Since 2006, ABNs have been allowed to prescribe controlled substances only for prescribing purposes with a DEA registration and a cooperation agreement with a licensed physician in Kentucky. There are currently just over 3,000 APRNs in Kentucky authorized to prescribe controlled substances. « I called a dozen doctors, » Pittman says, recalling their frantic feud after the deals ended. Both times, she found herself empty and had to close her practice for four days, losing about $12,000. « It devoured my budget and many patients complained that they couldn`t be seen, that they couldn`t get their refills, » said Pittman, who under the new law no longer needs to be associated with a cooperating doctor to prescribe most medications. « The concern is that you don`t know what you don`t know, » said Robert McLean, an internist in New Haven, Conn., where a 2014 law requires nurses to spend 2,000 hours in a cooperation agreement with a doctor before practicing independently. « There are a lot of nurses who provide good services, but if you make a law that allows them to be independent, even if they are not experienced, how many patients will receive less than ideal care? » In addition, KBN expects all NBAs to be completed by the end of the year in order to ensure compliance with legal requirements, to ensure that cooperation agreements, DEA, KASPER registration, etc., must be filed with the Board of Directors. Documentation documents on collaborative practice are available on the Board of Directors` website (kbn.ky.gov/aprnlicenseinfo/Pages/default.aspx). The Bureau requests the communication of the Cooperation Agreement (kbn.ky.gov/practice/Pages/aprn_practice.aspx).
Some drugs like adderall, oxycodone, testosterone, ambiance and cough juice with codeine still require a cooperation agreement. Of the state`s 5,410 nurses, 1,948 have an agreement to prescribe these more restrictive drugs, according to the Kentucky Board of Nursing. Having this framework would have made a big difference for Brenda Pittman, a nurse at Mt. Sterling, Ky. One doctor withdrew from an agreement with her in June 2013, another did so last March. . . .