Starting in January 2020, if nurses want to practice in North Carolina, they will have to enter into a collaborative practice agreement with a physician. The agreement describes patient management and describes how providers interact. It is interesting to note that PNs should not be in the same geographic location as the supervising physician and should only meet twice a year. The lack of supervision therefore raises the question of why treaties are necessary. How will patient advice and transfers be made in your practice? What medications and devices will you prescribe in each place of exercise? 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.

What will be your process, developed by the nurse and primary supervisor for the ongoing review of care at each training site, including a written plan to assess the quality of care provided for one or more common clinical problems? This is not an exhaustive list of questions or statements to consider for your collaborative practice agreement, but is intended to guide your development of the collaborative practice agreement for your practice. If a cooperating doctor is engaged in a hospital system, the hospital`s policy may also prevent the doctor from signing or renewing a cooperation agreement with a nurse. In addition, agreements on collaborative practices can be costly, making it more difficult for some NPCs to grow their own clinics. If an NP wants to hire another to work in their clinic, the costs can be prohibitive, as the cooperating provider requires a certain percentage of the clinic`s turnover. 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. 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? 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.