Quote from np_wannabe
My husband and I are talking about the states in which NPs can work independently, and how nurses continue to lobby and get legislation passed in more and more states. For some reason, I'm thought there was a link to view a list of those states, but I'm not finding it now. If there is such link, can anyone please post it? (I even did an allnurses search!). If not, which states do you know of--definitively--that allow NPs to work completely autonomously?
This really needs to be updated and stickied. Looking at my notes and the ACNP site here are the states that NP's can practice without any physician involvement (please post any corrections here):
The following states require a collaboration agreement to prescribe:
Maine requires two years supervised experience prior to independent practice.
The following states are unclear reading their nurse practice act
DC - supervision to prescribe but may be by an NP?
Hawaii - Appropriate working relationship with a physician (defacto collaboration?)
Utah - Consulting relationship - requires physician license and DEA - seems to be the same as collaboration agreement?
Note that a number of states require either time as an NP or additional pharmacology classes to prescribe. Also some states have fairly restrictive formularies for NP's which may or may not be regarded as unrestricted practice.
Also note that a collaborating physician is needed for medicare billing.
David Carpenter, PA-C