South Carolina State Policy Fact Sheet


American Association of Nurse Practitioners - South Carolina State Policy

Nurse Practice Act: Code 1976 § 40-33-5

Regulatory Structure: Restricted Practice

State law restricts patient access to nurse practitioner (NP) care. State licensure law requires physician delegation and supervision for at least one element of NP practice.
Code 1976 § 40-33-34

Regulatory Agency

NP practice is regulated by the Board of Nursing (BON).
Code 1976 § 40-33-10

Licensure Requirements

Requirements include an RN license, a graduate degree in an NP role and national certification.
Code 1976 § 40-33-34

Continuing Education (CE)*

Twenty CE hours are required every two years. See the BON for details.
Code 1976 § 40-33-34

Supervisory Agreement Ratio**

The South Carolina Board of Medical Examiners must review cases when a physician supervises more than three NPs.
SC ADC 81-110

Signature Recognition on Items of Patient Care

  • Signature Recognition: South Carolina recognizes NP signatures on select items of
    patient care.
  • Physical Therapy: NPs are authorized to refer to physical therapy.
    Code 1976 § 40-33-34
  • Parking Permits: NPs are not authorized to provide proof of disability for disabled parking permits.
    Code 1976 § 40-33-34
  • DNR: NPs are not presently authorized to sign Do Not Resuscitate orders.
    Code 1976 § 40-33-34
  • Death Certificates: NPs are authorized to sign death certificates.
    Code 1976 § 40-33-34
  • Provider Orders for Life Sustaining Treatment (POLST): South Carolina’s Provider POLST program is developing.

*Contact hours in specific topics may be required. Please contact your state Board of Nursing for current information.
**Exemptions may be available. Please consult full law for guidance.
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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