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2019 Advanced Practice Registered Nurse Survey Kathleen Russell
7/17/2020 2:39:54 PM
58 Jurisdictions Included in the report:
Table of Contents
1 . Terminology
2 . Agency type
3 . Regulation of Advanced Practitioner Registered Nurses
4 . Licensure/Recognition/Endorsement of Advanced Practice Registered Nurse Roles
5 . Advanced Practice Registered Nurse Role Titles
6 . Scope of Practice in Statutes and/or Regulations
7 . Authority to Approve Education Programs
8 . Requirements for Licensure/Recognition/Endorsement
9 . Prescriptive Authority
10 . DEA Registration
11 . Continued Competency
Alabama (AL) Alaska (AK) 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 (CNMI)
Ohio (OH) 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 (WV-PN)
West Virginia-RN (WV-RN)
Wisconsin (WI) Wyoming (WY)
1 Jurisdictions not included in the report due to non-response:
American Samoa (AS)
Page 1 of 302019 Advanced Practice Registered Nurse Survey
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Survey Terminology
The 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, Executive Officer and Staff
Jurisdiction: Refers to state, territory or district where a board of nursing is located. May also be used to refer generally to the board of nursing in a particular jurisdiction
Board Staff: Staff of the board of nursing
Executive Officer: Person responsible for running the board of nursing. Includes any other terminology to refer to that authorized person (i.e. Executive Director
Board Member: Member of the governing body of the board of nursing as outlined by statute
Practical Nurse or PN: Licensed practical or vocational nurse (LPN/LVN)
Role: Describes the function
Title: Describes the label given to the role
Approval: The official recognition of nursing education programs which meet standards of approval established by boards of nursing. Some boards of nursing use the term accreditation instead of approval, but for the purposes of this document the term used will be approval
Page 2 of 302019 Advanced Practice Registered Nurse Survey
Terminology 1.1
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Agency Type:
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Independent agency within state government
AL, AZ, CNMI, IA, ID, KS, KY, LA-RN, ME, MN, MO, MS, ND, NM, NV, OH, OK, OR, RI, SD, TX, WV-PN, WV-RN, WY 24 41%
Board within an umbrella state agency
AK, AR, CA-RN, CA-VN, CO, CT, DC, DE, FL, GA, GU, HI, IL, IN, LA-PN, MA, MD, MI, MT, NE, NE-APRN, NH, NJ, NY, PA, SC, TN, UT, VA, VI, VT, WA, WI
33 57%
Independent agency outside state government
NC 1 2%
Page 3 of 302019 Advanced Practice Registered Nurse Survey
Agency type 2.1
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Q1. Which of the following regulates the nurse anesthetist? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Board of Nursing
AK, 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, WY
53 91%
Board of Medicine/Medical Examiners
VA 1 2%
Board of Pharmacy 0 0%
Advanced Practice 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%
Page 4 of 302019 Advanced Practice Registered Nurse Survey
Regulation of Advanced Practitioner Registered Nurses 3.1
Q2. Which of the following regulates the nurse midwife? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Board of Nursing
AK, AL, AR, 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, WY
46 84%
Board of Medicine/Medical Examiners
AL, NC, NJ, PA, VA 5 9%
Board of Pharmacy ID 1 2%
Advanced Practice Registered Nurse Board
NE, NE-APRN 2 4%
Department/Board of Health CT, MI, NE, NM, RI 5 9%
Umbrella Board or other State agency (not listed above)
NY, UT 2 4%
Page 5 of 302019 Advanced Practice Registered Nurse Survey
Regulation of Advanced Practitioner Registered Nurses 3.2
Q3. Which of the following regulates the clinical nurse specialist? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Board of Nursing
AK, 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, WY
53 96%
