If an APRN practices under the Georgian OCGA Act 43-34-23, the APRN sees the patient, makes the diagnosis (s), determines the course of treatment, and then calls in a prescription under the name of his doctor cooperating at the pharmacy – just like a nurse or medical assistant. This also applies if the doctor has not evaluated the patient at all. A protocol agreement is signed in accordance with OCGA 43-34-23 of the act and kept on site, but is not sent to the Medical Directorate, so no tax is required. Can you practice as a nurse in Georgia before having a Memorandum of Understanding with a doctor if your license and NPI numbers are all active? Or do you need to register to do something as an NP in an outpatient position? 89.2 per cent of NPs are certified in a primary supply area, 97.7 per cent have a degree. Despite their training, the normative authority for NPs is regulated by the Georgia Composite Medical Board, and NPNs must have a “protocol” with a physician; These agreements are largely model-based and many NPNs consider it a bureaucratic formality. In addition, Georgian NPs are severely limited in their ability to control certain diagnostic tests (p.B. IRTs, CTs) and cannot prescribe schedule II-controlled substances at all. In a practice with several doctors and/or nurses, a protocol agreement for nurses must be agreed and signed by an NP and an MD. Every nurse in practice must have a separate protocol.
While only one MD must sign the agreement, there is no limit to the number of doctors who can be appointed for the NP consultation. A delegated physician cannot simultaneously enter into a nurse protocol agreement with more than four nurse practitioners. I think the FP for NPs is the right thing to do for the citizens of our states. There are shortages of providers on the physician side and by limiting the practice of other providers, we are simply limiting the ability to care for patients and do the right thing. In a state like GA, we have counties that do not have a doctor at all, and it is difficult to get a practice agreement. Doctors in our state cannot supervise more than eight PNs at the same time. We can safely manage, diagnose and treat patients, and we have proven that in many studies we are as good or better than doctors. We should be allowed to practice to meet the highest level of our training. It was not until 2006 that nurse practitioners were granted the right to prescribe drugs, the last state to grant prescriptions to NPs.