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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.
The witnessâs signature does not indicate. that the practitioner fully informed the patient of the risks and benefits of the procedure, or that the patient understood the practitioner. The primary function of the witness is to. verify that the patient actually signed the consent form, and he or she may be called to.