Board of Medicine/Medical Examiners
0 0%
Board of Pharmacy ID 1 2%
Advanced Practice 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%
Page 6 of 302019 Advanced Practice Registered Nurse Survey
Regulation of Advanced Practitioner Registered Nurses 3.3
Q4. Which of the following regulates the nurse practitioner? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Board of Nursing
AK, 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, WY
53 96%
Board of Medicine/Medical Examiners
AL, NC, VA 3 5%
Board of Pharmacy ID 1 2%
Advanced Practice 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%
Page 7 of 302019 Advanced Practice Registered Nurse Survey
Regulation of Advanced Practitioner Registered Nurses 3.4
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Q5. Does the Board of Nursing license/recognize any of the following advanced practice roles? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Nurse Anesthetist
AK, 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, NY, OH, OK, OR, RI, SC, SD, TN, TX, UT, VA, VI, VT, WA, WV-RN, WY
53 96%
Nurse Midwife
AK, AL, AR, 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, NY, OH, OK, OR, RI, SC, SD, TN, TX, UT, VA, VI, VT, WA, WI, WV-RN, WY
51 93%
Clinical Nurse Specialist
AK, 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, 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, WY
52 95%
Nurse Practitioner
AK, 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, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VI, VT, WA, WV-RN, WY
54 98%
Page 8 of 302019 Advanced Practice Registered Nurse Survey
Licensure/Recognition/Endorsement of Advanced Practice Registered Nurse Roles 4.1
Q6. Does the Board of Nursing license/recognize by endorsement any of the following advanced practice roles? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Nurse Anesthetist
AK, AL, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, GU, HI, IA, 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, TN, TX, UT, VA, VI, VT, WA, WV-RN, WY
47 85%
Nurse Midwife
AK, AL, AR, AZ, CA-RN, CNMI, CO, DC, DE, GU, HI, IA, ID, IL, IN, KS, KY, LA-RN, MA, ME, MI, MO, MS, MT, NC, ND, NE, NE-APRN, NV, OH, OK, OR, RI, SC, SD, TN, TX, UT, VA, VI, VT, WA, WI, WV-RN, WY
45 82%
Clinical Nurse Specialist
AK, AL, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, GU, HI, IA, ID, IL, IN, KS, KY, LA-RN, MA, ME, MI, MO, MT, NC, ND, NE, NE-APRN, NJ, NM, NV, NY, OH, OK, OR, RI, SC, SD, TN, TX, UT, VI, VT, WA, WV-RN, WY
46 84%
Nurse Practitioner
AK, AL, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, GU, HI, IA, ID, IL, IN, KS, KY, LA-RN, MA, 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, WY
49 89%
None of the above FL, GA, MD, MN, NH 5 9%
Page 9 of 302019 Advanced Practice Registered Nurse Survey
Licensure/Recognition/Endorsement of Advanced Practice Registered Nurse Roles 4.2
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Q7. 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 that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
CRNA
AK, 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, NY, OH, OK, OR, RI, SC, SD, TX, UT, VA, VI, VT, WA, WV-RN, WY
52 95%
CNM
AK, 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, NY, OH, OK, OR, RI, SC, SD, TX, UT, VA, VI, VT, WA, WV-RN, WY
48 87%
CNS
AK, AL, AR, 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, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TX, VA, VI, VT, WA, WV-RN, WY
51 93%
CNPAK, AL, AR, AZ, CA-RN, CNMI, DC, DE, FL, GU, IA, ID, IL, IN, KY, LA-RN, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NH, NJ, NM, NV, NY, OH, OK, RI, SC, SD, TX, VT, WA, WV-RN, WY
41 75%
None of the above TN, WI 2 4%
Page 10 of 302019 Advanced Practice Registered Nurse Survey
Advanced Practice Registered Nurse Role Titles 5.1
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Q8. For any of the advanced practice roles that the jurisdiction does recognize, do the nursing statutes and/or regulations describe the scope of practice for those roles?
