Louisiana State Board Of Nursing Collaborative Practice Agreement
You must love Louisiana. Immediately after arriving in this deep southern region, you will be overwhelmed by the culture. From Cajun cuisine and jazz playing in the street to the lazy bayous, loaded alligators, the rich atmosphere of Louisiana is an atmosphere we enjoy. While Louisiana has a lot to offer in terms of culture, this atmosphere of abundance unfortunately does not extend to nurses who practice in the state. Although the LSBME has not historically regulated the practice of the NISA, it regulates the practice of PA in Louisiana and these prudential requirements are generally more severe than those imposed by the NSBA on the monitoring of the APRN. Under current regulations, a supervisory physician (MS) may not exercise more than two PAs as a primary supervisory physician (PSP) and cannot act as MS for more than four PAs at the same time. See LAC 46:XLV.4507 (D). Within 24 hours of the patient`s consultation, MS must co-sign each patient appointment entered by the PA. See LAC 46:XLV.4511 (A) (4). If PaPa has a normative authority and has a primary training site other than the PS, the PS must visit the main training site of the Palestinian Authority every week.
See LAC 46:XLV.4511 (A) (5) (a). In particular, some practitioners consider the co-signature requirement and the limitation of PA monitoring to be incriminating and arbitrary and want a better balance between health care regulation and the provision of an integrated team. See Margo Pierce, frustrated dream or possible reality? Healthcare Journal of Baton Rouge, May/June 2014, at 39-40 Currently, state laws and regulations require Louisiana Nurse Practitioner to secure a physician in order to have a written agreement to provide many elements of care. These requirements are declining rapidly across the country, with 20 states and the District of Columbia voting to allow NPNs to fully practice their training with full practice power. States are increasingly enacting laws that make nurses more free in their practice. Some legislators… The Louisiana rankings show that Louisiana is the 49th most state state in the nation. Louisiana is the 6th place in the nation of citizens who do not have access to primary supply. 1.464,387 Louisianans are underserved and 86% of Louisiana parishes are classified as health workers. Nurses who practice in Louisiana must work with a physician as part of a collaborative practice agreement.