Posted on December 12, 2020
House Bill 1303 would allow nurses with 3,600 hours of experience in the “transition to practice” to no longer sign a contract with a cooperating physician. Many studies show that nurses provide care at least as good as doctors, with some studies showing even better results. This can be explained in part by the fact that nurses are both cheaper and more accessible, especially for rural and low-income patients. Other evidence suggests that nurses tend to follow recommended guidelines more often and spend more time with patients – practices associated with better patient outcomes. Cooperation with a supervising physician is required and written practice guidelines should be developed between the physician and the NP. The agreement must include the availability of the cooperating physician for consultations or referrals, or both, collaborative practice management methods, including clinical practice guidelines, and meet a patient`s health needs during the absence of an advanced practice licensed as a nurse or physician. The nursing committee must approve the protocol to ensure compliance with regulatory standards. Mississippi Nursing Practice Law § 73-15-20 (3) In recent years, the state has expanded the radius up to 75 miles from its cooperating physician. Now they are asking to abolish this agreement completely – if they have enough experience. Mississippi restricts nurses` ability to practice until they are fully trained — known as “full exercise authority.” In particular, nurses who wish to open their own practice or a detached clinic must enter into a cooperation agreement with a doctor. This agreement requires the supervising physician to be within 75 miles of the nurse`s place of practice. The attending physician must then randomly check up to 20 patients and meet with the nurse once a quarter.
The typical fee for this minimum exam standard (not real-time) is $74 per day, or $2,250 per month. JACKSON, Mississippi (WLBT) — Nurses are working to achieve more independence in Mississippi. There is a story in the State Capitol of nurses seeking more independence. A Mississippi Senate committee hears from doctors and nurses about a state law that is at the center of an ongoing dispute. One part proposes a solution. To reach a compromise, the Medical Association announced a partnership with a company that brings together nurses and a doctor within 30 days, reduces fees for cooperation agreements and does not require separate malpractice insurance. Senators have asked extensive questions, but the termination of the agreements remains an unanswered question. “The 7,000 nurses in the state of Mississippi are not asking you to let them do something tomorrow that they are not already doing today,” said bill author and nurse Donnie Scoggin. “Just ask yourself to remove the only contract that cooperation between nurses and doctors should, will not be and cannot be removed. There will always be cooperation. “Doctors completely control whether a nurse can work or not.
The cooperation agreement, without it, no matter how many years I`ve been in school, how many years I`ve been a nurse, or how many years I`ve been in any practice, I can`t practice as a nurse if I don`t have a cooperation agreement,” Ware said. Nurses also have to pay for the deal, which some say can reach several thousand dollars a year. The association wants this cooperation agreement to be abolished after having acquired a certain level of experience. But doctors at the hearing say nurses don`t follow the same rigorous training as doctors, and that an online program is under investigation. Dr. Claude Brunson is the Executive Director of the Mississippi Medical Association. Currently, nurses are required to practice in collaboration with a doctor. This would exempt them from this requirement after working 3,600 hours. “It`s not really going to change anything for the patient,” empower Mississippi President Russ Latino said. “The only question is real.
Do nurses have to pay more than $1,800 a month for a very small percentage of their records to be seen by a doctor after treating patients? “I think it`s stupid to think about this situation as doctors versus nurses in a state that has the worst access to care in the country, where people literally die because they can`t get regular medical care.”