No
Yes
No
Yes
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
No CO, ID, MO, NJ, TN, VI, WI 7 13%
Yes
AK, AL, AR, AZ, CA-RN, CNMI, CT, DC, DE, FL, GA, GU, HI, IA, IL, IN, 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, WY
48 87%
Page 11 of 302019 Advanced Practice Registered Nurse Survey
Scope of Practice in Statutes and/or Regulations 6.1
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Q9. Does the Board of Nursing have authority to approve any of the following education programs? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Nurse anesthetist education programs
AK, AL, AR, DC, GU, HI, IA, ID, KS, KY, LA-RN, MN, ND, OK, OR, TN, VT, WA, WI, WY 20 36%
Nurse midwife education programs
AK, AL, AR, AZ, CA-RN, DC, GU, HI, IA, ID, KS, KY, LA-RN, MN, ND, OK, OR, SD, TN, VT, WA, WI, WY 23 42%
Clinical nurse specialist education programs
AK, AL, AR, AZ, DC, GU, HI, IA, ID, KS, KY, LA-RN, MN, ND, OK, OR, PA, TN, VA, VT, WA, WI, WY 23 42%
Nurse practitioner education programs
AK, AL, AR, AZ, CA-RN, DC, GU, HI, IA, ID, KS, KY, LA-RN, MD, MN, ND, OK, OR, PA, SD, TN, VT, WA, WI, WY 25 45%
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, VI, WV-RN
29 53%
Page 12 of 302019 Advanced Practice Registered Nurse Survey
Authority to Approve Education Programs 7.1
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Q10. Is role certification by a nationally accredited certification program one of the requirements for any of the following? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Nurse anesthetist new license/recognition
AK, 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, WY
52 95%
Nurse anesthetist license/recognition by endorsement
AK, 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, WY
44 80%
Nurse midwife new license/recognition
AK, 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, WY
49 89%
Nurse midwife license/recognition by endorsement
AK, 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, WY
41 75%
Clinical nurse specialist new license/recognition
AK, 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, WY
52 95%
Clinical nurse specialist license/recognition by endorsement
AK, AL, AR, AZ, CNMI, CO, CT, DC, DE, GU, HI, ID, IL, IN, KY, LA-RN, 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, WY
43 78%
Nurse practitioner new license/recognition
AK, 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, WY
53 96%
Nurse practitioner license/recognition by endorsement
AK, AL, AR, AZ, CNMI, CO, CT, DC, DE, GU, HI, ID, IL, IN, KY, LA-RN, 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, WV-RN, WY
45 82%
Page 13 of 302019 Advanced Practice Registered Nurse Survey
Requirements for Licensure/Recognition/Endorsement 8.1
None of the above 0 0%
Page 14 of 302019 Advanced Practice Registered Nurse Survey
Requirements for Licensure/Recognition/Endorsement 8.2
Q11. In addition to the requirement that all APRN programs are accredited, is graduation from a board of nursing approved graduate or post-graduate program one of the requirements for any of the following? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Nurse anesthetist new license/recognition
AK, 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, WY 27 49%
Nurse anesthetist license/recognition by endorsement
AK, AL, AR, AZ, CNMI, GU, ID, IN, KS, KY, LA-RN, MS, ND, OH, SC, TX, UT, VA, VI, VT, WA, WY 22 40%
Nurse midwife new license/recognition
AK, AL, AR, AZ, CA-RN, CNMI, FL, GA, GU, IA, ID, IN, KS, KY, LA-RN, MN, MS, ND, NH, OH, SC, SD, TX, UT, VA, VI, VT, WA, WI, WY
30 55%
Nurse midwife license/recognition by endorsement
AK, AL, AR, AZ, CNMI, GU, ID, IN, KS, KY, LA-RN, MS, ND, OH, SC, TX, UT, VA, VI, VT, WA, WI, WY 23 42%
Clinical nurse specialist new license/recognition
AK, 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, WY 27 49%
Clinical nurse specialist license/recognition by endorsement
AK, AL, AR, AZ, CNMI, GU, ID, IN, KS, KY, LA-RN, ND, OH, PA, SC, TX, UT, VI, VT, WA, WY 21 38%
Nurse practitioner new license/recognition
AK, AL, AR, AZ, CA-RN, CNMI, FL, GA, GU, IA, ID, IN, KS, KY, LA-RN, MD, MN, MS, ND, NH, OH, PA, SC, SD, TX, UT, VA, VI, VT, WA, WY
31 56%
Nurse practitioner license/recognition by endorsement
AK, AL, AR, AZ, CNMI, GU, ID, IN, KS, KY, LA-RN, MS, ND, OH, PA, SC, TX, UT, VA, VI, VT, WA, WY 23 42%
None of the above CO, CT, DC, DE, HI, IL, MA, ME, MI, MO, MT, NC, NE, NE-APRN, NJ, NM, NV, NY, OK, OR, RI, TN, WV-RN 23 42%
Page 15 of 302019 Advanced Practice Registered Nurse Survey
Requirements for Licensure/Recognition/Endorsement 8.3
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Q12. What is the nurse anesthetist's level of prescriptive authority?
