Transcription
2020 Advanced Practice Registered Nurse SurveyGenerated: 3/9/2021 3:37:07 PM59 Jurisdictions Included in the report:Alabama (AL)Alaska (AK)American Samoa (AS)Arizona (AZ)Arkansas (AR)California-RN (CA-RN)California-VN (CA-VN)Colorado (CO)Connecticut (CT)Delaware (DE)District of Columbia (DC) Florida (FL)Georgia (GA)Guam (GU)Hawaii (HI)Idaho (ID)Illinois (IL)Indiana (IN)Iowa (IA)Kansas (KS)Kentucky (KY)Louisiana-PN (LA-PN)Louisiana-RN (LA-RN)Maine (ME)Maryland (MD)Massachusetts (MA)Michigan (MI)Minnesota (MN)Mississippi (MS)Missouri (MO)Montana (MT)Nebraska (NE)Nebraska-AP (NE-APRN) Nevada (NV)New Hampshire (NH)New Jersey (NJ)New Mexico (NM)New York (NY)North Carolina (NC)North Dakota (ND)Northern Mariana Islands Ohio (OH)(CNMI)Oklahoma (OK)Oregon (OR)Pennsylvania (PA)Rhode Island (RI)South Carolina (SC)South Dakota (SD)Tennessee (TN)Texas (TX)Utah (UT)Vermont (VT)Virgin Islands (VI)Virginia (VA)Washington (WA)West Virginia-PN (WVPN)West Virginia-RN (WVRN)Wisconsin (WI)Wyoming (WY)0 Jurisdictions not included in the report due to non-response:Table of Contents1 . Terminology2 . Agency type3 . Regulation of Advanced Practitioner Registered Nurses4 . Licensure/Recognition/Endorsement of Advanced Practice Registered Nurse Roles5 . Advanced Practice Registered Nurse Role Titles6 . Scope of Practice in Statutes and/or Regulations7 . Authority to Approve Education Programs8 . Requirements for Licensure/Recognition/Endorsement9 . Prescriptive Authority10 . DEA Registration11 . Continued Competency2020 Advanced Practice Registered Nurse SurveyPage 1 of 34
Terminology 1.1Survey TerminologyThe following terms are used throughout all surveys:Board of Nursing: Jurisdiction's governmental agency responsible for the regulation of nursing practice.Includes any other terminology to refer to the regulatory authority (i.e. commission, examiners, registration,jurisdiction). When referring to board of nursing, the reference collectively includes Board Members, ExecutiveOfficer and StaffJurisdiction: Refers to state, territory or district where a board of nursing is located. May also be used to refergenerally to the board of nursing in a particular jurisdictionBoard Staff: Staff of the board of nursingExecutive Officer: Person responsible for running the board of nursing. Includes any other terminology to refer tothat authorized person (i.e. Executive DirectorBoard Member: Member of the governing body of the board of nursing as outlined by statutePractical Nurse or PN: Licensed practical or vocational nurse (LPN/LVN)Role: Describes the functionTitle: Describes the label given to the roleApproval: The official recognition of nursing education programs which meet standards of approval establishedby boards of nursing. Some boards of nursing use the term accreditation instead of approval, but for thepurposes of this document the term used will be approval2020 Advanced Practice Registered Nurse SurveyPage 2 of 34
Agency type 2.1Agency Type:NumberofBoardsPercentage ofBoardsRespondingIndependent agencyAL, AZ, CNMI, IA, KS, KY, LA-RN, MD, ME, MN, MO, MS, ND, NM,within stateNV, OH, OK, OR, RI, SD, TX, WV-PN, WV-RN, WYgovernment2441%Board within anumbrella stateagency3458%12%ResponsesJurisdictionsAK, AR, AS, CA-RN, CA-VN, CO, CT, DC, DE, FL, GA, GU, HI, ID,IL, IN, LA-PN, MA, MI, MT, NE, NE-APRN, NH, NJ, NY, PA, SC, TN,UT, VA, VI, VT, WA, WIIndependent agencyoutside stateNCgovernment2020 Advanced Practice Registered Nurse SurveyPage 3 of 34
