NCSBN’s APRN Campaign for Consensus: State Progress toward
Independent Practice - CNS
Can CNSs practice independently?
Independent: No requirement for a written collaborative agreement, no supervision, no conditions for practice, may follow a statutorily required period of practice under a collaborative/supervisory agreement.
Not Independent: A written agreement exists that specifies scope of practice and medical acts allowed with or without a general supervision requirement by a MD, DO, DDS, podiatrist or APRN; or direct supervision required in the presence of a licensed, MD, DO, DDS, podiatrist or APRN with or without a written practice agreement, or other conditions to practice.
Prescriptive Authority: An APRN is authorized to prescribe pharmacologic and non-pharmacologic therapies beyond the perioperative and periprocedural periods.
Updated as of 08/9/2021. Maps will be periodically updated as APRN laws change.