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While the guidelines for reduced and restricted practice regulations are slightly different depending on location, both require NPs to have either a signed collaboration agreement with a physician or direct oversight from a physician.
ARK. Arkansas statute does not currently have a limit on how many PAs a physician can supervise but the board enforces a policy limiting physicians to supervising no more than three PAs at once. Chart co-signatures are required (by the board for the first 120 days of practice).
Half the states in the country require nurse practitioners to practice under the supervision of a physician. The other half does not. Arkansas is the latest state to grant nurse practitioners full practice authority.
Arkansas code does not recognize nurse practitioners as primary care providers and they must work under a collaborative practice agreement with a physician practice. Nurse practitioners are also limited to prescribing schedule IIIV drugs while some states allow nurse practitioners to prescribe schedules IIV.
Act 412 of 2021 allows a pathway for certified nurse practitioners (CNPs) or clinical nurse specialists (CNSs) to apply for full independent practice after having practiced 6,240 hours under a collaborative practice agreement. Applications shall be submitted through the Arkansas Nurse Portal.
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If you are a nurse practitioner in California, be very aware of how you advertise and market yourself and your services. Make sure that it is completely clear what your degree is and what is the scope of your practice. Do not use the term doctor with regard to yourself in the context of your medical practice.
In Arkansas, nurse practitioners are restricted to prescribing schedule III-V controlled substances and hydrocodone-containing medications from schedule II of the Controlled Substances Act.
Act 412 of 2021 allows a pathway for certified nurse practitioners (CNPs) or clinical nurse specialists (CNSs) to apply for full independent practice after having practiced 6,240 hours under a collaborative practice agreement.

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