Melissa DeCapua is a Board-certified psychiatric nurse who graduated from Vanderbilt University. She has a background in child and juvenile psychiatry and psychosomatic medicine. What is unique is that she holds a bachelor`s degree in the studio, which allows her to improve patient care, promote the profession of caregiver and solve complex problems. Melissa currently works as a Healthcare Strategist at a Seattle-based healthcare information technology company, where she leads product development by combining clinical experience with creative thinking. She is a strong advocate of strengthening nurses and strongly believes that nurses should play a central role in the design of modern health care. To learn more about Melissa, check out her blog www.melissadecapua.com and follow her on Twitter @melissadecapua. 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. 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. 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) (b) (3) (A) (B) and 21 NCAC32M.0109 (b) (3) (A) (B)? Describe some patients or disease management situations that the primary or supportive physician will only see, or do you agree with you. 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. Nurse practitioners may continue to use written protocols or other specific references that are described as such in the collaborative practice agreement, although written protocols are not mandatory, as in previous ones.