[1nuttynurse]

what states can an NP practice solo in? How solo? Like have an office w/o a doc?

[semisweetchick]

I'm pretty sure if you search this forum, you'll find this topic covered in several other threads.

As far as total independence, I know New Mexico allows this. I don't know if there are any other states that give NPs complete independence or not.

[Trube]

It varies by state. I live in Oregon. We can work indipendantly of a physician. As a relatively new grad, I would not think of hanging a shingle and doing my own thing.

That being said, I do work part time in a NP only practice. There are 4 of us total, and I like having someone to turn to when I have questions. I feel comfortable with their level of experience. As a practice, we have a number of informal physicians we can call on to ask questions.

My other job requires me to work closely with an orthopedic surgeon. I have a very good relationship with him and use him as a tremendous resource.

[core0]

Originally Posted by 1nuttynurse

what states can an NP practice solo in? How solo? Like have an office w/o a doc?

Here is a list of states that allow independent practice (this is way harder to find than it should be).

NP Scope of Practice - American College of Nurse Practitioners

David Carpenter, PA-C

[ANPFNPGNP]

Originally Posted by core0

Here is a list of states that allow independent practice (this is way harder to find than it should be).

NP Scope of Practice - American College of Nurse Practitioners

David Carpenter, PA-C

I noticed that OK is on the list that practices independently. This is an error. OK still requires NP's to collaborate with physicians.

[core0]

Originally Posted by ANPFNPGNP

I noticed that OK is on the list that practices independently. This is an error. OK still requires NP's to collaborate with physicians.

There is another list around here that has a list of states where there is no physician involvement required to prescribe or to practice. If I remember its around 11 states. It used to be up in the sticky section but I think it got merged. I'll see if I can dig it up. Basically you take all the states in the Pearson report that allow practice without physician involvement then subtract those that require physician involvement for prescriptive authority.

David Carpenter, PA-C

[dhigbee]

Originally Posted by ANPFNPGNP

I noticed that OK is on the list that practices independently. This is an error. OK still requires NP's to collaborate with physicians.

Well, not really. In Oklahoma our practice is independent, and is regulated by the state BON. In order to prescribe, however; we need a "supervising physician", who is available via telephone or email (or onsite) should we need a consult. The physician supervises our prescribing, not our practice... Clear as mud?

Dana

[sirI]

David, the thread you're thinking about is found in this thread:

Other "Sticky" Threads of Interest - Please Read - specifically in this thead: What are the BEST and WORST States to practice as an NP?

Here is the The Pearson Report 2008 as published in AJNP

[BarbaraNP]

In Washington state we are independent.

[ANPFNPGNP]

Originally Posted by dhigbee

Well, not really. In Oklahoma our practice is independent, and is regulated by the state BON. In order to prescribe, however; we need a "supervising physician", who is available via telephone or email (or onsite) should we need a consult. The physician supervises our prescribing, not our practice... Clear as mud?

Dana

The TXBON says the same thing, but this is not independence. When we don't have any connection to a physician at all, then we can consider ourselves truly independent.

I looked up the rules on the OK BON and it doesn't look any better for your guys than it does down here in TX.

BTW, I used to live in OK City and I remember the medical community being very anti-NP and pro-PA. It's very different in TX or at least in the areas where I've lived.