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, after New York State Education Law 6902, a nurse (NP) diagnoses diseases and physical conditions and implements therapeutic and remedial 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. Questions about highly cooperative practice agreements and practical protocols can be emailed to the nursebd@nysed.gov Care Office or by phone at 518-474-3817 ext. 120 or by fax at 518-474-3706. It is not the jurisdiction of the Office for the Interpretation of Financial Relations Laws between NPNs and cooperating physicians. How will you proceed with the new rules for prescribing and dispensing drugs and devices that are not included in the agreement on cooperative practice under Rule 21 NCAC366.0809 (b) (3) (A) (B) and 21 NCAC32M.0109 (b) (3) (A) (B)? 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. The ability of nurses to work throughout their training and training is a national topic of NPs. As has been demonstrated recently in interviews with Michigan nurses and researchers, the fight for comprehensive practice authority (VPA) is essential to meet the growing demand for qualified providers (particularly in rural areas) and to keep costs low with safe and effective health care. While the VA, AARP, FTC, Institute of Medicine, Bipartisan Policy Center and many others support the granting of PFAs to PNs, many physician organizations still oppose these efforts. Dr.
Denise Hershey of Michigan State University said in her 2017 interview: « The biggest challenge in this fight is to understand to physician groups that we are not competing with them; As PN, we are members of a health team, which includes our fellow physicians and other health care professionals that the patient may need. As a team, we must work together to improve the health of our patients. NPNs may refer patients to their cooperating physicians if medically necessary, provided that the NNP receives nothing in return for the transfer.