Mercy

Oklahoma: Restricted Practice, a Nurse Licensure Compact member. Oklahoma NPs who prescribe must have a written supervision agreement with a supervising physician until the Board of Nursing grants them independent prescriptive authority. NPs who have completed 6,240 clinical practice hours with prescriptive authority supervised by a physician may apply for that independent authority.

Arkansas: Reduced Practice, a Nurse Licensure Compact member. Arkansas NPs need a collaborative practice agreement, typically with a physician, to prescribe unless they hold a certificate of full independent practice authority. An NP can apply for that certificate after 6,240 hours of practice under an agreement with a physician or with prescriptive authority in another jurisdiction.

Missouri: Restricted Practice, a Nurse Licensure Compact member. Missouri requires NPs to have a collaborative practice arrangement with physician supervision.

Washington: Full Practice, a Nurse Licensure Compact member. Washington grants full practice authority to NPs.