Scope of Practice

To increase access to care, the Florida Hospital Association supports Advanced Registered Nurse Practitioners (ARNP's) practicing to the full extent of their education and training. Florida law currently requires all ARNPs be supervised by a physician (medical doctor or osteopathic physician) or dentist, and a practice protocol between the ARNP and supervising physician or dentist. In addition, Florida law does not permit ARNPs to prescribe controlled substances. Florida is the only state in the nation that has not authorized this practice.

ARNPs are licensed registered nurses who have earned a graduate degree at the master's or doctorate level and achieved national advanced practice certification for their specific area of practice. The ARNP designation includes Nurse Practitioners, Certified Registered Nurse Anesthetists (CRNA) and Certified Nurse Midwives (CNM).

According to the Florida Center for Nursing 2010-2011 Supply and Demographic Data, there are more than 14,000 ARNPs licensed in Florida and 30 percent work in hospitals. The role of advanced practice nurses in the acute care setting is expanding as innovations in the delivery of care improve clinical outcomes and increase access.

For more information, contact FHA Vice President of Nursing Martha DeCastro.

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