Collaborative practice – the common management of a patient`s health care through an advanced practice of APRN of registered care and one or more medical consultants. Unless the SAR 37:930 is available, medical diagnoses and prescriptions by an NPP must be in accordance with a Community practice agreement. Agreement on Collaborative Practice or CPA- a formal written statement dealing with the parameters of collaborative practice on which an NPA and one or more physicians agree, which include the following provisions but are not limited: b) collaborative practice management methods that contain guidelines for clinical practice; NPNs are recognized as primary service providers in public policy. AN NP chooses a population centre that refers to one of the areas of study and concentrated practices made available to a collection of particular people with common characteristics. A large population-based study centre covers the common problems and aspects of this group of patients, as well as comorbidities, interventions and likely reactions to these problems. For example, neonatal, pediatric health, women`s health, adults, family, mental health, etc. The. Administrator. Code 46-XLVII.4505 States are increasingly passing laws that allow nurses to have more freedom in their practice. Some legislators… The rules for nurses who prescribe controlled substances in Louisiana are strict. Nurse practitioners should not prescribe controlled substances to treat chronic pain or obesity.
You also cannot write prescriptions for controlled substances for yourself or for family members. Before he can apply for the right to prescribe controlled substances, he must have spent at least 500 hours of practice with a cooperating physician immediately prior to the application. An application for a prescription of controlled substances must be submitted to the Louisiana Board of Nursing before the privilege is granted. The regulations would impose the most remarkable new requirements if the monitoring physician and the NRNPA do not share a training site. In these cases, the physician who requires monitoring would be limited to monitoring four APRNEs and should maintain a geographically located site to allow patient transfers by the NRNPA. See Proposed LAC 77:XLV.7715 (B). In addition, the attending physician would be required to make quarterly visits to the APRN training site during office hours and to check 10% or 20 diagrams, depending on whether there are fewer, with the exception of physician collaboration for patients in a hospital, nursing home or hospice, which has been approved by the Louisiana Department of Health and Hospitals. The effect of the draft rule is limited by a large number of exceptions: a physician- a person legally entitled to perform a medical activity in that state, as evidenced by a license issued by the House. An agreement on collaborative practice must specify the requirements of the authorizing physician to the prescribed authorities. The NP may prescribe prescription drugs and schedule II-V controlled substances.
Admin. Code 46-XLVII.4513 (D) Although the RLS has not historically regulated the practice of THE NISA, it regulates the practice of PA in Louisiana and these prudential requirements are generally heavier than those imposed by the NRL on the supervision of the NISA. Under current regulations, a supervisory physician (MS) may not exercise more than two PAs as a primary supervisory physician (PSP) and cannot act as MS for more than four PAs at the same time.