Commonwealth Pain and Spine

Kentucky: Reduced Practice, a Nurse Licensure Compact member. Kentucky NPs need a collaborative agreement with a physician to prescribe, with separate agreements for nonscheduled legend drugs and for controlled substances. Once NPs have four years of prescribing experience, which can include prescribing in another state, they may prescribe without these agreements, though dropping the controlled substance agreement first requires a Board of Nursing good standing review.

California: Restricted Practice, outside the Nurse Licensure Compact. California NPs generally practice under standardized procedures developed collaboratively with physicians and furnish drugs and devices under physician supervision. NPs who complete a transition to practice in California of three full-time equivalent years or 4,600 hours can be certified to practice without standardized procedures in a group setting with a physician, and usually after at least three more years in good standing, in an independent setting.

South Carolina: Restricted Practice, a Nurse Licensure Compact member. South Carolina NPs must perform medical acts under a practice agreement with a physician, who must be readily available for consultation.