The State of Practice for Nurse Practitioners in North Carolina

The State of Practice for Nurse Practitioners in North Carolina

The State of Practice for Nurse Practitioners in North Carolina: Restricted Practice Requiring Collaborative Agreements with a Supervising Physician

North Carolina is one of the states that has restricted practice for nurse practitioners (NP). This means that the NP can only practice under the direction and constant supervision of a physician in a collaborative agreement. The NP is restricted in at least one aspect of practice and full practice authority is non-existent (NCBON, 2020; NCNA, 2020; Harkey et al., 2017). This state of affairs however goes against available evidence that shows that NPs are as efficient and able as physicians in providing treatment to patients suffering from various ailments. As such, there is no reason why North Carolina NPs should not be granted full practice authority (FPA) or practice autonomy (Harkey et al., 2017) The State of Practice for Nurse Practitioners in North Carolina.


The Nurse Practice Act in North Carolina also requires that a NP have a collaborative practice agreement governing prescription by the NP. This agreement specifies all the drugs that the NP is allowed to prescribe. She can therefore only prescribe according to the agreement with the supervising physician. If she has to prescribe a drug not in the agreement, the physician must authorise it (NCBON, 2020). For the same reasons given above, there is no evidence to suggest that NPs cannot safely prescribe medications autonomously. As a matter of fact, almost half of the states have now granted FPA to NPs and they are autonomously prescribing without any physician supervision.

North Carolina legislation allows NPs to prescribe drugs that are approved by the Food and Drug Administration as well as schedule II-V of the controlled substances. However, this can only happen under the supervision of the collaborating physician and in accordance with their collaborative practice agreement (NCBON, 2020) The State of Practice for Nurse Practitioners in North Carolina. This should not be the case, however, because NPs are highly educated to postgraduate levels in including in advanced pharmacology. They are therefore qualified, fit, and safe to prescribe independently.

The collaborative approach to treating rashes, for instance, requires that the NP only prescribes a limited range of medications specified in the collaborative practice agreement between them and the physician. As has been argued above, however, the NP should not practice with a collaborator because there is no evidence that supports the need for this. NPs are highly educated, trained, and adequately tested for safe practice (Harkey et al., 2017) The State of Practice for Nurse Practitioners in North Carolina.


Harkey, K., Little, S., & Lazear, J. (2017). The struggle for full practice in North Carolina. The Journal for Nurse Practitioners, 13(2), 131–137. Doi:10.1016/j.nurpra.2016.08.025

North Carolina Board of Nursing NCBON. Nursing practice act. Retrieved 16 March 2020 from

North Carolina Nurses Association NCNA. NP practice information. Retrieved 16 March 2020 from The State of Practice for Nurse Practitioners in North Carolina

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our Guarantees

Money-back Guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism Guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision Policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy Policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

4-hour deadlines

Your urgent tasks will be completed within 4 hours. Your discussion responses and late orders will be will be handled fast and we still maintain our quality.

Read more