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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.
Students who wish to obtain a nurse practitioner license are required to have a bachelor of science. Pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to become an officially registered nurse (RN).eneral requirements include a current RN license in your state of practice and at least 500 supervised clinical hours in the nurse practitioner program for your chosen specialty. Get re-certified in your field through continuing education on a regular basis to maintain your national certification credential.