Regulation of Advanced Practitioner Registered Nurses 3.1Q1. Which of the following regulates the nurse anesthetist? (Check all that apply)NumberofBoardsPercentage ofBoardsRespondingBoard of NursingAK, AL, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU, HI,IA, ID, IL, IN, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT,NC, ND, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, SD, TN, TX,UT, VA, VI, VT, WA, WI, WV-RN, WY5288%Board ofMedicine/MedicalExaminersVA12%Board of PharmacyID, MI23%Advanced PracticeRegistered NurseBoardNE, NE-APRN, RI35%Department/Board ofAS, CT, MI, NEHealth47%Umbrella Board orother State agency(not listed above)00%ResponsesJurisdictionsRN only or PN onlyboard of nursingCA-VN, LA-PN, WV-PN35%Not recognized bystateNY, VI23%2020 Advanced Practice Registered Nurse SurveyPage 4 of 34
Regulation of Advanced Practitioner Registered Nurses 3.2Q2. Which of the following regulates the nurse midwife? (Check all that apply)NumberofBoardsPercentage ofBoardsRespondingBoard of NursingAK, AL, AR, AS, AZ, CA-RN, CNMI, CO, DC, DE, FL, GA, GU, HI,IA, ID, IL, IN, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT,NC, ND, NH, NV, OH, OK, OR, SC, SD, TN, TX, VA, VI, VT, WA,WI, WV-RN, WY4784%Board ofMedicine/MedicalExaminersAL, NC, NJ, PA, VA59%Board of PharmacyID, MI24%Advanced PracticeRegistered NurseBoardNE, NE-APRN24%Department/Board ofCT, MI, NE, NM, RIHealth59%Umbrella Board orother State agency(not listed above)35%ResponsesJurisdictionsAS, NY, UT2020 Advanced Practice Registered Nurse SurveyPage 5 of 34
Regulation of Advanced Practitioner Registered Nurses 3.3Q3. Which of the following regulates the clinical nurse specialist? (Check all that apply)ResponsesJurisdictionsBoard of NursingAK, AL, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU, HI,IA, ID, IL, IN, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT,NC, ND, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN,TX, UT, VA, VI, VT, WA, WI, WV-RN, WYBoard e ofBoardsResponding5395%00%Board of PharmacyID, MI24%Advanced PracticeRegistered NurseBoardNE, NE-APRN, RI35%Department/Board ofCT, MI, NEHealth35%Umbrella Board orother State agency(not listed above)12%AS2020 Advanced Practice Registered Nurse SurveyPage 6 of 34
Regulation of Advanced Practitioner Registered Nurses 3.4Q4. Which of the following regulates the nurse practitioner? (Check all that apply)NumberofBoardsPercentage ofBoardsRespondingBoard of NursingAK, AL, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU, HI,IA, ID, IL, IN, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT,NC, ND, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN,TX, UT, VA, VI, VT, WA, WI, WV-RN, WY5395%Board ofMedicine/MedicalExaminersAL, NC, VA35%Board of PharmacyID, MI24%Advanced PracticeRegistered NurseBoardNE, NE-APRN, RI35%Department/Board ofCT, MI, NEHealth35%Umbrella Board orother State agency(not listed above)12%ResponsesJurisdictionsAS2020 Advanced Practice Registered Nurse SurveyPage 7 of 34
Licensure/Recognition/Endorsement of Advanced Practice RegisteredNurse Roles 4.1Q5. Does the Board of Nursing license/recognize any of the following advanced practice roles? (Check all thatapply)NumberofBoardsPercentage ofBoardsRespondingNurse AnesthetistAK, AL, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU, HI,IA, ID, IL, IN, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT,NC, ND, NE, NE-APRN, NH, NJ, NM, NV, OH, OK, OR, RI, SC, SD,TN, TX, UT, VA, VI, VT, WA, WV-RN, WY5293%Nurse MidwifeAK, AL, AR, AS, AZ, CA-RN, CNMI, CO, DC, DE, FL, GA, GU, HI,IA, ID, IL, IN, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT,NC, ND, NE, NE-APRN, NH, NV, OH, OK, OR, RI, SC, SD, TN, TX,UT, VA, VI, VT, WA, WI, WV-RN, WY5191%Clinical NurseSpecialistAK, AL, AR, AS, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU,HI, IA, ID, IL, IN, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MT,NC, ND, NE, NE-APRN, NH, NJ, NM, NV, NY, OH, OK, OR, RI, SC,SD, TN, TX, UT, VA, VI, VT, WA, WV-RN, WY5395%Nurse PractitionerAK, AL, AR, AS, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU,HI, IA, ID, IL, IN, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS,MT, NC, ND, NE, NE-APRN, NH, NJ, NM, NV, NY, OH, OK, OR,PA, RI, SC, SD, TN, TX, UT, VA, VI, VT, WA, WV-RN, WY5598%ResponsesJurisdictions2020 Advanced Practice Registered Nurse SurveyPage 8 of 34
