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The intent of this practice agreement is to authorize the (CRNA-APNP) name to practice as a certified Nurse Anesthetist (CRNA) member as part of the State of Wisconsin for RNA – Advanced Practice Nurse Prescriber (APNP). The CRNA APNP, in collaboration with certified medical staff from the hospital, will play the role of the CNA. This agreement serves as a documentation for a collaborative relationship. In addition, Chapter 441 of the Health Care Practice Act addresses the ability of nurse anaesthetists to practice independently and without medical control. The Nursing Council has issued an administrative rule, No. 8, for nurse anaesthetists and other high-level nurse practitioners working with physicians. A provision of N 8 requires nursing anaesthetists to document their working relationship with a physician. To address supervision and cooperation among anaesthetist nurses, some hospitals in Wisconsin prefer to address these guidelines through their statutes. An effective approach is presented below to address the situation in which anesthesia is provided by an anaesthetist of the nurse practicing independently (without medical control or control), but this is cooperation. The state`s professional organizations include the Wisconsin Nurses Association, the Wisconsin Association of Nurse Anestheists ( and the Wisconsin Affiliate of the American College of Nurse Midwives ( Conclusion Nurse Anaesthetists anesthesiologists (CRN) are allowed to practice independently in Wisconsin. In other words, medical supervision and education is not necessary if a nurse anaesthetist in Wisconsin is also certified as an advanced practice prescriber nurse.

However, it is important to recognize that cooperation among health care providers is encouraged in Wisconsin. And for nurse anaesthetists who practice independently in Wisconsin, the ability to work with a physician is necessary and the collaborative relationship needs to be documented. Under current legislation, NRPA practices under their own licences and assumes full responsibility for patient care. The law does not require the physician to provide training or training at the APRN or to see any of the patients under the supervision of the NRNPA in collaboration or consultation. However, the physician is able to support a percentage of the NRNPA count as part of the agreement. Collaborative Relationship Advanced Practice Nurse Prescribers in Wisconsin work in a collaborative relationship with a physician. This means that a nurse anaesthetist, also APNP certified, “works with one doctor who works in the presence of the other if necessary to provide health care within the professional competence of the practitioner.” The aim of this agreement is to document this collaborative relationship. The nurse anaesthetist`s signature date The board rule requires that the collaborative relationship be documented. NPNs may prescribe schedule II-V controlled substances if they are delegated under a cooperation agreement. I do not have time to do that. administrator.

Code N8.06 (2) Another example of a documented collaborative relationship with a physician might be as simple as putting the following on your pre-operative anesthesia assessment.

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