Ohio State Policy Fact Sheet


American Association of Nurse Practitioners - Ohio State Policy

Nurse Practice Act: R.C. § 4723

Regulatory Structure: Reduced Practice

State law constrains patient access to nurse practitioner (NP) care. NPs are required by law to maintain a regulated collaborative agreement with a physician for at least on element of NP practice.
R.C. § 4723.431

Regulatory Agency

NP practice is regulated by the Board of Nursing (BON).
R.C. § 4723.06

Licensure Requirements

Requirements include an RN license, a graduate degree in an NP role and national certification.
R.C. § 4723.41

Schedule II Controlled Substance Prescriptive Authority

NPs are not authorized to prescribe Schedule II controlled substances in convenience care clinics.
R.C. § 4723.481

Continuing Education (CE)*

Twenty-four CE hours are required every two years. An additional 12 CE hours are required for prescriptive authority. See the BON for details.
R.C. § 4723.24

Medical Staff Membership**

Medical staff composition is determined by a facility’s governing body.
R.C. § 3701.351

Primary Care Providers

NPs are defined in law as Primary Care Providers.
OAC 5160-26-01

Signature Recognition on Items of Patient Care

  • Physical Therapy: NPs are authorized to refer to physical therapy.
    R.C. § 4755.48
  • Parking Permits: NPs are authorized to provide proof of disability for disabled parking permits.
    R.C. § 4503.44
  • DNR: NPs are authorized to sign Do Not Resuscitate orders.
    R.C. § 2133.23 and R.C. § 2133.211
  • Death Certificates: NPs are not presently authorized to sign death certificates.
    R.C. § 3705.16

*Contact hours in specific topics may be required. Please contact your state Board of Nursing for current information.
**Medical Staff Membership refers to governing and voting privileges and is not reflective of clinical or admitting privileges within institutions.
DISCLAIMER: The material contained in this fact sheet is offered as information only and not as practice, financial, accounting, legal or other professional advice. Correspondents must contact their own professional advisors for such advice.

Updated December 20, 2018

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