Licensure/Recognition/Endorsement of Advanced Practice RegisteredNurse Roles 4.2Q6. Does the Board of Nursing license/recognize by endorsement any of the following advanced practice roles?(Check all that apply)NumberofBoardsPercentage ofBoardsRespondingNurse AnesthetistAK, AL, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, GU, HI, IA, IL, IN,KS, KY, LA-RN, MA, MD, ME, MI, MO, MS, MT, NC, ND, NE, NEAPRN, NJ, NM, NV, OH, OK, OR, RI, SC, SD, TN, TX, UT, VA, VI,VT, WA, WV-RN, WY4784%Nurse MidwifeAK, AL, AR, AS, AZ, CA-RN, CNMI, CO, DC, DE, GU, HI, IA, IL, IN,KS, KY, LA-RN, MA, MD, ME, MI, MO, MS, MT, NC, ND, NE, NEAPRN, NV, OH, OK, OR, RI, SC, SD, TN, TX, UT, VA, VI, VT, WA,WI, WV-RN, WY4682%Clinical NurseSpecialistAK, AL, AR, AS, AZ, CA-RN, CNMI, CO, CT, DC, DE, GU, HI, IA, IL,IN, KS, KY, LA-RN, MA, MD, ME, MI, MO, MT, NC, ND, NE, NEAPRN, NJ, NM, NV, NY, OH, OK, OR, RI, SC, SD, TN, TX, UT, VI,VT, WA, WV-RN, WY4784%Nurse PractitionerAK, AL, AR, AS, AZ, CA-RN, CNMI, CO, CT, DC, DE, GU, HI, IA, IL,IN, KS, KY, LA-RN, MA, MD, ME, MI, MO, MS, MT, NC, ND, NE,NE-APRN, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX,UT, VA, VI, VT, WA, WV-RN, WY5089%None of the aboveFL, GA, ID, MN, NH59%ResponsesJurisdictions2020 Advanced Practice Registered Nurse SurveyPage 9 of 34
Advanced Practice Registered Nurse Role Titles 5.1Q7. Does the Board of Nursing use the following role titles: Certified Registered Nurse Anesthetist (CRNA),Certified Nurse Midwife (CNM), Clinical Nurse Specialist (CNS), Certified Nurse Practitioner (CNP)? (Check all thatapply)NumberofBoardsPercentage ofBoardsRespondingCRNAAK, AL, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU, HI,IA, ID, IL, IN, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT,NC, ND, NE, NE-APRN, NH, NJ, NM, NV, OH, OK, OR, RI, SC, SD,TX, UT, VA, VI, VT, WA, WV-RN, WY5191%CNMAK, AL, AR, AS, AZ, CA-RN, CNMI, CO, DC, DE, FL, GA, GU, HI,IA, ID, IL, IN, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT, NC,ND, NE, NE-APRN, NH, NV, OH, OK, OR, RI, SC, SD, TX, UT, VA,VI, VT, WA, WV-RN, WY4886%CNSAK, AL, AR, AS, AZ, CA-RN, CNMI, CO, DC, DE, FL, GA, GU, HI,IA, ID, IL, IN, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT,NC, ND, NE, NE-APRN, NH, NM, NV, NY, OH, OK, OR, PA, RI, SC,SD, TX, VA, VI, VT, WA, WV-RN, WY5191%CNPAK, AL, AR, AS, AZ, CA-RN, CNMI, DC, DE, FL, GU, IA, ID, IL, KY,LA-RN, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NH, NM, NV,NY, OH, OK, RI, SC, SD, TX, VA, VI, VT, WA, WV-RN, WY4275%None of the aboveTN, WI24%ResponsesJurisdictions2020 Advanced Practice Registered Nurse SurveyPage 10 of 34
Scope of Practice in Statutes and/or Regulations 6.1Q8. For any of the advanced practice roles that the jurisdiction does recognize, do the nursing statutes and/orregulations describe the scope of practice for those roles?NoYesNoYes*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.NumberofBoardsPercentage ofBoardsRespondingCO, IN, MO, NJ, TN, VI, WI712%AK, AL, AR, AS, AZ, CA-RN, CNMI, CT, DC, DE, FL, GA, GU, HI,IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MI, MN, MS, MT, NC, ND,NE, NE-APRN, NH, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TX,UT, VA, VT, WA, WV-RN, WY4988%ResponsesJurisdictionsNoYes2020 Advanced Practice Registered Nurse SurveyPage 11 of 34
