Ky Nurse Practitioner Collaborative Agreement

For nearly two decades, nurses in the state have only been able to prescribe drugs such as antibiotics and antihypertensive drugs if they have entered into a cooperation agreement with a doctor who can charge a fee. But if the doctor broke the agreement, the nurses were forced to find other doctors or limit their practices by not prescribing. According to Beth Partin, vice president of the Kentucky Coalition of Nurse Practitioners – Nurse Midwives, most firms cannot survive diagnostic and physics tests. Nurses, who have at least a post-university background, have long argued that when it comes to primary care, paediatric care and women`s health, they are qualified for the treatment of chronic diseases and provide preventive services without medical supervision. On the other hand, there are those who say that these health professionals do not have the practical experience or university training to provide the same quality of care as physicians who undergo years of training and stay. “The concern is that you don`t know what you don`t know,” said Robert McLean, an internist in New Haven, Conn., where a 2014 law requires nurse practitioners to spend 2,000 hours in a collaboration agreement with a doctor before practicing independently. “There are a lot of nurses who provide good services, but if you make a law that allows them to be independent, even if they are not experienced, how many patients are less than ideally cared for?” The remaining 19 states and the District of Columbia allow nurses to practice independently of a doctor. Five states, alongside Connecticut, Minnesota, Vermont, Nevada, Maine and Colorado – require nPs to spend a specified amount of time in agreement with a doctor before obtaining independent prescribing rights. Access to NP care in California is limited by state law. Physicians and NPNs must enter into a cooperation agreement for one or more elements of the practice of NPPs.

Kentucky`s action offers a possible compromise for states that try to define the role of nurses while alleviation of physician concerns. However, some experts doubt that this approach is a model for others. An NP may prescribe legendary drugs as part of a cooperation agreement with a doctor. If an NP has met certain requirements after four years, the NP may prescribe drugs independently. If the NP wants to impose schedule II-V controlled substances, the cooperation agreement must be maintained.

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