Originally Posted by 4410
Yes, I get it!!! However, even the States with Full Independent Practice require some sort of collaborative relationship with a physician for so many years before this collaboration is no longer required. NP are trying to mandate full independent licensure nationwide at this point in time. There are similarities here with masters level trained mental health professionals and doctoral level trained mental health professioners. I work in Texas where NP are supervised by MD/DO for so many cases. Most NP work in hospital settings or clinic settings where they are supervised by a MD/DO.
The whole issue of licensed psychologist using ANP credential to prescribe medication is different than a non licensed psychologist using ANP credentials. Can a psychologist see patients with the ANP MS degree and ethically refer to themselves as Dr. Smith, clinical psychologist and I recommend medications of Prozac 20 mg 1 in the am. I will see you in two weeks and let me know if you are having any side effect or other concerns if they come up before I see you in two weeks. No they must refer to themselves as Ms. Smith, ANP.
... I just don't even know what to say, but you really don't seem to get it. Where are you getting this information? Do you mean clinical hours that a NP must gain before they can be licensed (ie: while they're in school?) But even then, the preceptor can be a NP or a physician, or even a PA.
Can you please point out where it says that a NP must collaborate with a physician in the nursing acts of these independent states? The law is clear, a licensed NP does not have to collaborate with anyone in an independent practice state.
BTW, Texas is an unfriendly state for NP independent practice (it has heavy regulations). Maybe you're assuming all states function that way? It isn't true... have you even looked at the links I've provided? They state it very plainly. There is no supervision required in these specific states, period. There's no exception or requirement that one must be supervised a certain number of hours, or any of that stuff. For better or worse, an NP is an independent provider when working in those states, with no requirement to collaborate.