Authority to Approve Education Programs 7.1Q9. Does the Board of Nursing have authority to approve any of the following education programs? (Check allthat apply)NumberofBoardsPercentage ofBoardsRespondingAK, AL, AR, DC, GU, HI, IA, ID, KS, KY, LA-RN, MD, MN, ND, OK,OR, SD, TN, VT, WA, WI, WY2239%Nurse midwifeeducation programsAK, AL, AR, AS, AZ, CA-RN, DC, GU, HI, IA, ID, KS, KY, LA-RN,MD, MN, ND, OK, OR, SD, TN, VT, WA, WI, WY2545%Clinical nursespecialist educationprogramsAK, AL, AR, AS, AZ, DC, GU, HI, IA, ID, KS, KY, LA-RN, MD, MN,ND, OK, OR, PA, SD, TN, VT, WA, WI, WY2545%Nurse practitionereducation programsAK, AL, AR, AS, AZ, CA-RN, DC, GU, HI, IA, ID, KS, KY, LA-RN,MD, MN, ND, OK, OR, PA, SD, TN, VT, WA, WI, WY2646%None of the aboveCNMI, CO, CT, DE, FL, GA, IL, IN, MA, ME, MI, MO, MS, MT, NC,NE, NE-APRN, NH, NJ, NM, NV, NY, OH, RI, SC, TX, UT, VA, VI,WV-RN3054%ResponsesJurisdictionsNurse anesthetisteducation programs2020 Advanced Practice Registered Nurse SurveyPage 12 of 34
Requirements for Licensure/Recognition/Endorsement 8.1Q10. Is role certification by a nationally accredited certification program one of the requirements for any of thefollowing? (Check all that apply)NumberofBoardsPercentage ofBoardsRespondingAK, AL, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU, HI,IA, ID, IL, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT, NC,ND, NE, NE-APRN, NH, NJ, NM, NV, OH, OK, OR, RI, SC, SD, TN,TX, UT, VA, VI, VT, WA, WV-RN, WY5191%Nurse anesthetistlicense/recognitionby endorsementAK, AL, AR, AZ, CNMI, CO, CT, DC, DE, GU, HI, IL, KS, KY, LARN, MA, MD, ME, MI, MO, MS, MT, NC, ND, NE, NE-APRN, NJ,NM, NV, OH, OK, OR, RI, SC, SD, TX, UT, VA, VI, VT, WA, WV-RN,WY4377%Nurse midwife newlicense/recognitionAK, AL, AR, AS, AZ, CA-RN, CNMI, CO, DC, DE, FL, GA, GU, HI,IA, ID, IL, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND,NE, NE-APRN, NH, NV, OH, OK, OR, RI, SC, SD, TN, TX, UT, VA,VI, VT, WA, WI, WV-RN, WY4988%Nurse midwifelicense/recognitionby endorsementAK, AL, AR, AS, AZ, CNMI, CO, DC, DE, GU, HI, IL, KY, LA-RN,MA, MD, ME, MI, MO, MS, MT, NC, ND, NE, NE-APRN, NV, OH,OK, OR, RI, SC, SD, TX, UT, VA, VI, VT, WA, WI, WV-RN, WY4173%Clinical nursespecialist newlicense/recognitionAK, AL, AR, AS, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU,HI, IA, ID, IL, KY, LA-RN, MA, MD, ME, MI, MN, MO, MT, NC, ND,NE, NE-APRN, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD,TN, TX, UT, VA, VI, VT, WA, WV-RN, WY5293%Clinical nursespecialistlicense/recognitionby endorsementAK, AL, AR, AS, AZ, CNMI, CO, CT, DC, DE, GU, HI, IL, KY, LARN, MA, MD, ME, MI, MO, MT, NC, ND, NE, NE-APRN, NJ, NM,NV, NY, OH, OK, OR, PA, RI, SC, SD, TX, UT, VI, VT, WA, WV-RN,WY4377%Nurse practitionernewlicense/recognitionAK, AL, AR, AS, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU,HI, IA, ID, IL, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT, NC,ND, NE, NE-APRN, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC,SD, TN, TX, UT, VA, VI, VT, WA, WV-RN, WY5395%Nurse practitionerlicense/recognitionby endorsementAK, AL, AR, AS, AZ, CNMI, CO, CT, DC, DE, GU, HI, IL, KY, LARN, MA, MD, ME, MI, MO, MS, MT, NC, ND, NE, NE-APRN, NJ,NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TX, UT, VA, VI, VT, WA,WV-RN, WY4580%ResponsesJurisdictionsNurse anesthetistnewlicense/recognition2020 Advanced Practice Registered Nurse SurveyPage 13 of 34
Requirements for Licensure/Recognition/Endorsement 8.2None of the aboveIN12020 Advanced Practice Registered Nurse Survey2%Page 14 of 34