Independent without restrictions
Independent, but restricted to area of practice
Restricted to formulary
Restricted to formulas with physician supervision
Restricted to protocol
Restricted to practice agreement with, or delegation by, physician
Restricted to practice agreement with, or delegation by, physician for a finite period of time
Independent when privileged & credentialed by a facility, restricted to practice agreement with physician in other settings
No authority to prescribe
Restricted to the RN who holds an advanced practice nurse prescriber certificate
Independent without restrictions
Independent, but restricted to area of practice
Restricted to formulary
Restricted to formulas with physician supervision
Restricted to protocol
Restricted to practice agreement with, or delegation by, physician
Restricted to practice agreement with, or delegation by, physician for a finite period of time
Independent when privileged & credentialed by a facility, restricted to practice agreement with physician in other settings
No authority to prescribe
Restricted to the RN who holds an advanced practice nurse prescriber certificate
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Independent without restrictions DC, IA, ID, MT, ND, NH, OR, VT, WA 9 16%
Independent, but restricted to area of practice
AK, AZ, CNMI, CO, DE, GU, HI, KY, MN, NE, NE-APRN, NM, VA, WY 14 25%
Restricted to formulary 0 0%
Page 16 of 302019 Advanced Practice Registered Nurse Survey
Prescriptive Authority 9.1
Restricted to formulas with physician supervision
AR, LA-RN, ME, OK 4 7%
Restricted to protocol FL, NC, RI 3 5%
Restricted to practice agreement with, or delegation by, physician
CT, IN, MI, MS, NJ, NV, TN, TX 8 15%
Restricted to practice agreement with, or delegation by, physician for a finite period of time
MA, WV-RN 2 4%
Independent when privileged & credentialed by a facility, restricted to practice agreement with physician in other settings
IL 1 2%
No authority to prescribe AL, CA-RN, GA, KS, MD, MO, NY, OH, PA, SC, SD, UT, VI 13 24%
Restricted to the RN who holds an advanced practice nurse prescriber certificate
WI 1 2%
Page 17 of 302019 Advanced Practice Registered Nurse Survey
Prescriptive Authority 9.2
Q13. What is the nurse midwife's level of prescriptive authority?
Independent without restrictions
Independent, but restricted to area of practice
Restricted to formulary
Restricted to formulary with physician supervision
Restricted to protocol
Restricted to practice agreement with, or delegation by, physician
Restricted to practice agreement with, or delegation by, physician for a finite period of time
Independent when privileged & credentialed by a facility, restricted to practice agreement with physician in other settings
No authority to prescribe
Restricted to the RN who holds an advanced practice nurse prescriber certificate
Independent without restrictions
Independent, but restricted to area of practice
Restricted to formulary
Restricted to formulary with physician supervision
Restricted to protocol
Restricted to practice agreement with, or delegation by, physician
Restricted to practice agreement with, or delegation by, physician for a finite period of time
Independent when privileged & credentialed by a facility, restricted to practice agreement with physician in other settings
No authority to prescribe
Restricted to the RN who holds an advanced practice nurse prescriber certificate
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Independent without restrictions DC, IA, ID, MA, MD, MT, ND, NH, NM, OR, SD, UT, VT, WA 14 25%
Independent, but restricted to area of practice
AK, AZ, CNMI, CO, DE, GU, HI, ME, MN, NV, RI, WY 12 22%
Restricted to formulary AL 1 2%
Restricted to formulary with physician supervision
OK 1 2%
Page 18 of 302019 Advanced Practice Registered Nurse Survey
Prescriptive Authority 9.3
Restricted to protocol FL, NC 2 4%
Restricted to practice agreement with, or delegation by, physician
AR, CA-RN, CT, GA, IN, KS, LA-RN, MI, MO, MS, NE-APRN, NJ, OH, PA, SC, TN, TX, VA, VI 19 35%
Restricted to practice agreement with, or delegation by, physician for a finite period of time
KY, NE, WV-RN 3 5%
Independent when privileged & credentialed by a facility, restricted to practice agreement with physician in other settings
IL 1 2%
No authority to prescribe NY 1 2%
Restricted to the RN who holds an advanced practice nurse prescriber certificate
WI 1 2%
Page 19 of 302019 Advanced Practice Registered Nurse Survey
Prescriptive Authority 9.4
Q14. What is the clinical nurse specialist's level of prescriptive authority?
