Identify whether your state requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are.
South Carolina requires physician involvement for diagnosis and treatment under the S.C.CodeAnn.$$40-33-20 (41), 40-33-34 (C)(I). The physician must be nearby and can be contacted either in person or by telecommunication or other electronic means to provide consultation and advice to the nurse practitioner. When an application is made for more than three NP’s to practice with one provider, or when an NP is performing delegated medical acts in a practice site greater than 45 miles from the physician, the Board of Nursing and Board of Medical Examiners shall review the application to determine if adequate supervision exists (Nurse practitioners overview. Scope of Practice Policy (n.d.).
Certified and licensed in your state
The application process for certification in South Carolina
South Carolina is a member of the Nurse Licensure Compact. A current APRN South Carolina or temporary license is required to practice advanced nursing in this state. All nurses must possess a current South Carolina licensure and/or temporary licensure before beginning orientation. An applicant for licensure as an Advanced Practice Registered Nurse will provide satisfaction to the board met all qualifications for licensure as a registered nurse, new graduates provide evidence of certification within one year of program completion, earned a master’s degree from an accredited college, has paid the board all applicable fees. The application for Advanced Practice Registered Nurse License will be completed and a money order made payable to LLR-Board of Nursing with a recent 2×2 full-faced passport type photo, copy of a birth certificate, copy of social security card, copy of the current license, copy of APN certification, authorize a name change, complete affidavit of eligibility, and copy of clinical background check (South Carolina board of nursing. SCLLR. (n.d.)).
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 provide safety and welfare by assuring safe and competent practice of nursing. The mission is accomplished with safe initial training, continuing competency in nursing practice, and promoting nursing excellence in areas of education and training. The board licenses qualified 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 as follows: https://llr.sc.gov.
South Carolina state define the scope of practice of a nurse practitioner
Nurse practitioners’ practice in nearly every healthcare setting, including clinics, hospitals, Veterans Affairs, Indian Health Care facilities, emergency rooms, urgent care sites, private physician practices, nursing homes, schools, colleges, retail clinics, etc. NP 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 and their families and communities. NP role is consistent with the APRN consensus model practicing in the population foci of family. Each NP is accountable to patients, the nursing profession, and the state board of nursing. NPs are expected to practice consistent with an ethical code of conduct, national certification, evidence-based principles, and current practice standards. The patient-centered nature of the NP requires a commitment to meet the evolving needs of society and advances in health care science. As leaders in our community, NPs combine as providers, mentors, educators, researchers, advocates, and administrators (Scope of practice for nurse practitioners. American Association of Nurse Practitioners (n.d.).
South Carolina practice agreement
The South Carolina practice agreement is a written agreement developed between an NP and physician or medical staff who work with and support the NP. This agreement must establish the medical aspects of care provided by the NP and includes prescribing medication. The practice agreement must contain mechanisms that allow the physicians to ensure that quality of clinical care and patient safety are maintained per state and federal laws and applicable Board of Nursing and Board of Medical Examiners rules and regulations (Code of Laws-title 40-chapter 33-nurses. (n.d.).
Drug Enforcement Agency (DEA) license
Physicians who administer, prescribe, or dispenses any controlled substance must be registered with the federal Drug Enforcement Administration (DEA). The application is located on www.deadiversion.usdoj.gov. When applying, you will need to note the control number, have your social security number and date of birth on hand. To obtain a DEA number, the individual must have an active license in the state they intend to practice.
South Carolina description of a nurse practitioner’s controlled-substance prescriptive authority and authorization to prescribe
In the state of 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 application. Of the 45 contact hours, at least 15 of the 20 hours should be in controlled substances. New graduates (who graduated within two years before the application) who have completed a graduate-level pharmacology course meet these educational requirements for prescriptive authority and controlled substances (South Carolina board of nursing SCLLR. (n.d.). Drugs and devices prescribed must be within the NP’s specialty and listed in the written protocol developed by the NP and the supervising physician. An NP may also prescribe Schedules II-V. In South Carolina NP are allowed to prescribe a 5-day supply of schedule II, a 30-day supply of schedule 2N, and can prescribe schedule III, 3N, IV, V (Drug Enforcement Administration (DEA), 2021).
Code of laws-title40-chapter 33-nurses. (n.d.).
Drug Enforcement Administration (DEA). (2021). Mid-Level practitioner’s authorization by
state. U.S. Department of Justice.
Nurse practitioners overview. Scope of Practice Policy. (n.d.).
Scope of practice for nurse practitioners. American Association of Nurse Practitioners. (n.d).
South Carolina board of nursing. SCLLR. (n.d.).