Requirements for Licensure/Recognition/Endorsement 8.3Q11. In addition to the requirement that all APRN programs are accredited, is graduation from a board of nursingapproved graduate or post-graduate program one of the requirements for any of the following? (Check all thatapply)NumberofBoardsPercentage ofBoardsRespondingAK, AL, AR, AZ, CNMI, FL, GA, GU, HI, IA, ID, IN, KS, KY, LA-RN,MA, MD, MN, MS, ND, NH, OH, SC, TX, UT, VA, VI, VT, WA, WY3054%Nurse anesthetistlicense/recognitionby endorsementAK, AL, AR, AZ, CNMI, GU, HI, IN, KS, KY, LA-RN, MA, MD, MS,ND, OH, SC, TX, UT, VA, VI, VT, WA, WY2443%Nurse midwife newlicense/recognitionAK, AL, AR, AS, AZ, CNMI, FL, GA, GU, HI, IA, ID, KS, KY, LA-RN,MA, MD, MN, MS, ND, NH, OH, SC, TX, UT, VA, VI, VT, WA, WI,WY3155%Nurse midwifelicense/recognitionby endorsementAK, AL, AR, AS, AZ, CNMI, GU, HI, KS, KY, LA-RN, MA, MD, MS,ND, OH, SC, TX, UT, VA, VI, VT, WA, WI, WY2545%Clinical nursespecialist newlicense/recognitionAK, AL, AR, AS, AZ, CNMI, FL, GA, GU, HI, IA, ID, IN, KS, KY, LARN, MA, MD, MN, ND, NH, NY, OH, PA, SC, TX, UT, VA, VI, VT,WA, WY3257%Clinical nursespecialistlicense/recognitionby endorsementAK, AL, AR, AS, AZ, CNMI, GU, HI, IN, KS, KY, LA-RN, MA, MD,ND, NY, OH, PA, SC, TX, UT, VI, VT, WA, WY2545%Nurse practitionernewlicense/recognitionAK, AL, AR, AS, AZ, CA-RN, CNMI, FL, GA, GU, HI, IA, ID, IN, KS,KY, LA-RN, MA, MD, MN, MS, ND, NH, NY, OH, PA, SC, TX, UT,VA, VI, VT, WA, WY3461%Nurse practitionerlicense/recognitionby endorsementAK, AL, AR, AS, AZ, CNMI, GU, HI, IN, KS, KY, LA-RN, MA, MD,MS, ND, NY, OH, PA, SC, TX, UT, VA, VI, VT, WA, WY2748%None of the aboveCO, CT, DC, DE, IL, ME, MI, MO, MT, NC, NE, NE-APRN, NJ, NM,NV, OK, OR, RI, SD, TN, WV-RN2138%ResponsesJurisdictionsNurse anesthetistnewlicense/recognition2020 Advanced Practice Registered Nurse SurveyPage 15 of 34
Prescriptive Authority 9.1Q12. What is the nurse anesthetist's level of prescriptive authority?Independent without restrictionsIndependent, but restricted to area ofpracticeRestricted to formularyRestricted to formulas with physiciansupervisionRestricted to protocolRestricted to practice agreement with,or delegation by, physicianRestricted to practice agreement with,or delegation by, physician for a finiteperiod of timeIndependent when privileged &credentialed by a facility, restricted topractice agreement with physician inother settingsNo authority to prescribeRestricted to the RN who holds anadvanced practice nurse prescribercertificateNot recognized by stateIndependent without restrictionsIndependent, but restricted to area ofpracticeRestricted to formularyRestricted to formulas with physiciansupervisionRestricted to protocolRestricted to practice agreement with,or delegation by, physicianRestricted to practice agreement with,or delegation by, physician for a finiteperiod of timeIndependent when privileged &credentialed by a facility, restricted topractice agreement with physician inother settingsNo authority to prescribeRestricted to the RN who holds anadvanced practice nurse prescribercertificateNot recognized by state*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.NumberofBoardsPercentage ofBoardsRespondingIndependent withoutDC, DE, IA, MT, ND, NHrestrictions611%Independent, butrestricted to area ofpractice1730%ResponsesJurisdictionsAZ, CNMI, CO, GU, HI, ID, MA, MN, NE, NE-APRN, NM, OH, OR,SD, VA, WA, WY2020 Advanced Practice Registered Nurse SurveyPage 16 of 34
Prescriptive Authority 9.2Restricted toformularyOK, UT24%Restricted toformulas withAR, FL, LA-RN, ME, MIphysician supervision59%Restricted to protocol00%Restricted to practiceagreement with, orCA-RN, CT, IL, KS, RI, TXdelegation by,physician611%Restricted to practiceagreement with, ordelegation by,NJ, VTphysician for a finiteperiod of time24%Independent whenprivileged &credentialed by afacility, restricted topractice agreementwith physician inother settingsKY, TN24%No authority toprescribeAL, GA, IN, MD, MO, MS, NC, NV, PA, SC, VI, WV-RN1221%Restricted to the RNwho holds anadvanced practiceAK, WInurse prescribercertificate24%Not recognized bystate24%AS, NY2020 Advanced Practice Registered Nurse SurveyPage 17 of 34
