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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.
FOR NURSE PRACTITIONERS. Version 1. 1. PURPOSE: To outline a policy and procedure for requesting approval of Scope of Practice and Standardized Procedures for nurse Practitioners (NPs), as well as define the scope of practice and standardized procedures of the NPâs within the [ Enter name of facility ]. 2.POLICY:ll Standardized Procedures are to be approved by the NP, collaborating physician, Director of the Service Line, Nurse Executive, and the Chief of Staff. The NP and collaborating physician will review the Scope of Practice and. standardized procedures for that NP annually and when modification is deemed necessary.