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New York State Education Law requires all nurse practitioners (NPs) to practice in ance with written practice protocols and a written practice agreement with a collaborating physician, unless the NP practices and has collaborative relationships as allowed by law and as described in more detail in Section III,
Nurse practitioners (NPs), like any clinicians, are at risk for being sued for malpractice. If a physician is associated with an NP (through employment, independent contracting, state-mandated collaboration, consultation, or supervision) who is sued, the physician bears some risk of being sued as well.
A collaborative practice agreement is a written statement that defines the joint practice of a physician and an APN in a collaborative and complementary working relationship. It provides a mechanism for the legal protection of the APN and sets out the rights and responsibilities of each party involved.
States Where NPs Can Practice Independently Alaska. In Alaska, all NPs have FPA. Arizona. In Arizona, licensure through the Arizona Board of Nursing includes full prescriptive authority. Colorado. Connecticut. Delaware. District of Columbia. Hawaii. Idaho.
While the guidelines for reduced and restricted practice regulations are slightly different depending on location, both require NPs to have either a signed collaboration agreement with a physician or direct oversight from a physician.
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Columbia grant nurse practitioners (NPs) full practice authority, allowing them to practice and prescribe without formal physician supervision. California requires that nurse practitioners have a written collaboration agreement with a physician and is the only western state to have a requirement for physician oversight
Newly certified nurse practitioners (NPs) are required to file with the New York State Education Department (SED) Form 4NP-Verification of Collaborative Agreement and Practice Protocol within 90 days after starting professional practice.
A full practice authority designation, however, means NPs do not have to work underneath a supervising physicians license, and their own NP license grants them full authority to diagnose, prescribe, treat, and manage patient care.

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