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AMA Scope of Practice Data Series - Tennessee Nurses Association

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Figure 2. State scope of practice for nurse practitionersStateDelawareFloridaGeorgiaRequirements forphysician involvementin NP practice(diagnosis andtreatment)Yes. Writtencollaborativeagreement.Yes. Written protocolfor NP with physician.Yes. Under a nurseprotocol agreement, thephysician delegatescertain authority,including but notlimited to diagnosis andtreatment, to the NP.# of NPs aphysician cansuperviseSilent.The number ofpersons to besupervised shall belimited to ensure thatan acceptablestandard of medicalcare is rendered.(Fla. Admin. Code64B9-4.010)A delegatingphysician may notenter into a nurseprotocol agreementpursuant to this Codesection with morethan four advancedpractice registerednurses at any onetime. Someexceptions to apply.(O.C.G.A 43-34-26.3 (g))Requirements forphysicianinvolvement in NPprescribingYes. Joint PracticeCommittee andBoard of Medicineoversight increating rules andregulations for NPprescribing.Yes. Writtenprotocol forprescribing NP withphysician.Yes. Delegatingphysicians mustmeet specificrequirements for NPchart review andon-site supervision.Separateapplicationprocess requiredfor NP Rxauthority?The Joint PracticeCommittee withthe approval ofthe Board ofMedical Practiceshall have theauthority to grant,restrict, suspendor revoke practiceor independentprescriptiveauthority. (Del.Code Ann. § 1906(20))Those ARNPswhose protocolspermit them todispensemedications for afee...must registerwith the Board ofNursing. (Fla.Admin. Code64B9-4.011)No separateapplicationrequired forprescribingauthorization.Legenddrugs?Yes. (CDR24-170027.4)Yes. (Phonecall to Board5/1/07)Yes.(O.C.G.A.43-34-26.3)Schedule Vcontrolledsubstances?Yes. (CDR 24-1700 27.4)No. (Fla. Stat. §456.0392)Yes. (O.C.G.A.43-34-26.3)Schedule IVcontrolledsubstances?Yes. (CDR 24-1700 27.4)No. (Fla. Stat. §456.0392)Yes. (O.C.G.A.43-34-26.3)Schedule IIIcontrolledsubstances?Yes. (CDR 24-1700 27.4)No. (Fla. Stat. §456.0392)No. (O.C.G.A.43-34-26.3)Schedule IIcontrolledsubstances?Yes. (CDR 24-1700 27.4)No. (Fla. Stat. §456.0392)No. (O.C.G.A. 43-34-26.3)Pharmacologyeducation requirementsEvidence of theequivalent of at least a30-hour advancedpharmacology andtherapeutics programwithin the five years priorto application forindependent practiceand/or independentprescriptive authority isrequired. (CDR 24-170027.2.3)None specifically forprescribing authority.None specifically forprescribing authority.Continuingeducationrequirementsrelated toprescribingAPRNs withprescriptive authorityare required tomaintain competencythrough a minimumof 15 hours of JointPractice Committeeapprovedpharmacology andtherapeuticscontinuing educationwithin the area ofspecialization andlicensure perbiennium. (CDR 24-1700 27.6.2)None specifically forprescribing authorityrenewal.None specifically forprescribing authorityrenewal.

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