Practice Agreement · RN
Registered Nurse Practice Agreement in Nebraska
Nebraska law does not require a Registered Nurse to hold a named agreement with a physician. Practices still use one to define the working relationship; here is what it covers and what the state does require.
RNs (general licensure, not an APRN) are not subject to physician-supervision or collaborative-agreement requirements in Nebraska; RN practice is defined and governed by the Nurse Practice Act (§ 38-2212) without a physician-oversight gate.
What a Registered Nurse practice agreement covers in Nebraska
Governed by the Nebraska Board of Nursing. Each numbered item is a statutory requirement the agreement must satisfy.
The Registered Nurse ("RN") shall practice under the orders, standing orders, or delegation of the Physician, consistent with the Nebraska Nurse Practice Act, Neb. Rev. Stat. Chapter 38, Article 22. Nebraska law does not require a supervision or collaboration agreement for this Registered Nurse's general scope of practice; the Physician shall instead be available to the Registered Nurse for consultation regarding clinical and patient care issues arising under any order or delegation.
- The agreement on file also carries 2 scope, 2 education, 2 registration clauses, generated in the document itself.
Statutes and rules cited
- Neb. Rev. Stat. § 38-2317statute
Nurse Practitioner transition-to-practice arrangement required until 2,000 practice hours are completed.
- Neb. Rev. Stat. § 38-2050statute
Requires a written collaborative agreement between a Physician Assistant and a collaborating physician.
- Neb. Rev. Stat. § 38-2867.03statute
Authorizes a pharmacist to enter into a written practice agreement with a prescribing practitioner to provide pharmaceutical care under written protocols.
Terms it has to carry
Ratio, proximity, chart review, meeting and prescribing terms the agreement has to carry, from the state's supervision rules.
Proximity
Not codified — left to the agreement
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · no controlled-substance authority
RNs do not have independent prescriptive authority in Nebraska; they administer medications only under a valid medical order from an authorized prescriber.
Written agreement
Not required
Unconditional — general RN licensure is never subject to physician supervision or a collaborative agreement, unlike the APRN/PA categories above.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — General RN licensure does not require formation of a healing-arts Professional LLC (§ 21-190) — an RN may own non-clinical businesses (staffing, home health, the MSO/business side of a med-spa) without the ownership restriction applicable to entities delivering physician/APRN-level clinical services.
For medical-aesthetics businesses performing procedures reserved to physicians/APRNs, RN ownership of the business entity does not itself confer authority to perform those procedures.
Legal sources for these rules (2)
About Nebraska's rules
LB 107 (2015) replaced ongoing APRN physician collaboration with a one-time 2,000-hour transition-to-practice period for nurse practitioners; whether CRNAs and CNSs follow the identical threshold (vs. a different or no threshold) could not be fully confirmed against primary statute text in this pass — verify before relying on those two entries. CNMs remain the most restricted category, unaffected by that reform.
Other clinicians in Nebraska: see the state overview.