VISTA Staffing

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.

Virginia: Restricted Practice, a Nurse Licensure Compact member. Virginia NPs must maintain a practice agreement documenting collaboration and consultation with a patient care team physician. An NP with the equivalent of at least three years of full-time clinical experience can apply for a license designation to practice without a practice agreement.

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.

Illinois: Reduced Practice, outside the Nurse Licensure Compact. Illinois requires NPs to have a written collaborative agreement until they obtain full practice authority, except when they practice under clinical privileges in a hospital, hospital affiliate or ambulatory surgical treatment center. Full practice authority requires a notarized attestation of at least 4,000 hours of clinical experience after first attaining national certification and at least 250 hours of continuing education or training.