Florida is a very difficult state for health care, because the order of doctors is very narrow here and practices an old way of thinking. This is particularly difficult for a new nurse who has graduated from our university. They try to get their first job, and many times they end up in large practices with large groups of doctors, or work for one of the hospitals or rehabilitation centers. It is difficult to enter into a cooperation agreement with an independent doctor, but I did so a few years ago. I have my own personal practice with a collaborative agreement with the medical director and I pay a monthly fee. It can be expensive. A written protocol, signed by all parties, which constitutes the mutual consent of the doctor or dentist and the RNAP, may contain: Are cooperation agreements with doctors in Florida costly? In a letter from the Tampa Bay Times (June 2017) to the editor-in-chief, Naomi Grasso rightly states that the FL is one of 11 states that restricts the practical capacity of PNs, and many patients do not even know that their NP is expected to maintain cumbersome surveillance agreements because they usually never meet the “collaborative doctor.” As noted in both interviews, there is a powerful group that strongly opposes the granting of APVs to NPs: doctors` associations and their lobbies. It is essential to convince physicians that NPs are not in competition with them, but that they want to work in a collaborative, team-like environment; At the same time, NP should be able to operate as an independent supplier, with a declaration of total supremacy, the ability to develop treatment plans, the power to sign death certificates and, moreover, to be free of costly “collaboration agreements”. Nurse practitioner practice authority varies greatly between U.S. states. In states such as Oregon, Arizona, Colorado, Minnesota, Iowa and Wyoming, NPs are able to work in accordance with their advanced level of readiness, experience and certification; However, in the most populous states such as California, Texas and Florida, NPs are limited in their supply capacity. They can be expected to enter into costly “collaborative agreements” with supervisory physicians to prescribe basic medicines themselves; they may require medical authorization to order basic diagnostic tests or assume other responsibilities for which they are fully equipped. For more information on the minutes, see 458.348, F.S.
What feasible steps can NPAs and others take to get things done? Have you ever felt constrained by the laws of the Florida on the NP? Yes, yes. I have been APN since 1998 and have often trained without any other suppliers present, and I have rarely met my cooperating supplier. I have never had the impression that these laws serve any purpose. It is up to each of us as individuals: MD, APN, DO, PA, etc. to know and respect our limits, to ensure that we can refer a patient to another provider if necessary, and to do so. What are your views on extending the practice authority to nurses in Florida? After registration as a standalone APRN, protocols are no longer required. 2. type of practice, place of practice, including primary and satellite sites; and what do you think of the full practice power of NPNs? 2. A description of the doctor`s or dentist`s duties (including counselling and supervision arrangements in case the doctor or dentist is not available).