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My nurse practice act in Georgia is vague with regard to supervision/collaboration issues. There is no state where the law requires physicians to sign every one of a nurse practitioner's (NP's) charts. In Tennessee, a physician must sign 20% of an NP's charts every 30 days. In Arkansas, there is a requirement for physician cosignature of NP orders. Practice protocols or facility requirements must specify when NP's orders must be cosigned.
A nurse practitioner will become certified after graduation. There are many programs: family, acute care, adult, pediatric, mental health. Our titles vary by state, some are NP, ARNP, many others I cannot remember, this can be very confusing to the public.After we become certified, we add that to our title, mine is ARNP, FNP-BC.ur titles vary by state, some are NP, ARNP, many others I cannot remember, this can be very confusing to the public. After we become certified, we add that to our title, mine is ARNP, FNP-BC.