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ROSE, SCOTT L - Licensee Information - Oklahoma Medical Board - medicalboard georgia

ROSE, SCOTT L - Licensee Information - Oklahoma Medical Board - medicalboard georgia 2025

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The document is an APRN Protocol Worksheet (Form C) used for delegating medical procedures to Advanced Practice Registered Nurses (APRNs). It requires information about the delegating physician and APRN, their certifications, and details of any procedures performed outside the normal scope of practice. The form mandates documentation of training and competency for such procedures, including supervision records and patient outcomes. Signatures from both the APRN and the delegating physician are required, and it emphasizes that illegible forms will not be accepted.

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