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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 practitionersStateWestVirginiaWisconsinWyomingRequirements forphysicianinvolvement in NPpractice (diagnosisand treatment)No. NPs havecomplete autonomy inthe diagnosis andtreating aspects ofpractice.Yes. Collaborationwith or supervision bya physician, dependingon type of advancedpractice nursingrecognition from thestate.No. NPs havecomplete autonomy inthe diagnosis andtreating aspects ofpractice.# of NPs aphysician cansuperviseSilent.Silent.Silent.Requirements forphysicianinvolvement in NPprescribingYes. NPs musthave a writtencollaborativeagreement with aphysician.Yes. Also eithercollaboration orsupervision,depending on typeof advancedpractice nursingrecognition fromthe state.No. NPs havecomplete autonomyin prescribing.Separateapplicationprocess requiredfor NP Rxauthority?The advancednurse practitioneror certified nursemidwifeshallsubmit anotarizedapplication forprescriptiveauthority onforms providedby the Board.(W. Va. CSR §19-8-3 )An applicant forcertification toissue prescriptionorders shall begranted acertificate by theboard if theapplicantcomplies with theregulations and iscurrentlycertified as anursepractitioner.(Wis. Adm. CodeN 8.03)The board mayauthorize an APNto prescribedrugs. (WCWR024-054-004)Legenddrugs?Yes. (Phonecall to board5/17/07)Notspecified incode; phonecall fromBoardpending.Notspecified incode; phonecall fromBoardpending.Schedule Vcontrolledsubstances?Yes. (W. Va.CSR § 19-8-6)Not specified incode; phone callfrom Boardpending.Not specified incode; phone callfrom Boardpending.Schedule IVcontrolledsubstances?Yes. (W. Va. CSR§ 19-8-6)Not specified incode; phone callfrom Boardpending.Not specified incode; phone callfrom Boardpending.Schedule IIIcontrolledsubstances?Yes. (W. Va.Code § 30-7-15a, W. Va.CSR § 19-8-6 )Not specified incode; phone callfrom Boardpending.Not specified incode; phone callfrom Boardpending.Schedule IIcontrolledsubstances?No. (W. Va.Code § 30-7-15a,W. Va. CSR §19-8-6 )Not specified incode; phone callfrom Boardpending.Not specified incode; phone callfrom Boardpending.Pharmacology educationrequirements45 contact hours ofeducation inpharmacology and clinicalmanagement of drugtherapy under a programapproved by the board, 15hours of which shall becompleted within the twoyearperiod immediatelybefore the date ofapplication. ( W. Va. Code§ 30-7-15b, W. Va. CSR§ 19-8-5 )45 contact hours in clinicalpharmacology/therapeuticswithin 3 years precedingthe application for acertificate to issueprescription orders. (Wis.Adm. Code N 8.03)30 contact hours of coursework in pharmacology andclinical management ofdrug therapy orpharmacotherapeuticswithin the 5 year periodimmediately before thedate of application.(WCWR 024-054-004)Continuing educationrequirements related toprescribing8 contact hours ofpharmacology every 2years. (W. Va. Code §30-7-15c, W. Va. CSR §19-8-4)An average of at least 8contact hours per year inclinicalpharmacology/therapeuticsrelevant to the advancedpractice nurse prescriber'sarea of practice. (Wis.Adm. Code N 8.05)None specifically forprescribing authorityrenewal.

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