Complex Care Solutions

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.

New York: Full Practice, outside the Nurse Licensure Compact. NPs in New York with 3,600 hours of practice or fewer must practice in collaboration with a physician under a written practice agreement and written practice protocols. NPs with more than 3,600 hours of practice are currently exempt from those requirements.

Indiana: Reduced Practice, a Nurse Licensure Compact member. Indiana NPs must practice under a collaborative agreement with a physician.

Wisconsin: Reduced Practice, a Nurse Licensure Compact member. Wisconsin NPs must practice in collaboration with a physician or dentist until the Board of Nursing verifies that they qualify for independent practice. Qualifying requires, among other things, 3,840 clinical hours in their role while working with a physician or dentist and at least 24 months since they began that practice.

Mississippi: Reduced Practice, a Nurse Licensure Compact member. Mississippi requires NPs to have a collaborative practice agreement.