Submission Of The Collaborative Agreement ✓ Solved

Submission Of The Collaborative Agreem

This week the assignment due is submission of the collaborative agreement contract collaboration. Each of you will submit a PowerPoint presentation with no more than 6 slides that includes the following:

1. Explaining the main points of the APRN protocol, also called contract negotiation. Select a recent protocol from your preceptor or the internet.

2. Demonstrate with examples your understanding of protocol/contract development.

3. Describe an established protocol with an advanced registered nurse practitioner, including how it contemplates the performance of medical acts identified and approved by the joint committee pursuant to s. 464.003(2) or acts set forth in s. 464.012(3) and (4). Include information about how the physician submits notice to the board.

An example of an APRN protocol, also known as a collaborative agreement between APRN and physicians, can be found on the provided website.

Sample Paper For Above instruction

Introduction

The collaborative agreement between Advanced Practice Registered Nurses (APRNs) and physicians is a critical element in expanding access to healthcare services while maintaining standards of care. This agreement not only delineates the scope of practice but also ensures adherence to legal and professional guidelines, especially concerning medical acts performed by APRNs. This paper explores the main points of an APRN protocol, provides examples of protocol development, and describes a typical established protocol within the legislative framework.

Understanding the APRN Protocol

The APRN protocol, often referred to as a collaborative agreement, serves as a formal blueprint delineating the clinical scope, responsibilities, and performance standards of APRNs in collaboration with physicians (Naylor & Kurtzman, 2010). These protocols are essential in defining the legal boundaries within which APRNs can operate, especially concerning prescribing authority, diagnostic procedures, and treatment planning (American Association of Nurse Practitioners [AANP], 2017).

The main points usually included in an APRN protocol are:

- Scope of practice specific to the APRN's specialty

- Medical acts permitted under the agreement

- Requirements for supervision or collaboration

- Processes for communication and consultation

- Procedures for updating or amending the protocol

- Accountability and documentation standards

The negotiation process involves establishing mutual understanding and consensus on these points, often requiring revisions to align with state laws and institutional policies (Fletcher et al., 2019).

Examples of Protocol Development

Developing a comprehensive protocol begins with assessing the clinical needs of the patient population, legal statutes, and institutional policies. An example is a protocol for a family nurse practitioner prescribing controlled substances. The process entails:

1. Reviewing state laws governing APRN prescribing rights (Florida Statutes, 2020).

2. Consulting with physicians to determine collaborative expectations and responsibilities.

3. Drafting the protocol to include medication lists, protocols for prescribing, and monitoring requirements.

4. Incorporating safety measures such as informed consent and documentation procedures.

5. Securing approval from relevant institutional review boards and legal departments.

An example excerpt from such a protocol may be: "The APRN is authorized to prescribe Schedule II-V controlled substances within the established formulary, following the guidelines set forth by the joint committee and approved by the Medical Director."

Development of these protocols is a dynamic process, involving ongoing review, feedback, and amendments to adapt to changing legal standards and clinical evidence (Fletcher et al., 2019).

Established Protocols under Legislative Framework

The legislative framework governing APRN protocols in many states, including Florida, emphasizes adherence to specific statutes. For instance, Florida Statutes s. 464.012(3) and (4) specify procedures for collaborative agreements, including:

- The necessity of a formal written protocol

- Regular review and updates

- Physician's submission of notice to the board upon finalization

- Scope and limitations for medical acts performed by APRNs (Florida Statutes, 2020).

An example of a protocol within this legal framework might state: “The APRN may perform medical acts such as diagnosis, treatment, and prescription of medications within the outlined scope, with the physician providing oversight as detailed in the collaboration agreement. The physician will submit notice to the Florida Board of Nursing or Medicine upon establishing or modifying the protocol.”

This legislative collaboration ensures that APRNs practice within a legal scope that promotes patient safety and professional accountability (Fletcher et al., 2019).

Conclusion

APRN protocols, or collaborative agreements, are fundamental to ensuring safe, effective, and legally compliant practice for advanced practice nurses. They define the scope of practice, facilitate communication among healthcare providers, and uphold standards mandated by legislation. Developing these protocols requires careful consideration of legal statutes, clinical needs, and institutional policies, with ongoing review and compliance being essential for sustained practice excellence.

References

1. American Association of Nurse Practitioners (AANP). (2017). Nurse Practitioner Role & Practice Authority. AANP.
2. Fletcher, K., White, K. M., & Beattie, K. (2019). Developing Effective Collaborative Protocols for Advanced Practice Registered Nurses. Journal of Nursing Practice & Research, 2(3), 45-52.
3. Florida Statutes. (2020). Chapter 464. Nursing: Advanced registered nurse practitioners. Florida Legislature.
4. Naylor, M., & Kurtzman, E. T. (2010). The role of nurse practitioners in reinventing primary care. The Nursing Clinics of North America, 45(3), 431-440.
5. American Nurses Association. (2015). Scope and standards of practice for the nurse practitioner. ANA Publishing.
6. Shaw, R. K., & Rainer, J. (2019). Legal and ethical aspects of advanced practice nursing. Journal of Law, Medicine & Ethics, 47(4), 599-606.
7. Young, S. M., & McLeod, A. (2018). The legislative framework for advanced nursing practice. International Journal of Nursing Studies, 87, 123-130.
8. Johnson, M., & Smith, P. (2021). Developing collaborative agreements for nurse practitioners: best practices. Nursing Leadership, 34(2), 25-32.
9. Institute of Medicine. (2010). The Future of Nursing: Leading Change, Advancing Health. The National Academies Press.
10. Berry, J. M. (2016). Law and ethics for advanced practice nursing. In Advanced Practice Nursing: An Integrative Approach (6th ed., pp. 122-134). Elsevier.