Bill (BA 107) removes the integrated practice agreement currently required between a nurse and a physician for a nurse to practise. It gives nurse practitioners, including controlled substances, full exercise power after 2,000 hours of clinical experience as a nurse during a transition period to practice. The Practice Transition Agreement is a formal agreement between the nurse and the supervising provider, which can be a physician, OD or NP with 10,000 hours of clinical experience. 38-2314.01. Agreement on transition to practice, defined. APRN employers may deem it appropriate to draft a transition to practice agreement for newly hired APRNs with less than 2000 hours of practice, which terminates the supervisory relationship after 2000 hours, but continues in terms of cooperation and prescribes standards for this cooperative relationship, such as.B. review of the medical record. 38-2055 The Future of Nursing: Campaign for Action congratulates Nebraska Governor Pete Ricketts and the state legislature for approving laws that allow nurse practitioners to fully practice their education and training. This is a change that will mean better access to health care for cornhusker state. For all NRAs that started the 2000-hour exercise before these changes but have not yet completed them, it would be desirable to develop a transitional agreement whereby the follow-up relationship will end once the 2000 hours are over. Professional interaction between employed APRNs and cooperating physicians is expected to continue as in the past.

The new requirement for a supervising provider for the transition to practice (2000 hours of initial practice) and the elimination of a continuous integrated practice contract will not change the desire to employ physicians and physician groups or to employ institutions in order to have a meaningful and effective collaborative and consultative relationship between PNAs and physicians. For employers who have entered into a written agreement with their employees, these agreements may relate to the requirement of a cooperation agreement as a condition of employment. Depending on the employer`s approach under LB 107, such a contract of employment may need to be amended: a. to refer to a new or amended cooperation agreement, or b. if the cooperation agreement has been terminated in order to remove any reference to it. For APRNs currently subject to integrated practice agreements, they can be terminated, amended or retained based on the content and wishes of the employer: On March 5, 2015, the Governor signed Bill 107, which amends the Nebraska Nurse Practitioner Practice Act, which governs pre-registered nurses (APRN), on June 5, 2015. The stated purpose of the legislation is to “remove the requirements for integrated practice agreements for nurses.” APRN employers and cooperating physicians who have integrated practice agreements with DER NPRA may wonder whether they should keep the old practices integrated. An advanced nurse loses the ability to work with temporary authorization if she does not attempt an examination. Non-governmental nurses who are not recent college graduates should demonstrate the withdrawal of licence and current practice within the last five years. For employers who have a written agreement with their APRN employee, these agreements could qualify the requirement for a cooperation agreement as a condition of employment.

Depending on the employer`s approach in accordance with 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 in order to remove any reference to it. The professional interaction between the employed APRNE and the cooperating doctors should continue as in the past. The new requirement for a supervisor to move to practice (at the beginning of 2000 hours of practice) and the cancellation of an ongoing integrated practice contract will not change the desire to employ physicians and groups of physicians or institutions in order to have a useful and effective cooperative and consultative relationship between NHPA and physicians. An individual who does not meet the practical renewal requirements may enroll in a back-to-school program. For each APRN that started but did not complete the 2000 hours of practice preceding these changes, it would be useful to prepare an agreement on the transition to practice, specifying that the supervisory relationship ends after the completion of the 2000 hours. The amended laws allow APRNs to work without a supervising practitioner after completing 2000 hours of practice as described above. It should be noted that the by-laws establish a supervisory responsibility at the “supervising supplier”, which creates potential liability for poor supervision. To the extent that this was not a responsibility imposed on physician caregivers, it makes sense that all new transition to practice agreements between PRMOs and supervising providers would apply for a period not exceeding the 2000 hours of practice required by law. This will avoid an unnecessary extension of potential liability in the event of poor supervision.

The Future of Nursing: Campaign for Action applauds the Nebraska government. Pete Ricketts and the state legislature for approving laws that allow nurses to practice to the full extent of their education and training. This is a change that will result in better access to health care for Cornhusker State. Employers may insist on ongoing collaboration that includes necessary consultations based on patient sharpness and/or test results, as well as standards for medical record documentation, medical record review, and physician countersignature. For example, hospitals with critical access are required by Medicare eligibility requirements to meet certain medical record review standards. If these or other employer-specific performance standards are not set out in the employer`s guidelines or in a written contract of employment with the APRN, the employer may amend the existing integrated practice agreement or leave it as is if it remains relevant and in compliance with BA 107 as described above. “With a shortage of primary care providers, tens of thousands of newly insured people seeking health care, and an aging population, more states should follow Nebraska`s lead and allow advanced nurses to practice to the fullest extent of their education and training,” said Winifred Quinn, director of advocacy and consumption for the Center to Champion Nursing in America at AARP. “This is essential to the health of our communities and our nation.” Depending on the APRN role, there may be other options. Under the new laws, the novice practitioner will have a superior; This can be an experienced doctor or nurse. The new expert will propose a transition to practical agreement (dhhs.ne.gov/publichealth/pages/crlNursingAppsReqsPracticeInfoFeesAPRN.aspx). .