Do NP's work under MD's?

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I always thought that NP's could practice alone.......they dont need a doc to supervise them, but PA's do. Is this true??? Can NP's practice alone?

Specializes in ACNP-BC.
Hello,

Good luck at UMASS-Worc. I just graduated with MSN. Studying for my test (end of June). I am SOOO nervous.

Congrats on graduating. So how did you like the program? Do you feel prepared now in your new role as an NP? did you do the acute/critical care track? good luck with studying for your boards. Let me know how it goes. :) Is the test all multiple choice?

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Quick question: for those few entirely NP-run clinics out there, is there any need for a collaborative doc at all, whatsoever, or can the NP in this situation run entirely solo with no collaboration with any doc whatsoever?

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Specializes in Education, FP, LNC, Forensics, ED, OB.

Really depends upon the state requirements, Noreaster. You need to check the state's BON and see if an NP needs a collaborative practice.

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Oh, thanks. So, in other words, there are certain states, where collaborative doc is not needed for a NP to run a completely independant practice? Does anybody know which states allow this?

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Specializes in Education, FP, LNC, Forensics, ED, OB.

Exactly, Noreaster,

Check this link from Medscape regarding the U.S. NP Prescribing Law: State - State:

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

http://www.deadiversion.usdoj.gov/drugreg/practioners/ DEA ~ update June '06

Excellent artitle from Medscape regarding: Does a physician need to sign charts for the NP? (note the info for Georgia does not apply since Georgia has prescription authority now).

http://www.medscape.com/viewarticle/518049

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Thanks for info. I see some info about DEAs and about co-signing charts but was specifically wondering about the scenario of if one were to open a practice, with own building, staff, and complete facilities. Which states can this be done in where there is no collaborative physician, whatsoever, no contracts, agreenments with any physician, or anything--just working alone in an office without ever collaborating at all.

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Congrats on graduating. So how did you like the program? Do you feel prepared now in your new role as an NP? did you do the acute/critical care track? good luck with studying for your boards. Let me know how it goes. :) Is the test all multiple choice?

There was a lot I didnt like - mainly the clinical portion of the nursing section was not great - which is not good for us direct-entry w/no nursing experience - but I think same complaints everywhere. I feel prepared to prepare for the role - wish I had another year to focus on the clinical learning now that all the academic stuff is over. Mind you - I am not claiming that nursing or np only need the clinical stuff (I agree that is what separates a "service" profession from "professional"), but wish I had more and better clinical stuff.

I am in the Family NP program. Test is all multiple choice. For AANP and ANCC (sp?) 4 part questions. Another certifying body has 3 question format for Women's NP and Pedi (I think). Test seems much more straightforward and based on knowledge, not "nursing interventions" than NCLEX, but SO MUCH to learn :-)

2 more weeks.

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