After the New York State Education Law 6902, a nurse (NP) diagnoses diseases and physical conditions and implements therapeutic and corrective measures in a practical specialty. This law requires the NP to practice in collaboration with a physician qualified for cooperation in the NP specialty and in accordance with a written practice agreement and written practice protocols. The physician must submit a notice within 30 days of the conclusion of the relationship, prescriptions or minutes. The notification must also be submitted within 30 days of the end of the relationship, orders or “royalty splitting” protocols may be made when an NP shares its income or practice expenses with a physician who is not the NP`s employer. “royalty splitting,” an agreement or agreement whereby the MNP pays the cooperating physician an amount that depends on a percentage or other part of the NP`s income or income in exchange for the benefits of the cooperating physician, or otherwise dependent on it. For example, if an NP pays 20% of the NP`s professional income to the cooperating physician (who works in a separate medical practice) in exchange for the cooperating physician`s benefits, the NP and the physician are likely to practice an illegal “tariff split.” Every nurse (NP) must enter into a written cooperation agreement with a doctor in order to practice. The cooperation agreements include provisions that deal with the following provisions: nurses are required to practice in accordance with written protocols that reflect the practical (s) department (s) in which the PNP is certified. Protocols must also reflect current and recognized medical and health practices. Additional protocols in specialized areas (for example. B, hematology, orthopedics, dermatology) that are suitable for the practice of NP can be used, but should not be reflected in the cooperation agreement in practice. NPNs may refer patients to their cooperating physicians if a doctor needs them, provided the NNP is not in return for transmission.

New York law does not require a cooperation agreement with a payment provision. Questions about highly cooperative practice contracts and practical protocols can be emailed to the nursebd@nysed.gov Care Office or by phone at 518-474-3817 ext. 120 or by fax at 518-474-3706. It is not the Agency`s jurisdiction to interpret the financial relationship between NPNs and cooperating physicians. Newly certified nurses must submit the New York State Education Department`s (SED) Form 4NP-Verification of Collaborative Agreement and Practice Protocol within 90 days of starting professional practice. The NP is not required to submit an additional 4Pp to the SED. A completed 4NP form does not correspond to a common practice agreement.