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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.
Renewal Requirements. Certificants choosing to recertify by clinical practice and continuing education (CE) requirements are encouraged to apply online. A paper application is available for Certificants who prefer to apply by paper method. Option 1: Recertify by CE and Clinical Practice Hours. 1  Minimum 1,000 hours of clinical practice in the nurse practitioner role appropriate for the population of certification. 2  Minimum 100 hours of advanced CE applicable to the population focus. 3  25 of the 100 CE hours must be advanced practice pharmacology credits.