What are the BEST and WORST States to practice as an NP? - page 3

I am speaking primarily from two perspectives here: 1. The degree to which NP's are accepted, recognized, and utilized in that area/state. 2. The degree to which state law recognizes NP's, and... Read More

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

    Rokie
  2. by   bancho
    Quote from Rokie
    Are there any states that don't require a doctors signature to write a prescription?

    Rokie
    Yes, there are few states the do not require physican signature, one of these sates is Arizona.
  3. by   Traveler
    As far as rx writing which states are best for NP's I know that in Tennessee they are able to write just about anything. I think that on morphine (and the type), it may require also a MD signature.Lots of doctors utilize NP here.
  4. by   cgfnp
    Quote from Rokie
    Are there any states that don't require a doctors signature to write a prescription?

    Rokie
    Actually, all states except georgia let NPs write (some with restrictions). Missouri sucks for NPs as we still can't write for controlleds. Supposed to change this year though.
  5. by   TMPaul
    Quote from Rokie
    Are there any states that don't require a doctors signature to write a prescription?

    Rokie
    Yes, New York and Tennessee are 2 that I know of.
  6. by   TMPaul
    Quote from Traveler
    As far as rx writing which states are best for NP's I know that in Tennessee they are able to write just about anything. I think that on morphine (and the type), it may require also a MD signature.Lots of doctors utilize NP here.
    No rx's require an MD signature hwere in TN. I know because I'm an NP in Knoxville, TN and I do on occassion write for controlled sunstances.
  7. by   mec65
    Quote from manna
    I don't know about the legalities, but I'd never advise an NP to seek work in Mississippi. 99% of the doctors I've heard mention NPs (or heard by word of mouth from my brother who is a high-and-mighty MD .) seem to think they're uneducated hacks. Ugh.
    All MD's in MS are not threatened by NP's as this sounds. I am currently in the NP program at MUW and I have had a good relationship with those I have worked with in clinical! The NP's I know are working fairly autonomously with an MD available for collaboration. NP's in MS have prescriptive rights and can obtain a DEA for authority to write anything their patients may need. Evidence-based practice serves as the guide for safe, sound practice!
  8. by   Traveler
    From what I have seen, NP's are in great deman and, for the most part, are respected and highly utilized in rural SE Tennessee where I live. I think that in the rural areas where there is a shortage of HCP's this is the case. I don't see as many PA's in this area for some reason. 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.
  9. by   cgfnp
    Quote from Traveler
    From what I have seen, NP's are in great deman and, for the most part, are respected and highly utilized in rural SE Tennessee where I live. I think that in the rural areas where there is a shortage of HCP's this is the case. I don't see as many PA's in this area for some reason. 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.
    This is true for most states. Missouri, where I practice, is one of the most limited as we can't write for CS yet (supposed to change this year). There are ways around it but overall I can set up my own clinic and pay a doc a consulting fee to come in twice monthly and sign a chart or two and that would satisfy the law (of course there is also little crap that you have to have on paper but it doesn't really change anything).
  10. by   porterwoman
    How about North Carolina?
  11. by   sailornurse
    Quote from EricTAMUCC-BSN
    Texas is a great place to live and work as an RN. The pay is good, we enjoy much autonomy, and there is less competition for high ranking positions.
    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.
  12. by   marilynmom
    What it is like for NP's in Oklahoma?
  13. by   cgfnp
    Quote from 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.
    New Mexico, here I come....

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