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Identify whether your state requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are.
In South Carolina, nurse practitioners (NPs) are required to have physician involvement for diagnosis and treatment under S.C.CodeAnn.$$40-33-20 (41), 40-33-34 (C)(I). The physician must be in close proximity and can be reached either in person or through telecommunication or other electronic means to provide consultation and guidance to the nurse practitioner. When more than three NPs are practicing with one provider or when an NP is performing delegated medical acts at a practice site more than 45 miles from the physician, the Board of Nursing and Board of Medical Examiners will review the application to ensure adequate supervision (Nurse Practitioners Overview. Scope of Practice Policy (n.d.) South Carolina Nursing Practice Certification and Licensure.
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The application process for certification in South Carolina
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South Carolina is part of the Nurse Licensure Compact. To practice advanced nursing in this state, you need a current APRN South Carolina or temporary license. All nurses must possess an up-to-date South Carolina licensure and/or temporary licensure before starting their orientation. To be eligible for an Advanced Practice Registered Nurse license, you must meet certain qualifications, including being a registered nurse, providing evidence of certification within one year of program completion, earning a master’s degree from an accredited college, and paying all applicable fees to the board. The application for an Advanced Practice Registered Nurse License requires several documents, including a recent 2×2 full-faced passport-type photo, a copy of your birth certificate, a copy of your social security card, a copy of the current license, a copy of APN certification, authorization for a name change, completion of an affidavit of eligibility, and a copy of a clinical background check (South Carolina Board of Nursing. SCLLR. (n.d.)) South Carolina Nursing Practice Certification and Licensure.
Primary Nurse Licensure Office Resource Website in Your State
The mission of the State Board of Nursing for South Carolina is to protect public health and safety by ensuring the safe and competent practice of nursing. This mission is achieved through comprehensive initial training, ongoing competency assessment in nursing practice, and the promotion of nursing excellence in education and training. The board licenses individuals as practical nurses, registered nurses, or advanced practice registered nurses (South Carolina Board of Nursing. SCLLR. (n.d.)). The official website for the South Carolina Board of Nursing is https://llr.sc.gov.
South Carolina State Defines the Scope of Practice of a Nurse Practitioner
Nurse practitioners practice in a wide range of healthcare settings, including clinics, hospitals, Veterans Affairs facilities, Indian Health Care facilities, emergency rooms, urgent care sites, private physician practices, nursing homes, schools, colleges, retail clinics, and more. Their practice includes but is not limited to assessment, ordering, performing, supervising, and interpreting diagnostic and laboratory tests, making diagnoses, initiating and managing treatment (including prescribing medication and nonpharmacologic treatments), coordinating care, counseling, and educating patients, their families, and communities. NPs adhere to the APRN consensus model and practice within the population focus of family. They are accountable to patients, the nursing profession, and the state board of nursing, following ethical codes of conduct, national certification, evidence-based principles, and current practice standards. As community leaders, NPs serve as providers, mentors, educators, researchers, advocates, and administrators (Scope of Practice for Nurse Practitioners. American Association of Nurse Practitioners (n.d.)).
Role of the Advanced Practice Nurse
South Carolina Practice Agreement
The South Carolina practice agreement is a written contract developed between an NP and a physician or medical staff who collaborate with and support the NP. This agreement outlines the medical aspects of care provided by the NP, including prescribing medication. It must include mechanisms that allow physicians to ensure the quality of clinical care and patient safety, in accordance with state and federal laws and relevant Board of Nursing and Board of Medical Examiners rules and regulations (Code of Laws-title 40-chapter 33-nurses. (n.d.) South Carolina Nursing Practice Certification and Licensure.
Drug Enforcement Agency (DEA) License
Physicians who administer, prescribe, or dispense controlled substances must be registered with the federal Drug Enforcement Administration (DEA). The application can be found at www.deadiversion.usdoj.gov. When applying, you will need to provide the control number, your social security number, and date of birth. To obtain a DEA number, you must hold an active license in the state where you intend to practice.
South Carolina Description of a Nurse Practitioner’s Controlled-Substance Prescriptive Authority and Authorization to Prescribe
In South Carolina, nurse practitioners are required to submit a prescriptive authority application after completing 45 contact hours of education in pharmacotherapeutics acceptable to the board within two years before the application. Out of these 45 contact hours, at least 15 of them should be focused on controlled substances. New graduates (those who graduated within two years before the application) who have completed a graduate-level pharmacology course meet the educational requirements for prescriptive authority, including controlled substances (South Carolina Board of Nursing SCLLR. (n.d.)). The drugs and devices prescribed by NPs must be within their specialty and listed in the written protocol developed by the NP and the supervising physician. NPs are also allowed to prescribe Schedules II-V. In South Carolina, NPs can prescribe a 5-day supply of Schedule II, a 30-day supply of Schedule 2N, and Schedule III, 3N, IV, V (Drug Enforcement Administration (DEA), 2021) South Carolina Nursing Practice Certification and Licensure.
References:
Code of Laws-title40-chapter 33-nurses. (n.d.).
https://www.scstatehouse.gov/code/t40c033/php.
Drug Enforcement Administration (DEA). (2021). Mid-Level practitioner’s authorization by state. U.S. Department of Justice. https://www.deadiversion.usdoj.gov/drugreg/practioners/mlp_by_state.
Nurse practitioners overview. Scope of Practice Policy. (n.d.).
https://scopeofpracticepolicy.org/practitioners/nurse-practitioners.
Scope of practice for nurse practitioners. American Association of Nurse Practitioners. (n.d.).
https://www.aanp.org/advocacy/advocacy-resource/positions-statements/scope-of-practice-for-nurse-practitioners
South Carolina Board of Nursing. SCLLR. (n.d.).
https://llr.sc.gov/nurse/Online/APRNUPDATELEAD.aspx South Carolina Nursing Practice Certification and Licensure.
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