Practice Agreement · RN
Registered Nurse Practice Agreement in Nevada
Nevada 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 Nevada; RN practice is governed by the Nevada Nurse Practice Act (NRS Ch. 632) without a physician-oversight gate.
What a Registered Nurse practice agreement covers in Nevada
Governed by the Nevada State 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 NRS Chapter 632. Nevada 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
- NRS 632.237statute
Nurse Practitioner independent practice, with a Schedule II prescribing protocol required absent sufficient clinical experience.
- NRS 630.271statute
Requires a written supervisory agreement between a Physician Assistant and a supervising physician.
- NAC 630.495regulation
Limits simultaneous supervision of Physician Assistants and collaboration with Advanced Practice Registered Nurses to a combined total of three, absent Board approval.
- NRS 639.2623; NRS 639.2627statute
Authorizes a pharmacist collaborative practice agreement for collaborative drug therapy management, including initiating, monitoring, modifying, or discontinuing a patient's drug therapy.
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 Nevada; they administer medications only under a valid 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 — RNs are not expressly authorized to form a professional entity under NRS Ch. 89 the way physicians/APRNs are — 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 (1)
About Nevada's rules
Nevada has an active corporate-practice-of-medicine doctrine (NRS 89.070) limiting professional-entity ownership to the licensed profession rendering the service — a full-practice-authority NP may independently own a med-spa-type entity, but PAs are not enumerated as eligible owners. NPs/CNMs/CNSs share a 2,000-hour APRN practice-authority threshold (NRS 632.237); CRNAs are separately and explicitly supervised (NRS 632.2397).
Other clinicians in Nevada: see the state overview.