The rules implement changes made by the Illinois Nurse Practice Act of 2017 by introducing a comprehensive licensing procedure to the practice authority, allowing APRNs authorized in Illinois to avoid the need for a cooperation agreement with a physician. The main authorisation requirements are as follows: this written cooperation agreement is reviewed and updated annually. A copy of this written cooperation agreement is recorded at all sites where the nurse provides services in advanced practice and is made available to the Illinois Department of Financial and Professional Regulation upon request. All common provisions or directives are presented or referenced in an attached document. A cooperation agreement between a CRNA and a dentist must comply with 225 ILCS 65/65-35 (c-10). In a dental practice, the CRNA can only provide the services to which the dentist is entitled under the Illinois Dental Practice Act. A written cooperation agreement is required for all Advanced Practice Nurses (APN) working in clinical practice outside of a hospital or ambulatory surgical care centre (ASTC). An APN may provide services in a licensed hospital or ASTC without a written cooperation agreement or delegated order authority. As part of a written public health surveillance agreement, a qualified dental hygienist may provide public health services without the presence, supervision or initial examination of a dentist for Medicaid and non-Medicaid patients with low incomes. 225 ILCS §25.18.1 A written care agreement is required between the medical practitioner and the PA. Appropriate supervisory requirements shall be established on the spot.
The personal presence of the physician is not required on site where the PA provides medical care. 225 ILCS §95/7.5 Within the framework of this agreement, the nurse collaborates with the doctor or podiatrist cooperating in an active practice to provide health services to_______________. This is not limited to the advanced assessment and diagnosis of patient caregivers, the ordering of diagnostic and therapeutic tests and procedures, the execution of such tests and procedures when using healthcare equipment, the interpretation and use of the results of diagnostic and therapeutic tests and procedures ordered by the GSP or another healthcare professional, ordering appropriate treatments, ordering or application of medical equipment, use of care, medical, therapeutic and corrective measures to treat diseases and improvement of health status, provision of palliative and end-of-life care, provision of advanced advice, patient information, health education and patient representation, prescriptive authority and delegation of care activities or tasks to an LPN, RN or any other staff. . .