Section 1305.30  Written Collaborative Agreements

a)         A written collaborative agreement shall describe the working relationship of the advanced practice nurse with the collaborating physician and shall authorize the categories of care, treatment, or procedures to be performed by the advanced practice nurse.  (Section 15-15(b) of the Act)

b)         The agreement shall be defined to promote the exercise of professional judgment by the advanced practice nurse commensurate with his or her education and experience.  The services to be provided by the advanced practice nurse shall be services that the collaborating physician generally provides to his or her patients in the normal course of his or her clinical medical practice.  The agreement need not describe the exact steps that an advanced practice nurse must take with respect to each specific condition, disease, or symptom, but must specify which authorized procedures require a physician's presence as the procedures are being performed. The collaborative relationship under an agreement shall not be construed to require the personal presence of a physician at all times at the place where services are rendered.  Methods of communication shall be available for consultation with the collaborating physician in person or by telecommunications in accordance with established written guidelines as set forth in the written agreement.  (Section 15-15(b) of the Act)

c)         A copy of the signed, written collaborative agreement must be available to the Division upon request from both the advanced practice nurse and the collaborating physician and shall be annually updated.  An advanced practice nurse shall inform each collaborating physician of all collaborative agreements he or she has signed and provide a copy of these to any collaborating physician, upon request.  (Section 15-15(d) of the Act)

d)         Pursuant to Section 15-25 of the Act, a certified registered nurse anesthetist is not required to possess prescriptive authority or a written collaborative agreement to provide anesthesia services ordered by a licensed physician, dentist or podiatrist. However, a certified registered nurse anesthetist may be delegated limited prescriptive authority under Section 15-20 of the Act in a written collaborative agreement.

(Source:  Amended at 30 Ill. Reg. 4657, effective March 1, 2006)