Collaborative Agreement Assignment Paper
Collaborative Agreement Assignment
Description of what the current agreement entails
The New York State offers a succinct definition of nursing practice in terms of conditions that nurses must meet before being allowed to practice in the state. The definition came into effect on 30th June 2021, and includes the requirements for independent practice and collaborative relationships in nursing practice. It notes that while registered and certified, nurses are allowed to practice independently in certain areas, they may be required to perform certain professional tasks in specialty areas under the direction of licensed health care provider who is legally authorized to perform and supervise the tasks. That is because although nurses have the competencies to do these tasks, they are not legally authorized to independently perform them under the title of nursing practice or state regulations. Prior to being supervised and performing these tasks, nurses are required to sign a written practice agreement that remains valid for three years with a legally authorized health care provider who would supervise them in these tasks. The agreement outlines the professional scope of practice for the tasks as well as how professional disagreements on tasks will be resolved. An exception to this rule applies for nurse practitioners who have been practicing for more than 3,600 hours who have more privileges with less strict supervision requirement for the written practice agreement (New York State Education Department, 2018). Collaborative Agreement Assignment Paper
In addition, the written practice agreement details the prescription practices that the nurse practitioner can engage in accordance with prescription certification and authorization dependent on the pharmacology component completed. This makes it clear that a nurse must present evidence of appropriate pharmacology competency before being permitted to engage in prescription tasks as outlined in the written practice agreement. Also, the agreement includes a requirement for patient records to be reviewed by the collaborating licensed health care provider with the reviews conducted in a timely manner no less often than every three months with the names of the attending nurse and licensed health care provider clearly indicated (New York State Education Department, 2018). Besides that, the written practice agreement specifies the medical and nursing services that can be offered, all of which must be filed with the state medical department at least three months prior to commencing practice. The list of services can be periodically updated as the professional competencies change to meet the state requirements for practice. Additionally, each licensed health care provider can only enter into practice agreements with a maximum of four nurse practitioners who are not located within the same physical premises as the licensed health care provider. Furthermore, the written practice agreement should not limit/diminish the professional practice of a nurse by denying the right to practice in an area that the nurse is authorized and considered competent. Moreover, the written practice agreement does not apply to the tasks that the nurse is already authorized to independently perform within a medical organization under the state certification, laws and regulations. Also, the written practice agreement must be registered triennially with details of services provided, location and setting, and a report would be issued on the implementation of the state requirements (New York State Education Department, 2018).
Sample Collaborative Practice Agreement
(Source: New York State Education Department, 2021)
This agreement sets forth the terms of the Collaborative Practice Agreement between (nurse practitioner and specialty as listed on the State issued certificate) and (name of collaborating physician and specialty if any) at (name and address of agency or entity where practice takes place). This agreement shall take effect as of (date).
Introduction
(YOUR NAME RN, NP) meets the qualifications and practice requirements as stated in Chapter 257 of the Laws of 1988 and Article 139 of the Education Law of New York State, holds a New York State license and is currently registered as a registered professional nurse in good standing, holds a certificate as a nurse practitioner pursuant to Sec. 6910 of the Education law and herein meets the requirement of maintaining a collaborative practice agreement with (NAME OF COLLABORATOR, MD/DO) a duly licensed and currently registered physician in good standing under Article 131 of the New York State Education Law.
ORDER A PLAGIARISM-FREE PAPER HERE
I. Scope of Practice
The practice of a registered professional nurse as a nurse practitioner may include the diagnosis of illness and physical conditions and the performance of therapeutic and corrective measures including prescribing medications for patients whose conditions fall within the authorized scope of the practice as identified on the college certificate. This privilege includes the prescribing of all controlled substances under a DEA number. The nurse practitioner, as a registered nurse, may also diagnose and treat human responses to actual or potential health problems through such services as case finding, health counseling, health teaching, and provision of care supportive to or restorative of life and well-being. This practice will take place at (above identified agency) or in such other facility or location as designated by (name of identified agency) or by the parties of this contract. The following exceptions to the certified scope of practice have been agreed upon by the undersigned parties: (list exception(s)).
II. Practice Protocols
The protocols used in this (identify specialty as listed on State issued certificate) practice are contained in (name approved protocol text with all bibliography citations) and in (cite location of any other protocols which are germane to this particular practice).
III. Physician Consultation
The parties shall be available to each other for consultation either on site or by electronic access including but not limited to telephone, facsimile and email. Each party will cover for the other in the absence of one of them or (names of third parties) who are designated by (YOUR NAME, RN, NP and NAME OF COLLABORATOR MD/DO) as appropriate for coverage in the absence of both parties. In the event that there is an unforeseen lack of coverage, patients will be referred to the appropriate emergency room.
IV. Record Review
A representative sample of patient records shall be reviewed by the collaborating physician every three months to evaluate that (name of NP)’s practice is congruent with the above identified practice protocol documents and texts. Summarized results of this review will be signed by both parties and shall be maintained in the nurse practitioner’s practice site for possible regulatory agency review. Consent forms for such review will be obtained from any patient whose primary physician is other than (name of collaborating physician).
V. Resolution of Disagreements
Disagreement between (name of nurse practitioner) and (name of collaborating physician) regarding a patient’s health management that falls within the scope of practice of both parties will be resolved by a consensus agreement in accordance with current medical and nursing peer literature consultation. In case of disagreements that cannot be resolved in this manner, (name of collaborative physician’s) opinion will prevail. In disagreements between the nurse practitioner and non-collaborating physicians, the collaborating physician’s opinion will prevail.
VI. Alteration of Agreement
The collaborative practice agreement shall be reviewed at least annually and may be amended in writing in a document signed by both parties and attached to the collaborative practice agreement.
VII. Agreement
Having read and understood the full contents of this document, the parties hereto agree to be bound by its terms.
References
New York State Education Department (2018, February 2). Education Law: Article 139, Nursing. http://www.op.nysed.gov/prof/nurse/article139.htm
New York State Education Department (2021). (Sample) Collaborative Practice Agreement. http://www.op.nysed.gov/prof/nurse/np-sample-collaborative-agreement.pdf
