Ky Collaborative Agreement

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Having this scaffolding would make a big difference for Brenda Pittman, a nurse at Mt. Sterling, Ky. One doctor withdrew from an agreement with her in June 2013, another last March. In both cases, the medical practices were purchased by large hospital systems that did not allow them to pursue the agreements. The NP is required to have a cooperation agreement with a supervisory physician for the prescribing of drugs. After four years of practice under the cooperation agreement, an NP can prescribe drugs independently. Ky. Rev. Stat.

314.042 Some medications, such as Adderall, oxycodone, testosterone, ambiens and cough syrup with codeine, still require a collaborative agreement. Of the 5,410 nurses in the state, 1,948 have an agreement to prescribe these more restrictive drugs, according to the Kentucky Board of Nursing. In Kentucky, NPNs must enter into a cooperation agreement with doctors. However, at the national level, stakeholders doubt that this approach is truly an innovative compromise. „If it becomes easier for someone to meet an unnecessary burden to meet the requirements, the fact that it is a burden will not be reversed,“ said Tay Kopanos, AANP`s vice president for government affairs. She said the cooperative agreement on controlled drugs, which the government considers dangerous and addictive, is a major obstacle. 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. Currently, 19 states require PNs to have a collaborative agreement for the entire career, and another 12 require supervision or team management with a physician, with nurses prescribing by physicians, according to the American Association of Nurse Practitioners (AANP). Cooperation agreements, which are made official by forms signed by the PNP and the doctor, can be very different.

Kentucky, for example, has never asked doctors to check or meet with NPNs on prescription regimes, but some states do. „I called a dozen doctors,“ Pittman said, recalling their hectic brawl after the agreements ended. Both times, she was empty and had to close her practice for four days, which caused her to lose about $12,000. „It tasted my budget and a lot of patients complained that they couldn`t be seen, that they couldn`t get their refills,“ said Pittman, who, under the new law, no longer needs to be associated with a collaborative doctor to prescribe most drugs.

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