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Specifically, registered nurses can make a nursing diagnosis that identifies a conditionnot a disease or disorderas the cause of a clients signs or symptoms.
FULL: NPs can prescribe, diagnose, and treat patients without physician oversight. Nurse practitioners who operate in full-practice states are also allowed to establish and operate their own independent practices in the same way physicians do.
New York State Education Law holds nurse ractitioners (NPs) independently responsible for the diagnosis and treatment of their patients and does not require an NP to practice under physician supervision.
The collaborative agreement must address the availability of the physician to the NP through direct communication or telecommunication, a plan for emergency services, and the physicians regular review of the charts and records of patients under the NPs care.
At present, only medical practitioners can prescribe medicines.
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In the state of New Jersey, APNs are independently certified providers but they are required to prescribe medications and devices in ance with a statutorily-mandated joint protocol which has been cooperatively agreed upon and signed by the APNs designated collaborating physician.

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