practice without physician involvement?

does anyone know any data about which states nps can practice in without any direct physician involvement? i find sites that have all different answers and have looked everywhere. help!!!!!

what do you mean by direct involvement? a great many states allow nps to practice independently with a collaberating(?) physician.

grannynurse :balloons:

I thought that there were certain states - a very small number - where NPs can practice completely independently, no collaborating MD. WA state is the only one that comes to mind - I read an article about an all-NP practice there a few months ago.

maybe I'm wrong though...

I thought that there were certain states - a very small number - where NPs can practice completely independently, no collaborating MD. WA state is the only one that comes to mind - I read an article about an all-NP practice there a few months ago.

maybe I'm wrong though...

You are not wrong. NPs can practice completely independent of physicians in IA, NM, AK, AZ, and WA as far as I know. In most other states, a collaborative practice agreement is required which can be anything from a NP with a doc at all times to a NP hiring a doc to sign a chart every two weeks.

Oregon and Idaho are also states that have no collaborative agreement with physicians. NPs are completely independent providers, able to hang their own shingle if they want.

Oregon and Idaho are also states that have no collaborative agreement with physicians. NPs are completely independent providers, able to hang their own shingle if they want.

do they have any sites that list the requirement for each state. If so could you post the link? thanks!

Danielle

do they have any sites that list the requirement for each state. If so could you post the link? thanks!

Danielle

THe January issue of the journal "Nurse Practitioner" usually has the list of who can do what where. They have 2 color-coded maps: 1 for legal authority for scope of practice and 1 for prescriptive authority. The article also includes a blurb about each state with details about the situation there and an overview that talks about what's changed since the preceding January. Definitely worth the read. Your local college library should have a hardcopy and it's available online if you are a student or faculty.

DL

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This is the report you need to look at:

http://www.pearsonreport.com/

Nurse practitioners have independent practice in NH without a collaborating physician.

Check out the Pearson Report. When NP's get it together enough to collectively come together and reject the notion we are "medical" providers, "Mid-level" providers and/or "physician extenders" instead of who we are--"nursing" providers, in the profession of nursing then we will have independent practice in all states instead of just 23.

Until then, we will continue to be considered junior physicians and physician flunkies operating in a profession not our own (i.e. medicine).

I don't think its about getting together collectively as NPs. Its perception. I feel as though I am a medical provider in as much as I admit, write orders, diagnose, place lines, and provide ongoing medical management. I'm not a nursing provider at this point in my career. I provide medical management of patients.