What is a Ohio NP's scope of practice?

An Ohio NP’s scope of practice includes providing advanced nursing care within their certification and training, delivered under a physician collaboration via a standard care arrangement. NPs practice only in accordance with a standard care arrangement with a collaborating physician, and their prescriptive authority may not exceed that of the collaborating physician¹²³.

Within this scope, NPs may prescribe drugs and therapeutic devices as authorized by statute and the exclusionary formulary, consistent with the standard care arrangement⁴. They may prescribe controlled substances in Schedules III–V, and Schedule II only when the patient has a terminal condition, a physician initially prescribed the medication, and the amount does not exceed a single 72-hour period⁵. Special requirements apply to prescribing opioids and opioid analgesics to minors, including compliance with Section 3719.061, and prescribers must meet applicable DEA registration requirements⁶⁷⁸.

Additional functions within the APRN scope include determination of death under specified conditions for certain APRN roles, provided statutory criteria are met⁹. Collaboration requires the physician to be continuously available for communication, and the standard care arrangement must describe the NP’s services and prescriptive scope and include quality assurance provisions such as chart review, prescribing oversight (including OARRS), and processes for consultation and referral^10111213.