Practice Agreement · RN
Registered Nurse Practice Agreement in New Hampshire
New Hampshire 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 agreement requirements in NH. RSA 326-B:12 defines RN practice (managing, supervising, and evaluating nursing care) with no physician-supervision language, in contrast to RSA 326-B:13's LPN scope, which is explicitly practiced 'under the supervision of' an RN, APRN, physician, or dentist.
What a Registered Nurse practice agreement covers in New Hampshire
Governed by the New Hampshire 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 N.H. Rev. Stat. Ann. ch. 326-B. New Hampshire law does not require a collaboration or supervision 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
- N.H. Rev. Stat. Ann. § 326-B:11statute
Authorizes Advanced Practice Registered Nurse independent diagnosis, prescribing, and dispensing under the nurse's own license.
- N.H. Rev. Stat. Ann. § 328-D:3-bstatute
Physician Assistant collaboration agreement requirement, the 8,000-hour experience threshold, and the Board of Medicine waiver process (which itself sunsets January 1, 2027).
- N.H. Rev. Stat. Ann. § 318:16-astatute
Standards for collaborative pharmacy practice agreements between a pharmacist, an attending practitioner, and a consenting patient.
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 NH; they administer medications as ordered by a provider authorized by law to prescribe.
Written agreement
Not required
Unconditional — general RN licensure is never subject to physician supervision or an agreement requirement in NH, unlike the APRN/PA categories above.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — General RN licensure does not require a Professional Corporation (RSA 294-A) in the first place. Non-clinical businesses an RN might own (home health agency, staffing agency, general wellness business) carry no licensee-ownership restriction; whether RNs are separately enumerated as 'qualified persons' eligible to co-own a nursing-services PC under RSA 294-A was not independently confirmed.
For medical-aesthetics (med-spa) businesses performing delegated medical procedures, ownership of the clinical entity and physician delegation of the procedure itself are separate questions — not independently researched for NH in this pass.
Legal sources for these rules (2)
About New Hampshire's rules
RSA 326-B:11 gives all APRN categories (NP/CRNA/CNM/CNS) plenary, independent practice authority with no supervising-physician or collaborative-agreement requirement and no experience-based transition period — unlike NC/VA. PA title changes to 'physician associate' effective 1/1/2027 (not yet live). NH has no independent corporate-practice-of-medicine doctrine; secondary sources disagree on how far that extends — verify before relying on any CPOM entry below.
Other clinicians in New Hampshire: see the state overview.