Ultimately, the cooperation agreements prescribed by law prevent NRPAs from caring for patients who need it most. They do not improve care; they are only limiting access. We must allow the full practice power of the NPAs so that the people of Wisconsin have access to the health care they need and deserve. Collaborative Relationship Advanced Practice Nurse Prescribers in Wisconsin work in a collaborative relationship with a physician. This means that a nurse anaesthetist, also APNP certified, “works with one doctor who works in the presence of the other if necessary to provide health care within the professional competence of the practitioner.” The aim of this agreement is to document this collaborative relationship. The Wisconsin Nurse Anathologists Association (wiana.com) and the Wisconsin Affiliate of the American College of Nurse Midwives (wisconsin.midwife.org). The Board of Nursing`s care rule then requires that the collaborative relationship be documented. Another example of a documented collaborative relationship with a physician might be as simple as putting the following on your preoperative assessment of anesthesia. ___Upon the graph examination, patient evaluation and ongoing collaboration with the doctor, the patient is ready to move on to the procedure.
A cooperation agreement imposed by law is not the same as cooperation. All health care professionals work together. It is an ethical imperative in practice, and nursing has long been a champion of collaboration and an innovator of team-based care. The necessary agreement on collaborative practice is only a restrictive document that weighs on APRN and limits its ability to exercise in underserved areas where they do not have access to a doctor to sign the agreement. NPNs may prescribe schedule II-V controlled substances if they are delegated under a cooperation agreement. I do not have time to do that. Administrator. Code N8.06 (2) Legal cooperation agreements also create arbitrary barriers to care. In a letter published in October 2018, the Wisconsin Policy Forum reported that 20 of Wisconsin`s 72 counties did not have a practicing psychiatrist. Several other counties share a single psychiatrist. To practice in these underserved counties, psychiatric nurses in advanced practice – who are trained, trained and admitted to psychiatric psychiatry – would have to enter into a practice agreement with a physician with less training and training in behavioural health. The other option is to enter into a community practice agreement with a physician who does not practice in that county and who does not know the local population or behavioural resources.
We, the undersigned, agree with the terms of this cooperation agreement. This agreement is only in effect if the cooperating doctors approve the collaborative relationship. ______