[Psychaprn]

Originally Posted by Rokie

Are there any states that don't require a doctors signature to write a prescription?

Rokie

I'm an APRN-nurse practioner. Do you mean us or RN's? Ct.--that's where I practice. We only need a collaborative contract with an MD they don't supervise us. Only NP's and PA's can write scripts-other than MD's.

[crazylilkelly]

what about in vermont???

[RNCrissyPNP]

CHECK THIS OUT~ IT'S A LIST OF NP PRIVLEDGES ACCORDING TO STATE Hope it helps!

http://www.nursingworld.org/gova/charts/dea.htm

[sirI]

This link is to the updated prescription privileges for '04. Link provided earlier by twenty-seven. Thanks.

http://www.medscape.com/viewarticle/440315

[traumaprincess]

....

[sirI]

Originally Posted by traumaprincess

I agree. I just recently moved to Tx. and I rarely see NPs. I was from Az where they worked very independantly in many different areas. My goal was NP but I am not sure now that I am in Tx I should pursue it?

RNcrissy and Siri, thank you for the links. That was VERY helpful.

Hi, traumaprincess,

I grad from the U of T years ago and was amazed that the state had education for NP, but didn't utilize NPs. That's not changed much I see. A shame.

[platon20]

Originally Posted by Traveler

In Tennessee a NP can set up shop on their own. Perhaps someone else can speak to this better than I, but I believe in Tennessee the only regulation is a physician with whom the NP can collaberate PRN and a periodic review of a percentage of charts.

Thats not what I call "independent practice"

What are the states that allow total unmitigated, independent practice? By this I mean myself as an NP can open up a full blown clinic, no MD signature EVER, and I NEVER have to consult with an MD for ANY REASON. No collaboration agreement, no supervision, nothing. Where are these states because thats where i want to move

[platon20]

Originally Posted by sailornurse

OK but for NP's it's not as good as it could be. NP's in Texas have to have a "collaborating physician" & they can not write for schedule 2 narcotics, that requires a "triplicate carbon copy" so even some cough meds, NP's can not give. I went to FNP program at UT-El Paso. As for one of the best states to practice in- New Mexico. Np's have complete independent practice with full prescriptive priveledges. Many NP's have their own practices & have admitting priveledges at hospitals. The Board of Medicine does not regulate NP practice as in some states, The Board of Nursing regulates NP practice. Controlled substance regulation for prescriptive authority is issued by Board of Pharmacy.

OK, are you saying that I can move to New Mexico as an NP, open and run my own clinic, and that I DONT have to have a collaboration agreement with a doctor? I dont have to consult with him, I dont have to have him review charts even once?

These are the places i'm looking for. 100% independence. NO collaboration agreement, all sched 2 drugs, zero consultation with MD, zero chart review zero cosignatures.

[platon20]

Originally Posted by Psychaprn

Only NP's and PA's can write scripts-other than MD's.

Thats not true.

Chiropractors
Psychologists
Pharmacists
Physical Therapists

Can all write scripts in one or more states.

[suzanne4]

Originally Posted by platon20

Thats not true.

Chiropractors
Psychologists
Pharmacists
Physical Therapists

Can all write scripts in one or more states.

Sorry, but you are wrong.
Psychologists do not have prescribing priv., the med order has to come from the psychiatrist, or they can make a recommendation to the PMD, but they cannot write the Rx.
Pharmacists do not write prescriptions, they can take a verbal order. But they cannot prescribe medication that needs a prescription.
Physical Therapists can not write a medication prescription, they can order devices for patient, or order treatments, but they cannot order medications.
Chiropractors in most states do not have prescriptive authority, and if they do, it is severely restricted.