Get La Lsbn Collaborative Practice Agreement 2015-2025
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How to fill out the LA LSBN Collaborative Practice Agreement online
This guide provides step-by-step instructions for completing the LA LSBN Collaborative Practice Agreement online. Designed for ease of use, this document outlines the collaborative practice parameters for advanced practice registered nurses (APRNs) and their collaborating physicians or dentists.
Follow the steps to successfully complete your agreement.
- Press the ‘Get Form’ button to access the agreement, which will allow you to open it in your preferred editor.
- In the first section, clearly enter the name of the APRN applying for the agreement. Include the licensed APRN role and population focus, such as Family Nurse Practitioner (FNP), Pediatric Nurse Practitioner (PNP), etc. Make sure to include the AP License Number.
- List all collaborating physicians or dentists by entering their names clearly in the designated area. Ensure accuracy, as these names will be part of the formal agreement.
- Review and describe the responsibilities of the APRN in your own words, ensuring you cover maintaining competency and consulting with collaborating physicians or dentists as required.
- Detail the parameters of APRN practice as agreed upon with your collaborating professionals. Specify the methods of patient care, documentation standards, diagnostic and lab requests, and prescribing medications.
- If requesting controlled substance privileges, check the appropriate box and indicate which schedules you are requesting, specifically Schedules III-V or Schedule II.
- Outline the plan for patient care coverage during any absence of the APRN or collaborating physicians/dentists, ensuring all healthcare needs are addressed.
- Gather the required signatures from all parties involved in the collaborative practice agreement, including the APRN and collaborating physicians or dentists. Make sure to also provide the date of signatures.
- After filling out the agreement, review all sections for accuracy. Save your changes, and download or print the completed document for your records.
Complete your LA LSBN Collaborative Practice Agreement online today!
To write a collaboration agreement, you should start by clearly identifying the parties involved and their qualifications. Next, outline the objectives of the collaboration, including patient care responsibilities and oversight measures. Incorporating your LA LSBN Collaborative Practice Agreement requirements at this stage can provide a solid foundation for effective teamwork and superior patient outcomes in your practice.
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