are met. 185 Northern Mariana Islands Admin. Code §185-10-4130

A supervising physician shall petition the Board if he or she wishes to supervise more than two full-time physician assistants or the equivalent of two full-time physician assistants.
185 Northern Mariana Islands Admin. Code §185-10-4125(a)(7)

The practice agreement, at a minimum, shall:

Provide for the supervising physician's review and signature of records, as follows:

• (i) A minimum of 5% of all patient encounters by the physician assistant that do not involve a controlled substance will be reviewed and signed within thirty calendar days;
• (ii) A minimum of 10% of all patient encounters by the physician assistant that involve a prescription drug order, prescribing, dispensing or administering of Schedule III-V controlled substances must be reviewed and signed within thirty calendar days;
• (iii) A minimum of 15% of all patient encounters by the physician assistant that involve a Schedule II controlled substance must be reviewed and signed within seven days; and
• (iv) The Board may require that up to 100% of all patient encounters by a physician assistant be reviewed and signed by a supervising physician.
• (6) Describe the method by which a supervising physician will comply with the chart review requirements. The Board, may, at any time, request proof of compliance with this chart review requirement. Non-compliance may result in termination by the Board of a practice agreement;

185 Northern Mariana Islands Admin. Code §185-10-4120(a)(5),(6)

The Commonwealth of the Northern Mariana Islands does not explicitly allow adaptable proximity.

The supervising physician may delegate the services a PA may perform. The medical services must consistent with the PAs education, training and experience. Northern Mariana Islands Admin. Code §185-10