On March 5, 2015, the governor signed Bill 107, which amends the Nebraska Nurse Practitioner Practice Act, which governs pre-registered nurses (APRNs), to take effect on June 5, 2015. The stated objective of the legislation is to “remove the requirements for integrated practice agreements for nurses.” APRNs employers and cooperating physicians who have integrated practice agreements with THE NPRA may question whether they should maintain the old practices integrated. An advanced nurse loses the ability to work under temporary authorization if she does not attempt an examination. Non-governmental nurses, who are not younger graduates, should provide evidence of licence withdrawal and current practice over the past five years. For employers who have a written agreement with their employee APRN, these agreements could qualify the requirement of a collaboration agreement as a condition of employment. Depending on the employer`s approach under LB 107, such an employment contract may be amended: a. refer to a new or amended cooperation agreement, or b. if the cooperation agreement has been terminated to remove any reference to it. Professional interaction between employed APRNEs and cooperating physicians should continue as in the past. The new requirement of a supervisor to move to practice (at the beginning of 2000 hours of practice) and the removal of an ongoing integrated practice agreement will not change the desire to employ physicians and groups of physicians or institutions, to have a useful and effective cooperative and counselling relationship between APRNs and physicians. A person who does not meet the practical renewal requirements can enrol in a back-to-school program.

There may be other options depending on the APRN roll. Under the new laws, the novice practitioner will have a supervisor; it may be an experienced physician or nurse practitioner. The new expert will propose a transition to the practical agreement (dhhs.ne.gov/publichealth/pages/crlNursingAppsReqsPracticeInfoFeesAPRN.aspx). APRNs employers may consider it appropriate to design a transitional contract for newly recruited NPAs with less than 2000 hours of exercise, which terminates the monitoring relationship after 2000 hours, but persists in terms of cooperation and imposes standards for this collaborative relationship, such as the verification of medical records.B. A father can provide medical services by the doctor responsible for monitoring and the level of competence of the Palestinian Authority. The scope of the practice is determined between the PA and the doctor. Neb. Rev. Stat..

38-2055 The Future of Nursing: Campaign for Action Applauds Nebraska Gov. Pete Ricketts and the state legislature for the approval of laws that allow n.A. nurse practitioners to practice to the fullest extent of their training and training. This is a change that will mean greater access to health care for the Cornhusker state. For all NRNAs who started the 2000 hours of exercise prior to these changes but have not completed, it would be wise to prepare a transitional agreement stating that the monitoring relationship will end once the 2000 hours are over.