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Discussion

What level is needed to open private practice?

I was wondering, if a nurse wanted to open a private practice office for say like... tattoo removal. What level education would they need to operate legally within USA (FL) - if possible.

If not, can nurses open any type of private practice?

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I know that in FL use of lasers and light based devices can only be used by NPs, PAs, MD/DO and electrologists with training and direct supervision. Tattoo removal requires use of a laser. Also, for a business like this FL just passed a new law requiring the collaboration to be with a plastic surgeon or dermatologist.

RNs frequently own nursing agencies and other type business. As an RN you can be an independent contractor and contract yourself out for various jobs. RNs can have their own business but it depends on what it is. Call the state board and ask, they are pretty good on the phone.

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Thanks for your reply, it really helped. I found that law on the state board FL for nursing site.

LINK

So does that say that the dr has to be at the location of practice? or can he just show up like once a week to approve it? Who does dr report to to say I am skilled enough to practice?

Thanks again!

  • Experts
Thanks for your reply, it really helped. I found that law on the state board FL for nursing site.

LINK

So does that say that the dr has to be at the location of practice? or can he just show up like once a week to approve it? Who does dr report to to say I am skilled enough to practice?

Thanks again!

I think that you are looking at this the wrong way. Part of this is unique to Florida. In most states your NP certification is what determines your ability to practice. This is limited by your scope of practice for the state and by the scope of practice from your certification. Since laser and tatoo removal are not generally part of any scope of practice you would probably have to demonstrate some sort of advanced training.

In Florida NP's are regulated differently. You must have a practice protocol in place that lays out in fairly specific detail what you are allowed to do. Essentially this is delegate practice. Due to the politics of Florida most stuff that is dermatology related must be done under a dermatologist and there are some that would interpret the direct supervision part of the laser use to require on site supervision.

Florida is one of the least friendly states in the nation for independent nursing practice.

David Carpenter, PA-C

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