In Kentucky, PRs must enter into a cooperation agreement with physicians. An APRN seeking prescription authority for controlled substances requires a cooperation agreement with a physician. APRNs are only eligible if they have been licensed or otherwise qualified for at least one year as advanced practitioners. However, at the national level, stakeholders doubt that this approach is really an innovative compromise. « Making it easier for someone to get an unnecessary burden to meet the requirements does not deny that it is a burden, » said Tay Kopanos, AANP vice president in charge of land government affairs. She said the cooperation agreement for controlled drugs, which the government considers dangerous and addictive, was a major obstacle. Documentation documents on collaborative practice are available on the Board of Directors` website (kbn.ky.gov/aprnlicenseinfo/Pages/default.aspx). The Bureau requests the communication of the Cooperation Agreement (kbn.ky.gov/practice/Pages/aprn_practice.aspx). « I called a dozen doctors, » Pittman says, recalling their frantic feud after the deals ended. Both times, she found herself empty and had to close her practice for four days, losing about $12,000.
« It devoured my budget and many patients complained that they couldn`t be seen, that they couldn`t get their refills, » said Pittman, who under the new law no longer needs to be associated with a cooperating doctor to prescribe most medications. Some drugs like adderall, oxycodone, testosterone, ambiance and cough juice with codeine still require a cooperation agreement. Of the state`s 5,410 nurses, 1,948 have an agreement to prescribe these more restrictive drugs, according to the Kentucky Board of Nursing. « The concern is that you don`t know what you don`t know, » said Robert McLean, an internist in New Haven, Conn., where a 2014 law requires nurses to spend 2,000 hours in a cooperation agreement with a doctor before practicing independently. « There are a lot of nurses who provide good services, but if you make a law that allows them to be independent, even if they are not experienced, how many patients will receive less than ideal care? » A NP may prescribe legendary drugs under a cooperation agreement with a doctor. . . .