Rules 21NCAC36.0810 (b) (1) (2) and 21 NCAC32M.0110(b) (1) (2) “Quality Assurance Standards for a Collaborative Practice Agreement” conclude and maintain the agreement on collaborative practice by both the primary physician and the specialist and maintained at each place of practice. 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. Nurses (PNN) are required to practice in accordance with written protocols that reflect the department (s) of the practice in which the PNP is certified. Protocols must also reflect current and recognized medical and health practices. Additional protocols in specialized areas (for example. B, hematology, orthopedics, dermatology) that are suitable for the practice of NP can be used, but should not be reflected in the cooperation agreement in practice. How will your minimum standards for consultation between you as a nurse and your primary supervisory physician be applied, as described at 21 HAC 36.0810 (e) (1) (A) (A) (B) (B) (B) (2) (A) (C) and 21 HAC 32M (e) (1) (A)-:2) (A) (3)). This nurse practitioner/doctor counsel will be different for the new graduate, new nurse practitioner with the first authorization to practice in North Carolina compared to a collaborative practice agreement later approved by a nurse practitioner previously to practice in North Carolina and another primary supervisory physician. 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. What medications, devices, medical treatments, tests and procedures that can be prescribed, ordered and performed would be appropriate for the diagnosis and treatment of common medical problems in your nurse practitioner practice? Every nurse (NP) must enter into a written cooperation agreement with a doctor in order to practice. Collaborative practical agreements contain provisions that deal with regulations: what drugs and devices will you prescribe at each exercise site? You can list certain drugs or certain categories of drugs. A complete description of the categories of drugs and devices to treat common health problems in your particular practice can be developed. For example: categories of drugs, such as anti-Semitic drugs, hypoglycemics-oral/insulin, oral hormones and contraceptives, cephalosporins, aminoglycosides, antivirals, antiasthmatics, diuretics, antihypertensivus, etc. may be indicated. Exceptions may be granted by classes of drugs or certain drugs in a class or administration routes. 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.