Prescriptive Authority 9.313. Is the prescriptive authority granted via the APRN-CRNA license or a separate privilege, certificate or licenseAPRN-CRNA licenseSeparate privilegeSeparate certificateSeparate licenseOtherAPRN-CRNA licenseSeparate privilegeSeparate certificateSeparate licenseOther*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.NumberofBoardsPercentage ofBoardsRespondingCNMI, DC, DE, FL, IA, KS, KY, LA-RN, ME, MI, MN, NE, NEAPRN, NJ, OH, SD, VA, VT, WA1946%Separate privilegeAK, HI, ID, MA, NH, OR, RI, TN, TX, WY1024%Separate certificateAR, AZ, WI37%Separate licenseGU, IL, ND, UT410%OtherCO, CT, MT, NM, OK512%ResponsesJurisdictionsAPRN-CRNA license2020 Advanced Practice Registered Nurse SurveyPage 18 of 34
Prescriptive Authority 9.4Q14. What is the nurse midwife's level of prescriptive authority?Independent without restrictionsIndependent, but restricted to area ofpracticeRestricted to formularyRestricted to formulary with physiciansupervisionRestricted to protocolRestricted to practice agreement with,or delegation by, physicianRestricted to practice agreement with,or delegation by, physician for a finiteperiod of timeIndependent when privileged &credentialed by a facility, restricted topractice agreement with physician inother settingsNo authority to prescribeRestricted to the RN who holds anadvanced practice nurse prescribercertificateDo not regulate nurse midwivesIndependent without restrictionsIndependent, but restricted to area ofpracticeRestricted to formularyRestricted to formulary with physiciansupervisionRestricted to protocolRestricted to practice agreement with,or delegation by, physicianRestricted to practice agreement with,or delegation by, physician for a finiteperiod of timeIndependent when privileged &credentialed by a facility, restricted topractice agreement with physician inother settingsNo authority to prescribeRestricted to the RN who holds anadvanced practice nurse prescribercertificateDo not regulate nurse midwives*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.NumberofBoardsPercentage ofBoardsRespondingIndependent withoutDC, DE, IA, MD, ME, MT, ND, NH, OR, RIrestrictions1018%Independent, butrestricted to area ofpracticeAZ, CNMI, CO, GU, HI, ID, MA, MN, MS, SC, SD, VI, WA, WY1425%Restricted toformularyAL, MI24%ResponsesJurisdictions2020 Advanced Practice Registered Nurse SurveyPage 19 of 34
Prescriptive Authority 9.5Restricted toformulary withFL, OK, TNphysician supervision35%Restricted to protocol00%Restricted to practiceagreement with, orAR, GA, IL, KS, KY, LA-RN, NC, NE, NE-APRN, OH, PA, TX, UT,delegation by,VAphysician1425%Restricted to practiceagreement with, ordelegation by,MO, NV, VT, WV-RNphysician for a finiteperiod of time47%Independent whenprivileged &credentialed by afacility, restricted topractice agreementwith physician inother settings00%24%Restricted to the RNwho holds anadvanced practiceCA-RN, WInurse prescribercertificate24%Do not regulatenurse midwives59%No authority toprescribeIN, NMAK, AS, CT, NJ, NY2020 Advanced Practice Registered Nurse SurveyPage 20 of 34
Prescriptive Authority 9.615. Is the prescriptive authority granted via the APRN-CNM license or a separate privilege,certificate or licenseAPRN-CNM licenseSeparate privilegeSeparate certificateSeparate licenseOtherAPRN-CNM licenseSeparate privilegeSeparate certificateSeparate licenseOther*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.NumberofBoardsPercentage ofBoardsRespondingAL, CNMI, DC, DE, FL, IA, KS, KY, MD, ME, MI, MN, MO, MS, NE,NV, OH, OR, RI, SD, UT, VA, VI, VT, WA2551%Separate privilegeCA-RN, GA, HI, ID, LA-RN, MA, NC, NE-APRN, NH, PA, SC, TN,TX, WV-RN, WY1531%Separate certificateAR, AZ, WI36%Separate licenseGU, IL, ND36%OtherCO, MT, OK36%ResponsesJurisdictionsAPRN-CNM license2020 Advanced Practice Registered Nurse SurveyPage 21 of 34