Independent without restrictions
Independent, but restricted to area of practice
Restricted to formulary
Restricted to formulary with physician supervision
Restricted to protocol
Restricted to practice agreement with, or delegation by, physician
Restricted to practice agreement with, or delegation by, physician for a finite period of time
Independent when privileged & credentialed by a facility, restricted to practice agreement with physician in other settings
No authority to prescribe
Not all CNS have prescriptive authority; those that do are restricted to a prescriptive practice agreement with a physician
Restricted to the RN who holds an advanced practice nurse prescriber certificate
Independent without restrictions
Independent, but restricted to area of practice
Restricted to formulary
Restricted to formulary with physician supervision
Restricted to protocol
Restricted to practice agreement with, or delegation by, physician
Restricted to practice agreement with, or delegation by, physician for a finite period of time
Independent when privileged & credentialed by a facility, restricted to practice agreement with physician in other settings
No authority to prescribe
Not all CNS have prescriptive authority; those that do are restricted to a prescriptive practice agreement with a physician
Restricted to the RN who holds an advanced practice nurse prescriber certificate
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Independent without restrictions DC, IA, ID, MT, ND, NH, NM, OR, UT, VT, WA 11 20%
Page 20 of 302019 Advanced Practice Registered Nurse Survey
Prescriptive Authority 9.5
Independent, but restricted to area of practice
AK, CO, DE, GU, HI, MN, NV, RI, WY 9 16%
Restricted to formulary 0 0%
Restricted to formulary with physician supervision
OK 1 2%
Restricted to protocol FL 1 2%
Restricted to practice agreement with, or delegation by, physician
AR, GA, IN, KS, LA-RN, MI, MO, NJ, OH, TN, TX 11 20%
Restricted to practice agreement with, or delegation by, physician for a finite period of time
KY, WV-RN 2 4%
Independent when privileged & credentialed by a facility, restricted to practice agreement with physician in other settings
IL 1 2%
No authority to prescribe
AL, AZ, CA-RN, CT, MD, ME, MS, NC, NE, NE-APRN, NY, PA, SD, VA, VI 15 27%
Not all CNS have prescriptive authority; those that do are restricted to a prescriptive practice agreement with a physician
CNMI, MA, SC 3 5%
Restricted to the RN who holds an advanced practice nurse prescriber certificate
WI 1 2%
Page 21 of 302019 Advanced Practice Registered Nurse Survey
Prescriptive Authority 9.6
Q15. What is the nurse practitioner's level of prescriptive authority?
Independent without restrictions
Independent, but restricted to area of practice
Restricted to formulary
Restricted to formulary with physician supervision
Restricted to protocol
Restricted to practice agreement with, or delegation, by physician
Restricted to practice agreement with, or delegation by, physician for a finite period of time
Independent when privileged & credentialed by a facility, restricted to practice agreement with physician in other settings
No authority to prescribe
Restricted to the RN who holds an advanced practice nurse prescriber certificate
Independent without restrictions
Independent, but restricted to area of practice
Restricted to formulary
Restricted to formulary with physician supervision
Restricted to protocol
Restricted to practice agreement with, or delegation, by physician
Restricted to practice agreement with, or delegation by, physician for a finite period of time
Independent when privileged & credentialed by a facility, restricted to practice agreement with physician in other settings
No authority to prescribe
Restricted to the RN who holds an advanced practice nurse prescriber certificate
*PN BONs and US Territories are not displayed on the map. For detailed information, please see the text responses below.
