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Requirements for Licensure/Recognition/Endorsement 8.1Back To Table of ContentsQ10. 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, 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, WY5295%Nurse anesthetistlicense/recognitionby endorsementAK, AL, AR, AZ, CNMI, CO, CT, DC, DE, GU, HI, ID, IL, IN, KS, KY,LA-RN, MA, 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,WY4480%Nurse midwife newlicense/recognitionAK, AL, AR, 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, TN, TX, UT, VA,VI, VT, WA, WI, WV-RN, WY4989%Nurse midwifelicense/recognitionby endorsementAK, AL, AR, AZ, CNMI, CO, DC, DE, GU, HI, ID, IL, IN, KY, LA-RN,MA, 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, WY4175%Clinical nursespecialist newlicense/recognitionAK, AL, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU, HI,IA, ID, IL, IN, 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, WY5295%Clinical nursespecialistlicense/recognitionby endorsementAK, AL, AR, AZ, CNMI, CO, CT, DC, DE, GU, HI, ID, IL, IN, KY, LARN, MA, 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, WY4378%Nurse practitionernewlicense/recognitionAK, AL, AR, AZ, CA-RN, CNMI, CO, CT, 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, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC,SD, TN, TX, UT, VA, VI, VT, WA, WV-RN, WY5396%Nurse practitionerlicense/recognitionby endorsementAK, AL, AR, AZ, CNMI, CO, CT, DC, DE, GU, HI, ID, IL, IN, KY, LARN, MA, 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, WVRN, WY4582%ResponsesJurisdictionsNurse anesthetistnewlicense/recognition2019 Advanced Practice Registered Nurse SurveyPage 13 of 30

Requirements for Licensure/Recognition/Endorsement 8.2None of the above02019 Advanced Practice Registered Nurse Survey0%Page 14 of 30

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, IA, ID, IN, KS, KY, LA-RN, MN,MS, ND, NH, OH, SC, TX, UT, VA, VI, VT, WA, WY2749%Nurse anesthetistlicense/recognitionby endorsementAK, AL, AR, AZ, CNMI, GU, ID, IN, KS, KY, LA-RN, MS, ND, OH,SC, TX, UT, VA, VI, VT, WA, WY2240%Nurse midwife newlicense/recognitionAK, AL, AR, AZ, CA-RN, CNMI, FL, GA, GU, IA, ID, IN, KS, KY, LARN, MN, MS, ND, NH, OH, SC, SD, TX, UT, VA, VI, VT, WA, WI,WY3055%Nurse midwifelicense/recognitionby endorsementAK, AL, AR, AZ, CNMI, GU, ID, IN, KS, KY, LA-RN, MS, ND, OH,SC, TX, UT, VA, VI, VT, WA, WI, WY2342%Clinical nursespecialist newlicense/recognitionAK, AL, AR, AZ, CNMI, FL, GA, GU, IA, ID, IN, KS, KY, LA-RN, MN,ND, NH, OH, PA, SC, TX, UT, VA, VI, VT, WA, WY2749%Clinical nursespecialistlicense/recognitionby endorsementAK, AL, AR, AZ, CNMI, GU, ID, IN, KS, KY, LA-RN, ND, OH, PA,SC, TX, UT, VI, VT, WA, WY2138%Nurse practitionernewlicense/recognitionAK, AL, AR, AZ, CA-RN, CNMI, FL, GA, GU, IA, ID, IN, KS, KY, LARN, MD, MN, MS, ND, NH, OH, PA, SC, SD, TX, UT, VA, VI, VT,WA, WY3156%Nurse practitionerlicense/recognitionby endorsementAK, AL, AR, AZ, CNMI, GU, ID, IN, KS, KY, LA-RN, MS, ND, OH,PA, SC, TX, UT, VA, VI, VT, WA, WY2342%None of the aboveCO, CT, DC, DE, HI, IL, MA, ME, MI, MO, MT, NC, NE, NE-APRN,NJ, NM, NV, NY, OK, OR, RI, TN, WV-RN2342%ResponsesJurisdictionsNurse anesthetistnewlicense/recognition2019 Advanced Practice Registered Nurse SurveyPage 15 of 30

Prescriptive Authority 9.1Back To Table of ContentsQ12. 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 prescribercertificateIndependent 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 prescribercertificate*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.JurisdictionsNumberofBoardsPercentage ofBoardsRespondingIndependent withoutDC, IA, ID, MT, ND, NH, OR, VT, WArestrictions916%Independent, butrestricted to area ofpractice1425%00%ResponsesAK, AZ, CNMI, CO, DE, GU, HI, KY, MN, NE, NE-APRN, NM, VA,WYRestricted toformulary2019 Advanced Practice Registered Nurse SurveyPage 16 of 30

