Advanced Practice Registered Nurse
Requirements for Practice

Requirements prior to commencing practice in Nebraska are:

1. Licensure as APRN;
2. An Integrated Practice Agreement(s);
3. Proof of Liability Insurance ; and
4. Jointly Approved Protocols WHEN:
   
   1. You have not completed 2000 hours of advanced nursing practice under the supervision of a physician.
   2. You cannot demonstrate separate course work from an approved program in pharmacotherapeutics, advanced health assessment, and pathophysiology or psychopathology to include 45 advanced academic contact hours each; or
   3. You do not have a master’s or doctorate degree.

If you meet the requirements for practice without protocols, you must submit an Attestation of Supervised Practice for Practice Without Protocols .

Prior to commencing practice in Nebraska, you must submit an Integrated Practice Agreement or request a waiver, an Attestation of Liability Insurance, and an Attestation of Supervised Practice for Practice Without Protocols, or an Attestation of Jointly Approved Protocols.

If you request a waiver of  Integrated Practice Agreement, you must meet the requirements for practice without protocols, must have made a diligent effort to obtain an integrated practice agreement, and be willing to practice in a geographic area where there is a shortage of health care services. Please contact Karen Bowen, Nurse Practice Consultant at (402) 471-4376, to request additional information on obtaining a waiver of an integrated practice agreement.