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Independent without restrictions
CT, DC, IA, ID, MD, MT, ND, NE, NE-APRN, NH, NM, OR, RI, SD, UT, VT, WA 17 31%
Independent, but restricted to area of practice
AK, AZ, CNMI, CO, DE, GU, HI, ME, MN, NV, NY, VA, WY 13 24%
Restricted to formulary AL 1 2%
Restricted to formulary with physician supervision
OK, TX 2 4%
Page 22 of 302019 Advanced Practice Registered Nurse Survey
Prescriptive Authority 9.7
Restricted to protocol FL 1 2%
Restricted to practice agreement with, or delegation, by physician
AR, CA-RN, GA, IN, KS, LA-RN, MA, MI, MO, MS, NC, NJ, OH, PA, SC, TN, VI 17 31%
Restricted to practice agreement with, or delegation by, physician for a finite period of time
KY, WV-RN 2 4%
Independent when privileged & credentialed by a facility, restricted to practice agreement with physician in other settings
IL 1 2%
No authority to prescribe 0 0%
Restricted to the RN who holds an advanced practice nurse prescriber certificate
WI 1 2%
Page 23 of 302019 Advanced Practice Registered Nurse Survey
Prescriptive Authority 9.8
Q16. What is the nurse anesthetist's level of controlled substance prescriptive authority? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Schedule IIAK, 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, WY
36 65%
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, WY
36 65%
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, WY
36 65%
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, WY
33 60%
No authority for controlled substance prescribing
AL, GA, KS, MD, MI, MO, MS, NC, NY, OH, PA, RI, SC, SD, VA, VI, WI 17 31%
Limited authority within 1 or more schedules
AR, ME, UT 3 5%
Page 24 of 302019 Advanced Practice Registered Nurse Survey
Prescriptive Authority 9.9
Q17. What is the nurse midwife's level of controlled substance prescriptive authority? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Schedule II
AK, 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, WY
47 85%
Schedule III
AK, 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, WY
49 89%
Schedule IV
AK, 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, WY
49 89%
Schedule V
AK, 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, WY
47 85%
No authority for controlled substance prescribing
AL, NY, WI 3 5%
Limited authority within 1 or more schedules
AR, KY, MO, NE-APRN, PA, RI, SC, UT 8 15%
Page 25 of 302019 Advanced Practice Registered Nurse Survey
Prescriptive Authority 9.10
Q18. What is the clinical nurse specialist's level of controlled substance prescriptive authority? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Schedule IIAK, 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, WY
34 62%
Schedule IIIAK, AR, CO, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, 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, WY
37 67%
Schedule IVAK, AR, CO, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, 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, WY
37 67%
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, WY
35 64%
No authority for controlled substance prescribing
AL, AZ, CA-RN, CNMI, CT, MD, ME, MS, NC, NE, NE-APRN, NY, PA, SD, VA, VI, WI 17 31%
Limited authority within 1 or more schedules
AR, KY, MO, RI, SC, UT 6 11%
Page 26 of 302019 Advanced Practice Registered Nurse Survey
Prescriptive Authority 9.11
Q19. What is the nurse practitioner's level of controlled substance prescriptive authority? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Schedule II
AK, 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, WY
49 89%
Schedule III
AK, 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, NY, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, VI, VT, WA, WV-RN, WY
52 95%
Schedule IV
AK, 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, NY, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, VI, VT, WA, WV-RN, WY
52 95%
