Commonwealth Consolidated Regulations

HEALTH INSURANCE REGULATIONS 1975 - REG 2H

         (1)   An eligible nurse practitioner must record the following for a patient in the nurse practitioner's written records:

                (a)    the name of at least 1 specified medical practitioner who is, or will be, collaborating with the nurse practitioner in the patient's care (a named medical practitioner );

               (b)    that the nurse practitioner has told the patient that the nurse practitioner will be providing services to the patient in collaboration with 1 or more specified medical practitioners in accordance with this regulation;

                (c)    acknowledgement by a named medical practitioner that the practitioner will be collaborating in the patient's care;

               (d)    plans for the circumstances in which the nurse practitioner will do any of the following:

                          (i)    consult with a medical practitioner;

                         (ii)    refer the patient to a medical practitioner;

                        (iii)    transfer the patient's care to a medical practitioner;

                (e)    any consultation or other communication between the nurse practitioner and a medical practitioner about the patient's care;

                (f)    any transfer by the nurse practitioner of the patient's care to a medical practitioner;

               (g)    any referral of the patient by the nurse practitioner to a medical practitioner;

               (h)    if the nurse practitioner gives a copy of a document mentioned in subregulation (2) or (3) to a named medical practitioner -- when the copy is given;

                (i)    if the nurse practitioner gives a copy of a document mentioned in subregulation (4) or (5) to the patient's usual general practitioner -- when the copy is given.

         (2)   If the nurse practitioner refers the patient to a specialist or consultant physician, or if the nurse practitioner requests diagnostic imaging or pathology services for the patient, the nurse practitioner must give a copy of the referral, or the results of the services, to a named medical practitioner if:

                (a)    the nurse practitioner:

                          (i)    consults with the named medical practitioner; or

                         (ii)    refers the patient to the named medical practitioner; or

                        (iii)    transfers the patient's care to the named medical practitioner; and

               (b)    the named medical practitioner asks the nurse practitioner for a copy of the referral or results.

         (3)   Also, the nurse practitioner must give a named medical practitioner a record of the services provided by the nurse practitioner to the patient if:

                (a)    the nurse practitioner:

                          (i)    consults with the named medical practitioner; or

                         (ii)    refers the patient to the named medical practitioner; or

                        (iii)    transfers the patient's care to the named medical practitioner; and

               (b)    the named medical practitioner asks the nurse practitioner for the record.

         (4)   If the nurse practitioner refers the patient to a specialist or consultant physician, or requests diagnostic imaging or pathology services for the patient, and the patient's usual general practitioner is not a named medical practitioner, the nurse practitioner must give a copy of the referral, or the results of the services, to the patient's usual general practitioner.

         (5)   Also, if the patient's usual general practitioner is not a named medical practitioner, the nurse practitioner must give the patient's usual general practitioner a record of the services provided by the nurse practitioner to the patient.

         (6)   However, subregulations (4) and (5) apply only if the patient consents.