Prescriptive Authority 9.2Restricted toformulas withAR, LA-RN, ME, OKphysician supervision47%Restricted to protocol FL, NC, RI35%Restricted to practiceagreement with, orCT, IN, MI, MS, NJ, NV, TN, TXdelegation by,physician815%Restricted to practiceagreement with, ordelegation by,MA, WV-RNphysician for a finiteperiod of time24%Independent whenprivileged &credentialed by afacility, restricted topractice agreementwith physician inother settingsIL12%No authority toprescribeAL, CA-RN, GA, KS, MD, MO, NY, OH, PA, SC, SD, UT, VI1324%12%Restricted to the RNwho holds anadvanced practiceWInurse prescribercertificate2019 Advanced Practice Registered Nurse SurveyPage 17 of 30

Prescriptive Authority 9.3Q13. 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 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 withoutDC, IA, ID, MA, MD, MT, ND, NH, NM, OR, SD, UT, VT, WArestrictions1425%Independent, butrestricted to area ofpracticeAK, AZ, CNMI, CO, DE, GU, HI, ME, MN, NV, RI, WY1222%Restricted toformularyAL12%Restricted toformulary withOKphysician supervision12%ResponsesJurisdictions2019 Advanced Practice Registered Nurse SurveyPage 18 of 30

Prescriptive Authority 9.4Restricted to protocol FL, NC24%Restricted to practiceagreement with, orAR, CA-RN, CT, GA, IN, KS, LA-RN, MI, MO, MS, NE-APRN, NJ,delegation by,OH, PA, SC, TN, TX, VA, VIphysician1935%Restricted to practiceagreement with, ordelegation by,KY, NE, WV-RNphysician for a finiteperiod of time35%Independent whenprivileged &credentialed by afacility, restricted topractice agreementwith physician inother settingsIL12%No authority toprescribeNY12%Restricted to the RNwho holds anadvanced practiceWInurse prescribercertificate12%2019 Advanced Practice Registered Nurse SurveyPage 19 of 30

Prescriptive Authority 9.5Q14. 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, IA, ID, MT, ND, NH, NM, OR, UT, VT, WArestrictions2019 Advanced Practice Registered Nurse SurveyNumberofBoardsPercentage ofBoardsResponding1120%Page 20 of 30

Prescriptive Authority 9.6Independent, butrestricted to area ofpracticeAK, CO, DE, GU, HI, MN, NV, RI, WY916%Restricted toformulary00%Restricted toformulary withOKphysician supervision12%Restricted to protocol FL12%Restricted to practiceagreement with, orAR, GA, IN, KS, LA-RN, MI, MO, NJ, OH, TN, TXdelegation by,physician1120%Restricted to practiceagreement with, ordelegation by,KY, WV-RNphysician for a finiteperiod of time24%Independent whenprivileged &credentialed by afacility, restricted topractice agreementwith physician inother settingsIL12%No authority toprescribeAL, AZ, CA-RN, CT, MD, ME, MS, NC, NE, NE-APRN, NY, PA, SD,VA, VI1527%Not all CNS haveprescriptive authority;those that do arerestricted to aCNMI, MA, SCprescriptive practiceagreement with aphysician35%Restricted to the RNwho holds anadvanced practiceWInurse prescribercertificate12%2019 Advanced Practice Registered Nurse SurveyPage 21 of 30

Prescriptive Authority 9.7Q15. 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 without CT, DC, IA, ID, MD, MT, ND, NE, NE-APRN, NH, NM, OR, RI, SD,restrictionsUT, VT, WA1731%Independent, butrestricted to area ofpracticeAK, AZ, CNMI, CO, DE, GU, HI, ME, MN, NV, NY, VA, WY1324%Restricted d toformulary withOK, TXphysician supervision2019 Advanced Practice Registered Nurse SurveyPage 22 of 30

Prescriptive Authority 9.8Restricted to protocol FL12%Restricted to practiceagreement with, orAR, CA-RN, GA, IN, KS, LA-RN, MA, MI, MO, MS, NC, NJ, OH, PA,delegation, bySC, TN, VIphysician1731%Restricted to practiceagreement with, ordelegation by,KY, WV-RNphysician for a finiteperiod of time24%Independent whenprivileged &credentialed by afacility, restricted topractice agreementwith physician inother settings12%No authority toprescribe00%Restricted to the RNwho holds anadvanced practiceWInurse prescribercertificate12%IL2019 Advanced Practice Registered Nurse SurveyPage 23 of 30

