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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.
Certification. 1  When a physician or NPP certifies a POC, he or she must sign and date it. Stamped signatures are not allowed, and if the physician or NPP gives verbal certification, he or she must provide a signature within 14 days of that verbal notice.