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Collaborative Agreement Nurse Practitioner Tennessee

7th May 2023

Collaborative Agreement Nurse Practitioner in Tennessee: A Guide

Nurse Practitioners (NPs) have become an essential part of the healthcare system in the United States. According to the American Association of Nurse Practitioners (AANP), there are more than 290,000 NPs in the country, providing primary and specialized care to millions of patients. In Tennessee, NPs play a vital role in improving access to quality healthcare, especially in rural and underserved areas. However, to practice independently, NPs in Tennessee must have a collaborative agreement with a supervising physician. In this article, we will explore what a collaborative agreement is, how it works, and what NPs should know before signing one.

What is a Collaborative Agreement?

A collaborative agreement is a legal document that outlines the working relationship between an NP and a supervising physician. It specifies the scope of practice, the clinical guidelines, and the protocols that the NP must follow when providing patient care. The agreement must be signed by both parties and kept on file at the NP`s practice site and the physician`s practice site. In Tennessee, a collaborative agreement is required for NPs who wish to practice independently, meaning they have the authority to diagnose, treat, and prescribe medication without the physician`s on-site presence.

How Does a Collaborative Agreement Work?

A collaborative agreement is a mutual agreement between the NP and the supervising physician. It establishes the parameters of the arrangement, including:

Scope of Practice: The agreement should define the types of patients and conditions that the NP can manage. It should also specify any limitations and restrictions on the NP`s authority.

Collaborative Practice Protocol: The agreement should outline the procedures that the NP and the supervising physician must follow to collaborate on patient care. This includes how often they must communicate, what information they must share, and how they will handle emergencies.

Supervision Requirements: The agreement should set forth the requirements for the physician`s supervision of the NP. This includes the frequency of face-to-face meetings, how the physician will review the NP`s charts, and how they will monitor the NP`s compliance with the agreement.

What NPs Should Know Before Signing a Collaborative Agreement

As an NP in Tennessee, it`s essential to understand the implications of signing a collaborative agreement. Here are some things to consider:

Choose the Right Physician: The physician you choose to collaborate with will have a significant impact on your practice. Make sure you choose a physician who is supportive of NPs and understands your scope of practice.

Know Your Limitations: The collaborative agreement will define the range of conditions and treatments that you can manage independently. Make sure you understand the limits of your authority and seek guidance from the supervising physician when necessary.

Maintain Good Communication: Collaboration is key to a successful practice. Establish clear lines of communication with your supervising physician and keep them informed of your patients` progress.

Stay up-to-date on Regulations: As with any regulatory requirement, it`s essential to stay abreast of any changes or updates to the requirement. Stay informed of Tennessee`s laws and regulations related to collaborative agreements.


A collaborative agreement between an NP and a supervising physician is a necessary requirement for NPs to practice independently in Tennessee. It`s a mutual agreement between the parties that establishes the scope of practice, collaborative practice protocols, and supervision requirements. Before signing a collaborative agreement, NPs should carefully consider the implications and choose the right physician, know their limitations, maintain good communication, and stay up-to-date on regulations. By doing so, NPs can ensure that they practice effectively and provide quality care to their patients.