Practice Agreement · RN
Registered Nurse Practice Agreement in Wyoming
Wyoming 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 Wyoming; general RN practice under the Nurse Practice Act is defined without a physician-oversight condition.
What a Registered Nurse practice agreement covers in Wyoming
Governed by the Wyoming 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 Wyo. Stat. Ann. § 33-21-120 et seq. Wyoming law does not require a 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, 1 education, 1 registration clauses, generated in the document itself.
Statutes and rules cited
- Wyoming Pharmacy Act Rules and Regulations, Chapter 20, Collaborative Practice Regulations (promulgated under Wyo. Stat. Ann. §§ 33-24-101 through -301)regulation
Wyoming Board of Pharmacy rule (filed with the Wyoming Legislature's rule-tracking system) setting the mandatory content, Board-approval process, and scope limits for a pharmacist collaborative practice agreement conducting medication therapy management.
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 Wyoming; they administer medications only as ordered by 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 a professional corporation under W.S. § 17-3-101 — non-clinical businesses an RN might own (staffing agency, home health agency) fall under general corporation/LLC law and carry no ownership restriction.
For medical-aesthetics (med-spa) businesses performing delegated medical procedures, RN ownership of the business entity doesn't remove the need for physician delegation/oversight of the procedures themselves — not independently confirmed against a Wyoming-specific med-spa rule in this research pass.
Legal sources for these rules (1)
About Wyoming's rules
Wyoming is a full-independence state for ALL FOUR APRN roles (NP, CRNA, CNM, CNS) under the APRN Consensus Model — no supervision/collaboration agreement required. PAs are separate: permanent physician supervision under W.S. 33-26, capped at 3 PAs per physician absent Board-approved good cause (W.S. 33-26-504) — one of the few explicit numeric PA ratio caps on file.
Other clinicians in Wyoming: see the state overview.