Schedule V
AK, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, GA, GU, IA, ID, IL, 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, RI, SC, TN, TX, UT, VA, VI, VT, WA, WV-RN, WY
48 87%
No authority for controlled substance prescribing
AL, WI 2 4%
Limited authority within 1 or more schedules
AR, KY, MO, PA, SC, UT 6 11%
Page 27 of 302019 Advanced Practice Registered Nurse Survey
Prescriptive Authority 9.12
Back To Table of Contents
Q20. Which of the following can apply for a DEA registration number? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Nurse anesthetistAK, AR, AZ, CNMI, CO, CT, DC, DE, FL, GU, HI, IA, ID, IL, IN, KY, LA-RN, MA, ME, MN, MT, NC, ND, NE, NE-APRN, NH, NJ, NM, OK, OR, TN, TX, UT, VT, WA, WI, WV-RN, WY
38 69%
Nurse midwife
AK, AL, AR, AZ, CA-RN, CNMI, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA-RN, MA, ME, MI, MN, MO, MS, MT, NC, ND, NE, NE-APRN, NH, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VI, VT, WA, WI, WV-RN, WY
52 95%
Clinical nurse specialist
AK, AR, CO, DC, DE, FL, GA, GU, HI, IA, ID, IL, KS, KY, LA-RN, MA, MI, MN, MO, MT, ND, NH, NJ, NM, NV, NY, OH, OK, OR, RI, SC, TN, TX, UT, VT, WA, WI, WV-RN, WY
39 71%
Nurse practitioner
AK, 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, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VI, VT, WA, WI, WV-RN, WY
55 100%
None of the above 0 0%
Page 28 of 302019 Advanced Practice Registered Nurse Survey
DEA Registration 10.1
Back To Table of Contents
Q21. Is demonstration of continued competency required by the Board of Nursing to maintain license/recognition for any of the following roles? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Nurse anesthetist
AK, AR, AZ, CNMI, CT, DC, DE, FL, GU, HI, IA, ID, IL, IN, KY, LA-RN, MA, ME, MI, MN, MO, MT, NC, ND, NE, NE-APRN, NH, NJ, NM, NV, OH, OK, OR, RI, SC, SD, TN, TX, VA, VI, VT, WA, WV-RN, WY
44 80%
Nurse midwifeAK, AR, AZ, CNMI, DC, DE, FL, GU, HI, IA, ID, IL, IN, KY, LA-RN, MA, ME, MI, MN, MO, MT, NC, ND, NE, NE-APRN, NH, NV, OH, OK, OR, RI, SC, SD, TN, TX, VA, VI, VT, WA, WV-RN, WY
41 75%
Clinical nurse specialist
AK, AR, AZ, CNMI, DC, DE, FL, GU, HI, IA, ID, IL, KY, LA-RN, MA, ME, MI, MN, MO, MT, NC, ND, NE, NE-APRN, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, VA, VI, VT, WA, WV-RN, WY
44 80%
Nurse practitioner
AK, AR, AZ, CNMI, CT, DC, DE, FL, GU, HI, IA, ID, IL, IN, KY, LA-RN, ME, MI, MN, MO, MT, NC, ND, NE, NE-APRN, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, VA, VI, VT, WA, WV-RN, WY
45 82%
None of the above AL, CA-RN, CO, GA, KS, MD, MS, UT, WI 9 16%
Page 29 of 302019 Advanced Practice Registered Nurse Survey
Continued Competency 11.1
Q22. Which of the following methods can be used to meet the Board of Nursing continued competency requirements? (Check all that apply)
Responses JurisdictionsNumber
of Boards
Percentage of Boards
Responding
Continuing education, beyond that required for the basic RN license
AK, AR, CNMI, CT, DC, FL, GU, HI, IA, ID, IL, KY, LA-RN, ME, MI, NC, NH, NJ, NM, NV, NY, OH, OK, OR, PA, TN, TX, VA, VI, WA, WV-RN, WY
32 70%
Pharmacology course work or pharmacology continuing education credits
AK, AR, CNMI, CT, DC, FL, GU, HI, ID, IL, IN, KY, LA-RN, ME, MT, NC, ND, NE-APRN, NH, NJ, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, VA, WA, WV-RN, WY
34 74%
Maintenance (recertification) of advanced practice certification by a national certifying organization/body
AK, AR, AZ, CNMI, CT, DE, FL, GU, HI, ID, IL, KY, LA-RN, MA, ME, MI, MN, MO, MT, NC, ND, NE, NE-APRN, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, VA, VI, VT, WA, WV-RN, WY
43 93%
Practice requirements
AZ, DE, GU, ID, LA-RN, ME, NC, ND, NE-APRN, NH, NV, NY, OR, PA, TX, VT, WA, WY 18 39%
Peer review ID, NE-APRN, NJ 3 7%
Page 30 of 302019 Advanced Practice Registered Nurse Survey
Continued Competency 11.2
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