NPNs may refer patients to their cooperating physicians if medically necessary, provided that the NNP receives nothing in return for the transfer. New York law does not require a cooperation agreement to include a payment provision. After the New York State Education Law 6902, a nurse (NP) diagnoses diseases and physical conditions and implements therapeutic and corrective measures in a practical specialty. This law requires the NP to practice in collaboration with a physician qualified for cooperation in the NP specialty and in accordance with a written practice agreement and written practice protocols. Many NPNs work for two or more health care providers or in an institution with patients cared for by several different physicians. The SED does not necessarily require that NP enter into several cooperation agreements in such situations. For example: How does the Nursing/Physician Practitioner Plan provide for ongoing availability of each other for follow-up, advice, cooperation and evaluation of the medical procedures you are about to perform? Newly certified nurses must submit the New York State Education Department`s (SED) Form 4NP-Verification of Collaborative Agreement and Practice Protocol within 90 days of starting professional practice. The NP is not required to submit additional 4PPs with the SED. A completed 4NP form does not correspond to a common practice agreement. Form 4 NP can be downloaded from the SED website by clicking here.
No agreement on common practice can effectively cover any clinical situation. Therefore, the collaborative practice agreement is not intended to replace the exercise of a professional assessment with the nurse and should not be. There are situations where patient care is both frequent and unusual and requires the individual exercise of the nurse-practitioner`s clinical judgment. A copy of the cooperation agreement must be kept within the practical parameters of NP and made available to the New York State Education Department (SED) for consultation. Here is a copy of an example of a cooperation agreement (20 KB) that you can use as a template. North Carolina Board of Nursing 21 NCAC36.0800 “Approval and Practice Parameters for Nurse Practitioners” and similar Medical Board Rule 21 NCAC32M.0100 “Approval of Nurse Practitioners” came into effect on August 1, 2004. What should be included in the collaborative practice agreement? The joint subcommittee of the Care Committee and the Medical Commission does not require a specific format to be used by the care practitioner. However, any primary medicine practitioner must deal with how this primary practitioner/supervisor implements the Nurse Practitioner Rules in this practice in order to comply with the administrative code or administrative provisions. Because practices are different, collaborative practice agreements will also be different depending on the type of patients served; The most common diagnoses are made The complexity of customer care Availability of emergency services, diagnostic centres and specialists; and if the nurse practitioner has just finished against an “experienced” nurse practitioner, or the “experienced” nurse practitioner in a new field of practice, or with a new primary supervisory physician. Nurse practitioners may continue to use written protocols or other specific references that are described as such in the collaborative practice agreement, although written protocols are not mandatory, as in previous rules of law nurse practice. They may include in the agreement on practice collaborating certain references consulted, for example. B guidelines on patient care.