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

Specialties NP Nursing Q/A

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 grants them autonomy, and privledges such as the ability to write prescriptions.

Specializes in Psychiatric.
:) hello I was wondering how is CT??

I think Ct. is pretty good-collaborative contract only, Most MD's and pt.s' are very receptive. I like being an APRN here!

Thanks psychnurse, it's good to hear some CT NPs speak up! I'm career-changing (hope to be an ACNP or Adult Primary), and the frequent talk about the Northeast not having a nursing shortage or NPs not being welcomed has had me on my toes with eyes peeled. I'll be working in CT for quite a while, so your comments ease the worries a bit.

Of course, the winds are always changing....hope things are still good in a few years when I'm out of the frying pan!

Specializes in ICU, Med-Surg, Post-op, Same-Day Surgery.
I currently live in Nevada, but originally am from Michigan. I must say that Nevada seems like a decent place to practice as an NP. They seem to be respected and have a decent pay.

Michigan is a GREAT place to work as an NP, especially in the northern areas. The northern part of Michigan is considered to be a "rural" area, when in fact its actually a prospering part of the state. NP's have a huge involvement with the communities. Michigan is also a wonderful state to practice as a DO.

This is great to hear! I am getting my BSN in Tennessee, but ultimately I want to move back to Mi, get my NP there, and work (want to be closer to family and that oh-so-lovely countryside). I'm relieved to hear that it's a good state to work in!

Yes, let us pray they are not "yahoos". Just dont plan to leave the ATL area, once you get outside of it, you are looking at another world. Unforetunely having the CDC there has not helped much in the way of progression for the state as a whole.

Hello. We should not be stereotyping. The CDC is in Atlanta, hardly a group of yahoos.

Arkansas, has to be on the list with the worst. The doctors can not see past the word "nurse" so therefore they just want to run their errands for the same pay as RNs.

Anyone know what the state of Nebraska is like? I am currently getting my BSN in NE and want to persue getting my NP here as well. Thanks ;)

Maryland is really the best, best schools (Johns Hopkins University and University of Maryland) major political influences. Maryland is really one the best states to practice in, besides Cali.

Specializes in ER, NICU.

Glad to hear that about MD. Was born there and I have a daughter attending an art school in Baltimore. Was considering doing NNP (Neonatal) and then moving there to share and apt with her for her last two years 4+1 masters program.

Will keep that in mind.

Specializes in Family practice.

Florida is the same way of not have the prescriptive authority for NP's

Specializes in Family practice.

CINGLY -

I too went to BSN school in TN. I hope that you will be able to move back to MI when you graduate. I have heard several good things about working in MI. I still work in TN as an NP. Good luck to you

Specializes in Psych, ER, OB, M/S, teaching, FNP.

If you are looking at limitations then Montana has to be one of the best. We can write for ANY drug, we do not have to work under or in collaboration with an MD, if one owns his/her own practice then s/he must have 10% (I think) of his/her charts audited by another NP (NOT a doc!).

Now for the $$, we are among the lowest paid, but we sure do live in a beautiful state!

Lorina

If you are looking at limitations then Montana has to be one of the best. We can write for ANY drug, we do not have to work under or in collaboration with an MD, if one owns his/her own practice then s/he must have 10% (I think) of his/her charts audited by another NP (NOT a doc!).

Now for the $$, we are among the lowest paid, but we sure do live in a beautiful state!

Lorina

Dang! That sounds good! Now tell me -- does any part of Montana NOT have extreme winter weather? :rotfl:

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