Written Collaborative Agreement Illinois

Under this agreement, the Advanced Practice Nurse will work with the physician or podiatrist cooperating in active practice to provide health care services to_______________. These include, but are not limited to, the assessment and diagnosis of advanced nursing patients, the ordering of diagnostic and therapeutic tests and procedures, the performance of such tests and procedures when using health devices, the interpretation and use of the results of diagnostic and therapeutic tests and procedures ordered by the NPA or another healthcare professional, ordering treatments; the ordering or use of appropriate medical equipment, the use of nursing, medical, therapeutic and corrective measures to treat diseases and improve health status, provide palliative and end-of-life care, provide advanced counselling, patient education, health education and patient advocacy, normative authority and delegation of nursing activities or tasks to an LPN, a registered nurse or other staff. The Advanced Practice Nurse will inform each cooperating physician/podiatrist of any written cooperation agreement they have signed with other physicians/podiatrists and provide a copy to each cooperating physician/podiatrist upon request. A cooperation agreement between a CRNA and a dentist must comply with Article 225 ILCS 65/65-35 (c-10). In a dental practice, the CRNA can only provide the services to which the dentist is entitled under the Illinois Dental Practice Act. For anesthesia services, an anesthesiologist, doctor, podiatrist or dentist participates through discussion and agreement with the anesthesia plan and is physically present and available on the premises when providing anesthesia services for the diagnosis, counseling and treatment of emergency diseases. This written cooperation agreement shall be reviewed and updated annually. A copy of this written cooperation agreement must be stored at all locations where the advanced practice nurse provides services and made available to the Illinois Department of Financial and Professional Regulation upon request. All joint assignments or policies are presented or referenced in an attached document. A written collaboration agreement is required for all Advanced Practice Nurses (APN) working outside of a hospital or Ambulatory Surgical Treatment Centre (ASTC) in clinical practice. An AFN may provide services at an accredited hospital or ASTC without a written cooperation agreement or delegated regulatory authority. The written cooperation agreement applies to the services that the physician or assistant podiatrist generally provides to his or her patients as part of normal clinical practice.

NOTE: THE ADVANCED PRACTICE NURSE MAY ONLY PRESCRIBE CONTROLLED SUBSTANCES AFTER RECEIVING AN ILLINOIS INTERMEDIATE PRACTITIONER LICENSE FOR CONTROLLED SUBSTANCES. is available in person or by telecommunications for advice and cooperation in case of medical problems, complications or emergencies or for the referral of patients. (See 225 ILCS 60/54.5(b)(5).) Where appropriate, the advanced practitioner must retain the privileges of paramedics in the following hospitals for designated services: participate in the joint formulation and approval of prescriptions or guidelines with the advanced practice nurse, based on the practitioner`s practice, and review these prescriptions and the services provided under those prescriptions. regularly in accordance with recognized standards of medical practice and advanced practice practice practice; As a cooperating physician/podiatrist, each rule delegated to the Advanced Practice Nurse is set out in an attached document. Specific information for collaboration and consultation with an NCRA is as follows: A licensed CNA may provide anesthesia services on the orders of a physician, podiatrist or registered dentist. Section 1300.APPENDIX An example of a written cooperation agreement WE HAVE SIGNED THE TERMS OF THIS WRITTEN AGREEMENT. The advanced practice nurse should consult the cooperating physician/podiatrist by telephone or in person if necessary. In the absence of the designated cooperating physician/podiatrist, another physician/podiatrist will be available for consultation.

In the practice of a podiatrist, the CRNA can only provide the services to which the podiatrist is entitled under the Podiatric Medical Practice Act. COOPERATING PHYSICIAN/PODIATRIST/DENTIST INFORMATION A CRNA may select, order and administer medications, including controlled substances, and use appropriate medical equipment for the provision of anesthesia services as part of the anesthesia plan agreed upon by an anesthesiologist or the operating physician, operating podiatrist or operating dentist. (See 225 ILCS 65/65-35(c-5) and (c-10).) In a physician`s office, the CRNA can only provide anesthesia services if the physician has training and experience in providing anesthesia services to patients. . meets with the AFN in person at least once a month to provide collaboration and advice. and cooperation and advice are appropriate if the cooperating physician/podiatrist:. . .


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