How will you proceed with the new rules for prescribing and dispensing drugs and devices that are not included in the agreement on cooperative practice under Rule 21 NCAC366.0809 (b) (3) (A) (B) and 21 NCAC32M.0109 (b) (3) (A) (B)? How will you define the minimum standards for consultation between the medical specialists or care practitioners, as outlined in the quality assurance standards for a collaborative practice agreement? How and what will your documentation contain? Which patients will you see in general? What diagnoses/problems will you often see in the areas of education and certification, i.e. family practitioners, women`s Health, etc.? How are they managed? Do you see, for example, patients at high risk of motherhood? How are they managed? The ability of nurses to work throughout their training and training is a national topic of NPs. As has been demonstrated recently in interviews with Michigan nurses and researchers, the fight for comprehensive practice authority (VPA) is essential to meet the growing demand for qualified providers (particularly in rural areas) and to keep costs low with safe and effective health care. While the VA, AARP, FTC, Institute of Medicine, Bipartisan Policy Center and many others support the granting of PFAs to PNs, many physician organizations still oppose these efforts. Dr. Denise Hershey of Michigan State University said in her 2017 interview: “The biggest challenge in this fight is to understand to physician groups that we are not competing with them; As PN, we are members of a health team, which includes our fellow physicians and other health care professionals that the patient may need. As a team, we must work together to improve the health of our patients. No agreement on common practice can effectively cover any clinical situation. Therefore, the collaborative practice agreement is not intended to replace the exercise of a professional assessment with the nurse and should not be. There are situations where patient care is both frequent and unusual and requires the individual exercise of the nurse-practitioner`s clinical judgment.