Prescriptive Authority 9.7Q16. What is the clinical nurse specialist's level of prescriptive authority?Independent without restrictionsIndependent, but restricted to area ofpracticeRestricted to formularyRestricted to formulary with physiciansupervisionRestricted to protocolRestricted to practice agreement with,or delegation by, physicianRestricted to practice agreement with,or delegation by, physician for a finiteperiod of timeIndependent when privileged &credentialed by a facility, restricted topractice agreement with physician inother settingsNo authority to prescribeNot all CNS have prescriptiveauthority; those that do are restricted toa prescriptive practice agreement witha physicianRestricted to the RN who holds anadvanced practice nurse prescribercertificateIndependent without restrictionsIndependent, but restricted to area ofpracticeRestricted to formularyRestricted to formulary with physiciansupervisionRestricted to protocolRestricted to practice agreement with,or delegation by, physicianRestricted to practice agreement with,or delegation by, physician for a finiteperiod of timeIndependent when privileged &credentialed by a facility, restricted topractice agreement with physician inother settingsNo authority to prescribeNot all CNS have prescriptiveauthority; those that do are restricted toa prescriptive practice agreement witha physicianRestricted to the RN who holds anadvanced practice nurse prescribercertificate*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.ResponsesJurisdictionsIndependent withoutDC, DE, IA, MT, ND, NH, ORrestrictions2020 Advanced Practice Registered Nurse SurveyNumberofBoardsPercentage ofBoardsResponding712%Page 22 of 34
Prescriptive Authority 9.8Independent, butrestricted to area ofpracticeCNMI, CO, GU, HI, ID, MN, NM, RI, UT, VI, WA, WY1221%Restricted toformularyMI12%Restricted toformulary withFL, OK, TNphysician supervision35%Restricted to protocol AZ12%Restricted to practiceagreement with, orAR, GA, IL, KS, KY, LA-RN, MO, NJ, OH, TXdelegation by,physician1018%Restricted to practiceagreement with, ordelegation by,NV, VT, WV-RNphysician for a finiteperiod of time35%Independent whenprivileged &credentialed by afacility, restricted topractice agreementwith physician inother settings00%1629%Not all CNS haveprescriptive authority;those that do arerestricted to aSCprescriptive practiceagreement with aphysician12%Restricted to the RNwho holds anadvanced practiceAK, WInurse prescribercertificate24%No authority toprescribeAL, AS, CA-RN, CT, IN, MA, MD, ME, MS, NC, NE, NE-APRN, NY,PA, SD, VA2020 Advanced Practice Registered Nurse SurveyPage 23 of 34
Prescriptive Authority 9.917. Is the prescriptive authority granted via the APRN-CNS license or a separate privilege,certificate or licenseAPRN-CNS licenseSeparate privilegeSeparate certificateSeparate licenseOtherAPRN-CNS licenseSeparate privilegeSeparate certificateSeparate licenseOther*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.NumberofBoardsPercentage ofBoardsRespondingCNMI, DC, DE, FL, IA, KS, KY, MI, MN, MO, NJ, NV, OH, RI, UT,VI, VT, WA1845%Separate privilegeAK, GA, HI, ID, LA-RN, NH, OR, SC, TN, TX, WV-RN, WY1230%Separate certificateAR, AZ, WI38%Separate licenseGU, IL, ND38%OtherCO, MT, NM, OK410%ResponsesJurisdictionsAPRN-CNS license2020 Advanced Practice Registered Nurse SurveyPage 24 of 34