Prescriptive Authority 9.9Q16. 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,IN, KY, LA-RN, MA, MN, MT, ND, NE, NE-APRN, NH, NJ, NM, NV,OK, OR, TN, TX, UT, VT, WA, WY3665%Schedule IIIAK, AR, CA-RN, CNMI, CO, CT, DC, DE, FL, GU, HI, IA, ID, IL, IN,KY, LA-RN, MA, MN, MT, ND, NE, NE-APRN, NH, NJ, NM, NV, OK,OR, TN, TX, UT, VT, WA, WV-RN, WY3665%Schedule IVAK, AR, CA-RN, CNMI, CO, CT, DC, DE, FL, GU, HI, IA, ID, IL, IN,KY, LA-RN, MA, MN, MT, ND, NE, NE-APRN, NH, NJ, NM, NV, OK,OR, TN, TX, UT, VT, WA, WV-RN, WY3665%Schedule VAK, AR, CA-RN, CNMI, CO, CT, DC, DE, GU, IA, ID, IL, KY, LA-RN,MA, MN, MT, ND, NE, NE-APRN, NH, NJ, NM, NV, OK, OR, TN,TX, UT, VT, WA, WV-RN, WY3360%No authority forAL, GA, KS, MD, MI, MO, MS, NC, NY, OH, PA, RI, SC, SD, VA, VI,controlled substanceWIprescribing1731%Limited authoritywithin 1 or moreschedules35%ResponsesJurisdictionsSchedule IIAR, ME, UT2019 Advanced Practice Registered Nurse SurveyPage 24 of 30

Prescriptive Authority 9.10Q17. What is the nurse midwife's level of controlled substance prescriptive authority? (Check all that apply)NumberofBoardsPercentage ofBoardsRespondingSchedule IIAK, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GU, HI, IA, ID, IL,IN, KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND,NE, NH, NJ, NM, NV, OH, OR, PA, SC, SD, TN, TX, UT, VA, VI, VT,WA, WY4785%Schedule IIIAK, 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, NH, NJ, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA,VI, VT, WA, WV-RN, WY4989%Schedule IVAK, 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, NH, NJ, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA,VI, VT, WA, WV-RN, WY4989%Schedule VAK, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, GA, GU, HI, IA, ID, IL,KS, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE,NH, NJ, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, VI, VT, WA,WV-RN, WY4785%No authority forcontrolled substance AL, NY, WIprescribing35%Limited authoritywithin 1 or moreschedules815%ResponsesJurisdictionsAR, KY, MO, NE-APRN, PA, RI, SC, UT2019 Advanced Practice Registered Nurse SurveyPage 25 of 30

Prescriptive Authority 9.11Q18. What is the clinical nurse specialist's level of controlled substance prescriptive authority? (Check all thatapply)NumberofBoardsPercentage ofBoardsRespondingAK, AR, CO, DC, DE, FL, GU, HI, IA, ID, IL, IN, KS, KY, LA-RN,MA, MI, MN, MO, MT, ND, NH, NJ, NM, NV, OH, OR, SC, TN, TX,UT, VT, WA, WY3462%Schedule IIIAK, AR, CO, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LARN, MA, MI, MN, MO, MT, ND, NH, NJ, NM, NV, OH, OK, OR, SC,TN, TX, UT, VT, WA, WV-RN, WY3767%Schedule IVAK, AR, CO, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LARN, MA, MI, MN, MO, MT, ND, NH, NJ, NM, NV, OH, OK, OR, SC,TN, TX, UT, VT, WA, WV-RN, WY3767%Schedule VAK, AR, CO, DC, DE, GA, GU, HI, IA, ID, IL, KS, KY, LA-RN, MA,MI, MN, MO, MT, ND, NH, NJ, NM, NV, OH, OK, OR, SC, TN, TX,UT, VT, WA, WV-RN, WY3564%No authority forAL, AZ, CA-RN, CNMI, CT, MD, ME, MS, NC, NE, NE-APRN, NY,controlled substancePA, SD, VA, VI, WIprescribing1731%Limited authoritywithin 1 or moreschedules611%ResponsesJurisdictionsSchedule IIAR, KY, MO, RI, SC, UT2019 Advanced Practice Registered Nurse SurveyPage 26 of 30

Prescriptive Authority 9.12Q19. What is the nurse practitioner's level of controlled substance prescriptive authority? (Check all that apply)NumberofBoardsPercentage ofBoardsRespondingSchedule IIAK, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, 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, OR, PA, RI, SD, TN, TX,UT, VA, VI, VT, WA, WY4989%Schedul

Registered Nurse Board NE, NE-APRN, RI 3 5% Department/Board of Health CT, MI, NE 3 5% 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% 2019 Advanced Practice Registered Nurse Survey Page 4 of 30 Regulation of Advanced Practitioner Registered Nurses 3.1