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    Collaborative Agreement

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    AlexanderWarren
    This document outlines the terms of the collaborative practice agreement between nurse practitioner Alexander Warren and physician Craig Bishop at Valdosta Family Medicine. The agreement specifies Alexander's scope of practice as an FNP-C, including diagnosing and treating illnesses through prescribing medications and counseling patients. It lists practice protocols Alexander is authorized to follow and states that Craig or other physicians will be available for consultation. The agreement also details that Craig will review a sample of Alexander's records every three months and how disagreements over patient care will be resolved. Both Alexander and Craig sign to agree to the terms.

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    Collaborative Agreement

    Uploaded by

    AlexanderWarren
    542 views3 pages
    This document outlines the terms of the collaborative practice agreement between nurse practitioner Alexander Warren and physician Craig Bishop at Valdosta Family Medicine. The agreement specifies Alexander's scope of practice as an FNP-C, including diagnosing and treating illnesses through prescribing medications and counseling patients. It lists practice protocols Alexander is authorized to follow and states that Craig or other physicians will be available for consultation. The agreement also details that Craig will review a sample of Alexander's records every three months and how disagreements over patient care will be resolved. Both Alexander and Craig sign to agree to the terms.

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    collaborative agreement

    Original Title

    Collaborative Agreement (1)

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    This document outlines the terms of the collaborative practice agreement between nurse practitioner Alexander Warren and physician Craig Bishop at Valdosta Family Medicine. The agreement specifies Alexander's scope of practice as an FNP-C, including diagnosing and treating illnesses through prescribing medications and counseling patients. It lists practice protocols Alexander is authorized to follow and states that Craig or other physicians will be available for consultation. The agreement also details that Craig will review a sample of Alexander's records every three months and how disagreements over patient care will be resolved. Both Alexander and Craig sign to agree to the terms.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    542 views3 pages

    Collaborative Agreement

    Uploaded by

    AlexanderWarren
    This document outlines the terms of the collaborative practice agreement between nurse practitioner Alexander Warren and physician Craig Bishop at Valdosta Family Medicine. The agreement specifies Alexander's scope of practice as an FNP-C, including diagnosing and treating illnesses through prescribing medications and counseling patients. It lists practice protocols Alexander is authorized to follow and states that Craig or other physicians will be available for consultation. The agreement also details that Craig will review a sample of Alexander's records every three months and how disagreements over patient care will be resolved. Both Alexander and Craig sign to agree to the terms.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    The key takeaways are that the document outlines the terms of a collaborative practice agreement between a nurse practitioner and physician to define their scope of practice and responsibilities.

    The nurse practitioner's scope of practice includes diagnosis, treatment, prescribing medications within their authorized scope, health teaching, counseling, and case finding. The practice will take place at the specified clinic or other designated locations.

    The nurse practitioner is authorized to diagnose and treat common medical conditions under current guidelines from several referenced sources including pharmacology, dermatology, family practice, women's health, and pediatric references.

    Alexander Warren, RN

    Collaborative Protocol Agreement


    Fall 2014
    Nursing 6310

    Collaborative Practice Agreement


    This agreement sets forth the terms of the Collaborative Practice Agreement between Alexander
    Blaine Warren APRN FNP-C and Craig Bishop D.O. at Valdosta Family Medicine in Valdosta,
    Georgia. This agreement shall take effect as of June 1st, 2015.
    I. Scope of Practice
    The nurse practitioners duties as a registered professional nurse operating as an FNP-C includes
    the diagnosis of illness and the attempt to correct these illnesses through measures including the
    prescribing of medications if the medications are contained in my authorized scope of practice.
    Here in the state of Georgia as a nurse practitioner, by law, can prescribe controlled substances
    Schedule III Schedule V under a DEA number. The nurse practitioners scope of practice also
    includes disease process/health teaching, counseling of health, and case finding. This practice
    will take place at Valdosta Family Medicine or in such other facility or location as designated by
    Craig Bishop, D.O. or by the parties of this contract.
    II. Practice Protocols
    The nurse practitioner is authorized to diagnose and treat common medical conditions under the
    following current guidelines (including, but not limited to):

    Edmunds, M. W., & Mayhew, M. S. Pharmacology for the Primary Care Provider
    Pageburst Retail. Mosby.
    Wolff, K., Johnson, R. A., Suurmond, D., & Fitzpatrick, T. B. Fitzpatrick's color atlas
    and synopsis of clinical dermatology. New York: McGraw-Hill Medical Pub. Division.
    Cash, J. C., & Glass, C. A. Family practice guidelines. New York: Springer.
    Peppert, P. C., & Peipert, J. F. Primary Care for Women. Philadelphia, PA: Lippincott
    Williams & Wilkins.
    Burns, C. E. Pediatric primary care St. Louis, MO: Saunders/Elsevier.
    Jarvis, C., & Jarvis, C. Physical examination & health assessment.
    Philadelphia, PA: Saunders Elsevier. Dunphy, L. M., Winland-Brown, J. E., Porter, B.
    O., & Thomas, D. J. Primary care: The art and science of advanced practice nursing.
    Philadelphia, PA: F.A. Davis.

    III. Physician Consultation

    The signing physicians will be available to the nurse practitioner for consultation, whether
    through face to face interaction or through electronic devices. If Craig Bishop D.O. is
    unavailable the following physicians will be made available for consult: Stewart Williams M.D.
    and Judit Sule M.D.
    IV. Record Review
    Every three months Craig Bishop D.O. will review a sample of the nurse practitioners records.
    This will be done to ensure the protocols, as listed above, are being followed and the nurse
    practitioners care is both adequate and within current guidelines. Results of the review will be
    discussed with the nurse practitioner and a record of the review will be kept on site.
    V. Resolution of Disagreements
    Disagreements between Alexander Warren APRN FNP-C and Craig Bishop D.O. regarding the
    management of patients care will be resolved after a review of current medical guidelines and
    other peer reviewed literature. If the disagreement of care cannot be agreed upon the physicians
    opinion will be followed.
    VI. Alteration of Agreement
    This collaborative agreement will be renewed annually and changes will be made if necessary.
    VII. Agreement
    After reading the content of this agreement, Craig Bishop D.O. and Alexander Warren FNP-C
    agree to the terms as set.
    Alexander Blaine Warren APRN FNP-C:
    Printed Name___________________________________________ FNP-C license
    #________________
    Certificate #_________________________
    Signature______________________________________________
    Date_______________________
    Craig Bishop D.O.:
    Printed Name___________________________________________ MD license
    #________________
    Board
    Certification__________________________________________________________________

    Signature______________________________________________
    Date_______________________

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