Prescriptive Authority 9.10Q18. What is the nurse practitioner's level of prescriptive authority?Independent without restrictionsIndependent, but restricted to area ofpracticeRestricted to formularyRestricted to formulary with physiciansupervisionRestricted to protocolRestricted to practice agreement with,or delegation, by physicianRestricted to practice agreement with,or delegation by, physician for a finiteperiod of timeIndependent when privileged &credentialed by a facility, restricted topractice agreement with physician inother settingsNo authority to prescribeRestricted to the RN who holds anadvanced practice nurse prescribercertificateIndependent without restrictionsIndependent, but restricted to area ofpracticeRestricted to formularyRestricted to formulary with physiciansupervisionRestricted to protocolRestricted to practice agreement with,or delegation, by physicianRestricted to practice agreement with,or delegation by, physician for a finiteperiod of timeIndependent when privileged &credentialed by a facility, restricted topractice agreement with physician inother settingsNo authority to prescribeRestricted to the RN who holds anadvanced practice nurse prescribercertificate*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.NumberofBoardsPercentage ofBoardsRespondingIndependent withoutAZ, DC, DE, IA, MD, ME, MS, MT, ND, NE, NH, OR, RIrestrictions1323%Independent, butrestricted to area ofpracticeCNMI, CO, GU, HI, ID, MA, MN, NE-APRN, NM, NY, SD, UT, VA,VI, WA, WY1629%Restricted toformularyAL, MI24%35%ResponsesJurisdictionsRestricted toformulary withFL, OK, TNphysician supervision2020 Advanced Practice Registered Nurse SurveyPage 25 of 34
Prescriptive Authority 9.11Restricted to protocol00%Restricted to practiceagreement with, orAR, GA, IL, KS, KY, LA-RN, MO, NC, NJ, OH, PA, TXdelegation, byphysician1221%Restricted to practiceagreement with, ordelegation by,CT, NV, VT, WV-RNphysician for a finiteperiod of time47%Independent whenprivileged &credentialed by afacility, restricted topractice agreementwith physician inother settingsSC12%No authority toprescribeAS12%47%Restricted to the RNwho holds anadvanced practiceAK, CA-RN, IN, WInurse prescribercertificate2020 Advanced Practice Registered Nurse SurveyPage 26 of 34
Prescriptive Authority 9.1219. Is the prescriptive authority granted via the APRN-CNP license or a separate privilege,certificate or licenseAPRN-CNP licenseSeparate privilegeSeparate certificateSeparate licenseOtherAPRN-CNP licenseSeparate privilegeSeparate certificateSeparate licenseOther*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.NumberofBoardsPercentage ofBoardsRespondingAL, CNMI, DC, DE, FL, IA, KS, KY, MD, ME, MI, MN, MO, MS, NE,NE-APRN, NJ, NV, OH, OR, RI, SD, UT, VA, VI, VT, WA2749%Separate privilegeAK, CA-RN, GA, HI, ID, LA-RN, MA, NC, NH, NY, PA, SC, TN, TX,WV-RN, WY1629%Separate certificateAR, AZ, WI35%Separate licenseGU, IL, IN, ND47%OtherCO, CT, MT, NM, OK59%ResponsesJurisdictionsAPRN-CNP license2020 Advanced Practice Registered Nurse SurveyPage 27 of 34
Prescriptive Authority 9.13Q20. What is the nurse anesthetist's level of controlled substance prescriptive authority? (Check all that apply)NumberofBoardsPercentage ofBoardsRespondingAK, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GU, HI, IA, ID, IL,KY, LA-RN, MA, MN, MT, ND, NE, NE-APRN, NH, NJ, NM, OK, OR,SD, TN, TX, UT, VA, VT, WA, WY3664%Schedule IIIAK, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GU, HI, IA, ID, IL,KY, LA-RN, MA, MN, MT, ND, NE, NE-APRN, NH, NJ, NM, OK
Registered Nurse Board NE, NE-APRN, RI 3 5% Department/Board of Health AS, CT, MI, NE 4 7% Umbrella Board or other State agency (not listed above) 0 0% RN only or PN only board of nursing CA-VN, LA-PN, WV-PN 3 5% Not recognized by state NY, VI 2 3% 2020 Advanced Practice Registered Nurse Survey Page 4 of 34
