Scope of practice for nurse practitioners
Nurse practitioners have advanced education, clinical training and the demonstrated competence and legal authority to practise beyond the level of a registered nurse. Nurse practitioners work autonomously and in collaborative teams with other health professionals to promote health, prevent disease, and improve access and population health outcomes for a specific patient group or community. Nurse practitioners manage episodes of care as the lead healthcare provider in partnership with health consumers and their families/whānau. Nurse practitioners combine advanced nursing knowledge and skills with diagnostic reasoning and therapeutic knowledge to provide patient-centred healthcare services including the diagnosis and management of health consumers with common and complex health conditions. They provide a wide range of assessment and treatment interventions, ordering and interpreting diagnostic and laboratory tests, prescribing medicines within their area of competence and admitting and discharging from hospital and other healthcare services/settings. As clinical leaders they work across healthcare settings and influence health service delivery and the wider profession.
Apply for Nurse Practitioner Scope of Practice
Guidelines for nurses wishing to apply for registration in the nurse practitioner scope of practice are available from the Downloads on this page. Please note all applications need to be submitted through MyNC.
Continuing competence requirements
Every 3 years nurse practitioners will be required to provide evidence that they have maintained competence, when they apply for their practising certificate.
This evidence includes:
- Ongoing peer review of their prescribing practice by an authorised prescriber; and
- A minimum of 40 hours per year of professional development over a 3 year period; and
- A minimum of 40 days per year of ongoing nursing practice over a 3 year period.
Please note all recertification evidence needs to be submitted through MyNC.
The Medicines (Standing Order) Amendment Regulations 2016, extended the definition of who are permitted to issue standing orders to include optometrists and nurse practitioners. Nurse practitioners can issue standing orders and must comply with the regulatory requirements for monitoring and audit of the standing orders they issue ( Standing Order Guidelines 2016, Ministry of Health).
The ability to issue standing orders will improve access to medicines and effective treatment and allows nurse practitioners to work to the full extent of their scope.
More information on Nurse Practitioner qualifications and competencies can be found here.