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

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 Peds, PICU, Home health, Dialysis.

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.

I do not know from my own experience, but I am in a NP program in Missouri and my instructors say that Louisiana is really bad... no prescriptive authority...basically glorified RNs.

I've never heard anything good about Hawaii.

Nevada and Texas I'm pretty clueless on.

-Dave

I've had to give an MD'sDEA number when I phoned in meds for one of my pts. on vacation in Texas. I like Ct. .-we have a COLLABORATIVE relationship with MD.'s not supervisory.

TX requires Board Cert., can write for any non controlled. Schedule 3-5 30 day supply. No writing for schedule 2 though. Scope of practice-anything you are competent in. Know yourself and your limits. Know when to ask for help and know when to refer. That's a good NP.

TX requires Board Cert., can write for any non controlled. Schedule 3-5 30 day supply. No writing for schedule 2 though. Scope of practice-anything you are competent in. Know yourself and your limits. Know when to ask for help and know when to refer. That's a good NP.

Knowing when and where to refer is good any professional, including MD/DO/PhD

Thanks for the update on TX

I will begin a direct entry NP program this fall in Boston. However, I will be returning to my home state of Illinois when I am finished, or shortly there after. I was wondering why everyone says Illinois is so bad? There are no reasons given, just that it is no good.

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.

That's great-- do anything about practicing as an NP in the metro-Detroit area?

I don't know how helpful this might be since it was last updated in 2004....but at least it will give you some sort of idea until you can find out specifically from your state board of nursing what prescriptive authorities you will have as a NP.

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

Hope this helps. :)

-27

Specializes in Nephrology, Cardiology, ER, ICU.

I live in IL and actually IL isn't too bad. APNs have collaborative agreements with MDs (as opposed to supervisory), full prescriptive authority also and we can bill for Medicaid nowadays. Our practice act though sundowns in 2007, so maybe even more advances are on the horizon?

Best is BY FAR Washington State. Second would probably be Penn.

WORST? Lemme start a list.

Georiga, Florida, Kentucky, Virginia, West Virginia.

And there are others, but I would have to pull out my chart (which is at my office)

Dave

Why Kentucky? That's where I'd most likely practice. Now I'm concerned. :uhoh21:

Specializes in ACNP-BC.

Anyone know anything about NPs' prescriptive abilities in Massachusetts? Thanks.

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

Rokie

I'm an APRN-nurse practioner. Do you mean us or RN's? Ct.--that's where I practice. We only need a collaborative contract with an MD they don't supervise us. Only NP's and PA's can write scripts-other than MD's.

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