Limitations of Practice as a Nurse Practitioner in New York - 2022

Last Reviewed: June 11th, 2022

Limitations of practice are the boundaries that a professional should observe in their line of duty. A primary element of limitation of practice is supervision, which hampers the nurse practitioner’s (NP’s) autonomy. Every state operates a system where the NPs could either have some form of limited or unlimited practice. However, only 24 states, Washington D.C, and two U.S territories operate the complete or full practice system that allows NPs to carry out their duties without collaboration or supervision from a registered physician. These practices include evaluation of patients, diagnosis, interpretation of diagnostic tests, initiation and management of treatments, and prescribing of medication.

Limited practice is double-pronged. States with limited practice regulations either operate the reduced practice or the restricted practice. 

New York is one of the states that operate the “reduced practice” regulation. This regulation reduces the freedom of practice in one area of NP practice. For a New York NP to practice in this area requires collaboration with a different health provider. This system reduces the effectiveness of the health care system in the state, increases the cost of healthcare, reduces the patient’s access to healthcare, and creates discontentment among a significant section of the nursing population. 

Every NP in New York has a significant role in demanding a more independent operating environment. You can add your voice to the already powerful advocacy for full practice authority in New York. The American Association of Nurse Practitioners (AANP) is in the vanguard of the fight for full practice authority in New York. Organizations like the AANP publish educational resources and updates on advocacy progress in each state. NPs in New York can team up to pile pressure on state legislators to enact more practice-friendly laws like the full practice authority. This way, they can steadily brighten the future of the nursing profession and that of the healthcare sector in New York.