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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 (NP) provides primary care to patients in hospitals and other healthcare facilities. He or she is responsible for recording and analyzing a patient's history, performing physical exams, ordering diagnostic tests, prescribing physical therapy and other similar tasks.btaining licensure as a registered nurse through the National Council Licensure Examination-Registered Nurses (NCLEX-RN), is required for all nurse practitioners. This is a post-undergraduate prerequisite to becoming an RN, which is a prerequisite to becoming a NP.